51
The nurse completes auscultation of the heart on an older adult client. Which finding is considered normal for this client?
A. Murmurs.B. Absent sounds.C. No adventious sounds.D. Adventious sounds.
HESI RN Exit VI Proctored ExamHESI RN Exit VI Proctored Exam
129 questions · Page 3 of 6
HESI RN Exit VI Proctored Exam is a nursing-school practice exam with 129 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.
Topics covered on this page: HESI RN Exit VI Proctored Exam.
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Start Practice ExamQuestions 51–75 of 129
52
While conducting dietary teaching to the parent of an 11-month-old who was diagnosed with milk baby anemia, which food(s) should the nurse encourage the parent to offer the infant? Select all that app
A. ApplesauceB. Fortified whole grain cereals.C. Pureed green beans.D. Full fat yogurt.
HESI RN Exit VI Proctored Exam53
A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a
A. Infuse normal saline intravenously.B. Apply external cooling blanket.C. Provide a bottle of electrolyte solution.D. Administer an antipyretic rectally.
HESI RN Exit VI Proctored Exam54
A client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant heart sounds, and is anxious and restless. After Initiating oxygen therapy and IV hydration, which interven
A. Monitor oxygen saturation (SpO2) via continuous puB. Observe neck for jugular vein distention.C. Notify healthcare provider to prepare for pericardD. Assess for paradoxical blood pressure.
HESI RN Exit VI Proctored Exam55
An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to
A. 24-hour medication history.B. Amount of serous drainage from the wound.C. Urinary output for past six hours.D. White blood cell count.
HESI RN Exit VI Proctored Exam56
A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care
A. Adult nurse practitioner.B. Neurology unit supervisor.C. Risk management nurse.D. Nurse case manager.
HESI RN Exit VI Proctored Exam57
A client is recovering in the critical care unit following a cardiac catheterization. IV nitroglycerin and heparin are infusing. The client is sedated but responds to verbal instructions. After changi
A. Check femoral site for hematoma formation.B. Evaluate the integrity of the IV insertion site.C. Stimulate the client to take deep breaths.D. Assess distal lower extremity capillary refill.
HESI RN Exit VI Proctored Exam58
The school nurse is preparing a teaching pamphlet in response to requests from parents regarding an outbreak of pinworms at the local preschool. Which information about the most commonly prescribed me
A. Insert the medication as a rectal suppository.B. A second dose of medication should be given in twoC. It is safe for children of all ages to take this mD. Only children with perianal itching should take th
HESI RN Exit VI Proctored Exam59
A client is recovering in the critical care unit following a cardiac catheterization. IV nitroglycerin and heparin are infusing. The client is sedated but responds to verbal instructions. After changi
A. Check femoral site for hematoma formation.B. Evaluate the integrity of the IV insertion site.C. Stimulate the client to take deep breaths.D. Assess distal lower extremity capillary refill.
HESI RN Exit VI Proctored Exam60
While preparing a client's routine 0800 medications, the nurse opens the medication packaging and discards in the trash prior to scanning the barcode label. Which action should the nurse implement?
A. Document the medication administration manually.B. Override the medication system to obtain another dC. Call the pharmacy to obtain the barcode number.D. Recover the barcode packaging from the trash can.
HESI RN Exit VI Proctored Exam61
When developing a teaching plan for a client with newly diagnosed type 1 diabetes mellitus, the nurse should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which act
A. Measure urine output over the next 24 hours.B. Give a dose of regular insulin as prescribed.C. Resume normal physical activity.D. Drink electrolyte fluid replacements.
HESI RN Exit VI Proctored Exam62
An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the acti
A. Evaluate the UAP for signs of improvement.B. Plan for scheduled break times.C. Note date and time of the behavior.D. Discuss the issue privately with the UAP.
HESI RN Exit VI Proctored Exam63
The nurse is caring for a client with the sexually transmitted infection (STI) trichomoniasis who reports having had unprotected sex. Which response should the nurse provide?
A. Emphasize that using safe sex practices removes thB. Instruct the client on the importance of notifyingC. Urge the client to have regular STI screening everD. Notify that persons with STIs are reported to loca
HESI RN Exit VI Proctored Exam64
A client with advanced cirrhosis is being treated for hepatic encephalopathy. In reviewing the client's serum laboratory results, which finding requires the most immediate intervention by the nurse?
A. Decreased ammonia.B. Lowered total protein and albumin.C. Prolonged prothrombin time (PT).D. Elevated direct bilirubin.
HESI RN Exit VI Proctored Exam65
Which assessment technique provides the most useful data when the nurse is concerned about possible urinary retention?
A. Auscultate an area six inches below the umbilicus.B. Palpate the area above the pubic symphysis.C. Measure the girth of the client's lower abdomen.D. Observe the appearance of the client's urine.
HESI RN Exit VI Proctored Exam66
After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?
A. Identify information as late entry in the record.B. Notify information services department of the situC. Wait for notification that the system has been rebD. Print electronic medical record (EMR) from backup
HESI RN Exit VI Proctored Exam67
The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treat
A. Scheduling of an oral glusoce tolerance test (OGTTB. An insulin pump to better control the client's bloC. The evening dose of NPH insulin will need to be deD. Glucose levels will be tested at bedtime, 0300, an
HESI RN Exit VI Proctored Exam68
A client with chronic obstructive pulmonary disease (COPD) presented with shortness of breath. Oxygen therapy was started at 2 liters/minute via nasal cannula. The arterial blood gas (ABG) results aft
A. The hypercapnia resulted from the rapid respiratioB. The client had a pulmonary embolism that reduced pC. The client had a pneumothorax which restricted venD. The hypoxic drive was reduced by the oxygen therap
HESI RN Exit VI Proctored Exam69
The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?
A. Administer PRN oral analgesics to a client with a B. Transport a client who is receiving IV fluids to tC. Supervise a newly hired graduate nurse during an aD. Complete ongoing focused assessments of a client w
HESI RN Exit VI Proctored Exam70
The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated.
A. Maintain strict intake and output.B. Assess warmth of extremities.C. Monitor blood glucose level.D. Keep head of bed raised 45 degrees.
HESI RN Exit VI Proctored Exam71
The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?
A. Attempt to comfort the client by agreeing with theB. Disagree with the statement and set clear limits oC. Immediately inform the provider that the client isD. Present a personal perception of reality in a non-
HESI RN Exit VI Proctored Exam72
The nurse is providing discharge instructions for a client who had an above the knee amputation (AKA) and their spouse. The client expresses fear about going home and requests to stay in the hospital
A. Explain the take home medications that can help thB. Review the details of the home health care plan deC. Ask the client what is frightening about leaving tD. Tell the spouse to wait outside the room so the nu
HESI RN Exit VI Proctored Exam73
A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?
A. Pain scale rating of a 9 on a 0 to 10 scale.B. History of irritable bowel syndrome (IBS).C. Reports white, curdy vaginal discharge.D. Last menstrual period was 7 weeks ago.
HESI RN Exit VI Proctored Exam74
A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT i
A. Assess for symmetrical chest movement.B. Obtain a portable chest x-ray to verify ETT locatiC. Monitor ETT markings between 22 and 26 cm at teethD. Check for capillary refill of 3 seconds or less.
HESI RN Exit VI Proctored Exam75
Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?
A. Muscle pain.B. Altered taste.C. Diarrhea and flatulence.D. Abdominal cramps.
HESI RN Exit VI Proctored Exam