5 5 5 5 5
omprehensive Exam Study 5 55 5
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S tu vi a.c om -
1. Following5 disc h a r g e t
T h e M a rk etpl ac e to B u y 5 an d S ell yo u r S tud y M a te ri al 5
e a ch i n g , a m al e c lie n t wi t h d u o d e n al5ulcer5 tells5 the5 nurse5the5he5will5drink5plen
ty5of 5dairy5products,5such 5as5milk,5to5help5coat5and5protect5 his5ulcer.5What5is5the5be
st5follow-up5action 5by5the5nurse?
A. Review5with5the5client5the5need5to5avoid5foods5that5are5rich5in5milk 5and5cream
2. A5male5client5with5hypertension,5who5received5new 5antihypertensive5prescriptio
ns5at5his5last5visit5returns5to5the5clinic5two5weeks5later5to5evaluate5his5blood5press
ure5(BP).5His5BP5is5158/1065and5he5admits5that5he5has5not5been5taking5the5pres
cribed5medication 5because5the5drugs5make5him5“feel 5bad”.5In 5explaining5the5ne
ed5for5hypertension5control,5the5nurse5should5stress5that5an5elevated5BP5places5
the5client5at5risk5for5which 5pathophysiological 5condition?
A. Stroke5secondary5to5hemorrhage
3. The5nurse5observes5an5unlicensed5assistive5personnel5(UAP)5positioning5a5newly 5
admitted5client5who5has5a5seizure5disorder.5 The5client5is5supine5and5the5UAP5 is5pla
cing5soft5pillows5along5the5side5rails.5What5action5should5the5nurse5implement?
A. Instruct5 the5 UAP5to5 obtain5 soft5 blankets5 to5 secure5 to5 the5 side5 rails5of
instead 5pillows.
4. An5adolescent5with5major5depressive5disorder5has5been5taking5duloxetine5(Cymbalta)5fo
r5the5past5125days.5Which5assessment5finding5requires5immediate5follow-up?
A. Describes5life5without5purpose
5. A560-year-
old5female5client5with 5a5positive5family5history5of5ovarian5cancer5has5developed5
an 5abdominal5mass5and5is5being5evaluated5for5possible5ovarian5cancer.5Her5Pa
panicolau 5(Pap)5smear5results5are5negative.5What5information5should5the5nurs
e5include5in 5the5client’s5teaching5plan?
A. Further5evaluation 5involving5surgery5may5be5needed
6. A5client5who5recently5underwear 5a5tracheostomy5is5being5prepared5for5discharge5to5home.5W
hich5instructions5is5most5important5for5the5nurse5to5include5in5the5discharge5plan?
A. Teach 5tracheal 5suctioning5techniques
7. In5assessing5an5 adult5client5with5a5partial5rebreather5mask,5the5nurse5notes5that5the5
oxygen5reservoir5 bag5does5 not5deflate5completely 5during5inspiration5and5the5client’s5r
espiratory 5rate5is5 145breaths5/5minute.5What5 action5should5the5nurse5im plem ent?
A. Document5the5assessment5data
B. Rational:5reservoir5bag5should5not5deflate5completely5during5inspiration 5a
nd5the5client’s5respiratory5rate5is5within 5normal 5limits.
8. During5shift5report,5the5central 5electrocardiogram5(EKG)5monitoring5system5al
arms.5Which 5client5alarm5should5the5nurse5investigate5firs?
A. Respiratory5apnea5of 5305seconds
, HESI Exit Exam Test Bank C
5 5 5 5 5
omprehensive Exam Study 5 55
Guide 5
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9. During5a5home5visit,5the5nurse5observed5an5elderly5client5with5diabetes5slip5and5fall
.5What5action 5should5the5nurse5take5first?
A. Check5the5client5for5lacerations5or5fractures
10. At506005while5admitting5a5woman5for5a5 schedule5repeat5cesarean5 section5(C-
5Section),5the5client5tells5the5nurse5that5 she5drank 5a5cup5 a5coffee5at504005because5 s
he5wanted5to5avoid5getting5a5headache.5Which5action5should5the5nurse5take5first?
, HESI Exit Exam Test Bank C
5 5 5 5 5
omprehensive Exam Study 5 55
Guide 5
Latest Updated 2023/2024.
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A. Inform5the5anesthesia5care5provider
11. After5placing5a5stethoscope5as5seen5in5the5picture,5the5nurse5auscultates5S15and
5S25heart5sounds.5To5determine 5if5an5S35heart5sound5is5present,5what5action5 should
5the5nurse5take5first?
A. Listen 5with 5the5bell 5at5the5same5location
12. A566-year-
old5woman 5is5retiring5and5will 5no5longer5have5a5health5insurance5through5her5pl
ace5of 5employment.5Which5agency5should5the5client5be5referred5to5by5the5empl
oyeeA.55health 5nurse5for5health 5insurance 5needs?
Medicare
13. A5 client5 who5 is5 taking5 an5 oral5 dose5 of 5 a5 tetracycline5 complains5 of 5 gastrointestinal5
upset.5What5snack 5should5the5nurse5instruct5the5client5to5take5with5the5tetracycline?
A.5 5 Toasted5wheat5bread5and5jelly
14. Following5a5lumbar5puncture,5a5client5voices5several5complaints.5What5complaint5
indicated5to5the5nurse5that5the5client5is5experiencing5a5complication?
A. “I5have5a5headache5that5gets5worse5when5I5sit5up”
B. “I5am5having5pain 5in 5my5lower5back5when 5I5move5my5legs”
C. “My5throat5hurts5when 5I5swallow”
D. “I5feel5 sick5 to5 my5stomach5and5 am5 going5 to5throw5 up”
15. An 5elderly5client5 seems5 confused5 and5 reports5 the5 onset5of 5 nausea,5dysuria,5a
nd5urgency5with 5incontinence.5Which 5action 5should5the5nurse5implement?
A. Obtain 5a5clean 5catch 5mid-stream5specimen
16. The5nurse5is5assisting5the5mother5of 5a5child5with5phenylketonuria5(PKU)5to5select5
foods5that5are5in5keeping5with5the5child’s5dietary5restrictions.5Which5foods5are5con
traindicated5for5this5child?
A. Foods5sweetened5with 5aspartame
17. Before5preparing5a5client5for5the5first5surgical 5case5of 5the5day,5a5part-
time5scrub5nurse5asks5the5circulating5nurse5if 5a535minute5surgical 5hand5scrub5is5a
dequate5preparation 5for5this5client.5Which5response5should5the5circulating5nurse5p
rovide?
A. Direct5the5nurse5to5continue5the5surgical5hand5scrub5for5a555minute5duration
18. Which 5 breakfast5 selection5 indicates5 that5 the5 client5 understands5 the5 nurse’s5i
nstructions5about5the5dietary5management5of 5osteoporosis?
A. Bagel 5with 5jelly5and5skim5milk