6/11/23,C1:45CP (CDownload)C2022CHESICEXITCRNCEXAMCV1.V2,V3,V4,V5,V6,V7CLatestCVol
M u…
2022CHESICEXITCRNCEXAMCV1-
V7C110COUTCOFCTHEC160CTOTALCQUESTIONSCFORCEACHCVERSION
HESI V1- C
V72022 C
TEST BANK C
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M u…
2022C HESICEXITC RNC EXAM
V1-V7C 160C TOTALC QUESTIONSC EACHC VOLUME
1. FollowingCdischargeCteaching,CaCmaleCclientCwithCduodenalCulcerCtellsCtheCnurseCtheCheCwillCdrinkCpl
entyCofCdairyCproducts,CsuchCasCmilk,CtoChelpCcoatCandCprotectChisCulcer.CWhatCisCtheCbestCfollow-
upCactionCbyCtheCnurse?
• ReviewCwithC theC clientCtheC needC toC avoidC foodsC thatC areC richC inC milkC andC cream
2. ACmaleCclientCwithChypertension,CwhoCreceivedCnewCantihypertensiveCprescriptionsCatChisClastCvisitCret
urnsCtoCtheC clinicC twoC weeksC laterC toC evaluateC hisC bloodC pressureC (BP).C HisC BPC isC 158/106C andC heC
admitsC thatC heC hasCnotCbeenCtakingCtheCprescribedCmedicationCbecauseCtheCdrugsCmakeChimC“feelCbad”.
CInCexplainingCtheCneedCforChypertensionCcontrol,CtheCnurseCshouldCstressCthatCanCelevatedCBPCplacesCth
eCclientCatCriskCforCwhichCpathophysiologicalCcondition?
• StrokeC secondaryC toC hemorrhage
• TheCnurseCobservesCanCunlicensedCassistiveCpersonnelC(UAP)CpositioningCaCnewlyCadmittedCclientCwho
ChasCaCseizureCdisorder.CTheCclientCisCsupineCandCtheCUAPCisCplacingCsoftCpillowsCalongCtheCsideCrail
s.CWhatCactionCshouldCtheCnurseCimplement?
AnCadolescentCwithCmajorCdepressiveCdisorderChasCbeenCtakingCduloxetineC(Cymbalta)CforCtheCpastC12Cdays.
CWhichCassessmentCfindingCrequiresCimmediateCfollow-up?
• DescribesC lifeC withoutC purpose
5. AC60-year-
oldCfemaleCclientCwithCaCpositiveCfamilyChistoryCofCovarianCcancerChasCdevelopedCanCabdominalCmassCa
ndCisCbeingCevaluatedCforCpossibleCovarianCcancer.CHerCPapanicolauC(Pap)CsmearCresultsCareCnegative.C
WhatCinformationCshouldCtheCnurseCincludeCinCtheCclient’sCteachingCplan?
• FurtherC evaluationC involvingC surgeryC mayC beC needed
6. ACclientCwhoCrecentlyCunderwearCaCtracheostomyCisCbeingCpreparedCforCdischargeCtoChome.CWhichCi
nstructionsCisCmostCimportantCforCtheCnurseCtoCincludeCinCtheCdischargeCplan?
• TeachC trachealC suctioningC techniques
7. InC assessingC anC adultC clientC withC aC partialC rebreatherC mask,C theC nurseC notesC thatC theC oxygen
reservoirC bagC doesC notC deflateC completelyC duringC inspirationC andC theC client’sC respiratoryC rateC
isC 14
breathsC /C minute.C WhatC actionC shouldC theC nurseC implement?
• DocumentC theC assessmentC data
• Rational:C reservoirC bagC shouldC notC deflateC completelyC duringC inspirationC andC theC clie
nt’s
respiratoryC rateC isC withinC normalC limits.
8. DuringCshiftCreport,C theCcentralC electrocardiogramC(EKG)C monitoringCsystemCalarms.CWhichCclient
C alarmCshouldCtheCnurseCinvestigateCfirs?
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M u…
• RespiratoryC apneaC ofC 30C seconds
9. DuringC aC homeC visit,C theC nurseC observedC anC elderlyC clientC withC diabetesC slipC andC fall.C WhatC actio
nC shouldCtheCnurseCtakeCfirst?
