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2023cHESIcEXITcRNcEXAM cV1-
V7c110cOUTcOFcTHE c160cTOTALcQUESTIONScFO
RcEACHcVERSION
HESI V1- c
V72023
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2023c HESIc EXITc RNc EXAM
V1-V7c 160c TOTALc QUESTIONSc EACHc VOLUME
1. Followingcdischargecteaching,cacmalecclientcwithcduodenalculcerctellscthecnursecthechecwillcdrinkcplentycof
cdairycproducts,csuchcascmilk,ctochelpccoatcandcprotectchis culcer.cWhatcis cthecbestcfollow-
upcactioncbycthecnurse?
• Reviewcwithcthecclientcthecneedctocavoidcfoodscthatcarecrichcinc milkcandccream
2. Acmalecclientcwithchypertension,cwhocreceivedcnewcantihypertensivecprescriptionscatchisclastcvisitcreturnsc
tocthecclinicctwocweeksclaterctocevaluatec hiscbloodcpressurec(BP).cHiscBPc isc158/106candchecadmitscthatchec
hascnotcbeenctakingcthecprescribedcmedicationcbecausecthecdrugscmakechimc“feelcbad”.cIncexplainingcthecnee
dcforchypertensionccontrol,cthecnursecshouldcstresscthatcancelevatedcBPcplacescthecclientcatcriskcforcwhichcpat
hophysiologicalccondition?
• Strokecsecondaryctochemorrhage
• Thecnursecobservescancunlicensedcassistivecpersonnelc(UAP)cpositioningcacnewlycadmittedcclientcwhochasca
cseizure cdisorder.cThecclientcis csupinecandcthecUAPciscplacingcsoftcpillowscalongcthe csidecrails.cWhatcactio
ncshouldcthecnursecimplement?
Ancadolescentcwithcmajorcdepressivecdisorderchascbeenctakingcduloxetinec(Cymbalta)cforcthecpastc12cdays.cW
hichcassessmentcfindingcrequirescimmediatecfollow-up?
• Describesclifecwithoutcpurpose
5. Ac60-year-
oldcfemalecclientcwithcacpositivecfamilychistorycofcovarianccancerchascdevelopedcancabdominalcmasscandciscb
eingcevaluatedcforcpossiblecovarianccancer.cHercPapanicolauc(Pap)csmearcresultscarecnegative. cWhatcinformat
ioncshouldcthecnursec includecincthecclient’scteachingcplan?
• Furthercevaluationc involvingcsurgeryc maycbecneeded
6. Acclientcwhocrecentlycunderwearcactracheostomyciscbeingcpreparedcforcdischargectochome. cWhichcinstruc
tionsciscmostcimportantcforcthecnursectocincludecincthecdischargecplan?
• Teachctrachealcsuctioningc techniques
7. Incassessingcancadultcclientcwithcacpartialcrebreathercmask,cthecnursecnotescthatcthecoxygen
reservoirc bagc doesc notc deflatec completelyc duringc inspirationc andc thec client’sc respiratoryc ratec isc
14cbreathsc/c minute.c Whatcactionc shouldc thec nursec implement?
• Documentcthecassessmentc data
• Rational:c reservoircbagcshouldcnotcdeflateccompletelyc duringc inspirationc andcthecclient’scres
piratoryc ratec isc withinc normalc limits.
8. Duringcshiftcreport,ctheccentralcelectrocardiogramc(EKG)cmonitoringcsystemcalarms.cWhichcclientcalar
mcshouldcthecnursecinvestigatec firs?
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s
• Respiratorycapneacofc30cseconds
9. Duringcachomecvisit,cthecnursecobservedc ancelderlycclientcwithcdiabetescslipc andcfall.cWhatc actioncshoul
dcthecnursectakecfirst?
• Checkcthecclientc forclacerationscorcfractures
10. Atc0600cwhilecadmittingcacwomancforcacschedulecrepeatccesareancsectionc(C-
Section),cthecclientctellscthecnursecthatcshecdrankcaccupcaccoffeecatc0400cbecausecshecwantedctocavoidcgetting
cacheadache.cWhichcactioncshouldc thecnursectake cfirst?
