HESI RN EXIT EXAM
A 2 year-old child has just been diagnosed with cystic fibrosis. The child’s father asks the
nurse "What is our major concern now, and what will we have to deal with in the future?"
Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis
C) "Th results in nutritional concerns that can be dealt with." in, tenacious secretions from the
lungs are a constant struggle in cystic fibrosis."
D) "You will work with a team of experts and also have access to a support group that the
family can attend." - CORRECT ANSWER-C) "Thin, tenacious secretions from the lungs are a
constant struggle in cystic fibrosis."
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: A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors - CORRECT ANSWER-C) Visitors should wash their hands before and after touching
the client
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that
the prescribed dosage is too high for this client? The client experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - CORRECT ANSWER-D. Palpitations and shortness
of
breath
A 30 month-old child is admitted to the hospital unit. Which of the following toys would be
appropriate for the nurse to select from the toy room for this child?
, lOMoAR cPSD| 44700223
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - CORRECT ANSWER-B) Large wooden
puzzle
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse
enters the room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT ANSWER-C) Administer
the prescribed analgesia
A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma.
This is her third admission for asthma in 7 months. She describes how she doesn’t really like
having to use her medications all the time. Which explanation by the nurse best describes the
long-term consequence of uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia - CORRECT ANSWER-C) Lung remodeling and permanent changes in
lung function
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and
alert, but has not been able to void since he returned from surgery 6 hours ago.He received
1000 mL of IV fluid. Which action would be most likely to help him void?
A) Have him drink several glasses of water
B) Crede’ the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again - CORRECT ANSWER-C) Assist him to stand by
the side of the bed to void
A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6 on a 0- to-10
scale. The client refuses all pain medication other than Motrin, which does not relieve his
pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client’s family about the situation C) Report the
situation to the health care provider
3
, lOMoAR cPSD| 44700223
D) Document the situation in the notes - CORRECT ANSWER-A) Ask the client about the refusal
of certain pain medications
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal
meningitis. Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h - CORRECT ANSWER-C) Place in
respiratory/secretion precautions
A client asks the nurse to call the police and states: "I need to report that I am being abused
by a nurse." The nurse should first
A) Focus on reality orientation to place and person
B) Assist with the report of the client’s complaint to the police
C) Obtain more details claim of abuse of the client’s
D) Document the statement on the client’s chart with a report to the manager -
CORRECT ANSWER-C) Obtain more details of the client’s claim of abuse
A client develops volume overload from an IV that has infused too rapidly. What assessment
would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation - CORRECT ANSWER-A) S3 heart sound
A client frequently admitted to the locked psychiatric unit repeatedly compliments and
invites one of the nurses to go out on a date. The nurse’s response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date clients
D) Discuss the boundaries of the therapeutic relationship with the client - CORRECT ANSWER-D)
Discuss the boundaries of the therapeutic relationship with the client
A client has been receiving lithium (Lithane) for the past two weeks for the treatment of
bipolar illness. When planning client teaching, what is most important to emphasize to the
client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PatrickHaller. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.