HESI RN Healthcare Exit Exam With Answers (160 Solved Questions)

Preview (16 of 59 Pages)

100%

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 1 preview image

Loading page ...

HESIRNExit ExamQuestions and Answers 2.1. Which information is a priority for the RN to reinforce to an older client afterintravenouspylegraphy?A) Eat a light diet for the rest of the dayB) Rest for the next 24 hours since thepreparation and the test is tiring.C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2daysD) Measure the urine output for the next day and immediately notify the health careprovider if itshould decrease.The correct answer is D: Measure the urine output for the next day and immediatelynotify thehealth care provider if it should decrease.2. A client has altered renal function and is being treated at home. The nurse recognizesthat themost accurateindicator of fluid balance during the weekly visits isA) difference in the intake and outputB) changes in the mucous membranesC) skin turgorD) weekly weightThe correct answer is D: weekly weight

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 2 preview image

Loading page ...

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 3 preview image

Loading page ...

3. A client has been diagnosed with Zollinger-Ellisonsyndrome.Which information ismostimportant for the nurse to reinforce with the client?A) Itis a condition in which one or more tumors called gastrinomas form in the pancreasor inthe upper part of the small intestine (duodenum)B) Itis critical to report promptly to your health care provider any findings of pepticulcersc) Treatmentconsists of medications to reduce acid and heal any peptic ulcers and, ifpossible,surgery to remove any tumorsD) Withthe average age at diagnosis at 50 years the peptic ulcers may occur at unusualareas ofthe stomach or intestineThe correct answer is B: It is critical to report promptly to your health care provider anyfindingsof peptic ulcers.4. A primigravidain the third trimester is hospitalized for preeclampsia. The nursedeterminesthat the client’s blood pressure is increasing. Which action should the nursetake first?A) Check the protein level in urineB) Have the client turn to the left sideC)Take the temperatureD) Monitor the urine outputThe correct answer is B: Have the client turn to the left side

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 4 preview image

Loading page ...

5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and theventricular rate is controlled at 75. Whichof the following findings is cause for the mostconcern?A) Diminished bowel soundsB) Loss of appetiteC) A cold, pale lower legD) TachypneaThe correct answer is C: A cold, pale lower leg6. The client with infective endocarditis must be assessed frequently by the home healthnurse.Which finding suggests that antibiotic therapy is not effective, and must bereported by the nurseimmediately to the healthcare provider?A) Nausea and vomitingB) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)C)Diffuse macular rashD) Muscle tendernessThe correct answer is B: Fever of 103 degrees F (39.5 degrees C)7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Whichofthese points is most important to be reinforced bythe nurse?

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 5 preview image

Loading page ...

A) Until the health care provider has determined that your ejaculate doesn't containsperm,continue to use another form of contraception.B) Thisprocedure doesn't impede the production of male hormones or the production ofsperm inthe testicles. The sperm can no longer enter your semen and no sperm are inyour ejaculate.C) After your vasectomy, strenuous activity needs to be avoided for at least48 hours. Ifyourwork doesn't involve hard physical labor, you can return to your job as soon as youfeel up to it.The stitchesgenerally dissolve in seven to ten days.D) Thehealth care provider at this clinic recommends rest, ice, an athletic supporter orover-the-counter pain medication to relieve any discomfort.The correct answer is A: Until the health care provider has determined that your ejaculatedoesn'tcontain sperm, continue to use another form of contraception.8. A client who is tohave antineoplastic chemotherapy tells the nurses of a fear of beingsick allthe time and wishes to try acupuncture. Which of these beliefs stated by the clientwould beincorrect about acupuncture?A) Someneedles go as deep as 3 inches, depending on where they're placed in the bodyand whatthe treatment is for. The needles usually are left in for 15 to 30 minutes.B) In traditional Chinese medicine, imbalances in the basic energetic flow of life—known as qior chi—are thought to cause illness.C) The flow of life is believed to flow through major pathways or nerve clusters in yourbody.

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 6 preview image

Loading page ...

D) By inserting extremely fine needles into some of the over 400 acupuncture points invariouscombinations it is believed that energy flow will rebalance to allow the body'snatural healingmechanisms to take over.The correct answer is C: The flow of life is believed to flow through major pathways ornerveclusters in your body.9. The nurse is discussing with a group of students the disease Kawasaki. What statementmadeby a student about Kawasaki disease is incorrect?A) Italso called mucocutaneous lymph node syndrome because it affects the mucousmembranes(inside the mouth, throat and nose), skin and lymph nodes.B) Inthe second phase of the disease, findings include peeling of the skin on the handsand feetwith joint and abdominal painC) Kawasakidisease occurs most often in boys, children younger than age 5 and childrenofHispanic descentD) Initiallyfindings are a sudden high fever, usually above 104 degrees Fahrenheit, whichlasts 1to2 weeksThe correct answer is C: Kawasaki disease occurs most often in boys, children youngerthan age5 and children of Hispanic descent10. A client has viral pneumonia affecting 2/3 of the right lung. What would bethe bestpositionto teach the client to lie in every other hour during first 12 hours after admission?A) Side-lying on the left with the head elevated 10 degrees

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 7 preview image

Loading page ...

B) Side-lying on the left with the head elevated 35 degreesC) Side-lying on the right wil the head elevated 10 degreesD) Side-lying on the right with the head elevated 35 degreesThe correct answer is A: Side-lying on the left with the head elevated 10 degrees11. A client has an indwelling catheter with continuous bladderirrigation afterundergoing atransurethral resection of the prostate (TURP) 12 hours ago. Which findingat this time should bereported to the health care provider?A) Light, pink urineB)Occasionalsuprapubic crampingC)Minimaldrainage into the urinary collection bagD)Complaintsof the feeling of pulling on the urinary catheterThe correct answer is C:minimal drainage into the urinary collection bag12. 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 pulseandrespirations, what shouldbe the function of the second nurse?A) Relieve the nurse performing CPRB) Go get the code cartC) Participate with the compressions or breathingD) Validate the client's advanced directive

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 8 preview image

Loading page ...

The correct answer is C: Participate with the compressions or breathing13. The nurse assesses a 72 year-old client who was admitted for right sided congestiveheartfailure. Which of the following would the nurseanticipate finding?A) Decreased urinary outputB) Jugular vein distentionC) Pleural effusionD) Bibasilar cracklesThe correct answer is B: Jugular vein distention14. A client with heart failure has a prescription for digoxin. The nurse is aware thatsufficientpotassium should be included in the diet because hypokalemia in combinationwith thismedicationA) Can predispose to dysrhythmiasB) May lead to oliguriaC) May cause irritability and anxietyD) Sometimes alters consciousnessThecorrect answer is A: Can predispose to dysrhythmias

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 9 preview image

Loading page ...

15. A nurse assesses a young adult in the emergency room following a motor vehicleaccident.Which of the following neurological signs is of most concern?A) Flaccid paralysisB) Pupils fixed and dilatedC) Diminished spinal reflexesD) Reduced sensory responsesThe correct answer is B: Pupils fixed and dilated16. A 14 year-old with a history of sickle cell disease is admitted to the hospital with adiagnosisof vaso-occlusive crisis. Which statementsby the client would be mostindicative of the etiologyof this crisis?A)”I knew this would happen. I've been eating too much red meat lately."B)”I really enjoyed my fishing trip yesterday. I caught 2 fish."C)”I have really been working hardpracticing with the debate team at school."D)”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 gottenworse."17. Which these findings wouldthe nurse more closely associate with anemia in a 10month-oldinfant?A) Hemoglobin level of 12 g/dIB) Pale mucosa of the eyelids and lips

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 10 preview image

Loading page ...

