HESI EXIT V1 EXAM PACK-EXAM MERGED FROM 2020-
2025ACTUAL EXAMS.NEXT GEN-ACTUAL EXAM REVIEW MED
SURG EXAM PACK BEST FOR 2024/2025
Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy? - ✔✔ANSW✔✔..Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
The nurse has been teaching a client with congestive heart failure about proper
nutrition. The selection of which lunch indicates the client has learned about sodium
restriction? - ✔✔ANSW✔✔..Sliced turkey sandwich and canned pineapple
Which bed position is preferred for use with a client in an extended care facility on falls
risk prevention protocol? - ✔✔ANSW✔✔..Bed in lowest position, wheels locked, place
bed against wall
When administering enteral feeding to a client via a jejunostomy tube, the nurse should
administer the formula - ✔✔ANSW✔✔..Continuously
The nurse is teaching an 87 year-old client methods for maintaining regular bowel
movements. The nurse would caution the client to AVOID - ✔✔ANSW✔✔..Laxatives
A client with diarrhea should avoid which of the following? - ✔✔ANSW✔✔..Orange juice
Which statement best describes the effects of immobility in children? -
✔✔ANSW✔✔..Immobility in children has similar physical effects to those found in adults
A nurse is providing care to a 63 year-old client with pneumonia. Which intervention
promotes the client's comfort? - ✔✔ANSW✔✔..Keep conversations short
After a myocardial infarction, a client is placed on a sodium restricted diet. When the
nurse is teaching the client about the diet, which meal plan would be the most
appropriate - ✔✔ANSW✔✔..3 oz. turkey, 1 fresh sweet potato, 1/2 cup fresh green
beans, milk, and 1 orange
,The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings
include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are
elevated. What dietary modifications are most appropriate? - ✔✔ANSW✔✔..Decreased
sodium and potassium
What nursing assessment of a paralyzed client would indicate the probable presence of
a fecal impaction? - ✔✔ANSW✔✔..Oozing liquid stool
A client in a long term care facility complains of pain. The nurse collects data about the
client's pain. The first step in pain assessment is for the nurse to - ✔✔ANSW✔✔..accept
the client's report of pain
An 85 year-old client complains of generalized muscle aches and pains. The first action
by the nurse should be - ✔✔ANSW✔✔..Assess the severity and location of the pain
A 20 year-old client has an infected leg wound from a motorcycle accident, and the
client has returned home from the hospital. The client is to keep the affected leg
elevated and is on contact
precautions. The client wants to know if visitors can come. The appropriate response
from the home health nurse is that: - ✔✔ANSW✔✔..Visitors should wash their hands
before and after touching the client
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal
meningitis. Which admission orders should the nurse do first? - ✔✔ANSW✔✔..Place in
respiratory/secretion precautions
Which of these nursing diagnoses of 4 elderly clients would place 1 client at the greatest
risk for falls? - ✔✔ANSW✔✔..Altered patterns of urinary elimination related to nocturia
A nurse who is reassigned to the emergency department needs to understand that
gastric lavage is a priority in which situation? - ✔✔ANSW✔✔..An infant who has been
identified to have botulism
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should
reinforce to the staff members that the most significant routine infection control strategy,
in addition to hand washing, to be implemented is which of these? -
✔✔ANSW✔✔..Have gloves on while handling bedpans with feces
Which of these clients with associated lab reports is a priority for the nurse to report to
the public health department within the next 24 hours? - ✔✔ANSW✔✔..An elderly
factory worker with a lab report that is positive for acid-fast bacillus smear
A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia. What
type of isolation is most appropriate for this client? - ✔✔ANSW✔✔..Contact
, The school nurse is teaching the faculty the most effective methods to prevent the
spread of lice in the school. The information that would be most important to include
would be which of these statements? - ✔✔ANSW✔✔..Children are not to share hats,
scarves and combs
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 -
✔✔ANSW✔✔..weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most
important for the nurse to reinforce with the client? - ✔✔ANSW✔✔..It is critical to report
promptly to your health care provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the nurse
take first? - ✔✔ANSW✔✔..Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern? - ✔✔ANSW✔✔..A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider? - ✔✔ANSW✔✔..Fever of
103 degrees Fahrenheit (39.5 degrees Celsius)
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? - ✔✔ANSW✔✔..Until
the health care provider has determined that your ejaculate doesn't contain
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? - ✔✔ANSW✔✔..The flow of life is believed
to flow through major pathways or nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement
made by a student about Kawasaki disease is incorrect? - ✔✔ANSW✔✔..Kawasaki
disease occurs most often in boys, children younger than age 5 and children of Hispanic
descent
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best
position to teach the client to lie in every other hour during first 12 hours after
admission? - ✔✔ANSW✔✔..Side-lying on the left with the head elevated 10 degrees
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