{"id":114928,"date":"2023-08-23T10:13:32","date_gmt":"2023-08-23T10:13:32","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114928"},"modified":"2023-08-23T10:13:35","modified_gmt":"2023-08-23T10:13:35","slug":"hesi-exit-exam-rn-updated-2023-2024-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/hesi-exit-exam-rn-updated-2023-2024-test-bank\/","title":{"rendered":"HESI Exit Exam RN (updated 2023-2024)- Test Bank"},"content":{"rendered":"\n<p>HESI Exit Exam RN (updated 2023-2024)- Test Bank<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will<br>drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is<br>the best follow-up action by the nurse?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Review with the client the need to avoid foods that are rich in milk and cream<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A male client with hypertension, who received new antihypertensive prescriptions at his<br>last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP<br>is 158\/106 and he admits that he has not been taking the prescribed medication because<br>the drugs make him \u201cfeel bad\u201d. In explaining the need for hypertension control, the nurse<br>should stress that an elevated BP places the client at risk for which pathophysiological<br>condition?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stroke secondary to hemorrhage<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse observes an unlicensed assistive personnel (UAP) positioning a newly<br>admitted client who has a seizure disorder. The client is supine and the UAP is placing<br>soft pillows along the side rails. What action should the nurse implement?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Instruct the UAP to obtain soft blankets to secure to the side rails instead of<br>pillows.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for<br>the past 12 days. Which assessment finding requires immediate follow-up?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Describes life without purpose<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 60-year-old female client with a positive family history of ovarian cancer has<br>developed an abdominal mass and is being evaluated for possible ovarian cancer. Her<br>Papanicolau (Pap) smear results are negative. What information should the nurse include<br>in the client\u2019s teaching plan?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Further evaluation involving surgery may be needed<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client who recently underwear a tracheostomy is being prepared for discharge to home.<br>Which instructions is most important for the nurse to include in the discharge plan?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Teach tracheal suctioning techniques<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen<br>reservoir bag does not deflate completely during inspiration and the client\u2019s respiratory<br>rate is 14 breaths \/ minute. What action should the nurse implement?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Document the assessment data<\/li>\n\n\n\n<li>Rational: reservoir bag should not deflate completely during inspiration and the<br>client\u2019s respiratory rate is within normal limits.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>During shift report, the central electrocardiogram (EKG) monitoring system alarms.<br>Which client alarm should the nurse investigate firs?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Respiratory apnea of 30 seconds<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>During a home visit, the nurse observed an elderly client with diabetes slip and fall. What<br>action should the nurse take first?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Check the client for lacerations or fractures<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the<br>client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid<br>getting a headache. Which action should the nurse take first?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inform the anesthesia care provider<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart<br>sounds. To determine if an S3 heart sound is present, what action should the nurse take<br>first?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Listen with the bell at the same location<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 66-year-old woman is retiring and will no longer have a health insurance through her<br>place of employment. Which agency should the client be referred to by the employee<br>health nurse for health insurance needs?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Medicare<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.<br>What snack should the nurse instruct the client to take with the tetracycline?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Toasted wheat bread and jelly<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Following a lumbar puncture, a client voices several complaints. What complaint<br>indicated to the nurse that the client is experiencing a complication?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201cI have a headache that gets worse when I sit up\u201d<\/li>\n\n\n\n<li>\u201cI am having pain in my lower back when I move my legs\u201d<\/li>\n\n\n\n<li>\u201cMy throat hurts when I swallow\u201d<\/li>\n\n\n\n<li>\u201cI feel sick to my stomach and am going to throw up\u201d<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>An elderly client seems confused and reports the onset of nausea, dysuria, and urgency<br>with incontinence. Which action should the nurse implement?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Obtain a clean catch mid-stream specimen<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods<br>that are in keeping with the child\u2019s dietary restrictions. Which foods are contraindicated<br>for this child?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Foods sweetened with aspartame<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Before preparing a client for the first surgical case of the day, a part-time scrub nurse<br>asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for<br>this client. Which response should the circulating nurse provide?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Direct the nurse to continue the surgical hand scrub for a 5 minute duration<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which breakfast selection indicates that the client understands the nurse\u2019s instructions<br>about the dietary management of osteoporosis?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bagel with jelly and skim milk<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The charge nurse of a critical care unit is informed at the beginning of the shift that less<br>than the optimal number of registered nurses will be working that shift. In planning<br>assignments, which client should receive the most care hours by a registered nurse (RN)?