• Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3-minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide?
a- Ask a more experience nurse to perform that sc...
HESI A2 EXIT RN EXAM V1_ V7 STUDY GUIDE
LATEST UPDATE 2023/2024 A+ GRADED
HESI EXIT RN EXAM-, HESI EXIT RN Exam (Version 1 to Version 7)
• Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the
circulating nurse if a 3-minute surgical hand scrub is adequate preparation for this client. Which
response should the circulating nurse provide?
a- Ask a more experience nurse to perform that scrub since it is the first time of the day
b- Validate the nurse is implementing the OR policy for surgical hand scrub
c- Inform the nurse that hand scrubs should be 3 minutes between cases.
d- Direct the nurse to continue the surgical hand scrub for a 5-minute duration.
• Which breakfast selection indicates that the client understands the nurse’s instructions about
the dietary management of osteoporosis?
a- Egg whites, toast and coffee.
b- Bran muffin, mixed fruits, and orange juice.
c- Granola and grapefruit juice
d- Bagel with jelly and skim milk.
• The charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse (RN)?
a- A 34-year -old admitted today after an emergency appendendectomy who has a peripheral
intravenous catheter and a Foley catheter.
b- A 48-year-old marathon runner with a central venous catheter who is experiencing nausea and
vomiting due to electrolyte disturbance following a race.
HESI A2 EXIT RN EXAM V1_ V7 STUDY GUIDE
LATEST UPDATE 2023/2024 A+ GRADED
,HESI A2 EXIT RN EXAM V1_ V7 STUDY GUIDE
LATEST UPDATE 2023/2024 A+ GRADED
c- A 63-year-old chain smoker admitted with chronic bronchitis who receiving oxygen via nasal
cannula and has a saline-locked peripheral intravenous catheter.
d- An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied
• Z
a- Cleanse the foot with soap and water and apply an antibiotic ointment
b- Provide teaching about the need for a tetanus booster within the next 72 hours.
c- have the mother check the child's temperature q4h for the next 24 hours
d- transfer the child to the emergency department to receive a gamma globulin injection
,HESI A2 EXIT RN EXAM V1_ V7 STUDY GUIDE
LATEST UPDATE 2023/2024 A+ GRADED
• The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
applying triple antibiotic ointment for two days, but there has been no improvement.” What
instruction should the nurse provide?
a- Antibiotics take two weeks to become effective against infections such as athlete’s foot.
b- Continue using the ointment for a full week, even after the symptoms disappear.
c- Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration.
d- Stop using the ointment and encourage complete drying of the feet and wearing clean socks.
• A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the
prescribed dosage is too high for this client? The client experiences
a- Palpitations and shortness of breath
b- Bradycardia and constipation
c- Lethargy and lack of appetite
d- Muscle cramping and dry, flushed skin
• A client with a history of heart failure presents to the clinic with a nausea, vomiting, yellow
vision and palpitations. Which finding is most important for the nurse to assess to the client?
a- Determine the client’s level of orientation and cognition
b- Assess distal pulses and signs of peripheral edema
c- Obtain a list of medications taken for cardiac history.
d- Ask the client about exposure to environmental heat.
, HESI A2 EXIT RN EXAM V1_ V7 STUDY GUIDE
LATEST UPDATE 2023/2024 A+ GRADED
• The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250 ml
of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only.)
a- 75
• The pathophysiological mechanisms are responsible for ascites related to liver
failure? (Select all that apply) a- Bleeding that results from a decreased production of
the body’s clotting factors
b- Fluid shifts from intravascular to interstitial area due to decreased serum protein
c- Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
d- Increased circulating aldosterone levels that increase sodium and water retention
e- Decreased absorption of fatty acids in the duodenum leading to abdominal distention.
• The nurse is auscultating a client’s heart sounds. Which description should the nurse use to
document this sound? (Please listen to the audio first to select the option that applies)
a- S1 S2
b- S1 S2 S3
c- Murmur
d- Pericardial friction rub.
• The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an infant.
The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a concentration
of 100 mg/ml. How many ml should the nurse administered for each dose? (Enter numeric
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