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For
HESI PN Comprehensive Exit Exam
2022
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, HESI PN COMPREHENSIVE EXIT EXAM
VERSION 1
29. A nurse is caring for a client who has end-stage kidney disease. The client’s
adult child asks the nurse about becoming a living kidney donor for her father.
Which of the following condition in the child’s medical history should the nurse
identify as a contraindicHESIon to the procedure?
A. AmputHESIon
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients. The nurse
should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need to limit
how much spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies on my
pizza.”
C. A client who has a prescription for spironolactone and states “I will reduce my
intake of foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my calcium
carbonate with a full glass of water”.
a)
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,31. A hospice nurse is visiting with the son of a client who has terminal cancer.
The son reports sleeping very little during the past week due to caring for his
mother. Which of the following responses should the nurse make?
A. “I can give you informHESIon about respite care if you are interested.”
B. “You should consider taking a sleeping pill before bed each night”
C. “It must be difficult taking care of someone who is terminally ill”
D. “You are doing a great job taking care of your mother”
31. A nurse is assessing a child who is being treated for bacterial pneumonia. The
nurse notes an increase in the child’s glucose. The nurse should identify this finding
as an adverse effect of which of the following medicHESIons
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin.
32. The nurse is providing teaching about folic acid to a client who is prima
gravida. Which of the following informHESIon should the nurse include in the
teaching?
A. “You should take folic acid to decrease the risk of transmitting infections to
your baby”
B. “You should consume a maximum of 300 micrograms of folic acid every day”.
C. “You can increase your dietary intake of folic acid by eHESIng cereals and
citrus fruits”.
D. “You can expect your urine to appear red-tingled while taking folic acid
supplements”.
a)
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, 1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old.
Which of the following actions should the nurse take?
A.(Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which of the
following findings should the nurse report?
A. Thrill upon palpHESIon.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultHESIon.
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator which of the following statements demonstrates
understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my ICD”
D. “I can hold my cellphone on the same side of my body as the ICD”
4. A nurse is caring for a client who is at 14 weeks gestHESIon and reports feelings
of ambivalence about being pregnant. Which of the following responses should
the nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with your provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
a)
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