HESI EXIT EXAM 202 1

1. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which

of the following findings should the nurse report to the provider?

A. WBC count 8,000/mm3.

B. Platelets 150,000/mm3.

C. Aspartate aminotransferase 10 units/L.

D. E rythrocyte sedimentation rate 75 mm/hr

2. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should

expect a prescription for which of the following laboratory tests?

A. Platelet count.

B. Potassium level.

C. Creatine clearance.

D. Prealbumin.

3. A nurse is caring for a client following application of a cast. Which of the following actions should the

nurse take first?

A. Place an ice pack over the cast.

B. P alpate the pulse distal to the cast.

C. Teach the client to keep the cast clean and dry.

D. Position the casted extremity on a pillow.

4. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse

take? (Select all that apply)

A. Keep objects in the client’s room in the same

place.

B. Ensure there is high-wattage lighting in the client’s

room.

C . Approach the client from the side.

D. Allow extra time for the client to perform tasks.

E . Touch the client gently to announce

presence.

5. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions

about the disease. To research the nurse should identify that which of the following electronic

database has the most comprehensive collection of nursing (Unable to read) articles?

A. MEDLINE

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B. C INAHL.

C. ProQuest.

D. Health Source.

6. A nurse in an emergency department is assessing newly admitted client who is experiencing

drooling and hoarseness following a burn injury. Which of the following should actions should the

nurse take first?

A. Obtain a baseline ECG.

B. Obtain a blood specimen for ABG analysis.

C. Insert an 18-gauge IV catheter.

D. A dminister 100% humidified oxygen.

7. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a

right hemispheric stroke. Which of the following interventions should the nurse include in the

plan?

A. Place food on the left side of the client’s mouth when he is ready to eat.

B. Provide total care in performing the client’s ADLs.

C. Maintain the client on bed rest.

D. P lace the client’s left arm on a pillow while he is sitting.

8. A nurse is caring for a client who is in a seclusion room following violent behavior. The client

continues to display aggressive behavior. Which of the following actions should the nurse take?

A. . Confront the client about this behavior.

B. Express sympathy for the client’s situation.

C. Speak assertively to the client.

D. Stand within 30 cm (1 ft) of the client when speaking with them.

9. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer.

Which of the following actions should the nurse take?

A. Cleanse equipment before removal from the client’s room.

B. L imit the client’s visitors to 30 min per day.

C. Discard the client’s linens in a double

bag.

D. Discard the radioactive source in a

biohazard bag

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10. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate

intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity.

Which of the following actions should the nurse take?

a. Position the client supine

b. Prepare an IV bolus of dextrose 5% in water

c. Administer methylergonovine IM

d. Administer calcium gluconate IV

11. A charge nurse is teaching new staff members about factors that increase a client’s risk to become

violent. Which of the following risk factors should the nurse include as the best predictor of future

violence?

a. Experiencing delusions

b. Male gender

d. A history of being in prison

12. A nurse is preparing to perform a sterile dressing change. Which of the following actions

should the nurse take when setting up the sterile field?

a. Place the cap from the solution sterile side up on clean surface

b. Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body's

first

c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm

(1-inch) border around any sterile drape or wrap that is considered contaminated.

d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; should

be ABOVE waist level

13. A nurse is providing teaching to an older adult client about methods to promote nighttime

sleep. Which of the following instructions should the nurse include?

a. Eat a light snack before bedtime

b. Stay in bed at least 1 hr if unable to fall asleep

c. Take a 1 hr nap during the day

d. Perform exercises prior to bedtime

14. A home health nurse is preparing for an initial visit with an older adult client who lives

alone. Which of the following actions should the nurse take first?

a. Educate the client about current medical diagnosis

b. Refer the client to a meal delivery program

c. Identify environmental hazards in the home

c. Previous violent behavior

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