6/11/23,h1:45hP (hDownload)h2022hHESIhEXIThRNhEXAMhV1.V2,V3,V4,V5,V6,V7hLatesthVolu
M …
2022hHESIhEXIThRNhEXAMhV1-
V7h110hOUThOFhTHEh160hTOTALhQUESTIONShFORhEACHhVERSION
HESI V1- h
V72022 h
TEST BANK h
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2022h HESIh EXITh RNh EXAM
V1-V7h 160h TOTALh QUESTIONSh EACHh VOLUME
1. Followinghdischargehteaching,hahmalehclienthwithhduodenalh ulcerhtellshthehnursehthehhehwillhdrinkhplentyh
ofhdairyhproducts,hsuchhashmilk,htohhelphcoathandhprotecthhishulcer.hWhathishthehbesthfollow-
uphactionhbyhthehnurse?
• Reviewh withh theh clienth theh needh toh avoidh foodsh thath areh richh inh milkh andh cream
2. Ah malehclienthwithhhypertension,hwhohreceivedhnewhantihypertensivehprescriptionshathhishlasthvisithreturn
shtohtheh clinich twoh weeksh laterh toh evaluateh hish bloodh pressureh (BP).h Hish BPh ish 158/106h andh heh admitsh th
ath heh hashnothbeenhtakinghthehprescribedhmedicationhbecausehthehdrugsh makehhimh“feelhbad”.hInhexplaining
hthehneedhforhhypertensionhcontrol,htheh nursehshouldhstresshthathanhelevatedh BPhplaceshthehclienthathriskh forh
whichhpathophysiologicalhcondition?
• Strokeh secondaryh toh hemorrhage
• Thehnursehobserveshanhunlicensedhassistivehpersonnelh(UAP)hpositioninghahnewlyhadmittedhclienthwhohhas
hahseizurehdisorder.hThehclienthishsupinehandhthehUAPhishplacinghsofthpillowshalonghthehsidehrails.hWhatha
ctionhshouldhthehnursehimplement?
Anhadolescenthwithhmajorh depressivehdisorderhhashbeenhtakinghduloxetineh(Cymbalta)hforhthehpasth12hdays.
hWhichhassessmenthfindinghrequireshimmediatehfollow-up?
• Describesh lifeh withouth purpose
5. Ah60-year-
oldhfemalehclienthwithhahpositiveh familyh historyhofhovarianhcancerhhashdevelopedhanhabdominalh masshandhis
hbeinghevaluatedhforhpossiblehovarianhcancer.hHerhPapanicolauh(Pap)hsmearhresultsharehnegative.hWhath infor
mationhshouldhtheh nursehincludehinhthehclient’shteachinghplan?
• Furtherh evaluationh involvingh surgeryh mayh beh needed
6. Ahclienthwhohrecentlyh underwearhahtracheostomyh ishbeinghpreparedh forhdischargehtohhome.hWhichh instru
ctionshish mosthimportanth forhthehnursehtohincludehinhthehdischargehplan?
• Teachh trachealh suctioningh techniques
7. Inh assessingh anh adulth clienth withh ah partialh rebreatherh mask,h theh nurseh notesh thath theh oxygen
reservoirh bagh doesh noth deflateh completelyh duringh inspirationh andh theh client’sh respiratoryh rateh ish
14
breathsh /h minute.h Whath actionh shouldh theh nurseh implement?
• Documenth theh assessmenth data
• Rational:h reservoirh bagh shouldh noth deflateh completelyh duringh inspirationh andh theh client’s
respiratoryh rateh ish withinh normalh limits.
8. Duringhshifthreport,h thehcentralh electrocardiogramh(EKG)h monitoringhsystemhalarms.hWhichhclienth al
armhshouldhthehnursehinvestigatehfirs?
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M …
• Respiratoryh apneah ofh 30h seconds
9. Duringh ah homeh visit,h theh nurseh observedh anh elderlyh clienth withh diabetesh sliph andh fall.h Whath actionh sh
ouldhthehnursehtakehfirst?