• Informcthecanesthesiaccarecprovider
11. Aftercplacingcacstethoscopecascseencincthecpicture,cthecnursecauscultatescS1candcS2cheartcsounds.cTocdete
rminecifcancS3cheartcsoundciscpresent,cwhatcactioncshouldcthecnursectakecfirst?
• Listencwithcthecbellcatcthecsameclocation
12. Ac66-year-
oldcwomanciscretiringcandcwillcnoclongerchavecachealthcinsurancecthroughchercplacecofcemployment.c
Whichcagencycshouldcthecclientcbecreferredctocbycthecemployeechealthcnursecforchealthcinsurancecnee
ds?
• Medicare
13. Acclientcwhocisctakingcancoralcdosecofcactetracyclineccomplainscofcgastrointestinalcupset.cWhatcsnack
cshouldcthe c nursecinstructcthec clientctoctakecwithc the ctetracycline?
• Toastedcwheatcbreadcandcjelly
14. Followingcaclumbarcpuncture,cacclientcvoicescseveralccomplaints.cWhatccomplaintcindicatedctocthecnu
rsecthatcthecclientciscexperiencingcaccomplication?
• “IchavecacheadachecthatcgetscworsecwhencIcsitcup”
• “IcamchavingcpaincincmyclowercbackcwhencIcmovec myc legs”
• “Mycthroatc hurtscwhencIcswallow”
• “Icfeelcsickctocmycstomachcandcamcgoingctocthrowc up”
15. Ancelderlycclientcseemsc confusedcandcreportsctheconsetcofc nausea,cdysuria,candcurgencyc wi
thcincontinence.cWhichcactioncshouldcthec nursecimplement?
• Obtaincaccleanccatchcmid-streamcspecimen
16. Thecnurseciscassistingcthecmothercofcacchildcwithcphenylketonuriac(PKU)ctocselectcfoodscthatcarecinckeep
ingcwithcthec child’scdietaryc restrictions.c Whichc foodsc areccontraindicatedc forc thiscchild?
• Foodscsweetenedcwithcaspartame
17. Beforecpreparingcacclientcforcthecfirstcsurgicalccasecofcthecday,cacpart-
timecscrubcnursecasksctheccirculatingcnursecifcac3cminutecsurgicalchandcscrubciscadequatecpreparationcforcthis
cclient.cWhichcresponsecshould cthe ccirculatingcnursecprovide?
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• Directcthecnursectoccontinuecthecsurgicalchandcscrubcforcac5cminutecduration
18. Whichcbreakfastcselectioncindicatescthatcthecclientcunderstands cthecnurse’scinstructionscaboutcthecdietaryc
managementc ofc osteoporosis?
• Bagelcwithcjellycandcskimcmilk
19. Thecchargecnursecofcaccriticalccarecunitciscinformedcatcthecbeginningcofcthecshiftcthatclesscthancthecoptim
alcnumbercofcregisteredcnursescwillcbecworkingcthatcshift.cIncplanningcassignments,cwhichcclientcshouldcrecei
vecthecmostccarechourscbycacregisteredcnursec(RN)?
• Anc82-year-oldcclientcwithcAlzheimer’scdiseasecnewly-
fracturescfemurcwhochascacFoleyccathetercandcsoftcwristcrestrainscapplied
20. Acmothercbringscherc6-year-
oldcchild,cwhochascjustcsteppedconcacrustycnail,ctocthecpediatrician’scoffice.cUponcinspection,cthecnurs
ecnotescthatcthecnailcwentcthroughcthecshoecandcpiercedcthecbottomcofcthecchild’scfoot.cWhichcactionc
shouldcthecnursecimplementcfirst?
• Cleansec thec foot c withc soapc andc waterc andc applyc anc antibioticc ointment
• Providecteachingcaboutcthecneedc forcactetanuscboostercwithincthecnextc72chours.
