1|Page
EXIT HESI REVIEW TEST BANK WITH 500 Questions
and Correct Verified Answers with Rationales/ HESI
Exit Exam Practice Test Bank/ Hesi Exit Prep Test
Bank
maintenance therapy of warfarin sodium has a
prothrombin time (PT) of 35 seconds and an international
normalized ratio (INR) of 3.5. On the basis of these
laboratory values, the nurse anticipates which
prescription?
A. Adding a dose of heparin sodium
B. Holding the next dose of warfarin
C. Increasing the next dose of warfarin
D. Administering the next dose of warfarin -
...✔✔ANSWER✔✔...B. Holding the next dose of warfarin
The normal PT is 11 to 12.5 seconds (conventional therapy
and SI units). The normal INR is 2 to 3 for standard
warfarin therapy, which is used for the treatment of atrial
fibrillation, and 3 to 4.5 for high-dose warfarin therapy,
which is used for clients with mechanical heart valves. A
therapeutic PT level is 1.5 to 2 times higher than the
normal level. Because the values of 35 seconds and 3.5
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are high, the nurse should anticipate that the client would
not receive further doses at this time. Therefore, the
prescriptions noted in the remaining options are
incorrect.
A client has been admitted to the hospital for urinary tract
infection and dehydration. The nurse determines that the
client has received adequate volume replacement if the
blood urea nitrogen (BUN) level drops to which value?
A. 3 mg/dL (1.05 mmol/L)
B. 15 mg/dL (5.25 mmol/L)
C. 29 mg/dL (10.15 mmol/L)
D. 35 mg/dL (12.25 mmol/L) - ...✔✔ANSWER✔✔...B. 15
mg/dL (5.25 mmol/L)
The normal BUN level is 6 to 20 mg/dL (2.1 to 7.1 mmol/L).
Values of 29 mg/dL (10.15 mmol/L) and 35 mg/dL (12.25
mmol/L) reflect continued dehydration. A value of 3
mg/dL (1.05 mmol/L) reflects a lower than normal value,
which may occur with fluid volume overload, among other
conditions.
,3|Page
The nurse is explaining the appropriate methods for
measuring an accurate temperature to an unlicensed
assistive personnel (UAP). Which method, if noted by the
UAP as being an appropriate method, indicates the need
for further teaching?
A. Taking a rectal temperature for a client who has
undergone nasal surgery
B. Taking an oral temperature for a client with a cough
and nasal congestion
C. Taking an axillary temperature for a client who has just
consumed hot coffee
D. Taking a temporal temperature on the neck behind the
ear for a client who is diaphoretic - ...✔✔ANSWER✔✔...B.
Taking an oral temperature for a client with a cough and
nasal congestion
An oral temperature should be avoided if the client has
nasal congestion. One of the other methods of measuring
the temperature should be used according to the
equipment available. Taking a rectal temperature for a
client who has undergone nasal surgery is appropriate.
Other, less invasive measures should be used if available;
if not available, a rectal temperature is acceptable. Taking
an axillary temperature on a client who just consumed
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coffee is also acceptable; however, the axillary method of
measurement is the least reliable, and other methods
should be used if available. If temporal equipment is
available and the client is diaphoretic, it is acceptable to
measure the temperature on the neck behind the ear,
avoiding the forehead.
A client is receiving a continuous intravenous infusion of
heparin sodium to treat deep vein thrombosis. The client's
activated partial thromboplastin time (aPTT) is 65
seconds. The nurse anticipates that which action is
needed?
A. Discontinuing the heparin infusion
B. Increasing the rate of the heparin infusion
C.Decreasing the rate of the heparin infusion D. Leaving
the rate of the heparin infusion as is -
...✔✔ANSWER✔✔...D. Leaving the rate of the heparin
infusion as is
The normal aPTT varies between 28 and 35 seconds (28
and 35 seconds), depending on the type of activator used
in testing. The therapeutic dose of heparin for treatment
of deep vein thrombosis is to keep the aPTT between 1.5
(42 to 52.5) and 2.5 (70 to 87.5) times normal. This means
EXIT HESI REVIEW TEST BANK WITH 500 Questions
and Correct Verified Answers with Rationales/ HESI
Exit Exam Practice Test Bank/ Hesi Exit Prep Test
Bank
maintenance therapy of warfarin sodium has a
prothrombin time (PT) of 35 seconds and an international
normalized ratio (INR) of 3.5. On the basis of these
laboratory values, the nurse anticipates which
prescription?