C) HypoactivityD) A heart rate between140 to 160The correct answer is B: Pale mucosa of the eyelids andlips18. The nurse is caring for a client in hypertensive crisis in an intensive care unit. Thepriorityassessment in the first hour of care isA) Heart rateB) Pedal pulsesC) Lung soundsD) Pupil responsesThe correct answer is D: Pupil responses19. Which of these clients who are all in the terminal stage of cancer is least appropriateto suggest the use of patient controlled analgesia (PCA) with a pump?A) A young adult with a history of Down's syndromeB) A teenager who reads at a 4th grade levelC) An elderly client with numerous arthritic nodules on the handsD) A preschooler with intermittent episodes of alertnessThe correct answer is D: A preschooler with intermittent episodes of alertness20. The nurse is about to assess a 6 month-old child withnonorganic failure-to thrive(NOFTT). Upon entering the room, the nurse would expect the baby to beA) Irritable and "colicky" with no attempts to pull to standingB) Alert, laughing and playing with a rattle, sitting with supportC)Skin color dusky with poor skin turgor over abdomen

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 11 preview image

Loading page ...

D) Pale, thin arms and legs, uninterested in surroundingsThe correct answer is D: Pale, thin arms and legs, uninterested in surroundings21. As the nurse is speaking with a group of teens which of these side effects ofchemotherapy for cancer would the nurse expect this group to be more interested induring the discussion?A) Mouth soresB) FatigueC) DiarrheaD) Hair lossThe correct answer is D: Hair loss22. While caring for a client who was admitted withmyocardial infarction (MI) 2 daysago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degreesCelsius). The appropriatenursing intervention is toA) Call the health care provider immediatelyB) Administer acetaminophen as ordered asthis is normal at this timeC) Send blood, urine and sputum for cultureD) Increase the client's fluid intakeThe correct answer is B: Administer acetaminophen as ordered as this is normal at thistime23. A client is admitted for first and second degreeburns on the face, neck, anterior chestand hands. The nurse's priority should beA) Cover the areas with dry sterile dressings

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 12 preview image

Loading page ...

B) Assess for dyspnea or stridorC) Initiate intravenous therapyD) Administer pain medicationThe correct answer is B: Assess for dyspnea or stridor24. Which of these clients who call the community health clinic would the nurse ask tocome in that day to be seen by the health care provider?A) I started my period and now my urine has turned bright red.B) I am an diabetic and today I have been going to the bathroom every hour.C) I was started on medicine yesterday for a urine infection. Now my lower belly hurtswhen I go to the bathroom.D) I went to the bathroom and my urine looked very red and it didn’t hurt when I went.The correct answer is D: I went to the bathroom and my urine looked very red and itdidn’t hurt when Iwent.25. A middle aged woman talks to the nurse in the health care provider’s office aboututerine fibroids also called leiomyomas or myomas. Whatstatement by the womanindicates more education is needed?A) I am one out of every 4 women that get fibroids, and of women my age–between the30s or 40s, fibroids occurs more frequently.B) My fibroids are noncancerous tumors that grow slowly.C) My associated problems I have had are pelvic pressure and pain, urinary incontinence,frequent urination or urine retention and constipation.D) Fibroids that cause no problems still need to be taken out.

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 13 preview image

Loading page ...

The correct answer is D: Fibroids that cause noproblems still need to be taken out.26. An elderly client admitted after a fall begins to seize and loses consciousness. Whataction by the nurse is appropriate to do next?A) Stay with client and observe for airway obstructionB) Collect pillows and padthe side rails of the bedC) Place an oral airway in the mouth and suctionD) Announce a cardiac arrest, and assist with intubationThe correct answer is A: Stay with client and observe for airway obstruction27. A nurse is providing care to a primigravidawhose membranes spontaneously ruptured(ROM) 4 hours ago. Labor is to be induced. At the time of the ROM the vital signs wereT-99.8 degrees F, P-84, R-20, BP-130/78, and fetal heart tones (FHT) 148 beats/min.Which assessment findings taken now may be anearly indication that the client isdeveloping a complication of labor?A) FHT 168 beats/minB) Temperature 100 degrees Fahrenheit.C) Cervical dilation of 4D) BP 138/88The correct answer is A: FHT 168 beats/min28. A client with pneumococcal pneumoniahad been started on antibiotics 16 hours ago.During the nurse’s initial evening rounds the nurse notices a foul smell in the room. Theclient makes all of these statements during their conversation. Which statement wouldalert the nurse to acomplication?A) "I have a sharp pain in my chest when I take a breath."

