HESI PN EXIT EXAM V2 140 QUESTIONS WITH 100%
CORRECT ANSWERS/A+ GRADE GUARANTEED
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
What is the best follow-up action by the nurse? - ANSWER: Review with the client
the need to avoid foods that are rich in milk and cream
A male client with hypertension, who received new antihypertensive prescriptions at
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him feel bad. In explaining the need for
hypertension control, the nurse should stress that an elevated BP places the client at
risk for which pathophysiological condition? - ANSWER: Stroke secondary to
hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement? -
ANSWER: Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
An adolescent with major depressive disorder the past 12 days. Which assessment
finding requires immediate follow-up? has been taking duloxetine (Cymbalta) for -
ANSWER: Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
Her Papanicolau (Pap) smear results are negative. What information should the
nurse include in the client's teaching plan? - ANSWER: Further evaluation involving
surgery may be needed
A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan? - ANSWER: Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client's
respiratory rate is 14 breaths minute. What action should the nurse implement? -
ANSWER: Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs? - ANSWER: Respiratory apnea
of 30 seconds
,During a home visit, the nurse observed an elderly client with diabetes slip action
should the nurse take first? - ANSWER: Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted
to avoid getting a headache. Which action should the nurse take first? - ANSWER:
Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an $3 heart sound is present, what action should the
nurse take first? - ANSWER: Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance through
her place of employment. Which agency should the client be referred to by the
employee health nurse for health insurance needs? - ANSWER: Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset What snack should the nurse instruct the client to take with the tetracycline? -
ANSWER: Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication? - ANSWER: "I
have a headache that gets worse when I sit up"
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWER: .Obtain a clean catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWER: Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub nurse
the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
this client. Which response should the circulating nurse provide? - ANSWER: Direct
the nurse to continue the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis? - ANSWER: Bagel with
jelly and skim milk
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a
registered nurse (RN)? - ANSWER: .An 82-year-old client with Alzheimer's disease
newly-fractures femur who has a Foley catheter and soft wrist restrains applied
,and pierced the bottom of the child's foot. Which action should the nurse implement
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe A mother brings her 6-year-old child, who has just stepped on a rusty nail, to
the first? - ANSWER: Cleanse the foot with soap and water and apply an antibiotic
ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot , I have
been applying triple antibiotic ointment for two days, but there has been no
improvement. What instruction should the nurse provide? - ANSWER: Stop using the
ointment and encourage complete drying of the feet and wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate
to the nurse that the prescribed dosage is too high for this client? The client
experiences - ANSWER: Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client? - ANSWER: Obtain a list of medications taken for cardiac histony
The healthcare provider prescribes an IV solution of isoproterenol (Isupre) 1 mg in
250 ml of DsW at 300 mcghour. The nurse should program the infusion pump to
deliver how many ml/hour? (Enter numeric value only.) - ANSWER: 75
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply - ANSWER: Fluid shifts from intravascular to interstitial
area due to decreased serum protein Increased hydrostatic pressure in portal
circulation increases fluid shifts into abdomen Increased circulating aldosterone
levels that increase sodium and water retention
The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies) - ANSWER: Murmur
The healthcare provider prescribes celtazidime (Eortax) 35 mg every 8 hours IM for
an concentration of 100 mg/ml. How many ml should the nurse administered for
each dose? infant. The 500 mg vial is labeled with the instruction to add 5.3 ml
diluent to provide a (Enter numeric value only. If rounding is required, round to the
nearest tenth) - ANSWER: 0.4
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete? -
ANSWER: Auscultate the client 's bowel sounds
A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants "no
heroic measures" taken if she stops breathing, and she asks the nurse to document
, this in her medical record. What action should the nurse implement? - ANSWER: Ask
the client to discuss "do not resuscitate" with her healthcare provider
client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and
has developed diarrhea. The client has a new prescription to change the feeding to
half strength. What intervention should the nurse implement? - ANSWER: Add equal
amounts of water and feeding to a feeding bag and infuse at 50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask? - ANSWER: Have you noticed any
changes in your fingernails?
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask? - ANSWER: Have you noticed any
changes in your fingernails?
