Hesi exit RN Real Exam Test Bank Questions
And Answers With Complete Solutions
*************Arterial blood gas (ABG) results indicate that a
client with respiratory failure who is being mechanically
ventilated has respiratory acidosis. The ventilator rate is set at 6
breaths/minute... Correct Answer . Increase the ventilator rate
*****The healthcare provider prescribes a sepsis protocol for a
client with multi organ failure caused by rupture appendix which
intervention is most important for the nurse to include in the
plan of care Correct Answer
105*****a client who experienced a cerebral vascular accident
CVA is aphasic and has left sided paralysis which nurse should
be responsible for coordinating the progression of this client
care Correct Answer
64****A client who is hemorrhaging from severe leg injuries
receives 430 milliliters of whole blood before being taken to the
operating room for emergency surgery which nursing
intervention is most important for the nurse to complete before
the client surgery Correct Answer a obtain partial
thromboplastin time be alert the blood bank to prepare and hold
for additional units see check the skin for a fine red rash D
monitor bilateral peripheral pulses
67*******The nurse is teaching the mother of a 5 month old
about providing a safe home environment for the infant which
,instructions is most important for the nurse to provide the
mother Correct Answer
72*****A client presents to the labor and delivery unit with a
report of leaking fluid that is greenish brown vaginal discharge
which action should the nurse take first Correct Answer
75******When assessing a recently delivered multi gravida
client the nurse finds that the vaginal bleeding is more than
expected which factor is in the clients history is related to this
finding Correct Answer
79***************A client with multiple burn injuries is
being treated in the burn traumatic unit just hours after the
injuries occurred the health care provider instructs the nurse to
avoid auto contamination when performing dressing changes
which intervention is most important for the nurse to implement
Correct Answer a assign equipment to this one client be dressed
each wound separately see use gown mask and gloves with
dressing changes or D utilized reverse isolation protocol
92*****An unlicensed assistant personnel is assigned to
ambulate a client with influenza who has droplet precautions
implemented the uap request a change in assignment stating the
reasoning of having not been fitted yet for N 95 respirator mask
which action should the nurse take Correct Answer
A 17-year-old client gave birth 12 hours ago. She states that she
doesn't know how to care for her baby. The promote parent-
infant attachment behaviors, which intervention should the nurse
,implement?... Correct Answer Encourage rooming-in while in
the hospital
A 26 year old female client is admitted to the hospital for
treatment of a simple grider and levothyroxine sodium as
prescribed which symptoms indicate to the nurse that the
prescribed dosage is too high for this client the client
experiences Correct Answer Palpitations and shortness of
breath
A 3 year old boy was successfully toilet trained prior to his
admission to the hospital for injuries sustained from a fall his
parents are very concerned that the child has regressed in his
toileting behaviors which information should the nurse provide
to the parents Correct Answer A retraining program will need
to be initiated when the child returns home
A 4-year-old girl returns to the pediatrician's office for a
postoperative visit following hospitalization for minor surgery.
When observing the child in the waiting area, which behavior...
Correct Answer Ignores other children in the play area
A 6-year old child who has a medical diagnosis of attention
deficit hyperactivity disorder ADHD has been talking has been
taken the psychostimulant methylphenidate Ritalin for two
weeks which assessment finding providing by the child mothers
most significant in planning nursing care for this child Correct
Answer has not had a bm in 2 days
A 60-yea-old female client asks the nurse about hormone
replacement therapy (HRT) as a means of preventing
, osteoporosis. Which factor in the client's history is a possible
contraindication for the use of HRT? Correct Answer Her
mother and sister have a history of breast cancer
A 7-year-old child is admitted to the hospital with a diagnosis of
acute rheumatic fever. In obtaining a health history form the
child's mother, the recent occurrence of what illness is most
significant? Correct Answer Sore throat
A 78-year old male client is admitted with complications related
to Chronic Obstructive Pulmonary disease (CODP) He reports
progressive dyspnea worsening on exertion, weakness, and
dependent edema. Which instruction should the nurse include in
the client's teaching plan
A) Limit high calorie foods
B) replace sodium with salt
C) Eat a low protein diet
D) Restrict daily fluid intake Correct Answer Restrict daily
fluid intake
A client arrives in the emergency department (ED) with deep,
full-thickness burns over the anterior surface of both upper legs.
Which priority intervention should the nurse implement?
Correct Answer Give IV bolus of normal saline
A client currently receiving an infusion labeled Heparin Sodium
25,000 Units in 5% Dextrose Injection 500 mL at 14 mL/hour.
A prescription is received to change the rate of the infusion to
900 units of Heparin per hour. The nurse should set the infusion
pump to deliver how many mL/hour? (Enter numeric value
only) Correct Answer 18Rationale: 450000/25000=18
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