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HESI RN COMPREHENSIVE EXIT EXAM 2024 / 14 LATEST VER / Answers and cheat sheets / Pages 961
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HESI RN COMPREHENSIVE EXIT EXAM 2021 (14 LATEST VERSIONS) VERIFIEDDOCUMENT 100% CORRECT
VERSION 1
1. A nurse on a med surg unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C
2. A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
Answer: B
C
D
3. An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the previous
shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D
4. A nurse is preparing an inservice program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B
C
E
VERSION 2
, HESI RN COMPREHENSIVE
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the
following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings
should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator which of the following statements demonstrates understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my ICD”
D. “I can hold my cellphone on the same side of my body as the ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence
about being pregnant. Which of the following responses should the nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with your provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a bowel- training program
following a spinal cord injury. Which of the following actions should the nurse include in the plan
of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
6. A nurse is caring for a client who is in active labor and requests pain management. Which of the
following actions should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
7. a nurse in an emergency department is performing triage for multiple clients following a disaster
in the community. To which of the following types of injuries should the nurse assign the highest
priority?
A. Below-the knee amputation
, B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
8. a nurse manager is updating protocols for the use of belt restraints. Which of the following
guidelines should the nurse include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are aggressive
9. A nurse is teaching an in-service about nursing leadership. Which of the following information
should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports
that she has been following her (unable to read) care. The nurse should identify which of the
following findings indicates a need to revise the client’s plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse
should identify that which of the following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a
group on a mental health unit. Which of the following group facilitation techniques should the
nurse include in the teaching?
A. Share personal opinions to help influence the group’s values
B. Measure the accomplishments of the group against a previous group
C. Yield in situations of conflicts to maintain group harmony
D. Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
(Unable to read) Passover holiday. Which of the following action should the nurse include in the
plan of care?
A. Provide chicken with cream sauce.
B. Avoid serving fish with fins and scales.
C. Provide unleavened bread.
D. Avoid serving foods containing lamb.
14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the
effectiveness of the treatment
A. A chest x-ray reveals increased density in all fields.
, B. The client reports feeling less anxious.
C. Diminished breath sounds are auscultated bilaterally
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam
tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating
an IV, which of the following actions should the nurse do next.
A. Monitor the client’s IV site for thrombophlebitis.
B. Administer flumazenil to the client.
C. Evaluate the client for further suicidal behavior.
D. Initiate seizure precautions for the client.
16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago.
Which of the following findings should the nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature
17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the
following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which
of the following findings should the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy
in situations that require a durable power of attorney for heal care (DPSHC). Which of the
following information should the charge nurse include?
A. “The proxy should make health care decisions for the client regardless of the client’s ability
to do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under anesthesia.”
D. “The proxy should manage legal issues for the client.”
20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions
should the nurse take first?
A. Turn the client on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the client’s vital signs.
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