HESI Exit Exam Test Bank 2019 -2022

PRIMEXAM

HESI Exit Exam Test Bank 2019 -2022

• Which information is a priority for the RN to reinforce to an olderclient 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 notifythe health care provider

if it should decrease.The correct answer is D: Measure the urine output for the next dayand 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-Ellisonsyndrome.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 formin the pancreas or in

the upper part of the small intestine (duodenum)

• It is critical to report promptly to your health care provider anyfindings 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 forpreeclampsia.

The nurse determines that the client’s blood pressure is increasing. Which action should the nurse take first? 1 / 4

PRIMEXAM

• 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 heartrate 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 frequentlyby 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 atan outpatient clinic.

Which of these points is most important to be reinforced by the nurse?

• Until the health care provider has determined that yourejaculate doesn't contain

sperm, continue to use another form of contraception.

• This procedure doesn't impede the production of male hormones orthe production of sperm

in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.

• After your vasectomy, strenuous activity needs to be avoided forat 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.

• 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 hasdetermined that your ejaculate 2 / 4

PRIMEXAM

doesn't contain sperm, continue to use another form of contraception.

• A client who is to have antineoplastic chemotherapy tells the nursesof 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?

• Some needles go as deep as 3 inches, depending on wherethey're placed in the body and

what the treatment is for. The needles usually are left in for 15 to 30 minutes.

• In traditional Chinese medicine, imbalances in the basic energeticflow of life —

known as qi or chi — are thought to cause illness.

• The flow of life is believed to flow through major pathways ornerve clusters in your

body.

• By inserting extremely fine needles into some of the over 400 acupuncture points in various

combinations it is believed that energy flow will rebalance toallow 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.

• The nurse is discussing with a group of students the diseaseKawasaki.

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

• Kawasaki disease occurs most often in boys, children younger thanage 5 and children

of Hispanic descent

• Initially findings are a sudden high fever, usually above 104degrees Fahrenheit, which

lasts 1 to2 weeks The correct answer is C: Kawasaki disease occurs most often inboys, children younger than age 5 and children of Hispanic descent

• A client has viral pneumonia affecting 2/3 of the right lung. What would be the best

position to teach the client to lie in every other hour during first 12 hours after admission?

• Side-lying on the left with the head elevated 10degrees
• Side-lying on the left with the head elevated 35degrees
• Side-lying on the right wil the head elevated 10degrees
• Side-lying on the right with the head elevated 35 degrees

The correct answer is A: Side-lying on the left with the head elevated 10 degrees 3 / 4

PRIMEXAM

• A client has an indwelling catheter with continuous bladderirrigation 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 intocardiopulmonary 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 forright sided congestive

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

• Decreased urinary output B) 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 nurseis 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
• Sometimes alters consciousness

The correct answer is A: Can predispose to dysrhythmias

• A nurse assesses a young adult in the emergency room followinga motor vehicle
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