• havecthecmotherccheckcthecchild'sctemperaturecq4hcforcthecnextc24chours
• transfercthecchildctocthecemergencycdepartmentctocreceivecacgammac globulinc injection
21. Thecmotherc ofcancadolescentctellsctheccliniccnurse,c“Mycsonchascathlete’scfoot,cIchavecbeen
applyingctriplecantibioticcointmentcforctwocdays,cbutctherechascbeencnocimprovement.”cWhatcinstructi
oncshouldcthecnursecprovide?
Stopcusingcthecointmentcandcencourageccompletecdryingcofcthecfeetcandcwearingccleancsocks.
22. Ac26-year-
oldcfemalecclientciscadmittedctocthechospitalcforctreatmentcofcacsimplecgoiter,candclevothyroxinecsodi
umc(Synthroid)ciscprescribed. cWhichcsymptomscindicatectocthecnursecthatcthecprescribedcdosageciscto
ochighcforcthiscclient?cThecclientcexperiences
• Bradycardiac andc constipation
• Lethargycandc lackcofcappetite
• Muscleccrampingcandcdry,c flushedcskin
• Palpitationsc andc shortnessc ofc breath
23. Acclientcwithcachistorycofcheartcfailurecpresentsctoctheccliniccwithcacnausea,cvomiting,cyellowcvisionc
andcpalpitations.cWhichcfindingciscmostcimportantcforcthecnursectocassessctocthecclient?
• Obtaincaclistcofc medicationsctakencforccardiacchistory
24. Thec healthcarec providerc prescribesc anc IVc solutionc ofc isoproterenolc (Isuprel)c 1c mgc inc 250c mlc ofc D5
Wcatc300cmcg/hour.cThecnursecshouldcprogramcthecinfusioncpumpctocdeliverchowcmanycml/hour?c(E
ntercnumericcvalueconly.)
• 75
• Rationale:cConvertcmgctocmcgcandcusecthecformulacD/HcxcQ.c300cmcg/hourc/c1,000cmcgcxc25
0cmlc=c3/1cxc25c=c75cml/hour
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2023cHESIcEXITcRNcEXAM cV1-
V7c110cOUTcOFcTHE c160cTOTALcQUESTIONScFO
RcEACHcVERSION
HESI V1- c
V72023
c
TEST BANK c
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,12/6/23,c0:04 (cDownload)c2023cHESIcEXITcRNcEXAMcV1.V2,V3,V4,V5,V6,V7cLatestcVolume
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2023c HESIc EXITc RNc EXAM
V1-V7c 160c TOTALc QUESTIONSc EACHc VOLUME
1. Followingcdischargecteaching,cacmalecclientcwithcduodenalculcerctellscthecnursecthechecwillcdrinkcplentycof
cdairycproducts,csuchcascmilk,ctochelpccoatcandcprotectchis culcer.cWhatcis cthecbestcfollow-
upcactioncbycthecnurse?
• Reviewcwithcthecclientcthecneedctocavoidcfoodscthatcarecrichcinc milkcandccream
2. Acmalecclientcwithchypertension,cwhocreceivedcnewcantihypertensivecprescriptionscatchisclastcvisitcreturnsc
tocthecclinicctwocweeksclaterctocevaluatec hiscbloodcpressurec(BP).cHiscBPc isc158/106candchecadmitscthatchec
hascnotcbeenctakingcthecprescribedcmedicationcbecausecthecdrugscmakechimc“feelcbad”.cIncexplainingcthecnee
dcforchypertensionccontrol,cthecnursecshouldcstresscthatcancelevatedcBPcplacescthecclientcatcriskcforcwhichcpat
hophysiologicalccondition?
• Strokecsecondaryctochemorrhage
• Thecnursecobservescancunlicensedcassistivecpersonnelc(UAP)cpositioningcacnewlycadmittedcclientcwhochasca
cseizure cdisorder.cThecclientcis csupinecandcthecUAPciscplacingcsoftcpillowscalongcthe csidecrails.cWhatcactio
ncshouldcthecnursecimplement?
Ancadolescentcwithcmajorcdepressivecdisorderchascbeenctakingcduloxetinec(Cymbalta)cforcthecpastc12cdays.cW
hichcassessmentcfindingcrequirescimmediatecfollow-up?