• CheckC theC clientC forC lacerationsC orC fractures
10. AtC0600CwhileCadmittingCaCwomanCforCaCscheduleCrepeatCcesareanCsectionC(C-
Section),CtheCclientCtellsCtheCnurseCthatCsheCdrankCaCcupCaCcoffeeCatC0400CbecauseCsheCwantedCtoCavoid
CgettingCaCheadache.CWhichCactionCshouldCtheCnurseCtakeCfirst?
• InformC theC anesthesiaC careC provider
11. AfterCplacingCaCstethoscopeCasCseenCinCtheCpicture,CtheCnurseCauscultatesCS1CandCS2CheartCsounds.C
ToCdetermineCifCanCS3CheartCsoundCisCpresent,CwhatCactionCshouldCtheCnurseCtakeCfirst?
• ListenC withC theC bellC atC theC sameC location
12. AC66-year-
oldCwomanCisCretiringCandCwillCnoClongerChaveCaChealthCinsuranceCthroughCherCplaceCofCemploy
ment.CWhichCagencyCshouldCtheCclientCbeCreferredCtoCbyCtheCemployeeChealthCnurseCforChealthCi
nsuranceCneeds?
• Medicare
13. ACclientCwhoCisCtakingCanCoralCdoseCofCaCtetracyclineCcomplainsCofCgastrointestinalCupset.CWhat
CsnackCshouldCthe CnurseCinstructCtheCclientCtoCtakeCwithCthe Ctetracycline?
• ToastedC wheatC breadC andC jelly
14. FollowingCaClumbarCpuncture,CaCclientCvoicesCseveralCcomplaints.CWhatCcomplaintCindicatedCtoCt
heCnurseCthatCtheCclientCisCexperiencingCaCcomplication?
• “IChaveCaCheadacheCthatCgetsCworseCwhenCICsitCup”
• “ICamC havingCpainC inC myC lowerC backC whenC IC moveC myC legs”
• “MyC throatC hurtsC whenC IC swallow”
• “ICfeelC sickCtoC myCstomachC andC amC goingC toCthrowC up”
15. AnC elderlyC clientC seemsC confusedC andC reportsC theC onsetC ofC nausea,C dysuria,C andC urgencyC withCi
ncontinence.CWhichCactionCshouldCtheCnurseCimplement?
• ObtainC aC cleanC catchC mid-streamC specimen
16. TheCnurseCisC assistingCtheC motherCofCaCchildCwithC phenylketonuriaC(PKU)C toCselectC foodsCthatC areCinC
keeping
withC theC child’sC dietaryC restrictions.C WhichC foodsC areC contraindicatedC forC thisC child?
• FoodsC sweetenedC withC aspartame
17. BeforeCpreparingCaCclientCforCtheCfirstCsurgicalCcaseCofCtheCday,CaCpart-
timeCscrubCnurseCasksCtheCcirculatingCnurseCifCaC3CminuteCsurgicalChandCscrubCisCadequateCpreparationCf
orCthisCclient.CWhichCresponseCshouldCtheCcirculatingCnurseCprovide?
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• DirectC theC nurseC toC continueC theC surgicalC handC scrubC forC aC 5C minuteC duration
18. WhichC breakfastC selectionC indicatesC thatC theC clientC understandsC theC nurse’sC instructionsC aboutC theC di
etary
managementC ofC osteoporosis?
• BagelC withC jellyC andC skimC milk
19. TheCchargeCnurseCofCaCcriticalCcareCunitCisCinformedCatCtheCbeginningCofCtheCshiftCthatClessCthanCthe
CoptimalCnumberCofCregisteredCnursesCwillCbeCworkingCthatCshift.CInCplanningCassignments,CwhichCclient
CshouldCreceiveCtheCmostCcareChoursCbyCaCregisteredCnurseC(RN)?
• AnC82-year-oldCclientCwithCAlzheimer’sCdiseaseCnewly-
fracturesCfemurCwhoChasCaCFoleyCcatheterCandCsoftCwristCrestrainsCapplied
20. ACmotherCbringsCherC6-year-
oldCchild,CwhoChasCjustCsteppedConCaCrustyCnail,CtoCtheCpediatrician’sCoffice.CUponCinspection,Cth
eCnurseCnotesCthatCtheCnailCwentCthroughCtheCshoeCandCpiercedCtheCbottomCofCtheCchild’sCfoot.C
WhichCactionCshouldCtheCnurseCimplementCfirst?
• CleanseCtheCfootCwithCsoapCandCwaterCandCapplyCanCantibioticCointment
• ProvideC teachingC aboutC theC needC forC aC tetanusC boosterC withinC theC nextC 72C hours.
