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HESIRNE - 2025 -2026 PN HESI EXIT EXAM VERSION 1 TEST BANK-HEALTH & WELLNESS (NR- 222) QUESTIONS WITH 100% CORRECT ANSWERS A+ GRADED 1. Which information is a priority for the RN to reinforce to an older client afterintravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days D) The correct answer is D: Measure the urine output for the next day and immediatelynotify the health care provider if it should decrease. 2. A client has altered renal function and is being treated at home. The nurse recognizesthat the most accurate indicator of fluid balance during the weekly visits is A) difference in the intake and output B) changes in the mucous membranes C) skin turgor D) The correct answer is D: weekly weight 3. A client has been diagnosed with Zollinger-Fllison syndrome Which information ismost important for the nurse to reinforce with the client? A)It is a condition in which one or more tumors called gastrinomas form in the pancreasor in the upper part of the small intestine (duodenum) B) c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, ifpossible, surgery to remove any tumors D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusualareas of the stomach or intestine The correct answer is B: It is critical to report promptly to your health care provider anyfindings of peptic ulcers 4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse 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 orover-the-counter pain medication to relieve any discomfort. The correct answer is A: Until the health care provider has determined that your ejaculatedoesn'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 clientwould be incorrect about acupuncture? ‘A) Some needles go as deep as 3 inches, depending on where they're placed in the bodyand 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 invarious 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 ornerve clusters in your body. 9. The nurse is discussing with a group of students the disease Kawasaki, What statementmade by a student about Kawasaki disease is incorrect? ‘A)It also called mucocutaneous lymph node syndrome because it affects the mucousmembranes (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 handsand feet with joint and abdominal pain 9) D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, whichlasts | 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 lun; What would be the best position to teach the client tolic in every other hour during first 12 hours after admission AIS ide iialGHl te onthe Hea Glevatsai10) 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 clevated 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 findingat this time should be reported to the health care provider? ‘A) Light, pink urine B) occasional suprapubic cramping 2) 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 pulseand respirations, what should be the function of the second nurse? A) Relieve the nurse performing CPR B) Go get the code cart ° 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 congestiveheart failure. Which of the following would the nurse anticipate finding? A) Decreased urinary output C) Pleural effusion D) Bibasilar crackles ‘The correct answer is B: Jugular vein distention priority assessment in the first hour of care is A) Heart rate B) Pedal pulses G a sounds D) Pupil The correct answer is D: Pupil responses 19. Which of these clients who are all in the terminal stage of cancer is least appropriateto 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 soe client with numerous arthritic nodules on the handsD) A preschooler 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 ic 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 induring the discussion? A) Mouth sores B) Fatigue aoa The correct answer is D: Hair loss 22. While caring for a client who was admitted with myocardial infarction (MI) 2 daysago, 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 immediateh 1) SeEHESE ae oe a yA ae POSES 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 thistime 23. A client is admitted for first and second degree burns on the face, neck, anterior chestand hands. The nurse's priority should be A) Cover the areas with dry sterile dressingsB) Assess for 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 tocome in that day to be seen by the health care provider? A) I started my period and now my urine has tumed bright red. B) Taman 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 hurtswhen I go to the bathroom. D) Lwent to the bathroom and my urine looked very red and it didn’t hurt when I went. The correct answer is D: I went to the bathroom and my urine looked very red and it didn’t hurt when I went 25. A middle aged woman talks to the nurse in the health care provider’s office aboututerine fibroids also called leiomyomas or myomas. What statement by the woman indicates more education is needed? A) Lam one out of every 4 women that get fibroids, and of women my age — between the30s or 40s, fibroids occurs more frequently. B) My fibroids are noncancerous tumors that grow slowly. C) My associated problems I have had are pelvic pressure and pain, urinary incontinence, frequent urination or urine retention and constipation. 1) Fibroids that cause problems stil need tobe taken out D) Split S2 The ‘eae answer is A: S3 ventricular gallop 30. Which of these observations made by the nurse during an excretory ba indicatea an A) The client apes of a salty taste in the mouth when the dye is injecte C) The client states “I have a feeling of getting warm.” D) The client gags and complains “Tam getting sick.” ‘The correct answer is B: The client's entire body tums a bright red color 31. Acclient is diagnosed with a spontaneous pneumothorax necessitating the insertion ofa chest tube. What is the best explanation for the nurse to provide this client? A) "The tube will drain fluid from your chest.” 