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2019 HESI EXIT V1
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2019 HESI EXIT
V1
1. Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for
the next 2
days
D) Measure the urine output for the next day and immediately notify the health
care
provider if it should decrease.
The correct answer is D: Measure the urine output for the next day and
immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated at home. The nurse
recognizes
that the most accurate indicator of fluid balance during the weekly visits
is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is
most important for the nurse to reinforce with the client?
,2
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of
peptic
ulcers
c)Treatment consists of medications to reduce acid and heal any peptic
ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may
occur at unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care
provider any
findings of peptic ulcers .
,2
4. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate
doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of
sperm in the testicles. The sperm can no longer enter your semen and no
sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least
48 hours. If
, 2
your work doesn't involve hard physical labor, you can return to your job
as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic
supporter or
over-the-counter pain medication to relieve any discomfort.
The correct answer is A: Until the health care provider has determined
that your ejaculate
doesn't contain sperm, continue to use another form of contraception.
5. A client who is to have antineoplastic chemotherapy tells the nurses of a fear
of being
sick all the time and wishes to try acupuncture. Which of these beliefs
stated by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're
placed in the body
and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
—
known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major pathways or nerve clusters
in your
body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to allow
the body's
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