• haveC theC motherC checkC theC child'sC temperatureC q4hC forC theC nextC 24C hours
• transferC theC childC toC theC emergencyC departmentC toC receiveC aC gammaC globulinC injection
21. TheC motherC ofC anC adolescentC tellsC theC clinicC nurse,C“MyC sonC hasC athlete’sC foot,C IC haveC been
applyingCtripleCantibioticCointmentC forCtwoCdays,CbutCthereChasCbeenCnoCimprovement.”CWhatC instr
uctionCshouldCtheCnurseCprovide?
StopC usingC theC ointmentC andC encourageC completeC dryingC ofC theC feetC andC wearingC cleanC socks.
22. AC26-year-
oldCfemaleCclientCisCadmittedCtoCtheChospitalCforCtreatmentCofCaCsimpleCgoiter,CandClevothyroxine
CsodiumC(Synthroid)Cis Cprescribed.CWhichCsymptomsCindicateCtoCtheCnurseCthatCtheCprescribedCd
osageCisCtooChighCforCthisCclient?CTheCclientCexperiences
• BradycardiaC andC constipation
• LethargyC andC lackC ofC appetite
• MuscleC crampingC andC dry,C flushedC skin
• PalpitationsC andCshortnessCofCbreath
23. AC clientCwithC aChistoryCofC heartCfailureC presentsCtoC theCclinicC withCaC nausea,Cvomiting,C yellowC
visionC andCpalpitations.CWhichC findingCisC mostCimportantC forCtheC nurseCtoCassessCtoCtheCclient?
• ObtainC aC listC ofC medicationsC takenC forC cardiacC history
24. TheC healthcareC providerC prescribesC anC IVC solutionC ofC isoproterenolC (Isuprel)C 1C mgC inC 250C mlC
ofC D5WCatC300Cmcg/hour.CTheCnurseCshouldCprogramCtheCinfusionCpumpCtoCdeliverChowCmanyC
ml/hour?C(EnterCnumericCvalueConly.)
• 75
• Rationale:CConvertCmgCtoCmcgCandCuseCtheCformulaCD/HCxCQ.C300Cmcg/hourC/C1,000Cmc
gCxC250CmlC=C3/1CxC25C=C75Cml/hour
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2022CHESICEXITCRNCEXAMCV1-
V7C110COUTCOFCTHEC160CTOTALCQUESTIONSCFORCEACHCVERSION
HESI V1- C
V72022 C
TEST BANK C
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,6/11/23,C1:45CP (CDownload)C2022CHESICEXITCRNCEXAMCV1.V2,V3,V4,V5,V6,V7CLatestCVol
M u…
2022C HESICEXITC RNC EXAM
V1-V7C 160C TOTALC QUESTIONSC EACHC VOLUME
1. FollowingCdischargeCteaching,CaCmaleCclientCwithCduodenalCulcerCtellsCtheCnurseCtheCheCwillCdrinkCpl
entyCofCdairyCproducts,CsuchCasCmilk,CtoChelpCcoatCandCprotectChisCulcer.CWhatCisCtheCbestCfollow-
upCactionCbyCtheCnurse?
• ReviewCwithC theC clientCtheC needC toC avoidC foodsC thatC areC richC inC milkC andC cream
2. ACmaleCclientCwithChypertension,CwhoCreceivedCnewCantihypertensiveCprescriptionsCatChisClastCvisitCret
urnsCtoCtheC clinicC twoC weeksC laterC toC evaluateC hisC bloodC pressureC (BP).C HisC BPC isC 158/106C andC heC
admitsC thatC heC hasCnotCbeenCtakingCtheCprescribedCmedicationCbecauseCtheCdrugsCmakeChimC“feelCbad”.
CInCexplainingCtheCneedCforChypertensionCcontrol,CtheCnurseCshouldCstressCthatCanCelevatedCBPCplacesCth
eCclientCatCriskCforCwhichCpathophysiologicalCcondition?
• StrokeC secondaryC toC hemorrhage
• TheCnurseCobservesCanCunlicensedCassistiveCpersonnelC(UAP)CpositioningCaCnewlyCadmittedCclientCwho
ChasCaCseizureCdisorder.CTheCclientCisCsupineCandCtheCUAPCisCplacingCsoftCpillowsCalongCtheCsideCrail
s.CWhatCactionCshouldCtheCnurseCimplement?
AnCadolescentCwithCmajorCdepressiveCdisorderChasCbeenCtakingCduloxetineC(Cymbalta)CforCtheCpastC12Cdays.
