HESI EXIT EXAM 2022 Version 1

PN HESI EXIT EXAM 2019 PN HESI EXIT EXAM 2020 PN HESI EXIT EXAM 2021 PN HESI EXIT EXAM 2022 PN 2019-2022 HESI EXIT V1 Check Bank
1. What details does a registered nurse need to reinforce to an older client after intravenous pylegraphy?
A) Consume a light diet for the rest of the day
B) Rest for the next 24 hours as the preparation and the test are tiring.
C) Drink at least 1 8-ounce glass of fluid every waking hour for the next 2 days.
D) Measure urine output for the next day and promptly inform the healthcare provider if there is a decrease.
Measure urine output for the next day and inform the healthcare provider immediately if there is a decrease.

2. A client with altered renal function is being treated at home. The nurse recognizes that the most accurate indicator of fluid balance during the weekly visits is
A) Difference in intake and output
B) Changes in the mucous membranes
C) Skin turgor
D) Weekly weight
Weekly weight

3. A client has been diagnosed with Zollinger-Ellison syndrome. Which information is most important for the nurse to reinforce with the client?
A) It’s a condition in which multiple tumors called gastrinomas develop in the pancreas or in the upper part of the small intestine (duodenum)
B) It is essential to promptly report to your healthcare provider any findings of peptic ulcers
C) Treatment includes medications to reduce acid and heal any peptic ulcers and, if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years, peptic ulcers may occur at unusual locations of the stomach or intestine.
Promptly report to your healthcare provider any findings of peptic ulcers.

4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the client’s blood pressure is rising. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor urine output
Have the client turn to the left side

5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is managed at 75. Which of the following findings is cause for the most concern?
A) Decreased bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
A cold, pale lower leg

6. The client with infective endocarditis must be assessed continuously by the home health nurse. Which finding suggests that antibiotic therapy is not effective and should be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
Fever of 103 degrees F (39.5 degrees C)

7. A client who had a vasectomy is in the post-recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?
A) Until the healthcare provider has determined that your ejaculate does not contain sperm, continue to use another form of contraception
B) This procedure does not impede the production of male hormones or the production of sperm in the testicles. The sperm cannot enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity should be avoided for at least 48 hours. If your work does not involve hard physical labor, you can return to your job as soon as you feel up to it. The stitches usually dissolve in seven to ten days.
D) The healthcare provider at this clinic recommends rest, ice, an athletic supporter, or over-the-counter pain medication to relieve any discomfort.
Until the healthcare provider has determined that your ejaculate does not contain sperm, continue to use another form of contraception.

8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wants to try acupuncture. Which of these beliefs stated by the client would be incorrect about acupuncture?
A) Some needles penetrate as deep as 3 inches, depending on where they are placed in the body and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energy flow of life – known as qi or chi – are thought to cause illness. *
C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture points in various combinations, it is believed that energy flow will rebalance to allow the body’s natural healing mechanisms to take over.
The flow of life is believed to flow through major pathways or nerve clusters in your body.

9. The nurse is discussing with a group of students the disease Kawasaki. What statement made by a student about Kawasaki disease is inaccurate?
A) It is also called mucocutaneous lymph node syndrome because it affects the mucous membranes (inside the mouth, throat, and nose), skin, and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the palms and feet with joint and abdominal pain
C) Kawasaki disease occurs most frequently in boys, children younger than age 5, and children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts one to two weeks
Kawasaki disease occurs most often in boys, children younger than age 5, and children of Hispanic descent

10. A client has viral pneumonia affecting two-thirds of the right lung. What would be the best position to instruct the client to lie in every other hour during the first 12 hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right will the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
Side-lying on the left with the head elevated 10 degrees

11. A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should be reported to the healthcare provider?
A) Light, pink urine
B) Occasional suprapubic cramping
C) Minimal drainage into the urinary collection bag
D) Complaints of the feeling of tugging on the urinary catheter
Minimal drainage into the urinary collection bag

12. A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the room in response to the call. After checking the client’s pulse and respirations, what should be the role of the