• Checkh theh clienth forh lacerationsh orh fractures
10. Ath0600hwhilehadmittinghahwomanhforhahschedulehrepeathcesareanhsectionh(C-
Section),hthehclienthtellshthehnursehthathshehdrankhahcuphahcoffeehath0400hbecausehshehwantedhtohavoidhgetti
nghahheadache.hWhichhactionhshouldhthehnursehtakehfirst?
• Informh theh anesthesiah careh provider
11. Afterhplacinghahstethoscopehashseenhinhthehpicture,hthehnursehauscultateshS1handhS2hhearthsounds.hTohde
termineh ifhanhS3h hearthsoundhish present,hwhathactionhshouldhthehnursehtakeh first?
• Listenh withh theh bellh ath theh sameh location
12. Ah66-year-
oldhwomanhishretiringhandhwillhnohlongerhhavehahhealthhinsurancehthroughh herhplacehofhemployment.
hWhichhagencyhshouldhthehclienthbehreferredhtohbyhthehemployeehhealthh nursehforhhealthh insurancehn
eeds?
• Medicare
13. Ahclienthwhohishtakinghanhoralhdosehofhahtetracyclinehcomplainshofhgastrointestinalhupset.hWhathsnac
khshouldhtheh nursehinstrucththehclienthtohtakehwithhthehtetracycline?
• Toastedh wheath breadh andh jelly
14. Followinghahlumbarhpuncture,hahclienthvoiceshseveralhcomplaints.hWhathcomplainthindicatedhtohthehn
ursehthaththehclienthishexperiencinghahcomplication?
• “Ihhavehahheadachehthathgetshworsehwhen hIhsithup”
• “Ih amh havingh painh inh myh lowerh backh whenh Ih moveh myh legs”
• “Myh throath hurtsh whenh Ih swallow”
• “Ih feelh sickh toh myh stomachh andh amh goingh toh throwh up”
15. Anh elderlyh clienth seemsh confusedh andh reportsh theh onseth ofh nausea,h dysuria,h andh urgencyh withhincon
tinence.hWhichhactionhshouldhtheh nursehimplement?
• Obtainh ah cleanh catchh mid-streamh specimen
16. Thehnursehish assistingh theh motherh ofhah childhwithh phenylketonuriah(PKU)h tohselecth foodshthath arehinhkeepi
ng
withh theh child’sh dietaryh restrictions.h Whichh foodsh areh contraindicatedh forh thish child?
• Foodsh sweetenedh withh aspartame
17. Beforehpreparinghahclienthforhthehfirsthsurgicalhcasehofhthehday,hahpart-
timehscrubhnursehaskshthehcirculatingh nursehifhah3hminutehsurgicalhhandhscrubhishadequatehpreparationhforhth
ishclient.hWhichhresponsehshouldhthehcirculatingh nursehprovide?
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M …
• Directh theh nurseh toh continueh theh surgicalh handh scrubh forh ah 5h minuteh duration
18. Whichh breakfasth selectionh indicatesh thath theh clienth understandsh theh nurse’sh instructionsh abouth theh dietar
y
managementh ofh osteoporosis?
• Bagelh withh jellyh andh skimh milk
19. Thehchargehnursehofhahcriticalhcarehunithishinformedhaththehbeginninghofhthehshifththathlesshthanhthehopti
malh numberhofhregisteredhnurseshwillhbehworkinghthathshift.hInhplanninghassignments,hwhichhclienthshouldhr
eceivehtheh mosthcarehhourshbyhahregisteredhnurseh(RN)?
• Anh82-year-oldhclienthwithhAlzheimer’shdiseasehnewly-
fractureshfemurhwhohhashahFoleyhcatheterhandhsofthwristhrestrainshapplied
20. Ah motherhbringshherh6-year-
oldhchild,hwhohhashjusthsteppedhonhahrustyhnail,htohthehpediatrician’shoffice.hUponhinspection,hthehnu
rsehnoteshthaththehnailhwenththroughhthehshoehandhpiercedhthehbottomhofhthehchild’shfoot.hWhichhacti
onhshouldhthehnursehimplementhfirst?
• Cleansehthehfoothwithhsoaphandhwaterhandhapplyhanhantibiotichointment
• Provideh teachingh abouth theh needh forh ah tetanush boosterh withinh theh nexth 72h hours.
