HESI Exit Exam Version 4[LATEST VERSION] 2022

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Identify the letter of the choice that best completes the statement or answers the question. 1. A vegetarian client is being discharged with a prescription for warfarin (Coumadin). What instruction i ... s 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. 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. Name: ID: A 2 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." 8. The nurse is preparing to administer a scheduled dose of a sulfonamide to a client with pneumonia and notes that the client has allergies to cephalosporins and penicillins. What action should the nurse take? a. Hold the scheduled dose of sulfonamide until the healthcare provider makes rounds. b. Review the sputum culture and sensitivity report before calling the healthcare provider. c. Contact the healthcare provider regarding a prescription for a PRN antihistamine. d. Administer the scheduled dose of the sulfonamide as prescribed. 9. The charge nurse working the day shift notices an increased number of client complaints regarding poor pain control during the night shift. What is the most effective way for the charge nurse to improve the pain management issue on the unit? a. During an evening shift report, request that night staff nurses assess pain levels and improve pain management. b. At the next unit employee meeting, encourage staff to increase attentiveness to pain management needs of clients. c. Develop and implement a unit-wide project to improve client satisfaction with pain management. d. Post a bulletin asking nurses to anticipate and meet each assigned client's pain management needs. 10. The nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assessment finding should the nurse anticipate? a. Diminished breath sounds auscultated bilaterally. b. Absent breath sounds on the left side of the chest. c. Crackles and wheezes auscultated in the right lung fields. d. Decreased breath sounds on the left, clear breath sounds on the right. [Show More]

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