After a third hospitalization 6 months ago, a client is admitted to the hospital with
ascites and malnutrition. The client is drowsy but responding to verbal stimuli and
reports recently spitting up blood. What assessment finding warrants immediate
intervention by the nurse? - ANSWER: Capillary refill of 8 seconds
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) - ANSWER: The
client voluntarily grants permission for the procedure to be done The client is
competent to sign the consent without impairment of judgment The client
understands the risks and benefits associated with the procedure
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 i assigned. What action should the charge nurse implement? - ANSWER: Advise
the client that assignments are not based on clients requests
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? - ANSWER: Place the implant in a lead
container using long-handled forceps
The client with which type of wound is most likely to need immediate intervention
by the nurse? - ANSWER: Laceration
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? - ANSWER: Monitor blood pressure frequently
CORRECT ANSWERS/A+ GRADE GUARANTEED
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
What is the best follow-up action by the nurse? - ANSWER: Review with the client
the need to avoid foods that are rich in milk and cream
A male client with hypertension, who received new antihypertensive prescriptions at
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him feel bad. In explaining the need for
hypertension control, the nurse should stress that an elevated BP places the client at
risk for which pathophysiological condition? - ANSWER: Stroke secondary to
hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement? -
ANSWER: Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
An adolescent with major depressive disorder the past 12 days. Which assessment
finding requires immediate follow-up? has been taking duloxetine (Cymbalta) for -
ANSWER: Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
Her Papanicolau (Pap) smear results are negative. What information should the
nurse include in the client's teaching plan? - ANSWER: Further evaluation involving
surgery may be needed
A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan? - ANSWER: Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client's
respiratory rate is 14 breaths minute. What action should the nurse implement? -
ANSWER: Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs? - ANSWER: Respiratory apnea
of 30 seconds
,During a home visit, the nurse observed an elderly client with diabetes slip action
should the nurse take first? - ANSWER: Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted
to avoid getting a headache. Which action should the nurse take first? - ANSWER:
Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an $3 heart sound is present, what action should the
nurse take first? - ANSWER: Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance through
her place of employment. Which agency should the client be referred to by the
employee health nurse for health insurance needs? - ANSWER: Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset What snack should the nurse instruct the client to take with the tetracycline? -
ANSWER: Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication? - ANSWER: "I
have a headache that gets worse when I sit up"
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWER: .Obtain a clean catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWER: Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub nurse
the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
this client. Which response should the circulating nurse provide? - ANSWER: Direct
the nurse to continue the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis? - ANSWER: Bagel with
jelly and skim milk
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a
registered nurse (RN)? - ANSWER: .An 82-year-old client with Alzheimer's disease
newly-fractures femur who has a Foley catheter and soft wrist restrains applied
,and pierced the bottom of the child's foot. Which action should the nurse implement
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe A mother brings her 6-year-old child, who has just stepped on a rusty nail, to
the first? - ANSWER: Cleanse the foot with soap and water and apply an antibiotic
ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot , I have
been applying triple antibiotic ointment for two days, but there has been no
improvement. What instruction should the nurse provide? - ANSWER: Stop using the
ointment and encourage complete drying of the feet and wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate
to the nurse that the prescribed dosage is too high for this client? The client
experiences - ANSWER: Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client? - ANSWER: Obtain a list of medications taken for cardiac histony
The healthcare provider prescribes an IV solution of isoproterenol (Isupre) 1 mg in
250 ml of DsW at 300 mcghour. The nurse should program the infusion pump to
deliver how many ml/hour? (Enter numeric value only.) - ANSWER: 75
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply - ANSWER: Fluid shifts from intravascular to interstitial
area due to decreased serum protein Increased hydrostatic pressure in portal
circulation increases fluid shifts into abdomen Increased circulating aldosterone
levels that increase sodium and water retention
The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies) - ANSWER: Murmur
The healthcare provider prescribes celtazidime (Eortax) 35 mg every 8 hours IM for
an concentration of 100 mg/ml. How many ml should the nurse administered for
each dose? infant. The 500 mg vial is labeled with the instruction to add 5.3 ml
diluent to provide a (Enter numeric value only. If rounding is required, round to the
nearest tenth) - ANSWER: 0.4
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete? -
ANSWER: Auscultate the client 's bowel sounds
A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants "no
heroic measures" taken if she stops breathing, and she asks the nurse to document
, this in her medical record. What action should the nurse implement? - ANSWER: Ask
the client to discuss "do not resuscitate" with her healthcare provider
client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and
has developed diarrhea. The client has a new prescription to change the feeding to
half strength. What intervention should the nurse implement? - ANSWER: Add equal
amounts of water and feeding to a feeding bag and infuse at 50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask? - ANSWER: Have you noticed any
changes in your fingernails?
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask? - ANSWER: Have you noticed any
changes in your fingernails?
After a third hospitalization 6 months ago, a client is admitted to the hospital with
ascites and malnutrition. The client is drowsy but responding to verbal stimuli and
reports recently spitting up blood. What assessment finding warrants immediate
intervention by the nurse? - ANSWER: Capillary refill of 8 seconds
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) - ANSWER: The
client voluntarily grants permission for the procedure to be done The client is
competent to sign the consent without impairment of judgment The client
understands the risks and benefits associated with the procedure
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 i assigned. What action should the charge nurse implement? - ANSWER: Advise
the client that assignments are not based on clients requests
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? - ANSWER: Place the implant in a lead
container using long-handled forceps
The client with which type of wound is most likely to need immediate intervention
by the nurse? - ANSWER: Laceration
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? - ANSWER: Monitor blood pressure frequently
