{"id":120653,"date":"2023-09-27T03:42:43","date_gmt":"2023-09-27T03:42:43","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120653"},"modified":"2023-09-27T03:42:45","modified_gmt":"2023-09-27T03:42:45","slug":"hesi-exit-rn-test-bank-with-questions-answers-rationale","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/27\/hesi-exit-rn-test-bank-with-questions-answers-rationale\/","title":{"rendered":"HESI Exit RN Test bank with Questions, Answers &#038; Rationale"},"content":{"rendered":"\n<ol class=\"wp-block-list\">\n<li>Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy<br>products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse?<br>Review with the client the need to avoid foods that are rich in milk and cream<\/li>\n\n\n\n<li>A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic<br>two weeks later to evaluate his blood pressure (BP). His BP is 158\/106 and he admits that he has not been taking the<br>prescribed medication because the drugs make him \u201cfeel bad\u201d. In explaining the need for hypertension control, the<br>nurse should stress that an elevated BP places the client at risk for which pathophysiological condition?<br>Stroke secondary to hemorrhage<\/li>\n\n\n\n<li>The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure<br>disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse<br>implement?<br>Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.<\/li>\n\n\n\n<li>An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which<br>assessment finding requires immediate follow-up?<br>Describes life without purpose<\/li>\n\n\n\n<li>A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is<br>being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information<br>should the nurse include in the client\u2019s teaching plan?<br>Further evaluation involving surgery may be needed<\/li>\n\n\n\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?<br>Teach tracheal suctioning techniques<\/li>\n\n\n\n<li>In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not<br>deflate completely during inspiration and the client\u2019s respiratory rate is 14 breaths \/ minute. What action should the<br>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 client\u2019s respiratory<br>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 action should the nurse take<br>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 client tells the nurse that she<br>drank a cup a coffee at 0400 because she wanted to avoid 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 sounds. To determine if an S3<br>heart sound is present, what action should the nurse take 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 place of employment. Which<br>agency should the client be referred to by the employee 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\" start=\"13\">\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\" start=\"13\">\n<li>Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse that the client<br>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\" start=\"13\">\n<li>An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with incontinence. Which<br>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\" start=\"13\">\n<li>The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are in keeping with the<br>child\u2019s dietary restrictions. Which foods are contraindicated 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\" start=\"13\">\n<li>Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3<br>minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse<br>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\" start=\"13\">\n<li>Which breakfast selection indicates that the client understands the nurse\u2019s instructions about the dietary management<br>of osteoporosis?<\/li>\n<\/ol>\n\n\n\n<p>Bagel with jelly and skim milk<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"19\">\n<li>The charge nurse of a critical care unit is informed at the beginning of the shift that less than the<br>optimal number of registered nurses will be working that shift. In planning assignments, which<br>client should receive the most care hours by a registered nurse (RN)?<br>An 82-year-old client with Alzheimer\u2019s disease newly-fractures femur who has a Foley catheter<br>and soft wrist restrains applied<\/li>\n\n\n\n<li>A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician\u2019s<br>office. Upon inspection, the nurse notes that the nail went through the shoe and pierced the bottom<br>of the child\u2019s foot. Which action should the nurse implement 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 Provide<br>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 injection<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\" start=\"19\">\n<li>The mother of an adolescent tells the clinic nurse, \u201cMy son has athlete\u2019s foot, I have been applying<br>triple antibiotic ointment for two days, but there has been no improvement.\u201d What instruction<br>should the nurse provide?<br>Stop using the ointment and encourage complete drying of the feet and wearing clean socks.<\/li>\n\n\n\n<li>A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and<br>levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the<br>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\" start=\"19\">\n<li>A client with a history of heart failure presents to the clinic with a nausea, vomiting, yellow vision<br>and palpitations. Which finding is most important for the nurse to assess to the client?<br>Obtain a list of medications taken for cardiac history<\/li>\n\n\n\n<li>The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250 ml of<br>D5W at 300 mcg\/hour. The nurse should program the infusion pump to deliver how many<br>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\" start=\"19\">\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 abdomen<br>Increased circulating aldosterone levels that increase sodium and water retention<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\" start=\"19\">\n<li>The nurse is auscultating a client\u2019s heart sounds. Which description should the nurse use to<br>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 blood<br>turbulence created by the heart or valvular defect.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Bagel with jelly and skim milk<\/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-120653","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120653","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=120653"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120653\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}