1} *The tube wll remove excess ar from your chest." C) "The tube controls the amount of air that enters your chest." D) "The tube will seal the hole in your lung.” ‘The correct answer is B: "The tube will remove excess air from your chest." 32. The nurse is reviewing laboratory results on a client with acute renal failure. Whichone of the following should be reported immediately? A) Blood urea nitrogen 50 mg/dl B) Hemoglobin of 10.3 mg/dl C) Venous blood pH 7.30 D) ‘The correct answer is D: Serum potassium 6 mEq/L 33. The nurse is caring for a client undergoing the placement of a central venous catheterline. Which of the following would require the nurse’s immediate attention? A) Pallor B) Increased temperature C) Dyspnea >) ARTS Th: TE answer is C: Dyspnea 34. The nurse is performing a physical assessment on a client who just had an endotracheal tube inserted. Which finding would call for immediate action by the nurse? A) Breath sounds can be heard bilaterally x Mist is visible in the T-PieceC) Pulse D) Client is unable to speak The correct answer is C: Pulse oximetry of 88 35. Anurse checks a client who is on a volume-cycled ventilator. Which finding indicatesthat the client may need suctioning? A) drowsiness B) complaint of nausea C) pulse rate of 92D) The answer is D: restlessness 36. The most effective nursing intervention to prevent atelectasis from developing in apost operative client is to A) Maintain adequate hydration B) ©) Ambulate client within 12 hours D) Splint incision The correct answer is B: Assist client to tun, deep breathe, and cough 37. When caring for a client with a post right thoracotomy who has undergone an upperlobectomy, the nurse focuses on pain management to promote A) Relaxation and sle B) C) Incisional healing D) Range of motion exercises ‘The correct answer is B: Deep breathing and coughing 38. A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client, Which action should the nurse take first? A) Ask client to cough sputum into container B) Have the client take several deep breaths C) Provide a appropriate specimen contains 43. A client is receiving external beam radiation to the mediastinum for treatment ofbronchial cancer. Which of the following should take priority in planning care? A fone Z“ C) Fatigue D) Skin irritation Review Information: The correct answer is B: Leukopenia 44, A clicnt has a chest tube in place following a left lower lobectomy inserted after a stabwound to the chest. When repositioning the client, the nurse notices 200 ce of dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action? A) Clamp the chest tube B) Call the surgeon immediately C) Prepare for blood transfusion D) The correct answer is D: Continue to monitor the rate of drainage 45. Aclient has retumed from a cardiac catheterization. Which one of the following assessments would indicate the client is experiencing a complication from the procedure? A) Increased blood pressure B) Increased heart rate c) D) Decreased urine output The correct answer is C: Loss of pulse in the extremity 46. A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago.He received 1000 mL of TV fluid. Which action would ‘be most likely to help him void? A) Have him drink several glasses of water B Crede’ the bladder from the bottom to the top C) Assist him to D) Wait 2 hours and have him try to void again ‘The correct answer is C: Assist him to stand by the side of the bed to void 47. The nurse is caring for a client who requires a mechanical ventilator for breathing ‘The high pressure alarm goes off on the ventilator. What is the first action the nurseshould re rm? 2 Disconnect the client from the ventilator and use a manual resuscitation ba; C) Call the respiratory therapist for help D) Press the alarm re-set button on the ventilator The answer is B: Perform a quick assessment of the client's condition 48. The nurse is preparing a client who will undergo a myelogram. Which of thefollowing statements by the client indicates a contraindication for this test? x "[ can't lie in 1 position for more than thirty minutes."B) "Lam allergic to. C) "I suffer from claustrophobia." D) "I developed a severe headache after a spinal tap."The correct answer is B: "I amallergic to shrimp." 49. The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4hours and check pH of aspirate." The pH of the aspirate is 10. Which action should the nurse take? A) B) Administer the tube feeding as scheduled C) Irrigate the tube with diet cola soda D) Apply intermittent suction to the feeding tube The correct answer is A: Hold the tube feeding and notify the provider 50. To pars unneces hypoxia during suctioning of a tracheostomy, the nurse mustA) Apply suction for no B) Maintain sterile technique C) Lubricate 3 to 4 inches of the catheter tip D) Withdraw catheter in a circular motion Applying suction for more than 10 seconds 51. Anantibiotic IM injection for a 2 year-old child is ordered. The total volume of theinjection equals 2.0 ml The correct action is to A) B) give the medication in the dorsal gluteal site ‘The corfect answer is B: Sore throat, fever 56. A client is recovering from a hip replacement and is taking Tylenol #3 every 3 hoursfor pain. In checking the client, which finding suggests a side effect of the analgesic? A) Bruising at the operative site B) Elevated heart rate C) Decreased platelet count >) NEL Saveteatee RAED The correct answer is D: No bowel movement for 3 days 57. A