HESI EXIT
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 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.
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
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 .
4. A primigravida in the third trimester is hospitalized for
preeclampsia. The nurse
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 the
ventricular 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 health
nurse. 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
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 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.
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
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 .
4. A primigravida in the third trimester is hospitalized for
preeclampsia. The nurse
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 the
ventricular 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 health
nurse. 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
