b b b b b b
TIONS AND ANSWERS
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TABLE OF CONTENT
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Exams
HESI RN EXIT EXAM V1...................................... 19
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HESI RN EXIT EXAM V2...................................... 61
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HESI RN EXIT EXAM V3.................................... 105
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HESI RN EXIT EXAM V4.................................... 148
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HESI RN EXIT EXAM V5.................................... 187
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HESI RN EXIT EXAM V6.................................... 238
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HESI RN EXIT EXAM V7................... 274
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HESIbRNbEXITbEXAMbV1 (EACHbEXAMbWITHb160bQUESTIONSb)
bThebnursebreceivesbabreportbonbanbolderbadultbclientbwithbmiddlebstagebdementia.bWhatbinformationbsugg
estsbthebnursebshouldbdobimmediatebfollowbupbratherbthanbdelegatebcarebtobthebnursingbassistant?bThebcli
ent
A) Hasbhadbabchangebinbrespiratorybratebbybanbincreasebofb2bbreaths
B) Hasbhadbabchangebinbheartbratebbybanbincreasebofb10bbeats
1b/b36
,C) Wasbminimallybresponsivebtobvoicebandbtouch
D) Hasbhadbabbloodbpressurebchangebbybabdropbinb8bmmHgbsystolic-
ANS>>Wasbminimallybresponsivebtobvoicebandbtouch
WhichbinformationbisbabprioritybforbthebRNbtobreinforcebtobanbolderbclientbafterbintravenousbpyelography
?
A) Eatbablightbdietbforbthebrestbofbthebday
B) Restbforbthebnextb24bhoursbsincebthebpreparationbandbthebtestbisbtiring.
C) Duringbwakingbhoursbdrinkbatbleastb1b8-ouncebglassbofbfluidbeverybhourbforbthebnextb2bdays
D) Measurebtheburineboutputbforbthebnextbdaybandbimmediatelybnotifybthebhealthbcarebproviderbifbitbsho
uldbdecrease-
ANS>>Measurebtheburineboutputbforbthebnextbdaybandbimmediatelybnotifybthebhealthbcarebproviderbifbitb
shouldbdecrease
Abclientbhasbalteredbrenalbfunctionbandbisbbeingbtreatedbatbhome.bThebnursebrecognizesbthatbthebmostbaccu
ratebindicatorbofbfluidbbalancebduringbthebweeklybvisitsbis
A) differencebinbthebintakebandboutput
B) changesbinbthebmucousbmembranes
C) skinbturgor
D) weeklybweight-ANS>>weeklybweight
AbclientbhasbbeenbdiagnosedbwithbZollinger-
Ellisonbsyndrome.bWhichbinformationbisbmostbimportantbforbthebnursebtobreinforcebwithbthebclient?
A) Itbisbabconditionbinbwhichboneborbmorebtumorsbcalledbgastrinomasbformbinbthebpancreasborbinbtheb
upperbpartbofbthebsmallbintestineb(duodenum)
B) Itbisbcriticalbtobreportbpromptlybtobyourbhealthbcarebproviderbanybfindingsbofbpepticbulcers
c)bTreatmentbconsistsbofbmedicationsbtobreducebacidbandbhealbanybpepticbulcersband,bifbpossible,bsurge
rybtobremovebanybtumors
2b/b36
,D)bWithbthebaveragebagebatbdiagnosisbatb50byearsbthebpepticbulcersbmayboccurbatbunusualbareasbofbthebsto
machborbintestine-
ANS>>Itbisbcriticalbtobreportbpromptlybtobyourbhealthbcarebproviderbanybfindingsbofbpepticbulcers
Abprimigravidabinbthebthirdbtrimesterbisbhospitalizedbforbpreeclampsia.bThebnursebdeterminesbthatbthebclie
nt'sbbloodbpressurebisbincreasing.bWhichbactionbshouldbthebnursebtakebfirst?
A) Checkbthebproteinblevelbinburine
B) Havebthebclientbturnbtobthebleftbside
C) Takebthebtemperature
D) Monitorbtheburineboutput-ANS>>Havebthebclientbturnbtobthebleftbside
Thebnursebisbcaringbforbabclientbinbatrialbfibrillation.bThebatrialbheartbratebisb250bandbthebventricularbratebi
sbcontrolledbatb75.bWhichbofbthebfollowingbfindingsbisbcausebforbthebmostbconcern?