• haveh theh motherh checkh theh child'sh temperatureh q4hh forh theh nexth 24h hours
• transferh theh childh toh theh emergencyh departmenth toh receiveh ah gammah globulinh injection
21. Theh motherh ofh anh adolescenth tellsh theh clinich nurse,h “Myh sonh hash athlete’sh foot,h Ih haveh been
applyinghtriplehantibiotichointmenth forhtwohdays,hbuth therehhashbeenhnoh improvement.”hWhath instructio
nhshouldhthehnursehprovide?
Stoph usingh theh ointmenth andh encourageh completeh dryingh ofh theh feeth andh wearingh cleanh socks.
22. Ah26-year-
oldhfemalehclienth ishadmittedhtohthehhospitalh forhtreatmenthofhahsimplehgoiter,handh levothyroxinehsod
iumh(Synthroid)hishprescribed.hWhichhsymptomshindicatehtohthehnursehthaththehprescribedhdosageh ish
toohhighh forhthishclient?hThehclienthexperiences
• Bradycardiah andh constipation
• Lethargyh andh lackh ofh appetite
• Muscleh crampingh andh dry,h flushedh skin
• Palpitationshandhshortnesshofhbreath
23. Ah clienthwithh ahhistoryhofh hearthfailureh presentshtoh thehclinich withhah nausea,hvomiting,h yellowh visio
nh andhpalpitations.hWhichh findingh ish mosthimportanth forhtheh nursehtoh assesshtoh thehclient?
• Obtainh ah listh ofh medicationsh takenh forh cardiach history
24. Theh healthcareh providerh prescribesh anh IVh solutionh ofh isoproterenolh (Isuprel)h 1h mgh inh 250h mlh ofh
D5Whath300hmcg/hour.hThehnursehshouldhprogramhthehinfusionhpumphtohdeliverhhowhmanyh ml/hour?
h(Enterhnumerichvaluehonly.)
• 75
• Rationale:hConverth mghtohmcghandhusehthehformulahD/HhxhQ.h300h mcg/hourh/h1,000hmcghxh
250h mlh=h3/1hxh25h=h75hml/hour
about:blank 4/175
M …
2022hHESIhEXIThRNhEXAMhV1-
V7h110hOUThOFhTHEh160hTOTALhQUESTIONShFORhEACHhVERSION
HESI V1- h
V72022 h
TEST BANK h
about:blank 1/175
,6/11/23,h1:45hP (hDownload)h2022hHESIhEXIThRNhEXAMhV1.V2,V3,V4,V5,V6,V7hLatesthVolu
M …
2022h HESIh EXITh RNh EXAM
V1-V7h 160h TOTALh QUESTIONSh EACHh VOLUME
1. Followinghdischargehteaching,hahmalehclienthwithhduodenalh ulcerhtellshthehnursehthehhehwillhdrinkhplentyh
ofhdairyhproducts,hsuchhashmilk,htohhelphcoathandhprotecthhishulcer.hWhathishthehbesthfollow-
uphactionhbyhthehnurse?
• Reviewh withh theh clienth theh needh toh avoidh foodsh thath areh richh inh milkh andh cream
2. Ah malehclienthwithhhypertension,hwhohreceivedhnewhantihypertensivehprescriptionshathhishlasthvisithreturn
shtohtheh clinich twoh weeksh laterh toh evaluateh hish bloodh pressureh (BP).h Hish BPh ish 158/106h andh heh admitsh th
ath heh hashnothbeenhtakinghthehprescribedhmedicationhbecausehthehdrugsh makehhimh“feelhbad”.hInhexplaining
hthehneedhforhhypertensionhcontrol,htheh nursehshouldhstresshthathanhelevatedh BPhplaceshthehclienthathriskh forh
whichhpathophysiologicalhcondition?
• Strokeh secondaryh toh hemorrhage
• Thehnursehobserveshanhunlicensedhassistivehpersonnelh(UAP)hpositioninghahnewlyhadmittedhclienthwhohhas
hahseizurehdisorder.hThehclienthishsupinehandhthehUAPhishplacinghsofthpillowshalonghthehsidehrails.hWhatha
ctionhshouldhthehnursehimplement?
