HESI EXIT RN V1 EXAM 2023 Questions and Answers | 100% Verified 160 Questions

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HESI RN EXIT EXAM V1 2023

Questions and Answers

(Verified Answers)

1. The nurse is completing the admission assessment of a 3-year old

who is admitted with bacterial meningitis and hydrocephalus. Which

assessment finding is evidence that the child is experiencing increased

intracranial pressure (ICP)?

A.Tachycardia and tachypnea

B. Sluggish and unequal pupillary responses

C. Increased head circumference and bulging fontanels

D. Blood pressure fluctuations and syncope ANS B. Sluggish and unequal

pupillary responses

2. A client with acute pancreatitis is admitted with severe, piercing

abdominal pain and an elevated serum amylase. Which additional

information is the client most likely to report to the nurse?

A. Abdominal pain decreases when lying supine

B. Pain lasts an hour and leaves the abdomen tender

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C. Right upper quadrant pain refers to right scapula

D. Drinks alcohol until intoxicated at least twice weekly. ANS A.

Abdominal pain decreases when lying supine

3. A child newly diagnosed with sickle cell anemia (SCA) is being

discharged from the hospital. Which information is most important for the

nurse to provide the parents prior to discharge?

A. Instructions about how much fluid the child should drink daily.

B. Signs of addiction to opioid pain medications

C. Information about non-pharmaceutical pain relief measures

D. Referral for social services for the child and family ANS A.

Instructions about how much fluid the child should drink daily

4.To auscultate for a carotid bruit, the nurse places the stethoscope at

what location. (Select the location on the image with a red dot). ANS I

placed the red dot on the base of the neck on the right side

5. After receiving report on an inpatient acute care unit, which client

should the nurse assess first?

A.The client with an obstruction of the large intestine who is

experiencing abdominal distention

B.The client who had surgery yesterday and is experiencing a paralytic

ileus with absent bowel sounds

C.The client with a small bowel obstruction who has a nasogastric tube

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that is draining greenish fluid

D.The client with a bowel obstruction due to a volvulus who is experiencing

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abdominal rigidity ANS D. The client with a bowel obstruction due to a

volvulus who is experiencing abdominal rigidity

6. A teenager presents to the emergency department with palpitations

after vaping at a party. The client is anxious, fearful, and hyperventilating.

The nurse anticipates the client developing which acid base imbalance?

A. Respiratory acidosis

B. Metabolic alkalosis

C. Metabolic acidosis

D. Respiratory alkalosis ANS D. Respiratory alkalosis

7. A client with dyspnea is being admitted to the medical unit. To best

prepare for the client's arrival, the nurse should ensure that the client's

bed is in which position?

A. Supine

B. supine; feet elevated higher than head

C. supine; head elevated higher than feet

D. Fowlers ANS Fowlers

8. The nurse is taking the blood pressure measurement of a client with

Parkinson's disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure

reading? (Select all the apply)

A. Frequent syncope