Exam (elaborations)
HESI RN EXIT EXAM 2024 QUESTIONS AND ANSWERS, 100%VERIFIED NEWEST VERSION.
- Course
- Institution
HESI RN EXIT EXAM 2024 QUESTIONS AND ANSWERS, 100%VERIFIED NEWEST VERSION.
[Show more]
Content preview
HESI RN EXIT EXAM 2024 QUESTIONSAND ANSWERS, 100% VERIFIED
NEWEST VERSION.
When preparing to administer a prescribed medication to a homeless client at a
h h h h h h h h h h h h
community psychiatric clinic. The client tells the nurse that the usual dosage taken is
h h h h h h h h h h h h h h
different from the dose the nurse is giving. Which action should the nurse take?
h h h h h h h h h h h h h h h
A) Inform the client that he may refuse the medication and document whether or not the
h h h h h h h h h h h h h h h
client takes it.
h h h h
B) Withhold the medication until the dosage can be confirmed.
h h h h h h h h h h
C) Explain to the client that the dosage has been changed.
h h h h h h h h h h h
D) Tell the client to take the medication then verify the dosage at the next healthcare team
h h h h h h h h h h h h h h h h
meeting. - ANS-B) Withhold the medication until the dosage can be confirmed.
h h h h h h h h h h h h
The charge nurse is making assignments for one practical nurse and three registered
h h h h h h h h h h h h
nurses who are caring for neurologically compromised clients. Which client with which
h h h h h h h h h h h h
change in status is best to assign to the PN?
h h h h h h h h h h h
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
h h h h h h h h h h
,B) Viral meningitis whose temperature change from 101 S to 102F.
h h h h h h h h h h h
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
h h h h h h h h h h h h h h h
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANS-B) Viral
h h h h h h h h h h h h
meningitis whose temperature change from 101 S to 102F.
h h h h h h h h h
The nurse is caring for a client with pneumonia who now develops initial signs of septic
h h h h h h h h h h h h h h h
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol.
h h h h h h h h h h h h
Which intervention is most important for the nurse to include in the plan of care?
h h h h h h h h h h h h h h h h
A) Maintain strict intake and output.
h h h h h h
B) Keep head of bed raised 45°.
h h h h h h h
C) Excess warmth of extremities.
h h h h h
D) Monitor blood glucose level. - ANS-A) Maintain strict intake and output.
h h h h h h h h h h h
And adolescent client is admitted to the hospital because of writing a suicide note to a
h h h h h h h h h h h h h h h
teacher at school. On the second day of hospitalization, the nurse asked the client to meet
h h h h h h h h h h h h h h h h
with the treatment team. After the team meeting, the client leaves in tears and goes to
h h h h h h h h h h h h h h h h
their room. Which nursing intervention is best?
h h h h h h h h
A) Let the client rest quietly in their room for a while.
h h h h h h h h h h h h
B) Explore the clients goals and desire for treatment.
h h h h h h h h h
C) Ask the treatment team about the clients behavior.
h h h h h h h h h
,D) Go to the clients room and ask what happened. - ANS-D) Go to the clients room and ask
h h h h h h h h h h h h h h h h h h
what happened.
h h
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once
h h h h h h h h h h
a day for a client who weighs 154 pounds. The medication is available and 25,000 units
h h h h h h h h h h h h h h h h
per milliliter vial. How many milliliters should the nurse administer? (Enter numerical
h h h h h h h h h h h h
value only. If rounding is required, round to the nearest 10th.) - ANS-0.6
h h h h h h h h h h h h h
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and
h h h h h h h h h h h h h h
chest congestion for four days. He came to the emergency department last night when he
h h h h h h h h h h h h h h h
was having more difficulty breathing he has a history of 1/2 pack a day cigarette smoking
h h h h h h h h h h h h h h h h
for 20 years. He has no significant medical or surgical history.
h h h h h h h h h h h h
Which two orders should the nurse complete first?
h h h h h h h h
A) Sputum culture.
h h h
B) Start oxygen 3 L per minute via nasal cannula.
h h h h h h h h h h
C) Place the client on a cardio respiratory monitor.
h h h h h h h h h
D) Chest x-ray.
h h h
E) Acetominophen 350 mg PO every six hours for temperature control.
h h h h h h h h h h h
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
h h h h h h h h h h h h
G) Start peripheral IV.
h h h h
H) NPO. - ANS-B) Start oxygen 3 L per minute via nasal cannula.
h h h h h h h h h h h h h
C) Place the client on a cardio respiratory monitor.
h h h h h h h h
, NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a
h h h h h h h h h h h h h h
peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium
h h h h h h h h h h h h h h h
chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO every six hours for
h h h h h h h h h h h h h h h h
temperature.
h
To start the client on oxygen as ordered which items should the nurse collects from the
h h h h h h h h h h h h h h h
supply room? SATA
h h h h
A) humidifier bottle.
h h h
B)Suction canister. h h
C)Sterile water. h h
D) Nasal cannula.
h h h
E) Flow meter.
h h h
F) Lambs wool.
h h h
G) Tape. - ANS-D) Nasal cannula.
h h h h h h
E) Flow meter.
h h
NGN: states, I am feeling extremely anxious right now. The client has decreased breath
h h h h h h h h h h h h h
sounds in the left lower low. His mucus membranes are dry. He has a productive cough
h h h h h h h h h h h h h h h h
with thick, yellow secretions. His capillary refill is four seconds. Vital signs, temperature
h h h h h h h h h h h h h
100.2. Heart rate 101 bpm, respiratory rate 28 breaths per minute, blood pressure
h h h h h h h h h h h h h
145/89, oxygen saturation 90% on room air.
h h h h h h h
(for each body system click to specify the assessment findings that indicates hypoxia)
h h h h h h h h h h h h
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Prose1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now