Anhadolescenthwithhmajorh depressivehdisorderhhashbeenhtakinghduloxetineh(Cymbalta)hforhthehpasth12hdays.
hWhichhassessmenthfindinghrequireshimmediatehfollow-up?
• Describesh lifeh withouth purpose
5. Ah60-year-
oldhfemalehclienthwithhahpositiveh familyh historyhofhovarianhcancerhhashdevelopedhanhabdominalh masshandhis
hbeinghevaluatedhforhpossiblehovarianhcancer.hHerhPapanicolauh(Pap)hsmearhresultsharehnegative.hWhath infor
mationhshouldhtheh nursehincludehinhthehclient’shteachinghplan?
• Furtherh evaluationh involvingh surgeryh mayh beh needed
6. Ahclienthwhohrecentlyh underwearhahtracheostomyh ishbeinghpreparedh forhdischargehtohhome.hWhichh instru
ctionshish mosthimportanth forhthehnursehtohincludehinhthehdischargehplan?
• Teachh trachealh suctioningh techniques
7. Inh assessingh anh adulth clienth withh ah partialh rebreatherh mask,h theh nurseh notesh thath theh oxygen
reservoirh bagh doesh noth deflateh completelyh duringh inspirationh andh theh client’sh respiratoryh rateh ish
14
breathsh /h minute.h Whath actionh shouldh theh nurseh implement?
• Documenth theh assessmenth data
• Rational:h reservoirh bagh shouldh noth deflateh completelyh duringh inspirationh andh theh client’s
respiratoryh rateh ish withinh normalh limits.
8. Duringhshifthreport,h thehcentralh electrocardiogramh(EKG)h monitoringhsystemhalarms.hWhichhclienth al
armhshouldhthehnursehinvestigatehfirs?
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• Respiratoryh apneah ofh 30h seconds
9. Duringh ah homeh visit,h theh nurseh observedh anh elderlyh clienth withh diabetesh sliph andh fall.h Whath actionh sh
ouldhthehnursehtakehfirst?
• Checkh theh clienth forh lacerationsh orh fractures
10. Ath0600hwhilehadmittinghahwomanhforhahschedulehrepeathcesareanhsectionh(C-
Section),hthehclienthtellshthehnursehthathshehdrankhahcuphahcoffeehath0400hbecausehshehwantedhtohavoidhgetti
nghahheadache.hWhichhactionhshouldhthehnursehtakehfirst?
• Informh theh anesthesiah careh provider
11. Afterhplacinghahstethoscopehashseenhinhthehpicture,hthehnursehauscultateshS1handhS2hhearthsounds.hTohde
termineh ifhanhS3h hearthsoundhish present,hwhathactionhshouldhthehnursehtakeh first?
• Listenh withh theh bellh ath theh sameh location
12. Ah66-year-
oldhwomanhishretiringhandhwillhnohlongerhhavehahhealthhinsurancehthroughh herhplacehofhemployment.
hWhichhagencyhshouldhthehclienthbehreferredhtohbyhthehemployeehhealthh nursehforhhealthh insurancehn
eeds?
• Medicare
13. Ahclienthwhohishtakinghanhoralhdosehofhahtetracyclinehcomplainshofhgastrointestinalhupset.hWhathsnac
khshouldhtheh nursehinstrucththehclienthtohtakehwithhthehtetracycline?
• Toastedh wheath breadh andh jelly
14. Followinghahlumbarhpuncture,hahclienthvoiceshseveralhcomplaints.hWhathcomplainthindicatedhtohthehn
ursehthaththehclienthishexperiencinghahcomplication?
• “Ihhavehahheadachehthathgetshworsehwhen hIhsithup”
• “Ih amh havingh painh inh myh lowerh backh whenh Ih moveh myh legs”
• “Myh throath hurtsh whenh Ih swallow”
• “Ih feelh sickh toh myh stomachh andh amh goingh toh throwh up”
15. Anh elderlyh clienth seemsh confusedh andh reportsh theh onseth ofh nausea,h dysuria,h andh urgencyh withhincon
tinence.hWhichhactionhshouldhtheh nursehimplement?
