NurseHero2021 - qwivy.com 2021

NurseHero2021 – qwivy.com 2021

HESI EXIT V2 2021

160 Questions

 PLEASE NOTE: Health care system is continuously changing, guidelines and

recommendation could differ from time to time, the answers of below questions were

made up to our best knowledge and elimination of wrong answers – and remember that

most of the time there are more than a correct answer but you have to choose the MOST

important or priority or what’s within nursing scope of practice. We tried our best to have

all answers correct but we do not guarantee that 100%. You must study and review them

as well. Good luck!

1. After receiving IV fluids in the emergency department, an elderly client is admitted to

the acute care unit with a medical diagnosis of dehydration. The client is receiving 0.9%

normal saline at 125 ml/hour via saline lock and has a bounding pulse, tachycardia, and

pedal edema. When contacting the healthcare provider, the nurse anticipates a

prescription what intervention?

A) Remove the saline lock from the client’s arm.

B) Increase the rate of the normal saline infusion.

C) Decrease the rate of the normal saline infusion.

D) Change the IV solution to 0.45% saline solution.

For More Nursing Materials Visit WWW.qwivy.COM

WWW.qwivy.COM Page 1 of 49

 1 / 4

NurseHero2021 - qwivy.com 2021

NurseHero2021 – qwivy.com 2021

2. A client who is admitted to the care unit with syndrome of inappropriate antidiuretic

hormone (SIADH) has developed osmotic demyelination. Which intervention should the

nurse implement first?

A) Patch one eye.

B) Evaluate swallow.

C) Reorient often.

D) Range of motion.

 3. The nurse is preparing a client who had a below-the-knee (BKA) amputation for

discharge to home. Which recommendations should the nurse provide this client?

(Select all that apply)

A) Wash the stump with soap and water.

B) Avoid range of motion exercise.

C) Apply alcohol to the stump after bathing.

D) Inspect skin for redness.

E) Use a residual limb shrinker.

4. After 2 days treatment for dehydration, a child continues to vomit and have diarrhea.

Normal saline is infusing and the child’s urine output is 50ml/hour. During morning

assessment, the nurse determines that the child is lethargic and difficult to arouse.

Which should the nurse implement?

A) Increase the IV fluid flow rate.

B) Review 24-hour intake and output.

C) Obtain arterial blood gases.

D) Perform a finger stick glucose test.

5. A client with bleeding esophageal varices receives vasopressin IV. What should the

nurse monitor for during the IV infusion of this medication?

A) Vasodilatation of the extremities.

B) Chest pain and dysrhythmia.

C) Hypotension and tachycardia.

D) Decreasing GI cramping and nausea.

For More Nursing Materials Visit WWW.qwivy.COM

WWW.qwivy.COM Page 2 of 49

 2 / 4

NurseHero2021 - qwivy.com 2021

NurseHero2021 – qwivy.com 2021

6. A male client with an antisocial personality disorder is admitted to an inpatient mental

health unit for multiple substance dependency. When providing a history, the client

justifies to the nurse his use of illicit drugs. Based on this pattern of behavior, this

client’s history is most likely to include which finding?

A) Multiple convictions for misdemeanors and Class B felonies.

B) Delusions of grandiosity and persecution.

C) Suicidal ideations and multiple attempts.

D) Photos and panic attacks when confronted by authority figures.

7. An older client is admitted for repair of a broken hip. To reduce the risk for infection

postoperative period., which nursing care intervention should the nurse include the

client’s plan of care? (Select all that apply)

A) Administer low molecular weight heparin as prescribed.

B) Teach client to use incentive spirometer every 2 hours while awake.

C) Remove urinary catheter as soon as possible and encourage voiding.

D) Maintain sequential compression devices while in bed.

E) Assess pain level and medicate PRN as prescribed.

8. The nurse is preparing a 50 ml dose of 50% Dextrose IV for a client with insulin

shock. How should the nurse administer the medication?

A. Dilute the dextrose in one liter of 0.9% Normal Saline solution.

B. Push undiluted slowly though the currently infusing IV.

C. Mix the dextrose in a 50 ml piggyback for a total volume of 100 ml.

D. Ask the pharmacist to add the Dextrose to a TPN solution.

9. A client with arthritis has been receiving treatment with naproxen and now reports

ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should

the nurse monitor?

A) Serum Calcium.

B) Erythrocyte sedimentation rate.

C) Osmolality.

D) Hemoglobin.

For More Nursing Materials Visit WWW.qwivy.COM

WWW.qwivy.COM Page 3 of 49

 3 / 4

NurseHero2021 - qwivy.com 2021

NurseHero2021 – qwivy.com 2021

10. A client with bacterial meningitis is receiving phenytoin. Which assessment finding

indication to the nurse that the client is experiencing a therapeutic response to the

phenytoin?

A) Increased time of ambulation between periods of rest.

B) Decrease in intracranial pressure and cerebral edema.

C) Absence of seizure activity for the duration of treatment.

D) Normal electroencephalogram after drug administration.

11. A client peptic ulcer disease receives a prescription for intermittent suction via a

SalemSump nasogastric tube (NGT). After inserting the NGT and obtaining coffeeground gastric contents, the nurse clamps the NGT because the client must leave the

unit for diagnostic studies. Upon return to the unit, the client complains of nausea. What

action should the nurse implement first?

A) Administering a prescribed antiemetic agent.

B) Provide oral suction using a Yankauer tip.

C) Connect the NGT to low intermittent suction.

D) Irrigate the NGT with sterile normal saline.

12. The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride 1,000

ml to be influenced over 4 hours. The IV administration set delivers 10 gtt/ml. How many

gtt/minute should the nurse regulate the infusion? ( round the nearest whole number.)

Flow rate(gtt/min) = volume(ml)/ time(min) × drop factor(gtt/mL).

Flow rate=1000ml/240min×10gtt/ml.

Flow rate = 41.667gtt/min.

42

For More Nursing Materials Visit WWW.qwivy.COM

WWW.qwivy.COM Page 4 of 49

Powered by qwivy(www.qwivy.org)

 4 / 4