RN HESI Exit Exam Remediation
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1. The nurse is caring for a client who has a fiberglass a) Smelling the
long leg cast on the right leg. Which nursing actions cast and feeling
should be implemented in the cast care of this client? for the presence of
SATA hot spots on the
cast.
a) Smelling the cast and feeling for the presence of b) Checking neu-
hot spots on the cast. rovascular status
b) Checking neurovascular status of the right ex- of the right ex-
posed foot and toes every four hours. posed foot and
c) Using a soft cotton-tipped 6-inch swab to help toes every four
scratch beneath the cast. hours.
d) Placing the nurse's finger in the client's cast while d) Placing the
performing cast care. nurse's finger in
e) Covering the perineal area of the cast with plastic the client's cast
before client uses the fracture bedpan. while performing
cast care.
e) Covering the
perineal area of
the cast with plas-
tic before client
uses the fracture
bedpan.
Rationale
Cast care should
include ensuring
the cast is not too
tight, by placing a
finger between the
client's skin and
cast; by protecting
the cast from be-
ing soiled by plac-
ing a protective
plastic covering in
the perineal area
before the client
uses a bedpan; by
smelling for a foul
, RN HESI Exit Exam Remediation
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odor coming from
the cast; by palpat-
ing for hot spots
on the cast every
shift; and by per-
forming neurovas-
cular checks dis-
tal to the cast
every four hours.
Nothing should be
placed in the
cast to facili-
tate scratching be-
neath the cast.
2. The nurse is caring for an older client being treat- c) Atenolol
ed for a cardiac condition who has developed "dry (Tenormin).
eyes". Which medication may be contributing to this
condition? Rationale
Dry eyes is an
a) Procainamide (Procanbid). annoying side ef-
b) Iron supplements. fect of some med-
c) Atenolol (Tenormin). ications that can
d) Lipitor (Atorvastatin). cause a client to
feel like they have
something in their
eye or a continu-
ous scratchy sen-
sation. This con-
dition can cause
eye strain and dis-
comfort to a client.
Clients prescribed
Atenolol for hyper-
tension are at risk
of developing dry
eyes as a side ef-
fect of the medica-
tion.
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3. The UAP is assisting a client getting into the shower. b) Notify the del-
The charge nurse answers a call from the cast clinic egating nurse of
to immediately send the UAP's other assigned client the current re-
to the clinic. Which action should the nurse take? quest from the
cast clinic.
a) Ask the UAP to find another team member to take
the client to the clinic. Rationale
b) Notify the delegating nurse of the current request The charge nurse
from the cast clinic. should notify the
c) Instruct the UAP to take the client to clinic after delegating nurse
helping the other client taking a shower. of the situation.
d) While the client is showering the UAP should take The third princi-
the other client to cast clinic. ple of delegation
is "The person to
whom the assign-
ment was delegat-
ed cannot dele-
gate that assign-
ment to someone
else... the delegat-
ing nurse needs to
be notified and re-
assign the task..."
4. During a literature review for a research study, the c) Perform the cur-
nurse discovers a separate study has already proved rent study as a
the proposed hypothesis to be true. Which action replication study.
should the nurse take regarding the proposed re-
search study? Rationale
Because of inher-
a) Discontinue the research. ent scientific er-
b) Revise the hypothesis of the current study so it is ror that may exist
unique. within all research
c) Perform the current study as a replication study. studies, hypothe-
d) Contact the authors of the original study for per- ses require more
mission to continue. than one test to
support their ac-
curacy. A criti-
cal weakness with
, RN HESI Exit Exam Remediation
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nursing research
is a lack of repli-
cation. Retesting
a hypothesis that
has been shown to
be true strength-
ens the findings of
the earlier study
and supports the
use of those find-
ings to influence
clinical practice.
5. In assessing the scrotum of a male client, which b) Taut appear-
finding would need to be reported to the healthcare ance of skin sur-
provider? face.
a) Asymmetric appearance. Rationale
b) Taut appearance of skin surface. The skin sur-
c) Deeper pigmentation of the underside. face of the
d) Presence of sebaceous cysts. scrotum should
appear coarse,
rather than taut,
which may in-
dicate swelling
or edema and
should be report-
ed to the health-
care provider.
6. Which nursing intervention should the nurse imple- d) Monitor fluid in-
ment when caring for a child with nephrotic syn- take and urine out-
drome? put.
a) Take vital signs every 2 hours. Rationale
b) Restrict the number of visitors. Due to the patho-
c) Reposition the client every 2 hours. physiology of
d) Monitor fluid intake and urine output. nephrotic syn-
drome, decreased
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