A. Adding a dose of heparin sodium
B. Holding the next dose of warfarin
C. Increasing the next dose of warfarin
D. Administering the next dose of warfarin -
...✔✔ANSWER✔✔...B. Holding the next dose of warfarin
The normal PT is 11 to 12.5 seconds (conventional therapy
and SI units). The normal INR is 2 to 3 for standard
warfarin therapy, which is used for the treatment of atrial
fibrillation, and 3 to 4.5 for high-dose warfarin therapy,
which is used for clients with mechanical heart valves. A
therapeutic PT level is 1.5 to 2 times higher than the
normal level. Because the values of 35 seconds and 3.5
,2|Page
are high, the nurse should anticipate that the client would
not receive further doses at this time. Therefore, the
prescriptions noted in the remaining options are
incorrect.
A client has been admitted to the hospital for urinary tract
infection and dehydration. The nurse determines that the
client has received adequate volume replacement if the
blood urea nitrogen (BUN) level drops to which value?
A. 3 mg/dL (1.05 mmol/L)
B. 15 mg/dL (5.25 mmol/L)
C. 29 mg/dL (10.15 mmol/L)
D. 35 mg/dL (12.25 mmol/L) - ...✔✔ANSWER✔✔...B. 15
mg/dL (5.25 mmol/L)
The normal BUN level is 6 to 20 mg/dL (2.1 to 7.1 mmol/L).
Values of 29 mg/dL (10.15 mmol/L) and 35 mg/dL (12.25
mmol/L) reflect continued dehydration. A value of 3
mg/dL (1.05 mmol/L) reflects a lower than normal value,
which may occur with fluid volume overload, among other
conditions.
,3|Page
The nurse is explaining the appropriate methods for
measuring an accurate temperature to an unlicensed
assistive personnel (UAP). Which method, if noted by the
UAP as being an appropriate method, indicates the need
for further teaching?
A. Taking a rectal temperature for a client who has
undergone nasal surgery
B. Taking an oral temperature for a client with a cough
and nasal congestion
C. Taking an axillary temperature for a client who has just
consumed hot coffee
D. Taking a temporal temperature on the neck behind the
ear for a client who is diaphoretic - ...✔✔ANSWER✔✔...B.
Taking an oral temperature for a client with a cough and
nasal congestion
An oral temperature should be avoided if the client has
nasal congestion. One of the other methods of measuring
the temperature should be used according to the
equipment available. Taking a rectal temperature for a
client who has undergone nasal surgery is appropriate.
Other, less invasive measures should be used if available;
if not available, a rectal temperature is acceptable. Taking
an axillary temperature on a client who just consumed
, 4|Page
coffee is also acceptable; however, the axillary method of
measurement is the least reliable, and other methods
should be used if available. If temporal equipment is
available and the client is diaphoretic, it is acceptable to
measure the temperature on the neck behind the ear,
avoiding the forehead.
A client is receiving a continuous intravenous infusion of
heparin sodium to treat deep vein thrombosis. The client's
activated partial thromboplastin time (aPTT) is 65
seconds. The nurse anticipates that which action is
needed?
A. Discontinuing the heparin infusion
B. Increasing the rate of the heparin infusion
C.Decreasing the rate of the heparin infusion D. Leaving
the rate of the heparin infusion as is -
...✔✔ANSWER✔✔...D. Leaving the rate of the heparin
infusion as is
The normal aPTT varies between 28 and 35 seconds (28
and 35 seconds), depending on the type of activator used
in testing. The therapeutic dose of heparin for treatment
of deep vein thrombosis is to keep the aPTT between 1.5
(42 to 52.5) and 2.5 (70 to 87.5) times normal. This means
