HESI RN EXIT V1 Questions And Answers (Latest Version) 2020/2021

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 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

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 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 semen and 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 to your 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, an athletic

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 of contraception.

8. 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?

A) Some needles go as deep as 3 inches, depending on where they're

placed in the body

and what the treatment is for. The needles usually are left in for 15 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 rebalance to allow

the body's

natural healing

mechanisms to take over.

The correct answer is C: The flow of life is believed to flow through major

pathways or

nerve clusters in your body.

9. The nurse is discussing with a group of students the disease Kawasaki.

What statement

made by a student about Kawasaki disease is incorrect?

A)It also called mucocutaneous lymph node syndrome because it affects

the mucous

membranes (inside the mouth, throat and nose), skin and lymph nodes.

B)In the second phase of the disease, findings include peeling of the skin

on the hands

and feet with joint and abdominal pain

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