HESI RN Exit Exam new model for 2024 with correct questions and answers high demanded from trusted source/
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Course
Hesi exit
Institution
Hesi Exit
1. A male client with stomach cancer returns to the unit following a
total gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hour IV. One hour after admission
to the unit, the nurse notes 300 mL of blood in the suction canister,
the clien...
HESI RN Exit Exam new model for 2024 with correct questions and
answers high demanded from trusted source/ HESI RN Exit Exam new
model for 2024 with correct questions and answers high demanded
from trusted source
1. A male client with stomach cancer returns to the unit following a
total gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hour IV. One hour after admission
to the unit, the nurse notes 300 mL of blood in the suction canister,
the client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the finding to the surgeon.
Which action should the nurse implement first? - CORRECT ANSWER-
d. Increase the infusion rate of Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has
multiple injuries, including a right pneumothorax. Chest tubes were
inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). the nurse notes that the suction control
chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the
past hour 75 ml of bright red blood is measured in the collection
chamber. Which intervention should the nurse implement? - CORRECT
ANSWER-a. Add sterile water to the suction control chamber.
3. A client who received hemodialysis yesterday is experiencing a
blood pressure of 200/100 mmHg, heart rate 110 beats/minute, and
respiratory rate 36 breaths/minute. The client is manifesting shortness
of breath, bilateral 2+ pedal edema, and an oxygen saturation on
,room air of 89%. Which action should the nurse take first? - CORRECT
ANSWER-c. Begin supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal
cortical supplementation. Based on the client's admitting diagnosis,
which findings require immediate action by the nurse? (Select all that
apply) - CORRECT ANSWER-Headache and tremors
Irregular heart rate
pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare provider? -
CORRECT ANSWER-d. Skin tenting occurs when the client's forearm is
pinched.
6. After an inservice about electronic health record (EHR) security and
safeguarding client information, the nurse observes a colleague going
home with printed copies of client information in a uniform pocket.
Which action should the nurse take? - CORRECT ANSWER-a. File a
detailed incident report with the specific hiring facility.
7. The nurse is evaluating a tertiary prevention program for clients
with cardiovascular disease implemented in a rural health clinic.
Which outcome indicate the program is effective? - CORRECT
ANSWER-c. Clients who incurred disease complications promptly
received rehabilitation.
,8. The nurse is caring for a client with chronic obstructive pulmonary
disease (COPD) who uses oxygen at 2 L/minute per nasal cannula
continuously. The nurse observes that the client is having increased
shortness of breath with respirations at 23 breaths/minute. Which
action should the nurse implement first? - CORRECT ANSWER-d.
Assess the delivery mechanism of the oxygen tank, tubing, and
cannula.
9. Which statement by a client who is 24 hours post-subtotal
thyroidectomy requires an immediate investigation by the nurse? -
CORRECT ANSWER-When I get out of bed quickly, I feel a little dizzy."
10. An older adult male who is in his early 70's is admitted to the
emergency department because of a COPD exacerbation. This client is
struggling to breathe and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger
than the client, asks the nurse to stop the procedure and provide the
nurse a copy of the client's living will. Which action should the nurse
take? - CORRECT ANSWER-b. Notify the healthcare provider of the
client's wishes.
11. An unlicensed assistive personnel (UAP) is assigned to provide
personal care for a client whose prescribed activity is bedrest with
bedside commode use. The UAP reports to the nurse that the client is
so obese that the UAP feels unable to safely assist the client in
transferring from the bed to the bedside commode. How should the
, nurse respond? - CORRECT ANSWER-c. Advice the client to maintain
bedrest so that safety can be ensured.
12. A nurse determines that more than 25% of the students at a
middle school are overweight. The nurse presents the information at
the parent-teacher meeting. What action is most important for the
nurse to include in the meeting? - CORRECT ANSWER-c. Distribute a
shopping list of suggested healthy snack items.
13. After several months of chronic fatigue, morning stiffness, and join
pain, a young adult is diagnosed with rheumatoid arthritis, and the
healthcare provider prescribes prednisone. Which education should
the nurse provide the client with regard to taking prednisone? -
CORRECT ANSWER-c. If sequential doses are missed, notify the
healthcare provider.
14. The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the nurse's immediate attention? - CORRECT
ANSWER-c. An 18-year-old client with antisocial behavior who is being
yelled at by other clients
15. The nurse caring for a child with mononucleosis can expect the
child to exhibit which symptoms? - CORRECT ANSWER-b. Ear pain and
fever.
16. A client arrives for an annual physical exam and complains of
having calf pain. The client's health history reveals peripheral atrial
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