• Describesclifecwithoutcpurpose
5. Ac60-year-
oldcfemalecclientcwithcacpositivecfamilychistorycofcovarianccancerchascdevelopedcancabdominalcmasscandciscb
eingcevaluatedcforcpossiblecovarianccancer.cHercPapanicolauc(Pap)csmearcresultscarecnegative. cWhatcinformat
ioncshouldcthecnursec includecincthecclient’scteachingcplan?
• Furthercevaluationc involvingcsurgeryc maycbecneeded
6. Acclientcwhocrecentlycunderwearcactracheostomyciscbeingcpreparedcforcdischargectochome. cWhichcinstruc
tionsciscmostcimportantcforcthecnursectocincludecincthecdischargecplan?
• Teachctrachealcsuctioningc techniques
7. Incassessingcancadultcclientcwithcacpartialcrebreathercmask,cthecnursecnotescthatcthecoxygen
reservoirc bagc doesc notc deflatec completelyc duringc inspirationc andc thec client’sc respiratoryc ratec isc
14cbreathsc/c minute.c Whatcactionc shouldc thec nursec implement?
• Documentcthecassessmentc data
• Rational:c reservoircbagcshouldcnotcdeflateccompletelyc duringc inspirationc andcthecclient’scres
piratoryc ratec isc withinc normalc limits.
8. Duringcshiftcreport,ctheccentralcelectrocardiogramc(EKG)cmonitoringcsystemcalarms.cWhichcclientcalar
mcshouldcthecnursecinvestigatec firs?
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s
• Respiratorycapneacofc30cseconds
9. Duringcachomecvisit,cthecnursecobservedc ancelderlycclientcwithcdiabetescslipc andcfall.cWhatc actioncshoul
dcthecnursectakecfirst?
• Checkcthecclientc forclacerationscorcfractures
10. Atc0600cwhilecadmittingcacwomancforcacschedulecrepeatccesareancsectionc(C-
Section),cthecclientctellscthecnursecthatcshecdrankcaccupcaccoffeecatc0400cbecausecshecwantedctocavoidcgetting
cacheadache.cWhichcactioncshouldc thecnursectake cfirst?
• Informcthecanesthesiaccarecprovider
11. Aftercplacingcacstethoscopecascseencincthecpicture,cthecnursecauscultatescS1candcS2cheartcsounds.cTocdete
rminecifcancS3cheartcsoundciscpresent,cwhatcactioncshouldcthecnursectakecfirst?
• Listencwithcthecbellcatcthecsameclocation
12. Ac66-year-
oldcwomanciscretiringcandcwillcnoclongerchavecachealthcinsurancecthroughchercplacecofcemployment.c
Whichcagencycshouldcthecclientcbecreferredctocbycthecemployeechealthcnursecforchealthcinsurancecnee
ds?
• Medicare
13. Acclientcwhocisctakingcancoralcdosecofcactetracyclineccomplainscofcgastrointestinalcupset.cWhatcsnack
cshouldcthe c nursecinstructcthec clientctoctakecwithc the ctetracycline?
• Toastedcwheatcbreadcandcjelly
14. Followingcaclumbarcpuncture,cacclientcvoicescseveralccomplaints.cWhatccomplaintcindicatedctocthecnu
rsecthatcthecclientciscexperiencingcaccomplication?
• “IchavecacheadachecthatcgetscworsecwhencIcsitcup”
• “IcamchavingcpaincincmyclowercbackcwhencIcmovec myc legs”
• “Mycthroatc hurtscwhencIcswallow”
• “Icfeelcsickctocmycstomachcandcamcgoingctocthrowc up”
15. Ancelderlycclientcseemsc confusedcandcreportsctheconsetcofc nausea,cdysuria,candcurgencyc wi
thcincontinence.cWhichcactioncshouldcthec nursecimplement?
• Obtaincaccleanccatchcmid-streamcspecimen
16. Thecnurseciscassistingcthecmothercofcacchildcwithcphenylketonuriac(PKU)ctocselectcfoodscthatcarecinckeep
ingcwithcthec child’scdietaryc restrictions.c Whichc foodsc areccontraindicatedc forc thiscchild?
