2021/2022 HESI EXIT V1
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 2 days
D) Measure the urine output for the next day and immediately notify the
health care provider 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.
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
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 gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
B)It is critical to report promptly to your health care provider any findings
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 .
The nurse is performing a physical assessment on a client who just had an
endotracheal tube inserted. Which finding would call for immediate action by
the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-
Piece C) Pulse oximetry of
88
D) Client is unable to speak
The correct answer is C: Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding
indicates that the client may need suctioning?
,A) drowsiness
B) complaint of nausea
C) pulse rate of
92 D)
restlessness
The correct answer is D: restlessness
The most effective nursing intervention to prevent atelectasis from
developing in a post operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
D) Splint incision
The correct answer is B: Assist client to turn, deep breathe, and cough
When caring for a client with a post right thoracotomy who has undergone
an upper lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises
The correct answer is B: Deep breathing and coughing
, A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse
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 2 days
D) Measure the urine output for the next day and immediately notify the
health care provider 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.
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
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 gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
B)It is critical to report promptly to your health care provider any findings
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 .
The nurse is performing a physical assessment on a client who just had an
endotracheal tube inserted. Which finding would call for immediate action by
the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-
Piece C) Pulse oximetry of
88
D) Client is unable to speak
The correct answer is C: Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding
indicates that the client may need suctioning?
,A) drowsiness
B) complaint of nausea
C) pulse rate of
92 D)
restlessness
The correct answer is D: restlessness
The most effective nursing intervention to prevent atelectasis from
developing in a post operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
D) Splint incision
The correct answer is B: Assist client to turn, deep breathe, and cough
When caring for a client with a post right thoracotomy who has undergone
an upper lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises
The correct answer is B: Deep breathing and coughing
, A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse
