NUR 101 Practice Examination for HESI Exit- Valencia Community College
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Course
NUR 101 (NUR101)
Institution
Mt. San Antonio College
NUR 101 Practice Examination for HESI Exit- Valencia Community College/NUR 101 Practice Examination for HESI Exit- Valencia Community College/NUR 101 Practice Examination for HESI Exit- Valencia Community College/NUR 101 Practice Examination for HESI Exit- Valencia Community College
nur 101 practice examination for hesi exit valencia community collegenur 101 practice examination for hesi exit valencia community collegenur 101 practice examination for hesi exit valencia commu
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NUR 101 (NUR101)
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Practice Examination For HESI exit
Part One
You will have two hours and 30 minutes to complete Part One.
1. Which of the following describes a preterm neonate?
A. A neonate weighing less than 2,500 g (5 lb, 8 oz).
B. A lowbirthweight neonate.
C. A neonate born at less than 37 weeks' gestation regardless of weight.
D. A neonate diagnosed with intrauterine growth retardation.
2. A client with type 1 (insulindependent) diabetes mellitus has just learned
she's pregnant. The nurse is teaching her about insulin requirements during
pregnancy. Which guideline should the nurse provide?
A. "Insulin requirements don't change during pregnancy. Continue your current
regimen. "
B. "Insulin requirements usually decrease during the last two trimesters. "
C. "Insulin requirements usually decrease during the first trimester. "
D. "Insulin requirements increase greatly during labor. "
3. A client with leftsided heart failure complains of increasing shortness of
breath and is agitated and coughing up pinktinged, foamy sputum. The nurse should
recognize these as signs and symptoms of
A. rightsided heart failure.
B. acute pulmonary edema.
C. pneumonia.
D. cardiogenic shock.
4. What's the most appropriate nursing diagnosis for a client exhibiting
obsessivecompulsive behavior?
A. Ineffective coping.
B. Imbalanced nutrition: Less than body requirements.
C. Imbalaneed nutrition: More than body requirements.
D. Interrupted family processes.
5. The nurse is caring for a client who underwent a subtotal gastrectomy. To
manage dumping syndrome, the nurse should advise the client to
A. restrict fluid intake to 1 qt (1,000 mL)/day.
B. drink liquids only with meals.
C. don't drink liquids 2 hours before meals.
D. drink liquids only between meals.
6. A client seeks care for low back pain of 2 weeks' duration. Which assessment
finding suggests a herniated intervertebral disk?
A. Pain that radiates down the posterior thigh.
B. Back pain when the knees are flexed.
C. Atrophy of the lower leg muscles.
D. Positive Homans' sign.
7. A client has approached the nurse asking for advice on how to deal with his
alcohol addiction. The nurse should tell the client that the only effective treatment for
alcoholism is
A. psychotherapy.
B. total abstinence.
C. Alcoholics Anonymous (AA).
, D. aversion therapy.
8. A 23monthold child is brought to the emergency department with suspected
croup. Which assessment finding reflects increasing respiratory distress?
A. Intercostal retractions.
B. Bradycardia.
C. Decreased level of consciousness.
D. Flushed skin.
9. A 20yearold mother of a premature newborn smoked cigarettes during her
pregnancy. Her son is a client in a neonatal intensive care unit and has a diagnosis of
acute respiratory distress syndrome. Because the mother is Roman Catholic, which
nursing intervention would be most appropriate for the nurse to discuss with her?
A. Baptism of the infant.
B. Circumcision of the infant.
C. Last rites for the infant.
D. Sacraments of the sick for the mother.
10. A client with shock brought on by hemorrhage has a temperature of 97.6°F
(36.4℃), a heart rate of 140 beats/minute, a respiratory rate of 28 breaths/minute, and
a blood pressure of 60/30 mmHg. For this client the nurse should question which
physician order?
A. "Monitor urine output every hour. "
B. "Infuse IV fluids at 83 mL/hr"
C. "Administer oxygen by nasal cannula at 3 L/min"
D. "Draw samples for hemoglobin and hematocrit every 6 hours. "
11. A client is hospitalized with a diagnosis of chronic glomerulonephritis. The
client mentions that she likes salty foods. The nurse should warn her to avoid foods
containing sodium because
A. reducing sodium promotes urea nitrogen excretion.
B. reducing sodium decreases edema.
C. reducing sodium improves her glomerular filtration rate.
D. reducing sodium increases potassium absorption.
12. The nurse is evaluating a client who is complaining of shortness of breath.
The client's respiratory rate is 26 breaths per minute so the nurse documents that he is
tachypneic. The nurse understands that tachypnea means
A. frequent bowel sounds.
B. heart rate greater than 100 beats/minute
C. hyperventilation.
D. respiratory rate greater than 20 breaths/minute
13. A client who has cervical cancer is scheduled to undergo internal radiation.
In teaching the client about the procedure, the nurse would be most accurate in telling
the client
A. she'll be in a private room with unrestricted activities.
B. a bowelcleansing procedure will precede radioactive implantation.
C. she'll be expected to use a bedpan for urination.
D. the preferred positioning in bed will be semiFowler's.
14. Before administering a tube feeding to a toddler, which of the following
methods should the nurse use to check the placement of a nasogastric (NG) tube?