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 14 preview image

Loading page ...

B) "I have been coughing up foul-tasting, brown, thick sputum."C) "I have been sweating all day."D) "I feel hot off and on."The correct answer is B: "I have been coughing up foul tasting, brown, thick sputum."29. The nurse is performing an assessment on a client in congestive heart failure.Auscultation of the heart is most likely to revealA) S3 ventricular gallopB) Apical clickC) Systolic murmurD) Split S2The correct answer is A: S3 ventricular gallop30. Which of these observations made by the nurse during an excretory urogram indicatea complicaton?A) The client complains of a salty taste in the mouth when the dye is injectedB) The client’s entire body turns a bright red colorC) The client states “I have a feeling of getting warm.”D) The client gags and complains “ I am getting sick.”The correct answer is B: The client’s entire body turns a bright red color31. A client is diagnosed with a spontaneouspneumothorax necessitating the insertion ofa chest tube. What is the best explanation for the nurse to provide this client?A) "The tube will drain fluid from your chest."B) "The tube will remove excess air from your chest."C) "The tube controls the amount of air that enters your chest."

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 15 preview image

Loading page ...

D) "The tube will seal the hole in your lung."The correct answer is B: "The tube will remove excess air from your chest."32. The nurse is reviewing laboratory results on a client with acute renal failure. Whichoneof the following should be reported immediately?A) Blood urea nitrogen 50 mg/dlB) Hemoglobin of 10.3 mg/dlC) Venous blood pH 7.30D) Serum potassium 6 mEq/LThe correct answer is D: Serum potassium 6 mEq/L33. The nurse is caring for a client undergoingthe placement of a central venous catheterline. Which of the following would require the nurse’s immediate attention?A) PallorB) Increased temperatureC) DyspneaD) Involuntary muscle spasmsThe correct answer is C: Dyspnea34. The nurse is performinga physical assessment on a client who just had anendotracheal tube inserted. Which finding would call for immediate action by the nurse?A) Breath sounds can be heard bilaterallyB) Mist is visible in the T-PieceC) Pulse oximetry of 88D) Client is unable to speakThe correct answer is C: Pulse oximetry of 88

HESI RN Healthcare Exit Exam With Answers (160 Solved Questions) - Page 16 preview image

Loading page ...

35. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicatesthat the client may need suctioning?A) drowsinessB) complaint of nauseaC) pulse rate of 92D) restlessnessThe correct answer is D: restlessness36. The most effective nursing intervention to prevent atelectasis from developing in apost operative client is toA) Maintain adequate hydrationB) Assist client to turn, deep breathe, and coughC) Ambulateclient within 12 hoursD) Splint incisionThe correct answer is B: Assist client to turn, deep breathe, and cough37. When caring for a client with a post right thoracotomy who has undergone an upperlobectomy, the nurse focuses on painmanagement to promoteA) Relaxation and sleepB) Deep breathing and coughingC) Incisional healingD) Range of motion exercisesThe correct answer is B: Deep breathing and coughing38. A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client.Which action should the nurse take first?

Preview Mode

This document has 59 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

Nursing School Entrance Exams: HESI A2 / NLN PAX-RN / PSB-RN / RNEE / TEAS, 6th Edition (2020)

HESI Evolve Leadership/Management Practice Exam with Answers (114 Solved Questions)

HESI Comprehensive Medical Surgical Exit Exam with Answers (839 Solved Questions)

2024 HESI Mental Health Actual Exam With Answers (151 Solved Questions)

2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)

HESI Pharmacology Practice Exam With Answers (102 Solved Questions)

HESI Mental Health Exit Exam With Answers (58 Solved Questions)

2023 HESI Grammer A2 Exam With Answers (41 Solved Questions)

2022 HESI Vocabulary A2 Exam With Answers (50 Solved Questions)

HESI Grammar A2 Exam Testbank With Answers (50 Solved Questions)

Company

Explore

Study Tools