Downloaded by: nelsonoooo | muriithinelson20@gmail.com
Distribution of this document is illegal
HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI
EXAM V1,V2,V3,V4,V5,V6,V7
- Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
- A male client with hypertension, who received new antihypertensive prescriptions at his
- The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted
- An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
- A 60-year-old female client with a positive family history of ovarian cancer has developed
- A client who recently underwear a tracheostomy is being prepared for discharge to home.
- In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
- During shift report, the central electrocardiogram (EKG) monitoring system alarms.
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse?• Review with the client the need to avoid foods that are rich in milk and cream
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition?• Stroke secondary to hemorrhage
client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement?• Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
the past 12 days. Which assessment finding requires immediate follow-up?• Describes life without purpose
an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client’s teaching plan?• Further evaluation involving surgery may be needed
Which instructions is most important for the nurse to include in the discharge plan?• Teach tracheal suctioning techniques
reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is 14 breaths / minute. What action should the nurse implement?• Document the assessment data • Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory rate is within normal limits.
Which client alarm should the nurse investigate firs?
WITH CORRECT ANSWERS 1 / 4
Downloaded by: nelsonoooo | muriithinelson20@gmail.com
Distribution of this document is illegal • Respiratory apnea of 30 seconds
- During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
- At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
- After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
- A 66-year-old woman is retiring and will no longer have a health insurance through her
- A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
- Following a lumbar puncture, a client voices several complaints. What complaint
- An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
- The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
- Before preparing a client for the first surgical case of the day, a part-time scrub nurse
- Which breakfast selection indicates that the client understands the nurse’s instructions
action should the nurse take first?• Check the client for lacerations or fractures
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?• Inform the anesthesia care provider
sounds. To determine if an S3 heart sound is present, what action should the nurse take first?• Listen with the bell at the same location
place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?• Medicare
What snack should the nurse instruct the client to take with the tetracycline?• Toasted wheat bread and jelly
indicated to the nurse that the client is experiencing a complication?• “I have a headache that gets worse when I sit up” • “I am having pain in my lower back when I move my legs” • “My throat hurts when I swallow” • “I feel sick to my stomach and am going to throw up”
with incontinence. Which action should the nurse implement? • Obtain a clean catch mid-stream specimen
that are in keeping with the child’s dietary restrictions. Which foods are contraindicated for this child?• Foods sweetened with aspartame
asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide?• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
about the dietary management of osteoporosis? 2 / 4
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Downloaded by: nelsonoooo | muriithinelson20@gmail.com
Distribution of this document is illegal • Bagel with jelly and skim milk
- The charge nurse of a critical care unit is informed at the beginning of the shift that less than the
- / 4
optimal number of registered nurses will be working that shift. In planning assignments, which client should receive the most care hours by a registered nurse (RN)?• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Downloaded by: nelsonoooo | muriithinelson20@gmail.com
Distribution of this document is illegal
- A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
- The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
- A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
- A client with a history of heart failure presents to the clinic with a nausea, vomiting,
- The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
pediatrician’s office. Upon inspection, the nurse notes that the nail went through the shoe and pierced the bottom of the child’s foot. Which action should the nurse implement first?• Cleanse the foot with soap and water and apply an antibiotic ointment • Provide teaching about the need for a tetanus booster within the next 72 hours.• have the mother check the child's temperature q4h for the next 24 hours • transfer the child to the emergency department to receive a gamma globulin injection
applying triple antibiotic ointment for two days, but there has been no improvement.” What instruction should the nurse provide?• Stop using the ointment and encourage complete drying of the feet and wearing clean socks.
and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client? The client experiences • Bradycardia and constipation • Lethargy and lack of appetite • Muscle cramping and dry, flushed skin • Palpitations and shortness of breath
yellow vision and palpitations. Which finding is most important for the nurse to assess to the client?• Obtain a list of medications taken for cardiac history
ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only.)
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
- The pathophysiological mechanism are responsible for ascites related to liver failure?
- The nurse is auscultating a client’s heart sounds. Which description should the nurse use
- / 4
(Select all that apply) • Fluid shifts from intravascular to interstitial area due to decreased serum protein • Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen • Increased circulating aldosterone levels that increase sodium and water retention
to document this sound? (Please listen to the audio first to select the option that applies)