HESI Exit V1 Exam with NGN Questions and Answers

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HESI Exit V1 Exam with NGN Questions and Answers (Verified by Expert)

• The nurse is completing the admission assessment of a 3-year old who

is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pres- sure (ICP)?

• Tachycardia and tachypnea
• Sluggish and unequal pupillary responses
• Increased head circumference and bulging fontanels
• Blood pressure fluctuations and syncope

ANS B. Sluggish and unequal pupillary responses

• A client with acute pancreatitis is admitted with severe, piercing abdominal pain and

an elevated serum amylase. Which additional information is the client most likely to report to the nurse?

• Abdominal pain decreases when lying supine
• Pain lasts an hour and leaves the abdomen tender
• Right upper quadrant pain refers to right scapula
• Drinks alcohol until intoxicated at least twice weekly.

ANS A. Abdominal pain decreases when lying supine 1 / 4

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• A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the

hospital. Which information is most important for the nurse to provide the parents prior to discharge?

• Instructions about how much fluid the child should drink daily.
• Signs of addiction to opioid pain medications
• Information about non-pharmaceutical pain relief measures
• Referral for social services for the child and family

ANS A. Instructions about how much fluid the child should drink daily

• To auscultate for a carotid bruit, the nurse places the stethoscope at what location.

(Select the location on the image with a red dot).ANS I placed the red dot on the base of the neck on the right side

• After receiving report on an inpatient acute care unit, which client should the nurse

assess first?

• The client with an obstruction of the large intestine who is experiencing

abdominal distention

• The client who had surgery yesterday and is experiencing a paralytic ileus with

absent bowel sounds

• The client with a small bowel obstruction who has a nasogastric tube that is draining

greenish fluid

• The client with a bowel obstruction due to a volvulus who is experiencing abdominal 2 / 4

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rigidity ANS D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity 3 / 4

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• A teenager presents to the emergency department with palpitations after vaping at a

party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base imbalance?

• Respiratory acidosis
• Metabolic alkalosis
• Metabolic acidosis
• Respiratory alkalosis

ANS D. Respiratory alkalosis

• A client with dyspnea is being admitted to the medical unit. To best prepare for the

client's arrival, the nurse should ensure that the client's bed is in which position?

• Supine
• supine; feet elevated higher than head
• supine; head elevated higher than feet
• Fowlers ANS Fowlers

• The nurse is taking the blood pressure measurement of a client with Parkin- son's

disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all the apply)

• Frequent syncope
• Occasional nocturia
• Flat affect
• Blurred vision
• Frequent drooling
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