• Obtainh ah cleanh catchh mid-streamh specimen
16. Thehnursehish assistingh theh motherh ofhah childhwithh phenylketonuriah(PKU)h tohselecth foodshthath arehinhkeepi
ng
withh theh child’sh dietaryh restrictions.h Whichh foodsh areh contraindicatedh forh thish child?
• Foodsh sweetenedh withh aspartame
17. Beforehpreparinghahclienthforhthehfirsthsurgicalhcasehofhthehday,hahpart-
timehscrubhnursehaskshthehcirculatingh nursehifhah3hminutehsurgicalhhandhscrubhishadequatehpreparationhforhth
ishclient.hWhichhresponsehshouldhthehcirculatingh nursehprovide?
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M …
• Directh theh nurseh toh continueh theh surgicalh handh scrubh forh ah 5h minuteh duration
18. Whichh breakfasth selectionh indicatesh thath theh clienth understandsh theh nurse’sh instructionsh abouth theh dietar
y
managementh ofh osteoporosis?
• Bagelh withh jellyh andh skimh milk
19. Thehchargehnursehofhahcriticalhcarehunithishinformedhaththehbeginninghofhthehshifththathlesshthanhthehopti
malh numberhofhregisteredhnurseshwillhbehworkinghthathshift.hInhplanninghassignments,hwhichhclienthshouldhr
eceivehtheh mosthcarehhourshbyhahregisteredhnurseh(RN)?
• Anh82-year-oldhclienthwithhAlzheimer’shdiseasehnewly-
fractureshfemurhwhohhashahFoleyhcatheterhandhsofthwristhrestrainshapplied
20. Ah motherhbringshherh6-year-
oldhchild,hwhohhashjusthsteppedhonhahrustyhnail,htohthehpediatrician’shoffice.hUponhinspection,hthehnu
rsehnoteshthaththehnailhwenththroughhthehshoehandhpiercedhthehbottomhofhthehchild’shfoot.hWhichhacti
onhshouldhthehnursehimplementhfirst?
• Cleansehthehfoothwithhsoaphandhwaterhandhapplyhanhantibiotichointment
• Provideh teachingh abouth theh needh forh ah tetanush boosterh withinh theh nexth 72h hours.
• haveh theh motherh checkh theh child'sh temperatureh q4hh forh theh nexth 24h hours
• transferh theh childh toh theh emergencyh departmenth toh receiveh ah gammah globulinh injection
21. Theh motherh ofh anh adolescenth tellsh theh clinich nurse,h “Myh sonh hash athlete’sh foot,h Ih haveh been
applyinghtriplehantibiotichointmenth forhtwohdays,hbuth therehhashbeenhnoh improvement.”hWhath instructio
nhshouldhthehnursehprovide?
Stoph usingh theh ointmenth andh encourageh completeh dryingh ofh theh feeth andh wearingh cleanh socks.
22. Ah26-year-
oldhfemalehclienth ishadmittedhtohthehhospitalh forhtreatmenthofhahsimplehgoiter,handh levothyroxinehsod
iumh(Synthroid)hishprescribed.hWhichhsymptomshindicatehtohthehnursehthaththehprescribedhdosageh ish
toohhighh forhthishclient?hThehclienthexperiences
• Bradycardiah andh constipation
• Lethargyh andh lackh ofh appetite
• Muscleh crampingh andh dry,h flushedh skin
• Palpitationshandhshortnesshofhbreath
23. Ah clienthwithh ahhistoryhofh hearthfailureh presentshtoh thehclinich withhah nausea,hvomiting,h yellowh visio
nh andhpalpitations.hWhichh findingh ish mosthimportanth forhtheh nursehtoh assesshtoh thehclient?
• Obtainh ah listh ofh medicationsh takenh forh cardiach history
24. Theh healthcareh providerh prescribesh anh IVh solutionh ofh isoproterenolh (Isuprel)h 1h mgh inh 250h mlh ofh
D5Whath300hmcg/hour.hThehnursehshouldhprogramhthehinfusionhpumphtohdeliverhhowhmanyh ml/hour?
h(Enterhnumerichvaluehonly.)
• 75
• Rationale:hConverth mghtohmcghandhusehthehformulahD/HhxhQ.h300h mcg/hourh/h1,000hmcghxh
250h mlh=h3/1hxh25h=h75hml/hour
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