HESI RN EXIT V1

your work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it. The stitches generally dissolve in seven to ten days.

D)The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter pain medication to relieve any discomfort.

The correct answer is A: Until the health care provider has determined that your ejaculate doesn't 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 wishes to try acupuncture. Which of these beliefs stated by the client would be incorrect about acupuncture?

A)Some needles go as deep as 3 inches, depending on where they're 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 energetic flow of life — known as qi or chi — are thought to cause illness.

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 correct answer is C: 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 incorrect?

A)It 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 hands

and feet with joint and abdominal pain

D)Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1 to2 weeks

The correct answer is C: Kawasaki disease occurs most often in boys, children younger

than age 5 and children of Hispanic descent

10. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best

position to teach the client to lie in every other hour during 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 wil the head elevated 10 degrees

D)     Side-lying on the right with the head elevated 35 degrees

The correct answer is A: 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 health care provider?

A)    Light, pink urine

B)     occasional suprapubic cramping

C)     minimal drainage into the urinary collection bag

D)    complaints of the feeling of pulling on the urinary catheter The correct answer is C:

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 function of the second nurse?

A)     Relieve the nurse performing CPR

B)      Go get the code cart

C)      Participate with the compressions or breathing

D)     Validate the client's advanced directive

The correct answer is C: Participate with the compressions or breathing 13. The nurse assesses a 72 year-old client who was admitted for right sided congestive heart failure. Which of the following would the nurse anticipate finding?

A)     Decreased urinary output

B)      Jugular vein distention

C)      Pleural effusion

D)     Bibasilar crackles

The correct answer is B: Jugular vein distention

14. A client with heart failure has a prescription for digoxin. The nurse is aware that

sufficient potassium should be included in the diet because hypokalemia in combination with this medication

A)     Can predispose to dysrhythmias

B)      May lead to oliguria

C)      May cause irritability and anxiety

D)     Sometimes alters consciousness

The correct answer is A: Can predispose to dysrhythmias

15. A nurse assesses a young adult in the emergency room following a motor vehicle accident. Which of the following neurological signs is of most concern?

A)     Flaccid paralysis

B)      Pupils fixed and dilated

C)      Diminished spinal reflexes

D)     Reduced sensory responses

The correct answer is B: Pupils fixed and dilated

16.             A 14 year-old with a history of sickle cell disease is admitted to the hospital with a

diagnosis of vaso-occlusive crisis. Which statements by the client would be most indicative of the etiology of this crisis?

A)”I knew this would happen. I've been eating too much red meat lately."

B)”I really enjoyed my fishing trip yesterday. I caught 2 fish."

C)”I have really been working hard practicing with the debate team at school."

The correct answer is D: "I went to the doctor last week for a cold and I have gotten worse."

17.             Which these findings would the nurse more closely associate with anemia in a 10 month-old infant?

A)     Hemoglobin level of 12 g/dI

B)      Pale mucosa of the eyelids and lips

C)      Hypoactivity

D)     A heart rate between 140 to 160

The correct answer is B: Pale mucosa of the eyelids and lips

18. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The

priority assessment in the first hour of care is

A)     Heart rate

B)      Pedal pulses

C)      Lung sounds

D)     Pupil responses

The correct answer is D: Pupil responses

19. Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump?

A)     A young adult with a history of Down's syndrome

B)      A teenager who reads at a 4th grade level

C)      An elderly client with numerous arthritic nodules on the hands

D)     A preschooler with intermittent episodes of alertness

The correct answer is D: A preschooler with intermittent episodes of alertness

20. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive

(NOFTT). Upon entering the room, the nurse would expect the baby to be

A)    Irritable and "colicky" with no attempts to pull to standing

B)     Alert, laughing and playing with a rattle, sitting with support

C)Skin color dusky with poor skin turgor over abdomen

D) Pale, thin arms and legs, uninterested in surroundings The correct answer is D: Pale, thin arms and legs, uninterested in surroundings

21. As the nurse is speaking with a group of teens which of these side effects of

chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?

A)     Mouth sores

B)      Fatigue

C)      Diarrhea

D)     Hair loss

The correct answer is D: Hair loss

22. While caring for a client who was admitted with myocardial infarction (MI) 2 days

ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit

(38.5 degrees

Celsius). The appropriate nursing intervention is to

A)     Call the health care provider immediately

B)      Administer acetaminophen as ordered as this is normal at this time

C)      Send blood, urine and sputum for culture

D)     Increase the client's fluid intake

The correct answer is B: Administer acetaminophen as ordered as this is normal at this time

23. A client is admitted for first and second degree burns on the face, neck, anterior chest

and hands. The nurse's priority should be A) Cover the areas with dry sterile dressings

B)      Assess for dyspnea or stridor

C)      Initiate intravenous therapy

D)     Administer pain medication

The correct answer is B: Assess for dyspnea or stridor

24. Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider? A) I started my period and now my urine has turned bright red.

B)                 I am an diabetic and today I have been going to the bathroom every hour.

C)                 I was started on medicine yesterday for a urine infection. Now my lower belly hurts when I go to the bathroom.