client is being maintained on heparin therapy for deep vein thrombosis. The nursemust closely monitor which of the following laboratory values? A) Bleeding time a Platelet count) D) Clotting time The correct answer is C: Activated PTT 58. A client with amyotrophic lateral sclerosis has a percutaneous endoscopic gastrostomy (PEG) tube for the administration of feedings and medications. Whichnursing action is appropriate? A) Pulverize all medications to a powdery condition B) Squeeze the tube before using it to break up stagnant liquids Cc in around the tube daily with hydrogen peroxide D)|FIGsb@dequately 59. The nurse has given discharge instructions to parents of a child on phenytoin (Dilantin). Which of the following statements suggests that the teaching was effective? A) ’We will call the health care my der if the child develops acne."B) “Our child should C) “We will skip the next dose if vomiting or fever occur." D) *When our child is seizure-free for 6 months, we can stop the medication." ‘The correct answer is B: "Our child should brush and floss carefully afier every meal." 60. Although non steroidal anti-inflammatory drugs such as ibuprofen (Motrin) are beneficial in managing arthritis pain, the nurse should caution clients about which of the following common side effects? A) Urinary incontinence B) Constipation C) Nystagmus D) The pee answer is D: Occult bleeding 61. The nurse is caring for a client with clinical depression who is receiving a MAO inhibitor. When providing instructions about precautions with this medication, whichaction should the nurse stress to the client as important? 1) Avoid chocolate and cheese B) Take frequent naps C) Take the medication with milk D) Avoid walking without assistance The correct answer is A: Avoid chocolate and cheese 62. A parent asks the school nurse how to eliminate lice from their child. What is themost appropriate response by the nurse? A) Cut the child's hair short to remove the nits B) Apply warm soaks to the head twice daily C) Wash the child's linen and clothing in a bleach solutionD) Application of The correct answer is D: Application of pediculicides 63. The nurse is teaching a client about precautions with Coumadin therapy. The clientshould be instructed to avoid which over-the-counter medication? A) B) Cough medicines with guaifenesin C) Histamine blockers D) Laxatives containing magnesium salts ‘The correct answer is A: Non-steroidal anti-inflammatory drugs 64. Acclient diagnosed with cirrhosis of the liver and ascites is receiving Spironolactone(Aldactone). The nurse understands that this medication spares elimination of which element? C) Imferon D) Diltiazem The correct answer is A: Protamine . Protamine binds heparin making it ineffective. 69. The nurse has been teaching a client with Insulin Dependent Diabetes Mellitus. Which statement by the client indicates a need for further teaching? A) "Tuse a sliding scale to adjust regular insulin to my sugar level." B) "Since my eyesight is so bad, Task the nurse to fill several syringes." C) "Lkeep my regular insulin bottle in the refrigerator.” D) The correct answer is D: "I always make sure to shake the NPH bottle hard to mix itwell." 70. Why is it important for the nurse to monitor blood pressure in clients receivingantipsychotic drugs? 5) (GES ei ULCER B) Most antipsychotic drugs cause elevated blood pressure C) This provides information on the amount of sodium allowed in the diet D) It will indicate the need to institute anti parkinsonian drugs ‘The correct answer is A: Orthostatic hypotension is a common side effect 71. The nurse is teaching the client to select foods rich in potassium to help preventdigitalis toxicity. Which choice indicates the client understands dietary needs? A) Three apricots B) Medium banana C) Naval orangeD) Baked The correct answer is D: Baked potato 72. An 86 year-old nursing home resident who has decreased mental status is hospitalizedwith pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client begins to cough. What should the nurse do next? A) Add a thickening agent to the fluidsB) Check the C) Feed the client only solid foods D) Increase the rate of intravenous fluids ‘The correct answer is B: Check the client’s gag reflex 73. The nurse is planning care for a client with a CVA. Which of the following measuresplanned by the nurse would be most effective in preventing skin breakdown? A) Place client in the wheelchair for four hours each day B) Pad the bony prominence D) Massage reddened bony prominence The correct answer is C: Reposition every two hours 74, Anurse is assessing several clients in a long term health care facility. Which client isat highest risk for development of decubitus ulcers? A) A year-old malnourished clieit on bed Fest B) An obese client who uses a wheelchair C) A client who had 3 incontinent diarrhea stools D) An 80 year-old ambulatory diabetic client The eet answer is A: A 79 year-old malnourished client on bed rest 75. Constipation is one of the most frequent complaints of elders. When assessing thisproblem, which action should be the nurse's priority? A) Obtain a complete blood count 1) Oban a health and distary history C) Refer to a provider for a physical examination D) Measure height and weight ‘The Correct answer is B: Obtain a health and dietary history 76. After a client has an enteral feeding tube inserted, the most accurate method forverification of placement is A) B) Auscultation C) Flushing tube with saline D) Aspiration for gastric contents The correct answer is A: Abdominal x-ray 77. A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile colored liquids. Which nursing measure will provide the most comfort to theclient? 
