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HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7
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HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7
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HESI RN EXIT EXAM V1-V7 (LATEST 2024-2025) / RN EXITk k k k k k k k k
HESIEXAM V1,V2,V3,V4,V5,V6,V7 k k k
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
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drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is
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thebest follow-up action by the nurse?
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• Review with the client the need to avoid foods that are rich in milk and cream k k k k k k k k k k k k k k k
2. A male client with hypertension, who received new antihypertensive prescriptions at his
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last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His
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BPis 158/106 and he admits that he has not been taking the prescribed medication
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because the drugs make him ―feel bad‖. In explaining the need for hypertension control,
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the nurseshould stress that an elevated BP places the client at risk for which
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pathophysiological condition?
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• Stroke secondary to hemorrhage k k k
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
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admitted client who has a seizure disorder. The client is supine and the UAP is placing
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soft pillowsalong the side rails. What action should the nurse implement?
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• Instruct the UAP to obtain soft blankets to secure to the side rails instead k k k k k k k k k k k k k
ofpillows. k k
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
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forthe past 12 days. Which assessment finding requires immediate follow-up?
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• Describes life without purpose k k k
5. A 60-year-old female client with a positive family history of ovarian cancer has developed
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an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau
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(Pap) smear results are negative. What information should the nurse include in the
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client’steaching plan?
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• Further evaluation involving surgery may be needed k k k k k k
6. A client who recently underwear a tracheostomy is being prepared for discharge to
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khome.Which instructions is most important for the nurse to include in the discharge
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kplan?
• Teach tracheal suctioning techniques k k k
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the
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koxygenreservoir bag does not deflate completely during inspiration and the client’s
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krespiratory rate is 14 breaths / minute. What action should the nurse implement?
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• Document the assessment data k k k
• Rational: reservoir bag should not deflate completely during inspiration and the k k k k k k k k k k
client’srespiratory rate is within normal limits.
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8. During shift report, the central electrocardiogram (EKG) monitoring system
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kalarms.Which client alarm should the nurse investigate firs?
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, • Respiratory apnea of 30 seconds k k k k
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall.
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kWhataction should the nurse take first?
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• Check the client for lacerations or fractures k k k k k k
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
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the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
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avoid getting a headache. Which action should the nurse take first?
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• Inform the anesthesia care provider k k k k
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
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heart sounds. To determine if an S3 heart sound is present, what action should the
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nurse takefirst?
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• Listen with the bell at the same location k k k k k k k
12. A 66-year-old woman is retiring and will no longer have a health insurance through
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her place of employment. Which agency should the client be referred to by the
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employee health nurse for health insurance needs?
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• Medicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal
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kupset.What snack should the nurse instruct the client to take with the tetracycline?
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• Toasted wheat bread and jelly k k k k
14. Following a lumbar puncture, a client voices several complaints. What
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kcomplaintindicated to the nurse that the client is experiencing a complication?
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• “I have a headache that gets worse when I sit up”
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• ―I am having pain in my lower back when I move my legs‖
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• ―My throat hurts when I swallow‖
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• “I feel sick to my stomach and am going to throw up”
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15. An elderly client seems confused and reports the onset of nausea, dysuria, and
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kurgencywith incontinence. Which action should the nurse implement? • Obtain a clean
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kcatchmid-stream specimenk k
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
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kfoodsthat are in keeping with the child’s dietary restrictions. Which foods are
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kcontraindicated for this child? k k k
• Foods sweetened with aspartame k k k
17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
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kasks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation
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kforthis client. Which response should the circulating nurse provide?
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• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
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18. Which breakfast selection indicates that the client understands the nurse’s
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kinstructionsabout the dietary management of osteoporosis?k k k k k k
, Stuvia.com k- kThe kMarketplace kto kBuy kand kSell kyour kStudy kMaterial
• Bagel with jelly and skim milk
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19. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the
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koptimal number of registered nurses will be working that shift. In planning assignments, which
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kclientshould receive the most care hours by a registered nurse (RN)?
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• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley
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catheter and soft wrist restrains applied
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, 20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
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kpediatrician’s office. Upon inspection, the nurse notes that the nail went through the
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kshoeand pierced the bottom of the child’s foot. Which action should the nurse
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kimplement first? k
• Cleanse the foot with soap and water and apply an antibiotic ointment • k k k k k k k k k k k k
Provide teaching about the need for a tetanus booster within the next 72 hours.
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• have the mother check the child's temperature q4h for the next 24 hours
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• transfer the child to the emergency department to receive a gamma k k k k k k k k k k
globulininjection k k
21. The mother of an adolescent tells the clinic nurse, ―My son has athlete’s foot, I have
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kbeenapplying triple antibiotic ointment for two days, but there has been no
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kimprovement.‖ What instruction should the nurse provide? k k k k k k
• Stop using the ointment and encourage complete drying of the feet and
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wearingclean socks. k k k
22. A 26-year-old female client is admitted to the hospital for treatment of a simple
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kgoiter,and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate
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kto the nurse that the prescribed dosage is too high for this client? The client
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kexperiences
• Bradycardia and constipation k k
• Lethargy and lack of appetite k k k k
• Muscle cramping and dry, flushed skin k k k k k
• Palpitations and shortness of breath k k k k
23. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
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kyellow vision and palpitations. Which finding is most important for the nurse to assess
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ktothe client?
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• Obtain a list of medications taken for cardiac history k k k k k k k k
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
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kml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver
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khowmany ml/hour? (Enter numeric value only.)
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• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour k k k k k k k k k k k k k
/1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
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25. The pathophysiological mechanism are responsible for ascites related to liver
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kfailure?(Select all that apply) k k k k
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
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• Increased hydrostatic pressure in portal circulation increases fluid shifts k k k k k k k k
intoabdomen k k
• Increased circulating aldosterone levels that increase sodium and water retention k k k k k k k k k
26. The nurse is auscultating a client’s heart sounds. Which description should the nurse
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kuse to document this sound? (Please listen to the audio first to select the option that
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kapplies)
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