HESI NURSING RN HESI EXIT V5 NEW HESI
Exit V5 160 Questions and Answers LATEST
UPDATE 2022/2023 GRDED A+
HESI NURSING RN
HESI EXIT V5 NEW
HESI Exit V5 160
,• The nurse is caring for a woman 2 hours after a vaginal delivery.
Documentation indicates that the membranes were ruptured for 36 hours
prior to delivery. What is the priority nursing diagnoses at this time?
A) Altered tissue perfusion
B) Risk for fluid volume deficit
C) High risk for hemorrhage
D) Risk for infection
The correct answer is D: Risk for infection
• The parents of a newborn male with hypospadias want their child
circumcised. The best response by the nurse is to inform them that
A) Circumcision is delayed so the foreskin can be used for the surgical repair
B) This procedure is contraindicated because of the permanent defect
C) There is no medical indication for performing a circumcision on any child
D) The procedure should be performed as soon as the infant is stable
The correct answer is A: Circumcision is delayed so the foreskin can be used for
the surgical repair
• The nurse is caring for a client in the late stages of Amyotrophic
Lateral Sclerosis (A.L.S.). Which finding would the nurse expect?
A) Confusion
B) Loss of half of visual field
C) Shallow respirations
D) Tonic-clonic seizures
,The correct answer is C: Shallow respirations
• A client complained of nausea, a metallic taste in her mouth, and fine hand
tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the
nurse’s best explanation of these findings?
A) These side effects are common and should subside in a few days
, B) The client is probably having an allergic reaction and should discontinue the
drug
C) Taking the lithium on an empty stomach should decrease these symptoms
D) Decreasing dietary intake of sodium and fluids should minimize the side
effects The correct answer is A: These side effects are common and should
subside in a few days
• A 57 year-old male client has a hemoglobin of 10 mg/dl and a
hematocrit of 32%. What would be the most appropriate follow-up by the
home car
Exit V5 160 Questions and Answers LATEST
UPDATE 2022/2023 GRDED A+
HESI NURSING RN
HESI EXIT V5 NEW
HESI Exit V5 160
,• The nurse is caring for a woman 2 hours after a vaginal delivery.
Documentation indicates that the membranes were ruptured for 36 hours
prior to delivery. What is the priority nursing diagnoses at this time?
A) Altered tissue perfusion
B) Risk for fluid volume deficit
C) High risk for hemorrhage
D) Risk for infection
The correct answer is D: Risk for infection
• The parents of a newborn male with hypospadias want their child
circumcised. The best response by the nurse is to inform them that
A) Circumcision is delayed so the foreskin can be used for the surgical repair
B) This procedure is contraindicated because of the permanent defect
C) There is no medical indication for performing a circumcision on any child
D) The procedure should be performed as soon as the infant is stable
The correct answer is A: Circumcision is delayed so the foreskin can be used for
the surgical repair
• The nurse is caring for a client in the late stages of Amyotrophic
Lateral Sclerosis (A.L.S.). Which finding would the nurse expect?
A) Confusion
B) Loss of half of visual field
C) Shallow respirations
D) Tonic-clonic seizures
,The correct answer is C: Shallow respirations
• A client complained of nausea, a metallic taste in her mouth, and fine hand
tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the
nurse’s best explanation of these findings?
A) These side effects are common and should subside in a few days
, B) The client is probably having an allergic reaction and should discontinue the
drug
C) Taking the lithium on an empty stomach should decrease these symptoms
D) Decreasing dietary intake of sodium and fluids should minimize the side
effects The correct answer is A: These side effects are common and should
subside in a few days
• A 57 year-old male client has a hemoglobin of 10 mg/dl and a
hematocrit of 32%. What would be the most appropriate follow-up by the
home car
