HESI Exit Exam Test Bank Comprehensive Exam Study Guide
Latest Updated 2023/2024.Guaranteed Grade A+ Best of Good Luck!!
,1. After the nurse witnesses a preoperative client sign the surgical consent form]
the nurse signs the form as a witness. What are the legal implications of the nurse’s signature on
the client’s surgical consent form? (Select all that apply)
A. The client voluntarily grants permission for the procedure to be done
B. The client is competent to sign the consent without impairment of judgment
C. The client understands the risks and benefits associated with the procedure
,2. Following surgery, a male client with antisocial personality disorder frequently
requests that a specific nurse be assigned to his care and is belligerent when
another nurse is assigned. What action should the charge nurse implement?
, A. Advise the client that assignments are not based on clients requests
3. A client with cervical cancer is hospitalized for insertion of a sealed internal
cervical radiation implant. While providing care, the nurse finds the radiation
implant in the bed. What action should the nurse take?
A. Place the implant in a lead container using long-handled forcep
4. The client with which type of wound is most likely to need immediate intervention
by the nurse?
A. Laceration
B. Abrasion
C. Contusion
D. Ulceration
E. Rationale: A laceration is a wound that is produced by the tearing of soft body
tissue. This type of wound is often irregular and jagged. A laceration wound is often
contaminated with bacteria and debris from whatever object caused the cut.
5. The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma.
Which intervention has the highest priority for inclusion in this client’s plan of care?
A. Monitor blood pressure frequently
B. Rationale: A pheochromocytoma is a rare, catecholamine-secreting tumor
thatmay precipitate life-threatening hypertension. The tumor is malignant in
10% of cases but may be cured completely by surgical removal. Although
pheochromocytoma has classically been associated with 3 syndromes—
von Hippel-Lindau (VHL) syndrome, multiple endocrine neoplasia type 2
(MEN 2), and neurofibromatosis type 1 (NF1)—there are now 10 genes that
have been identified as sites of mutations leading to pheochromocytoma.
6. When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse
elevates the head of the bed 30 degrees. What is the reason for this intervention?
A.
To reduce abdominal pressure on the diaphragm
B.
to promote retraction of the intercostal accessory muscle of respiration
C.
to promote bronchodilation and effective airway clearance
D.
to decrease pressure on the medullary center which stimulates breathing
E.
Rationale: a semi-sitting position is the best position for matching
ventilation and perfusion and for decreasing abdominal pressure on the
diaphragm, so that the client can maximize breathing.
7. When assessing a mildly obese 35-year-old female client, the nurse is unable to
Latest Updated 2023/2024.Guaranteed Grade A+ Best of Good Luck!!
,1. After the nurse witnesses a preoperative client sign the surgical consent form]
the nurse signs the form as a witness. What are the legal implications of the nurse’s signature on
the client’s surgical consent form? (Select all that apply)
A. The client voluntarily grants permission for the procedure to be done
B. The client is competent to sign the consent without impairment of judgment
C. The client understands the risks and benefits associated with the procedure
,2. Following surgery, a male client with antisocial personality disorder frequently
requests that a specific nurse be assigned to his care and is belligerent when
another nurse is assigned. What action should the charge nurse implement?
, A. Advise the client that assignments are not based on clients requests
3. A client with cervical cancer is hospitalized for insertion of a sealed internal
cervical radiation implant. While providing care, the nurse finds the radiation
implant in the bed. What action should the nurse take?
A. Place the implant in a lead container using long-handled forcep
4. The client with which type of wound is most likely to need immediate intervention
by the nurse?
A. Laceration
B. Abrasion
C. Contusion
D. Ulceration
E. Rationale: A laceration is a wound that is produced by the tearing of soft body
tissue. This type of wound is often irregular and jagged. A laceration wound is often
contaminated with bacteria and debris from whatever object caused the cut.
5. The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma.
Which intervention has the highest priority for inclusion in this client’s plan of care?
A. Monitor blood pressure frequently
B. Rationale: A pheochromocytoma is a rare, catecholamine-secreting tumor
thatmay precipitate life-threatening hypertension. The tumor is malignant in
10% of cases but may be cured completely by surgical removal. Although
pheochromocytoma has classically been associated with 3 syndromes—
von Hippel-Lindau (VHL) syndrome, multiple endocrine neoplasia type 2
(MEN 2), and neurofibromatosis type 1 (NF1)—there are now 10 genes that
have been identified as sites of mutations leading to pheochromocytoma.
6. When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse
elevates the head of the bed 30 degrees. What is the reason for this intervention?
A.
To reduce abdominal pressure on the diaphragm
B.
to promote retraction of the intercostal accessory muscle of respiration
C.
to promote bronchodilation and effective airway clearance
D.
to decrease pressure on the medullary center which stimulates breathing
E.
Rationale: a semi-sitting position is the best position for matching
ventilation and perfusion and for decreasing abdominal pressure on the
diaphragm, so that the client can maximize breathing.
7. When assessing a mildly obese 35-year-old female client, the nurse is unable to