CWhichCassessmentCfindingCrequiresCimmediateCfollow-up?
• DescribesC lifeC withoutC purpose
5. AC60-year-
oldCfemaleCclientCwithCaCpositiveCfamilyChistoryCofCovarianCcancerChasCdevelopedCanCabdominalCmassCa
ndCisCbeingCevaluatedCforCpossibleCovarianCcancer.CHerCPapanicolauC(Pap)CsmearCresultsCareCnegative.C
WhatCinformationCshouldCtheCnurseCincludeCinCtheCclient’sCteachingCplan?
• FurtherC evaluationC involvingC surgeryC mayC beC needed
6. ACclientCwhoCrecentlyCunderwearCaCtracheostomyCisCbeingCpreparedCforCdischargeCtoChome.CWhichCi
nstructionsCisCmostCimportantCforCtheCnurseCtoCincludeCinCtheCdischargeCplan?
• TeachC trachealC suctioningC techniques
7. InC assessingC anC adultC clientC withC aC partialC rebreatherC mask,C theC nurseC notesC thatC theC oxygen
reservoirC bagC doesC notC deflateC completelyC duringC inspirationC andC theC client’sC respiratoryC rateC
isC 14
breathsC /C minute.C WhatC actionC shouldC theC nurseC implement?
• DocumentC theC assessmentC data
• Rational:C reservoirC bagC shouldC notC deflateC completelyC duringC inspirationC andC theC clie
nt’s
respiratoryC rateC isC withinC normalC limits.
8. DuringCshiftCreport,C theCcentralC electrocardiogramC(EKG)C monitoringCsystemCalarms.CWhichCclient
C alarmCshouldCtheCnurseCinvestigateCfirs?
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• RespiratoryC apneaC ofC 30C seconds
9. DuringC aC homeC visit,C theC nurseC observedC anC elderlyC clientC withC diabetesC slipC andC fall.C WhatC actio
nC shouldCtheCnurseCtakeCfirst?
• CheckC theC clientC forC lacerationsC orC fractures
10. AtC0600CwhileCadmittingCaCwomanCforCaCscheduleCrepeatCcesareanCsectionC(C-
Section),CtheCclientCtellsCtheCnurseCthatCsheCdrankCaCcupCaCcoffeeCatC0400CbecauseCsheCwantedCtoCavoid
CgettingCaCheadache.CWhichCactionCshouldCtheCnurseCtakeCfirst?
• InformC theC anesthesiaC careC provider
11. AfterCplacingCaCstethoscopeCasCseenCinCtheCpicture,CtheCnurseCauscultatesCS1CandCS2CheartCsounds.C
ToCdetermineCifCanCS3CheartCsoundCisCpresent,CwhatCactionCshouldCtheCnurseCtakeCfirst?
• ListenC withC theC bellC atC theC sameC location
12. AC66-year-
oldCwomanCisCretiringCandCwillCnoClongerChaveCaChealthCinsuranceCthroughCherCplaceCofCemploy
ment.CWhichCagencyCshouldCtheCclientCbeCreferredCtoCbyCtheCemployeeChealthCnurseCforChealthCi
nsuranceCneeds?
• Medicare
13. ACclientCwhoCisCtakingCanCoralCdoseCofCaCtetracyclineCcomplainsCofCgastrointestinalCupset.CWhat
CsnackCshouldCthe CnurseCinstructCtheCclientCtoCtakeCwithCthe Ctetracycline?
• ToastedC wheatC breadC andC jelly
14. FollowingCaClumbarCpuncture,CaCclientCvoicesCseveralCcomplaints.CWhatCcomplaintCindicatedCtoCt
heCnurseCthatCtheCclientCisCexperiencingCaCcomplication?
• “IChaveCaCheadacheCthatCgetsCworseCwhenCICsitCup”
• “ICamC havingCpainC inC myC lowerC backC whenC IC moveC myC legs”
• “MyC throatC hurtsC whenC IC swallow”
• “ICfeelC sickCtoC myCstomachC andC amC goingC toCthrowC up”
15. AnC elderlyC clientC seemsC confusedC andC reportsC theC onsetC ofC nausea,C dysuria,C andC urgencyC withCi
ncontinence.CWhichCactionCshouldCtheCnurseCimplement?
