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RN HESI EXIT EXAM – V 1 (VERSION 1) ALL QUESTIONS AND ANSWERS, VERIFIED - GRADED A+
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RN HESI EXIT EXAM – V 1 (VERSION 1) ALL QUESTIONS AND ANSWERS, VERIFIED - GRADED A+
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2024-2025 RN HESI EXIT EXAM –V 1 (VERSION 1) ALL
QUESTIONS AND ANSWERS,
VERIFIED - GRADED A+
,1. The rnurse ris rreviewing rmedical rprescriptions rfor rnewly radmitted rclients. rIt rwould
be ra rpriority rfor rthe rnurse rto rfollow rup rwith rthe rphysician rif ra rclient rwith
r
(a) a rpotassium rlevel rof r4.5mEq/L rhas rKayexalate r(sodium rpolystyrene) rprescribed
(b) a rDilantin r(phenytoin) rlevel rof r8 rmcg/ml ris rplaced ron rseizure rprecautions(c)
r sensitivity rto rAspirin r(acetylsalicylic racid) ris rprescribed rTylenol r(acetaminophen)
(d) rsensitivity rto rPenicillin ris rprescribed rZithromax r(azithromycin)
2. The rnurse rshould rintervene rif rthe rnurse rnotes ra rstaff rmember
(a) obtaining ra rclients rconsent rprior rto rtheir roperative rprocedure rafter rreceiving rAtivan
(lorazepam)
r
(b) placing ra rclient ron rthe raffected rside rfollowing rsurgical rrepair rof ra rretinal
detachment
r
(c) handling ra rwet rcast rwith rthe rpalms rof rthe rhands
(d) using ra rbroad rbase rof rsupport rwhile rtransferring ra rclient
3. The rcommunity rhealth rnurse ris rcaring rfor rthe rfollowing rclients. rIt rwould rbe ra
priority rfor rthe rnurse rto rinitiate ra rmultidisciplinary rconference rfor rthe rclient rwho ris
(a) 12 ryears rold rwith rAutism rwho ris rstarting ra rnew rschool rand rrecently rhad ra
rURI r(upper rrespiratory rtract rinfection)
(b) 16 ryears rold, rhas rtype r1 rDiabetes rMellitus, ris runemployed rand rhad ra rrecent
Hemoglobin rA1c rof r13%
r
(c) 52 ryears rold, rwith rMyasthenia rGravis, rrecently rprescribed rMestinon
r(pyridostigmine) rand remployed ras ra rmail rcarrier
(d) 70 ryears rold, rhas rschizophrenia, rlives ralone rand rreports rhearing rnon rthreatening
voices.
r
4. The rnurse rfrom rthe rpostpartum runit rhas rbeen rtemporarily rassigned rto rthe rmedical
surgical runit. r It rwould rbe rmost rappropriate rto rassign rthis rnurse rto rthe rclient rwho*
r
(a) has rreturned rfrom rright rtotal rhip rreplacement rsurgery rfour rhours rago
(b) is rbeing robserved rfor rincreased rintracranial rpressure
3
,(c) had rsurgery rtwo rhours rago rto rremove rthe rappendix
(d) is rtwo rweeks rpost rpartum rbeing rmaintained ron ra rmechanical rventilator rfor
respiratory rfailure
r
5. The rnurse rin ra rwell rbaby rclinic rhas rassessed rseveral rchildren rtoday. rIt rwould rbe ra
priority rfor rthe rnurse rto rsuggest rfollow rup rfor rthe rchild rwho ris r(a) r2 rmonths rold rwith
r
a rpositive rbabinski rrefl rex
r
(b) 5 rmonths rold rand rdoes rnot rhold rtheir rown rbottle
(c) 10 rmonths rold rwho rcries raround rstrangers
(d) 18 rmonths rold rwho rneeds rsupport rwhile rambulating
6. The rnurse ris rcaring rfor ra rmechanically rventilated rclient rwho rwas rdeclared rbrain