A) Diminishedbbowelbsounds
B) Lossbofbappetite
C) Abcold,bpaleblowerbleg
D) Tachypnea-ANS>>Abcold,bpaleblowerbleg
Thebclientbwithbinfectivebendocarditisbmustbbebassessedbfrequentlybbybthebhomebhealthbnurse.bWhichbfi
ndingbsuggestsbthatbantibioticbtherapybisbnotbeffective,bandbmustbbebreportedbbybthebnursebimmediatel
ybtobthebhealthcarebprovider?
A) Nauseabandbvomiting
B) Feverbofb103bdegreesbFahrenheitb(39.5bdegreesbCelsius)
C) Diffusebmacularbrash
D) Musclebtenderness-ANS>>Feverbofb103bdegreesbFb(39.5bdegreesbC)
Abclientbwhobhadbabvasectomybisbinbthebpostbrecoverybunitbatbanboutpatientbclinic.bWhichbofbthesebpoint
sbisbmostbimportantbtobbebreinforcedbbybthebnurse?
3b/b36
, A) Untilbthebhealthbcarebproviderbhasbdeterminedbthatbyourbejaculatebdoesn'tbcontainbsperm,bcontinueb
tobusebanotherbformbofbcontraception.
B) Thisbprocedurebdoesn'tbimpedebthebproductionbofbmalebhormonesborbthebproductionbofbspermbinbtheb
testicles.bThebspermbcanbnoblongerbenterbyourbsemenbandbnobspermbarebinbyourbejaculate.
C) Afterbyourbvasectomy,bstrenuousbactivitybneedsbtobbebavoidedbforbatbleastb48bhours.bIfbyourbworkb
doesn'tbinvolvebhardbphysicalblabor,byoubcanbreturnbtobyourbjobbasbsoonbasbyoubfeelbupbtobit.bThebstit
chesbgenerallybdissolvebinbsevenbtobtenbdays.
D) Thebhealthbcarebproviderbatbthisbclinicbrecommendsbrest,bice,banbathleticbsupporterborbover-
the[1]counterbpainbmedicationbtobrelievebanybdiscomfort.-
ANS>>Untilbthebhealthbcarebproviderbhasbdeterminedbthatbyourbejaculatebdoesn'tbcontainbsperm,bconti
nuebtobusebanotherbformbofbcontraception
Abclientbwhobisbtobhavebantineoplasticbchemotherapybtellsbthebnursesbofbabfearbofbbeingbsickballbthebtimeba
ndbwishesbtobtrybacupuncture.bWhichbofbthesebbeliefsbstatedbbybthebclientbwouldbbebincorrectbaboutbacup
uncture?
A) Somebneedlesbgobasbdeepbasb3binches,bdependingbonbwherebthey'rebplacedbinbthebbodybandbwhatbthebt
reatmentbisbfor.bThebneedlesbusuallybarebleftbinbforb15btob30bminutes.
B) InbtraditionalbChinesebmedicine,bimbalancesbinbthebbasicbenergeticbflowbofblifeb—bknownbasbqiborbchi
—barebthoughtbtobcausebillness.
C) Thebflowbofblifebisbbelievedbtobflowbthroughbmajorbpathwaysborbnervebclustersbinbyourbbody.
D) Bybinsertingbextremelybfinebneedlesbintobsomebofbtheboverb400bacupuncturebpointsbinbvariousbcomb
inationsbitbisbbelievedbthatbenergybflowbwillbrebalancebtoballowbthebbody'sbnaturalbhealingbmechanismsb
tobtakebover.-
ANS>>Thebflowbofblifebisbbelievedbtobflowbthroughbmajorbpathwaysborbnervebclustersbinbyourbbody.
ThebnursebisbdiscussingbwithbabgroupbofbstudentsbthebdiseasebKawasaki.bWhatbstatementbmad
ebbybabstudentbaboutbKawasakibdiseasebisbincorrect?
A) Itbalsobcalledbmucocutaneousblymphbnodebsyndromebbecausebitbaffectsbthebmucousbmembranesb
(insidebthebmouth,bthroatbandbnose),bskinbandblymphbnodes.
B) Inbthebsecondbphasebofbthebdisease,bfindingsbincludebpeelingbofbthebskinbonbthebhandsbandb
feetbwithbjointbandbabdominalbpain
C) Kawasakibdiseaseboccursbmostboftenbinbboys,bchildrenbyoungerbthanbageb5bandbchildrenbof
4b/b36