A. Abdominal Xrays.
, B. Injection of a small amount of air while listening with a stethoscope over the
abdominal area.
C. A check of the pH of fluid aspirated from the tube.
D. Visualization of the measurement mark on the tube made at the time of
insertion.
15. While assessing a 2monthold child's airway, the nurse finds that the child
isn't breathing. After two unsuccessful attempts to establish an airway, the nurse
should
A. attempt rescue breaths.
B. attempt to reposition the airway a third time.
C. administer five back blows.
D. attempt to ventilate with a handheld resuscitation bag.
16. Which of the following statements summarizes the underlying principle for
the development of a parenbchild relationship?
A. The parents tobe had good role models in their childhood.
B. The relationship is part of the adult maturational process.
C. The development is directly related to the physical needs of the neonate.
D. The relationship is based on the need for early and frequent parentinfant
contact.
17. During the night, a 50yearold Vietnam veteran with posttraumatic stress
syndrome wakens shaking and tells you that someone is trying to smother him. What
is the appropriate response for the nurse in this situation?
A. "It was a bad dream. You are safe. I'll stay here with you until you go back to
sleep. "
B. "We can talk about it tomorrow. Try to see if you can get back to sleep. "
C. "It was only a dream. There's nothing to be frightened about. "
D. "I'll call the physician and see whether I can get you medication to help you
go back to sleep. "
18. Physical assessment findings in the eyes of elderly people may include
A. decreased lens thickness.
B. decreased visual acuity.
C. lightening of the skin around the orbits.
D. unequal pupillary light reflex.
19. During a morning assessment, the nurse percusses tympany. The nurse
understands that tympany is a loud, highpitched, moderately long sound with a
drumlike, musical quality that's most commonly heard over the
A. heart.
B. liver.
C. pancreas.
D. stomach.
20. The nurse is caring for a client who complains of lower back pain. Which
instructions should the nurse give to this client to prevent back injury?
A. Bend over the object you're lifting.
B. Narrow the stance when lifting.
C. Push or puI1 an object using your arms.
D. Stand close to the object you're lifting.
21. The physician prescribes several drugs for a client with hemorrhagic stroke.
Which drug order should the nurse question?
, A. Heparin sodium (HepLock).
B. Dexamethasone (Deeadron).
C. Methyldopa (Aldomet).
D. Phenytoin (Dilantin).
22. The nurse is caring for a client who recently underwent a total hip
replacement. The nurse should
A. ease the client onto a low toilet seat.
B. allow the client's legs to be crossed at the knees when out of bed.
C. use soft chairs when the client is sitting out of bed.
D. limit client hip flexion when sitting.
23. After assessing a newly admitted 5yearold child, the nurse makes the
nursing diagnosis of Parental role conflict related to child's hospitalization. Which
defining characteristic would most suggest this diagnosis?
A. Supportive childparent interaction (speaking, listening, touching, and eyeto
eye contact).
B. Parents' active participation in child's physical or emotional care.
C. Parents' failure to use available support systems or agencies to assist in
coping.
D. Evidence of adaptation to parental role changes.
24. The nurse must apply an elastic bandage to a client's ankle and calf. She
should apply the bandage beginning at the client's
A. foot.
B. ankle.
C. lower thigh.
D. knee.
25. Which vaginal infection doesn't require treatment for sexual partners?
A. Neisseria gonorrhoeae.
B. Candida albicans.
C. Trichomonas vaginalis.
D. Chlamydia trachomatis.
26. Before a transesophageal echocardiogram, a client is given an oral topical
anesthetic spray. Upon return from the procedure, the nurse observes that the client
has no active gag reflex. In response, the nurse should
A. insert an oral airway.
B. withhold food and fluids.
C. position the client on his side.
D. introduce a nasogastric (NG) tube.
27. A child, age 5, with an IQ of 65 is admitted to the hospital for evaluation.
When planning care, the nurse should keep in mind that this child is
A. within the lower range of normal intelligence.
B. mildly retarded but educable.
C. moderately retarded but trainable.
D. completely dependent on others for care.
28. A client tells the nurse that she has been working hard for the last 3 months
to control her type 2 (noninsulindependent) diabetes mellitus with diet and exercise.
To determine the effectiveness of the client's efforts, the nurse should check
A. urine glucose level.
B. fasting blood glucose level.
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