HESI RN EXIT Exam Questions and Verified Answers 2024

HESI EXIT EXAM u u




Following discharge teaching, a male client with duodenal ulcer tells the nurse hew
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ill
drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
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What is the u u



best follow-up action by the nurse?
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(ANS-
Review with the client the need to avoid foods that are rich in milk andcream
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A male client with hypertension, who received new antihypertensive prescriptionsat
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his last u



visit returns to the clinic two weeks later to evaluate his blood pressure (BP). HisBP
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is
158/106 and he admits that he has not been taking the prescribed medicationbecaus
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e the
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drugs make him "feel bad". In explaining the need for hypertension control, thenurs
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e should
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stress that an elevated BP places the client at risk for which pathophysiologicalcondit
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ion?
(ANS- Stroke secondary to hemorrhage
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The nurse observes an unlicensed assistive personnel (UAP) positioning a newlya
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dmitted
client who has a seizure disorder. The client is supine and the UAP is placing softpillo
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ws
along the side rails. What action should the nurse implement?
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,(ANS-
u Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
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An adolescent with major depressive disorder has been taking duloxetine(Cymbalta
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) for the
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past 12 days. Which assessment finding requires immediate follow-
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up?(ANS- Describes life without purpose
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A 60-year-
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old female client with a positive family history of ovarian cancer hasdeveloped a
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n
abdominal mass and is being evaluated for possible ovarian cancer. HerPapanicola
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u (Pap)
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smear results are negative. What information should the nurse include in theclient's
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teaching
plan?
(ANS- Further evaluation involving surgery may be needed
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A client who recently underwear a tracheostomy is being prepared for discharge toho
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me.
Which instructions is most important for the nurse to include in the discharge plan?(A
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NS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that theoxyg
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en
reservoir bag does not deflate completely during inspiration and the client'srespiratory
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rate is u



14 breaths / minute. What action should the nurse implement?
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, (ANS- Document the assessment data — Rational: reservoir bag should notdeflate
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completely during inspiration and the client's respiratory rate is within normallimits
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.


During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
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Which
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client alarm should the nurse investigate firs?(
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ANS- Respiratory apnea of 30 seconds
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During a home visit, the nurse observed an elderly client with diabetes slip andfa
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ll. What
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action should the nurse take first?
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(ANS- Check the client for lacerations or fractures
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At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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Section), the u



client tells the nurse that she drank a cup a coffee at 0400 because she wanted toav
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oid
getting a headache. Which action should the nurse take first?(
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ANS- Inform the anesthesia care provider
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2heart
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sounds. To determine if an S3 heart sound is present, what action should the nursetake
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first?
(ANS- Listen with the bell at the same location
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, A 66-year-
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old woman is retiring and will no longer have a health insurancethrough her place
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of employment. Which agency should the client be referred to by the employeehealth n
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urse
for health insurance needs?
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(ANS- Medicare u




A client who is taking an oral dose of a tetracycline complains of gastrointestinalupset.
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What
snack should the nurse instruct the client to take with the tetracycline?(
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ANS- Toasted wheat bread and jelly
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Following a lumbar puncture, a client voices several complaints. What complaintindic
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ated to u



the nurse that the client is experiencing a complication? (
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ANS- "I have a headache that gets worse when I sit up"
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An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
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with
incontinence. Which action should the nurse implement?(
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ANS- Obtain a clean catch mid-stream specimen
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The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
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that
are in keeping with the child's dietary restrictions. Which foods are contraindicatedfor
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this