HESI EXIT 6 ICHS LATEST
EXAM
1. In evaluating the effectiveness of a postoperative client's intermittent
pneumatic compression devices, which assessment is most important for
the nurse to complete?
a) Evaluate the client's ability to use an incentive spirometer
b) Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
d) Palpate all peripheral pulse points for volume and strength -
ANSWERS-Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
2. Sublingual nitroglycerin is administered to a male client with instable
angina who complains of crushing chest pain. Five minutes later the
client becomes nauseated and his blood pressure drops to 60/40. Which
intervention should the nurse implement?
a) Give a PRN antiemetic medication
b) Infuse a rapid IV normal saline bolus
c) Begin external chest compressions
d) Administer second dose of nitroglycerin - ANSWERS-infuse a rapid
IV normal saline bolus
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, HESI EXIT 6 ICHS LATEST
EXAM
3. An adult female client with chronic kidney disease (CKD) is
becoming increasingly restless and is hyperventilating. Urine output is
25 ml/hr and urine pH is 4.5. On admission, her arterial blood gases
(ABGs) are: pH 7.20, PaCO2 37 mEq/L, and HCO3 14 mEq/L. Which
action should the nurse implement?
a) Administer IV solution with sodium bicarbonate
b) Flush AV fistula with 0.9 Sodium chloride
c) Give laxatives or an enema as client requests
d) Maintain the client NPO (nothing by mouth) - ANSWERS-
Administer IV solution with sodium bicarbonate
4. The nurse administers an oral antiviral to a client with shingles.
Which finding is most important for the nurse report to the health care
provider?
a) Decreased white blood cell count
b) Pruritus and muscle aches
c) Elevated liver function tests
d) Vomiting and diarrhea - ANSWERS-Elevated liver function tests
5. The nurse is caring for a client with hypovolemic shock who is
receiving two units of packed red blood cells (RBCs) through a large
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, HESI EXIT 6 ICHS LATEST
EXAM
bore peripheral IV. What action promotes maintenance of the client's
cardiopulmonary stability during the blood transfusion?
a) Increase the oxygen flow via nasal cannula if dyspnea is present.
b) Place in a Trendelenburg position to increase cerebral blood flow
c) Monitor capillary glucose measurements hourly during transfusion.
d) Encourage increased intake of oral fluid to improve skin turgor. -
ANSWERS-Increase the oxygen flow via nasal cannula if dyspnea is
present.
6. A client with renal lithiasis is receiving morphine sulfate every four
hours for pain and renal colic. Which assessment finding should prompt
the nurse to administer a PRN dose of naloxone (Narcan)?
a) Complaints of increasing flank pain
b) Statements about visual hallucinations
c) Respiratory rate of 12 breaths/minute
d) Unresponsive to verbal or tactile stimuli - ANSWERS-Unresponsive
to verbal or tactile stimuli
7. When implementing a disaster intervention plan, which intervention
should the nurse implement first?
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PAGE
3
EXAM
1. In evaluating the effectiveness of a postoperative client's intermittent
pneumatic compression devices, which assessment is most important for
the nurse to complete?
a) Evaluate the client's ability to use an incentive spirometer
b) Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
d) Palpate all peripheral pulse points for volume and strength -
ANSWERS-Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
2. Sublingual nitroglycerin is administered to a male client with instable
angina who complains of crushing chest pain. Five minutes later the
client becomes nauseated and his blood pressure drops to 60/40. Which
intervention should the nurse implement?
a) Give a PRN antiemetic medication
b) Infuse a rapid IV normal saline bolus
c) Begin external chest compressions
d) Administer second dose of nitroglycerin - ANSWERS-infuse a rapid
IV normal saline bolus
END OF
PAGE
1
, HESI EXIT 6 ICHS LATEST
EXAM
3. An adult female client with chronic kidney disease (CKD) is
becoming increasingly restless and is hyperventilating. Urine output is
25 ml/hr and urine pH is 4.5. On admission, her arterial blood gases
(ABGs) are: pH 7.20, PaCO2 37 mEq/L, and HCO3 14 mEq/L. Which
action should the nurse implement?
a) Administer IV solution with sodium bicarbonate
b) Flush AV fistula with 0.9 Sodium chloride
c) Give laxatives or an enema as client requests
d) Maintain the client NPO (nothing by mouth) - ANSWERS-
Administer IV solution with sodium bicarbonate
4. The nurse administers an oral antiviral to a client with shingles.
Which finding is most important for the nurse report to the health care
provider?
a) Decreased white blood cell count
b) Pruritus and muscle aches
c) Elevated liver function tests
d) Vomiting and diarrhea - ANSWERS-Elevated liver function tests
5. The nurse is caring for a client with hypovolemic shock who is
receiving two units of packed red blood cells (RBCs) through a large
END OF
PAGE
2
, HESI EXIT 6 ICHS LATEST
EXAM
bore peripheral IV. What action promotes maintenance of the client's
cardiopulmonary stability during the blood transfusion?
a) Increase the oxygen flow via nasal cannula if dyspnea is present.
b) Place in a Trendelenburg position to increase cerebral blood flow
c) Monitor capillary glucose measurements hourly during transfusion.
d) Encourage increased intake of oral fluid to improve skin turgor. -
ANSWERS-Increase the oxygen flow via nasal cannula if dyspnea is
present.
6. A client with renal lithiasis is receiving morphine sulfate every four
hours for pain and renal colic. Which assessment finding should prompt
the nurse to administer a PRN dose of naloxone (Narcan)?
a) Complaints of increasing flank pain
b) Statements about visual hallucinations
c) Respiratory rate of 12 breaths/minute
d) Unresponsive to verbal or tactile stimuli - ANSWERS-Unresponsive
to verbal or tactile stimuli
7. When implementing a disaster intervention plan, which intervention
should the nurse implement first?
END OF
PAGE
3
