RN HESI EXIT
EXAM
VERSIONS V1,
V2, V3, V4, V5,
V6, V7, V8, V9 &
V10 (ALL 1580
QUESTIONS)
(160 X 10VS
QUESTIONS &
ANSWERS
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 istiring.
C) During waking hours drink at least 1 8-ounce glass of fluidevery
hour for the next 2
daysD)
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 dayand
immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated athome.
The nurse recognizes
that the most accurate indicator of fluid balance during theweekly 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?
A) It is a condition in which one or more tumors called gastrinomasform 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 anypeptic ulcers
and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the pepticulcers
may occur at unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to yourhealth care
provider any
findings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized for
preeclampsia.
The nurse
determines that the client‘s blood pressure is increasing. Whichaction
should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrialheart
rate is 250 and the
ventricular rate is controlled at 75. Which of the followingfindings is
cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed
frequently by the home health
nurse. Which finding suggests that antibiotic therapy is noteffective,
and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
7. A client who had a vasectomy is in the post recoveryunit 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 semenand no
sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to be
avoided for at least 48 hours. If
your work doesn't involve hard physical labor, you can return toyour
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, anathletic
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 ofcontraception.
8. A client who is to have antineoplastic chemotherapy tells thenurses
of a fear of being
sick all the time and wishes to try acupuncture. Which of thesebeliefs
stated by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending onwhere
they're placed in the body
and what the treatment is for. The needles usually are left in for15 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 rebalanceto allow
the body's
natural healing
mechanisms to take
over.
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