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An 82-year-old client with Alzheimer\u2019s disease newly-fractures femur who has a<br>Foley catheter and soft wrist restrains applied<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the<br>pediatrician\u2019s office. Upon inspection, the nurse notes that the nail went through the shoe<br>and pierced the bottom of the child\u2019s foot. Which action should the nurse implement<br>first?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cleanse the foot with soap and water and apply an antibiotic ointment<\/li>\n\n\n\n<li>Provide teaching about the need for a tetanus booster within the next 72 hours.<\/li>\n\n\n\n<li>have the mother check the child&#8217;s temperature q4h for the next 24 hours<\/li>\n\n\n\n<li>transfer the child to the emergency department to receive a gamma globulin<br>injection<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The mother of an adolescent tells the clinic nurse, \u201cMy son has athlete\u2019s foot, I have been<br>applying triple antibiotic ointment for two days, but there has been no improvement.\u201d<br>What instruction should the nurse provide?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stop using the ointment and encourage complete drying of the feet and wearing<br>clean socks.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,<br>and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the<br>nurse that the prescribed dosage is too high for this client? The client experiences<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bradycardia and constipation<\/li>\n\n\n\n<li>Lethargy and lack of appetite<\/li>\n\n\n\n<li>Muscle cramping and dry, flushed skin<\/li>\n\n\n\n<li>Palpitations and shortness of breath<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client with a history of heart failure presents to the clinic with a nausea, vomiting,<br>yellow vision and palpitations. Which finding is most important for the nurse to assess to<br>the client?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Obtain a list of medications taken for cardiac history<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250<br>ml of D5W at 300 mcg\/hour. The nurse should program the infusion pump to deliver how<br>many ml\/hour? (Enter numeric value only.)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>75<\/li>\n\n\n\n<li>Rationale: Convert mg to mcg and use the formula D\/H x Q. 300 mcg\/hour \/<br>1,000 mcg x 250 ml = 3\/1 x 25 = 75 ml\/hour<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The pathophysiological mechanism are responsible for ascites related to liver failure?<br>(Select all that apply)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fluid shifts from intravascular to interstitial area due to decreased serum protein<\/li>\n\n\n\n<li>Increased hydrostatic pressure in portal circulation increases fluid shifts into<br>abdomen<\/li>\n\n\n\n<li>Increased circulating aldosterone levels that increase sodium and water retention<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is auscultating a client\u2019s heart sounds. Which description should the nurse use<br>to document this sound? (Please listen to the audio first to select the option that applies)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Murmur<\/li>\n\n\n\n<li>Rationale: A murmur is auscultated as a swishing sound that is associated with the<br>blood turbulence created by the heart or valvular defect.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an<br>infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a<br>concentration of 100 mg\/ml. How many ml should the nurse administered for each dose?<br>(Enter numeric value only. If rounding is required, round to the nearest tenth)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>0.4<\/li>\n\n\n\n<li>rationale: 35mg\/100mg x 1 = 0.35 = 0.4 ml<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six<br>hours for four days. What assessment is most important for the nurse to complete?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Auscultate the client&#8217;s bowel sounds<\/li>\n\n\n\n<li>Observe for edema around the ankles<\/li>\n\n\n\n<li>Measure the client\u2019s capillary glucose level<\/li>\n\n\n\n<li>Count the apical and radial pulses simultaneously<\/li>\n\n\n\n<li>Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and<br>frequently causes constipation, so it is most important to Auscultate the client&#8217;s<br>bowel sounds<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A female client is admitted with end stage pulmonary disease is alert, oriented, and<br>complaining of shortness of breath. The client tells the nurse that she wants \u201cno heroic<br>measures\u201d taken if she stops breathing, and she asks the nurse to document this in her<br>medical record. What action should the nurse implement?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ask the client to discuss \u201cdo not resuscitate\u201d with her healthcare provider<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client is receiving a full strength continuous enteral tube feeding at 50 ml\/hour and has<br>developed diarrhea. The client has a new prescription to change the feeding to half<br>strength. What intervention should the nurse implement?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Add equal amounts of water and feeding to a feeding bag and infuse at 50ml\/hour<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A female client reports that her hair is becoming coarse and breaking off, that the outer<br>part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up<br>question is best for the nurse to ask?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Have you noticed any changes in your fingernails?<\/li>\n\n\n\n<li>Rationale: The pattern of reported manifestations is suggestive of hypothyroidism<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites<br>and malnutrition. The client is drowsy but responding to verbal stimuli and reports<br>recently spitting up blood. What assessment finding warrants immediate intervention by<br>the nurse?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Capillary refill of 8 seconds<\/li>\n\n\n\n<li>bruises on arms and legs<\/li>\n\n\n\n<li>round and tight abdomen<\/li>\n\n\n\n<li>pitting edema in lower legs<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>After the nurse witnesses a preoperative client sign the surgical consent form, the nurse<br>signs the form as a witness. What are the legal implications of the nurse\u2019s signature on<br>the client\u2019s surgical consent form? (Select all that apply)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The client voluntarily grants permission for the procedure to be done<\/li>\n\n\n\n<li>The client is competent to sign the consent without impairment of judgment<\/li>\n\n\n\n<li>The client understands the risks and benefits associated with the procedure<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>HESI Exit Exam RN (updated 2023-2024)- Test Bank<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114928","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114928"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114928\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}