• Foodscsweetenedcwithcaspartame
17. Beforecpreparingcacclientcforcthecfirstcsurgicalccasecofcthecday,cacpart-
timecscrubcnursecasksctheccirculatingcnursecifcac3cminutecsurgicalchandcscrubciscadequatecpreparationcforcthis
cclient.cWhichcresponsecshould cthe ccirculatingcnursecprovide?
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• Directcthecnursectoccontinuecthecsurgicalchandcscrubcforcac5cminutecduration
18. Whichcbreakfastcselectioncindicatescthatcthecclientcunderstands cthecnurse’scinstructionscaboutcthecdietaryc
managementc ofc osteoporosis?
• Bagelcwithcjellycandcskimcmilk
19. Thecchargecnursecofcaccriticalccarecunitciscinformedcatcthecbeginningcofcthecshiftcthatclesscthancthecoptim
alcnumbercofcregisteredcnursescwillcbecworkingcthatcshift.cIncplanningcassignments,cwhichcclientcshouldcrecei
vecthecmostccarechourscbycacregisteredcnursec(RN)?
• Anc82-year-oldcclientcwithcAlzheimer’scdiseasecnewly-
fracturescfemurcwhochascacFoleyccathetercandcsoftcwristcrestrainscapplied
20. Acmothercbringscherc6-year-
oldcchild,cwhochascjustcsteppedconcacrustycnail,ctocthecpediatrician’scoffice.cUponcinspection,cthecnurs
ecnotescthatcthecnailcwentcthroughcthecshoecandcpiercedcthecbottomcofcthecchild’scfoot.cWhichcactionc
shouldcthecnursecimplementcfirst?
• Cleansec thec foot c withc soapc andc waterc andc applyc anc antibioticc ointment
• Providecteachingcaboutcthecneedc forcactetanuscboostercwithincthecnextc72chours.
• havecthecmotherccheckcthecchild'sctemperaturecq4hcforcthecnextc24chours
• transfercthecchildctocthecemergencycdepartmentctocreceivecacgammac globulinc injection
21. Thecmotherc ofcancadolescentctellsctheccliniccnurse,c“Mycsonchascathlete’scfoot,cIchavecbeen
applyingctriplecantibioticcointmentcforctwocdays,cbutctherechascbeencnocimprovement.”cWhatcinstructi
oncshouldcthecnursecprovide?
Stopcusingcthecointmentcandcencourageccompletecdryingcofcthecfeetcandcwearingccleancsocks.
22. Ac26-year-
oldcfemalecclientciscadmittedctocthechospitalcforctreatmentcofcacsimplecgoiter,candclevothyroxinecsodi
umc(Synthroid)ciscprescribed. cWhichcsymptomscindicatectocthecnursecthatcthecprescribedcdosageciscto
ochighcforcthiscclient?cThecclientcexperiences
• Bradycardiac andc constipation
• Lethargycandc lackcofcappetite
• Muscleccrampingcandcdry,c flushedcskin
• Palpitationsc andc shortnessc ofc breath
23. Acclientcwithcachistorycofcheartcfailurecpresentsctoctheccliniccwithcacnausea,cvomiting,cyellowcvisionc
andcpalpitations.cWhichcfindingciscmostcimportantcforcthecnursectocassessctocthecclient?
• Obtaincaclistcofc medicationsctakencforccardiacchistory
24. Thec healthcarec providerc prescribesc anc IVc solutionc ofc isoproterenolc (Isuprel)c 1c mgc inc 250c mlc ofc D5
Wcatc300cmcg/hour.cThecnursecshouldcprogramcthecinfusioncpumpctocdeliverchowcmanycml/hour?c(E
ntercnumericcvalueconly.)
• 75
• Rationale:cConvertcmgctocmcgcandcusecthecformulacD/HcxcQ.c300cmcg/hourc/c1,000cmcgcxc25
0cmlc=c3/1cxc25c=c75cml/hour
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