76
Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condit
Hesi RN Exit proctored examHesi RN Exit proctored exam
127 questions · Page 4 of 6
Hesi RN Exit proctored exam is a nursing-school practice exam with 127 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Practice resources for this exam
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Start Practice ExamQuestions 76–100 of 127
77
The nurse on the medical-surgical unit is receiving a transfer report from the postanesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides the followi
A. Soft abdomen, absent bowel sounds, no bleeding on B. Peripheral pulses present with full range of motioC. Declining to take ice chips despite reporting of dD. History of vomiting at home for 3 days prior to su
Hesi RN Exit proctored exam78
A client who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. The client is pain free. Which intervention should the nurse include in the
A. Encourage positive self accolades for dietary adheB. Determine if the client is over-hydrating to feel C. Maintain the client on an NPO status.D. Administer daily vitamin supplements.
Hesi RN Exit proctored exam79
When planning care for an adolescent with anorexia nervosa, which nursing problem has the highest priority?
A. Noncompliance with treatment regimen.B. Disturbed Body Image.C. Interrupted Family Processes.D. Imbalanced Nutrition: less than body requirements.
Hesi RN Exit proctored exam80
The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?
A. Demonstrate to the PN how to position the client mB. Arrange for unlicensed assistive personnel to assiC. Assume care of the client and assign the PN to theD. Acknowledge that the PN has positioned the client
Hesi RN Exit proctored exam81
The nurse is planning care for a client who has a fourth degree midline laceration that occurred during vaginal delivery of an 8-pound 10-ounce (3674 grams) infant. Which intervention has the highest
A. Administer prescribed PRN sleep medications.B. Encourage use of prescribed analgesic perineal sprC. Encourage breastfeeding to promote uterine involutD. Administer prescribed stool softener.
Hesi RN Exit proctored exam82
A 14-year-old girl presents to the school nurse with the fourth vaginal yeast infection she has had during the past 6 months. The nurse should assess the adolescent for which finding(s)? Select all th
A. Thirst.B. Increased appetite.C. Heat intolerance.D. Tachycardia.
Hesi RN Exit proctored exam83
A client in labor begins bleeding profusely from the vagina. Which findings should the nurse report to the healthcare provider?
A. Increase in pulse and fetal rate reactivity.B. Pain in lower quadrant and oliguria.C. Mild discomfort and elevated blood pressure.D. Sharp fundal pain and uterine tenderness.
Hesi RN Exit proctored exam84
The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?
A. Green leafy vegetables.B. Avocados and cheese.C. Yogurt or buttermilk.D. Fresh fruits.
Hesi RN Exit proctored exam85
A parent brings their child, who has a history of asthma, to the emergency department (ED). The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has
A. Last dose and type of rescue inhaler used by the cB. Frequency that the child uses a rescue inhaler durC. Type of allergen exposure or trigger for the curreD. Type of inhaler the child typically uses on a regu
Hesi RN Exit proctored exam86
A 3-year-old client was successfully toilet trained prior to admission to the hospital for injuries sustained from a fall. The client's parents are very concerned that the child has regressed in toile
A. A potty chair should be brought from home to maintB. Children usually resume their toileting behaviors C. Diapering will be provided since hospitalization iD. A retraining program will need to be initiated whe
Hesi RN Exit proctored exam87
The nurse is performing an admission assessment for a newborn who has asymmetrical buttocks. Which assessment test results should the nurse report to the healthcare provider?
A. Plumb line test indicates fetal position curvatureB. Ortolani maneuver causing a click at the hip jointC. Babinski test that reveals fanning out of toes.D. Moro test precipitating a startle response.
Hesi RN Exit proctored exam88
The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem?
A. Abdominal cramping.B. Bloody emesis.C. Low grade fever.D. Bruising of the skin.
Hesi RN Exit proctored exam89
Patient Data Exhibits Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is m
Hesi RN Exit proctored exam90
A college student brings a dorm roommate to the campus clinic because the roommate has been talking to someone who is not present. The client tells the nurse that the voices are saying, "Kill, kill."
A. "When did these voices begin?"B. "Have you taken any hallucinogens?"C. "Are you planning to obey the voices?"D. "Do you believe the voices are real?"
Hesi RN Exit proctored exam91
A 4-month-old with hydrocephalus is admitted to the hospital for shunt revision. When assessing for increased intracranial pressure, the nurse should observe the child for which finding(s)? Select all
A. Fever greater than 101.5° F (38.6° C).B. Decreased urinary output.C. Sunsetting eyes.D. Bulging anterior fontanel.
Hesi RN Exit proctored exam92
The healthcare provider prescribes dalteparin 200 units/kg subcutaneously once day for a client who weighs 154 pounds. The medication is available in 25,000 units/mL vial. How many mL should the nurse
Hesi RN Exit proctored exam93
A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The IV administration set delivers 20 gtt/mL. How many gtt/min should the
Hesi RN Exit proctored exam94
A client who experiences recurrent episodes of depression tells the nurse of a desire to discontinue the prescribed antidepressant. The client describes feeling less depressed after taking the medicat
A. Tell the client that the medication's side effectsB. Inform the client that gradual tapering must be usC. Remind the client that feeling better is the theraD. Tell the client to discuss the medication side eff
Hesi RN Exit proctored exam95
An older male client who is admitted to a rehabilitation facility manifests signs of acute dementia. The nurse observes the client repeatedly calling out for his deceased spouse to come and get him. W
A. Reorient the client while performing assessment.B. Lower the lighting in the client's room.C. Switch to a familiar topic after acknowledging cliD. Remind the client that his spouse is deceased.
Hesi RN Exit proctored exam96
An older client reports experiencing frequent dizzy spells. To assess for orthostatic hypotension, which action should the nurse take first?
A. Assist client to a supine position.B. Instruct the client to stand upright.C. Place the client in a semi-Fowler's position.D. Help the client sit on the side of the bed.
Hesi RN Exit proctored exam97
The nurse working in a critical care unit (CCU) is assigned the care of two clients, one with pneumonia who is being mechanically ventilated, and the other who had a thoracotomy yesterday and is repor
A. Assess the level of consciousness and vital signs B. Review the plan of care and the medications that aC. Complete a head-to-toe assessment of the client wiD. Change the surgical dressing to observe the appear
Hesi RN Exit proctored exam98
An older adult client is referred to a rehabilitation facility following a cerebrovascular accident (CVA).The client is aphasic with left sided paresis and is having difficulty swallowing. Which inter
A. Initiate passive range of motion exercises.B. Facilitate a consultation for speech therapy.C. Use pictures and gestures to communicate.D. Arrange for daily home care assistance.
Hesi RN Exit proctored exam99
A client arrives to the emergency department with chest pain after taking sildenafil. Based on the client's history, which medication should the nurse withhold?
A. Morphine.B. Aspirin.C. Heparin.D. Nitroglycerin.
Hesi RN Exit proctored exam100
A client receives a prescription for itraconazole. Which statement made by the client requires additional instruction by the nurse?
A. Drinking grapefruit juice will reduce the effects B. If I experience any difficulty with breathing I wiC. Monitoring for changes in stool color is importantD. I should take the medication with antacids.
Hesi RN Exit proctored exam