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?
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
A++
, HESI RN 2019
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.
4. 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?
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 atrial
heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following
findings 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 not
effective, 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 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
A++
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