2019 HESI Exit EXAM Ver. 1

2019 HESI Exit EXAM (Ver. 1) 100 % Correct Questions and Answers - A+ Rated Guide

• A client has an indwelling catheter with continuous bladder irrigation

after undergoing a transurethral resection of the prostate (TURP) 12 hours ago.Which finding at this time should be reported to the health care provider?

• Light, pink urine
• occasional suprapubic cramping
• minimal drainage into the urinary collection bag
• complaints of the feeling of pulling on the urinary catheter The correct

answer is C:

minimal drainage into the urinary collection bag

• A nurse is performing CPR on an adult who went into cardiopulmonary

arrest.Another nurse enters the room in response to the call. After checking the client’s pulse and respirations, what should be the function of the second nurse?

• Relieve the nurse performing CPR
• Go get the code cart
• Participate with the compressions or breathing
• Validate the client's advanced directive

The correct answer is C: Participate with the compressions or breathing

• The nurse assesses a 72 year-old client who was admitted for right

sided congestive heart failure. Which of the following would the nurse anticipate finding?

• Decreased urinary output
• Jugular vein distention
• Pleural effusion
• Bibasilar crackles

The correct answer is B: Jugular vein distention

• A client with heart failure has a prescription for digoxin. The nurse is

aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication

• Can predispose to dysrhythmias
• May lead to oliguria
• May cause irritability and anxiety 1 / 4

• Sometimes alters consciousness

The correct answer is A: Can predispose to dysrhythmias

• A nurse assesses a young adult in the emergency room following a

motor vehicle accident. Which of the following neurological signs is of most concern?

• Flaccid paralysis
• Pupils fixed and dilated
• Diminished spinal reflexes
• Reduced sensory responses

The correct answer is B: Pupils fixed and dilated

• A 14 year-old with a history of sickle cell disease is admitted to the

hospital with a diagnosis of vaso-occlusive crisis. Which statements by the client would be most indicative of the etiology of this crisis?

• ”I knew this would happen. I've been eating too much red meat lately."
• ”I really enjoyed my fishing trip yesterday. I caught 2 fish."
• ”I have really been working hard practicing with the debate team at

school."

• ”I went to the health care provider last week for a cold and I have

gotten worse."

The correct answer is D: "I went to the doctor last week for a cold and I

have gotten worse."

• Which these findings would the nurse more closely associate with

anemia in a 10 month-old infant?

• Hemoglobin level of 12 g/dI
• Pale mucosa of the eyelids and lips
• Hypoactivity
• A heart rate between 140 to 160

The correct answer is B: Pale mucosa of the eyelids and lips

• The nurse is caring for a client in hypertensive crisis in an intensive

care unit. The priority assessment in the first hour of care is

• Heart rate
• Pedal pulses
• Lung sounds
• Pupil responses

The correct answer is D: Pupil responses

• Which of these clients who are all in the terminal stage of cancer is

least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump?

• A young adult with a history of Down's syndrome 2 / 4

• A teenager who reads at a 4th grade level
• An elderly client with numerous arthritic nodules on the hands
• A preschooler with intermittent episodes of alertness

The correct answer is D: A preschooler with intermittent episodes of

alertness

• The nurse is about to assess a 6 month-old child with nonorganic

failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be

• Irritable and "colicky" with no attempts to pull to standing
• Alert, laughing and playing with a rattle, sitting with support
• Skin color dusky with poor skin turgor over abdomen
• Pale, thin arms and legs, uninterested in surroundings

The correct answer is D: Pale, thin arms and legs, uninterested in

surroundings

• Which information is a priority for the RN to reinforce to an older client

after intravenous pylegraphy?

• Eat a light diet for the rest of the day
• Rest for the next 24 hours since the preparation and the test is tiring.
• During waking hours drink at least 1 8-ounce glass of fluid every hour

for the next 2 days

• 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.

• 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

• difference in the intake and output
• changes in the mucous membranes
• skin turgor
• weekly weight

The correct answer is D: weekly weight

• A client has been diagnosed with Zollinger-Ellison syndrome.Which

information is most important for the nurse to reinforce with the client?

• 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) 3 / 4

• 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 .

• 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?

• Check the protein level in urine
• Have the client turn to the left side
• Take the temperature
• Monitor the urine output

The correct answer is B: Have the client turn to the left side

• 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?

• Diminished bowel sounds
• Loss of appetite
• A cold, pale lower leg
• Tachypnea

The correct answer is C: A cold, pale lower leg

• 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?

• Nausea and vomiting
• Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
• Diffuse macular rash
• Muscle tenderness

The correct answer is B: Fever of 103 degrees F (39.5 degrees C)

• A client who had a vasectomy is in the post recovery unit at an

outpatient clinic. Which

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