lOMoARcPSD|11763056
PN HESI EXIT EXAM VERSION 1 TEST BANK QUESTION AND
ANSWERS
1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?
A)Eat a light diet for the rest of the day
B)Rest for the next 24 hours since the preparation and the test is tiring.
C)During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
D)Measure the urine output for the next day and immediately notify the health careprovider 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.
2. 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
A) difference in the intake and output
B)changes in the mucous membranes
C)skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome which information is most important for the nurse to reinforce
with the client?
A) It is a condition in which one or more tumors called gastrinoma form in the pancreas in the upper part of the small
intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of pepti culcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible, surgery to remove any tumors
, lOMoARcPSD|11763056
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 anyfindings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
, lOMoARcPSD|11763056
determines that the client’s blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B)Have the client turn to the left side
C)Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and theventricular rate is controlled at 75.
Which of the following findings is cause for the most concern?
A) Diminished bowel sounds
B)Loss of appetite
C)A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently by the home healthnurse. Which finding suggests that
antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B)Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C)Diffuse macular rash
D) Muscle tenderness
, lOMoARcPSD|11763056
The 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. Whichof these points is most important to
be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't containsperm, continue to use another form
of contraception.
B) This procedure doesn't impede the production of male hormones or the production ofsperm in the testicles. The
sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at 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.
D) The health 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't contain sperm, continue to
use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wishes to try
acupuncture. Which of these beliefs stated by the clientwould be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the bodyand what the 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 qi or chi — are thought to
cause illness.
PN HESI EXIT EXAM VERSION 1 TEST BANK QUESTION AND
ANSWERS
1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?
A)Eat a light diet for the rest of the day
B)Rest for the next 24 hours since the preparation and the test is tiring.
C)During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
D)Measure the urine output for the next day and immediately notify the health careprovider 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.
2. 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
A) difference in the intake and output
B)changes in the mucous membranes
C)skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome which information is most important for the nurse to reinforce
with the client?
A) It is a condition in which one or more tumors called gastrinoma form in the pancreas in the upper part of the small
intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of pepti culcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible, surgery to remove any tumors
, lOMoARcPSD|11763056
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 anyfindings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
, lOMoARcPSD|11763056
determines that the client’s blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B)Have the client turn to the left side
C)Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and theventricular rate is controlled at 75.
Which of the following findings is cause for the most concern?
A) Diminished bowel sounds
B)Loss of appetite
C)A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently by the home healthnurse. Which finding suggests that
antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B)Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C)Diffuse macular rash
D) Muscle tenderness
, lOMoARcPSD|11763056
The 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. Whichof these points is most important to
be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't containsperm, continue to use another form
of contraception.
B) This procedure doesn't impede the production of male hormones or the production ofsperm in the testicles. The
sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at 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.
D) The health 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't contain sperm, continue to
use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wishes to try
acupuncture. Which of these beliefs stated by the clientwould be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the bodyand what the 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 qi or chi — are thought to
cause illness.
