2023 HESI RN EXIT V1 WITH COMPLETE
SOLUTION(A LEVEL FULL SOLUTION PACK)
Informatics Nurse Specialist
,2
2023 HESI EXIT V1
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.
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
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
Page 2 of 42
,3
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
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
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
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
7. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your
ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of
sperm 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
Page 3 of 42
, 4
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 or
over-the-counter pain medication to relieve any discomfort.
.
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 client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where
they're placed in the body
and 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.
* C) The flow of life is believed to flow through major pathways or
nerve clusters in your
body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to allow
the body's
natural healing
mechanisms to take over.
.
9. The nurse is discussing with a group of students the disease Kawasaki.
What statement
made by a student about Kawasaki disease is incorrect?
A)It also called mucocutaneous lymph node syndrome because it affects
the mucous
membranes (inside the mouth, throat and nose), skin and lymph
nodes. B)In the second phase of the disease, findings include peeling
of the skin on the hands
and feet with joint and abdominal pain
Page 4 of 42
SOLUTION(A LEVEL FULL SOLUTION PACK)
Informatics Nurse Specialist
,2
2023 HESI EXIT V1
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.
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
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
Page 2 of 42
,3
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
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
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
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
7. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your
ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of
sperm 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
Page 3 of 42
, 4
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 or
over-the-counter pain medication to relieve any discomfort.
.
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 client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where
they're placed in the body
and 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.
* C) The flow of life is believed to flow through major pathways or
nerve clusters in your
body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to allow
the body's
natural healing
mechanisms to take over.
.
9. The nurse is discussing with a group of students the disease Kawasaki.
What statement
made by a student about Kawasaki disease is incorrect?
A)It also called mucocutaneous lymph node syndrome because it affects
the mucous
membranes (inside the mouth, throat and nose), skin and lymph
nodes. B)In the second phase of the disease, findings include peeling
of the skin on the hands
and feet with joint and abdominal pain
Page 4 of 42