dead. rAn rAdvance rDirective ris rnot rdocumented ron rthe rmedical rrecord. rIt rwould rbe
r
most rappropriate rto robtain rconsent rfor rorgan rdonation rfrom rthe
r
(a) client‘s rprimary rcare rprovider
(b) client‘s rnurse rmanager
(c) closest rliving rfamily rmember
(d) hospital‘s rethics rcommittee
7. The rnurse rhas rreceived rreport ron rfour rclients. rThe rnurse rshould rfi rrst rassess
the rclient r who rhas*
r
(a) Chronic rObstructive rPulmonary rDisease r(COPD) rwith ra rpulse roximetry rreading rof
r90%
(b) Parkinson‘s rDisease rand ris rdemanding rto rleave rthe rhospital ragainst rmedical radvice
r(AMA)
(c) been radmitted rwith rsuspected rGuillian-Barre´ rSyndrome rand rhas rbegun
rplasmapheresis rtherapy
(d) Congestive rHeart rFailure r(CHF) rwhose rpitting redema rhas rincreased rto r2(+)
8. It rwould rbe rappropriate rto rassign rwhich rof rthese rtasks rto rthe rCNA?
(a) Feeding ra rclient rwho ris rexperiencing rdysphagia
(b) One-on-one rclient robservation rfor rsafety
4
, (c) Removal rof ran rindwelling rcatheter
(d) Performing ra rsimple rdressing rchange
9. The rnurse rshould rintervene rif ra rstaff rmember ris robserved
(a) discussing ra rclient‘s rdiagnosis rwith rvisiting rfamily rmembers
(b) collaborating rwith ranother rnurse rto rreview ra rprescription rfor rblood rtransfusion
(c) interrupting rother rstaff rmembers rdiscussing ra rclient rin rthe rcafeteria
(d) reviewing ra rclients rlab rvalues rwith rthe rnutritionist
10. The rnurse ris rpreparing ra rstaff rpresentation ron rlegal rand rethical rissues rin rnursing.
The rnurse rwould rbe rcorrect rto rinclude rwhich rof rthe rfollowing rexamples?
r
(a) Putting ra rclient rin ra rgeriatric rchair rwith rthe rlap rtray rin rfront rof rthe rclient rin rthe rday
room rto rwatch rtelevision ris rfalse rimprisonment
r
(b) Telling ra rclient rthat ryou rwill rput rin ra rfeeding rtube rif rthe rclient rdoes rnot reat ris ran
example rof rbattery
r
(c) Telling ra rclient rwith rbipolar rdisorder rwho ris rsuicidal rthat rthey rhave ra rright rto rrefuse
to rtake rtheir r medications ris ran rexample rof rmalpractice
r
(d) Placing rhands ron ra rclient rwho rsays r ―do rnot rtouch rme‖ ris ran rexample rof rassault
11. The rnurse rfrom rthe rpediatric runit rhas rbeen rtemporarily rassigned rto rthe rEmergency
Department. rIt rwould rbe rmost rappropriate rto rassign rthat rnurse rto rthe rclient rwho*
r
(a) reports repigastric rpain rthat r―feels rlike rindigestion‖
(b) has rback rpain rand ra rpulsating rabdominal rmass
(c) is rHIV+ rreporting rvomiting rand rdiarrhea
(d) presents rwith rlower rabdominal rpain rand ris rsix rweeks rpregnant
12. Four rclients rrecently rreturned rto rthe runit rfollowing rinvasive rdiagnostic rtesting.
r The rnurse rshould r immediately rintervene rif rone rof rthe rclients
(a) reports rblood rtinged rsputum rfollowing ra rbronchoscopy
(b) has rdecreased rabdominal rgirth rfollowing rparacentesis
(c) reports ra rheadache rfollowing ra rlumbar rpuncture
5
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