• ObtainC aC cleanC catchC mid-streamC specimen
16. TheCnurseCisC assistingCtheC motherCofCaCchildCwithC phenylketonuriaC(PKU)C toCselectC foodsCthatC areCinC
keeping
withC theC child’sC dietaryC restrictions.C WhichC foodsC areC contraindicatedC forC thisC child?
• FoodsC sweetenedC withC aspartame
17. BeforeCpreparingCaCclientCforCtheCfirstCsurgicalCcaseCofCtheCday,CaCpart-
timeCscrubCnurseCasksCtheCcirculatingCnurseCifCaC3CminuteCsurgicalChandCscrubCisCadequateCpreparationCf
orCthisCclient.CWhichCresponseCshouldCtheCcirculatingCnurseCprovide?
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M u…
• DirectC theC nurseC toC continueC theC surgicalC handC scrubC forC aC 5C minuteC duration
18. WhichC breakfastC selectionC indicatesC thatC theC clientC understandsC theC nurse’sC instructionsC aboutC theC di
etary
managementC ofC osteoporosis?
• BagelC withC jellyC andC skimC milk
19. TheCchargeCnurseCofCaCcriticalCcareCunitCisCinformedCatCtheCbeginningCofCtheCshiftCthatClessCthanCthe
CoptimalCnumberCofCregisteredCnursesCwillCbeCworkingCthatCshift.CInCplanningCassignments,CwhichCclient
CshouldCreceiveCtheCmostCcareChoursCbyCaCregisteredCnurseC(RN)?
• AnC82-year-oldCclientCwithCAlzheimer’sCdiseaseCnewly-
fracturesCfemurCwhoChasCaCFoleyCcatheterCandCsoftCwristCrestrainsCapplied
20. ACmotherCbringsCherC6-year-
oldCchild,CwhoChasCjustCsteppedConCaCrustyCnail,CtoCtheCpediatrician’sCoffice.CUponCinspection,Cth
eCnurseCnotesCthatCtheCnailCwentCthroughCtheCshoeCandCpiercedCtheCbottomCofCtheCchild’sCfoot.C
WhichCactionCshouldCtheCnurseCimplementCfirst?
• CleanseCtheCfootCwithCsoapCandCwaterCandCapplyCanCantibioticCointment
• ProvideC teachingC aboutC theC needC forC aC tetanusC boosterC withinC theC nextC 72C hours.
• haveC theC motherC checkC theC child'sC temperatureC q4hC forC theC nextC 24C hours
• transferC theC childC toC theC emergencyC departmentC toC receiveC aC gammaC globulinC injection
21. TheC motherC ofC anC adolescentC tellsC theC clinicC nurse,C“MyC sonC hasC athlete’sC foot,C IC haveC been
applyingCtripleCantibioticCointmentC forCtwoCdays,CbutCthereChasCbeenCnoCimprovement.”CWhatC instr
uctionCshouldCtheCnurseCprovide?
StopC usingC theC ointmentC andC encourageC completeC dryingC ofC theC feetC andC wearingC cleanC socks.
22. AC26-year-
oldCfemaleCclientCisCadmittedCtoCtheChospitalCforCtreatmentCofCaCsimpleCgoiter,CandClevothyroxine
CsodiumC(Synthroid)Cis Cprescribed.CWhichCsymptomsCindicateCtoCtheCnurseCthatCtheCprescribedCd
osageCisCtooChighCforCthisCclient?CTheCclientCexperiences
• BradycardiaC andC constipation
• LethargyC andC lackC ofC appetite
• MuscleC crampingC andC dry,C flushedC skin
• PalpitationsC andCshortnessCofCbreath
23. AC clientCwithC aChistoryCofC heartCfailureC presentsCtoC theCclinicC withCaC nausea,Cvomiting,C yellowC
visionC andCpalpitations.CWhichC findingCisC mostCimportantC forCtheC nurseCtoCassessCtoCtheCclient?
• ObtainC aC listC ofC medicationsC takenC forC cardiacC history
24. TheC healthcareC providerC prescribesC anC IVC solutionC ofC isoproterenolC (Isuprel)C 1C mgC inC 250C mlC
ofC D5WCatC300Cmcg/hour.CTheCnurseCshouldCprogramCtheCinfusionCpumpCtoCdeliverChowCmanyC
ml/hour?C(EnterCnumericCvalueConly.)
• 75
• Rationale:CConvertCmgCtoCmcgCandCuseCtheCformulaCD/HCxCQ.C300Cmcg/hourC/C1,000Cmc
gCxC250CmlC=C3/1CxC25C=C75Cml/hour
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