PN HESI Exit Exam Version 4 2021 , ALL 100% CORRECT AND VERIFIED ANSWERS

1. A vegetarian client is being discharged with a prescription for warfarin (Coumadin). What 

instruction is essential for the nurse to include in the client's discharge teaching?

a. Avoid excessive intake of green leafy vegetables.

b. Eliminate the intake of highly-processed food items.

c. Include a protein-rich fluid supplement in your diet daily.

d. Incorporate herbal teas to ensure adequate micro-nutrient intake.

2. A male client with Parkinson's disease is newly diagnosed with benign prostatic hypertrophy.

When reviewing the client's medication history, which antiparkinsonian medication is most 

likely to exacerbate his urologic symptoms?

a. Benztropine (Cogentin), an anticholinergic.

b. Levodopa (L-dopa), an antiparkinsonian agent.

c. Amantadine (Symmetrel), an antiparkinsonian agent.

d. Bromocriptine (Parlodel), a dopamine receptor agonist.

3. To prevent the transmission of Hepatitis A, the nurse should wear gloves during which 

procedure?

a. Starting an intravenous (IV) catheter.

b. Administering a rectal suppository.

c. Emptying a Foley catheter.

d. Giving an intramuscular (IM) injection.

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4. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. 

The baseline fetal heart rate (FHR) is 144 beats/minute. The client is instructed to mark the 

fetal monitor paper by pressing a button attached to the fetal monitor each time the baby 

moves. After 20 minutes, the nurse evaluates the fetal monitor strip. Which outcome indicates 

a reactive NST?

a. The mother perceives and marks at least four fetal movements.

b. Fetal movements must be elicited with a vibroacoustic stimulator.

c. Two FHR accelerations of 15 bpm X 15 seconds are recorded.

d. No FHR late decelerations occur in response to fetal movement.

5. A 2-year-old with sickle cell anemia has an axillary temperature of 102° F. In planning care 

for this child, which nursing diagnosis has the highest priority?

a. Potential activity intolerance related to anemia.

b. High risk for infection related to low platelet count.

c. High risk for fluid volume deficit related to temperature elevation.

d. Alteration in urinary elimination related to renal damage from disease.

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Name: ID: A

6. To evaluate for side effects that occur as a result of the administration of intravenous mannitol 

(Osmitrol) for acute angle closure glaucoma, the nurse should monitor which lab values?

a. Serum glucose.

b. Liver enzymes.

c. Serum electrolytes.

d. Platelets and a PTT.

7. What statement by a client indicates the best understanding of the purpose of postoperative 

incisional splinting?

a. "Increasing pressure on the incision will help reduce my discomfort when 

coughing."

b. "The splints on my incision are there to keep the incision from opening until it is 

well healed."

c. "Splinting my incision will reduce the need for me to cough as frequently."

d. "A splint will secure my wound dressing when moving about in bed or 

ambulating."