HESI RN 2024 EXIT EXAM
When preparing to administer a prescribed medication to a homeless
client at a psychiatric clinic. The client tells the nurse that the usual
community
dosage taken
different from is
the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document
whether
client or not the
takes
it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare
team meeting. correct answers B) Withhold the medication until the
dosage can be
confirme
d.
The charge nurse is making assignments for one practical nurse and three
registered
nurses who are caring for neurologically compromised clients. Which client
with which
change in status is best to assign to
the PN?
A) Subdural hematoma whose blood pressure changed from 150/80
to 170/60.
B) Viral meningitis whose temperature change from 101 S
to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from
D) 10 to 7. whose blood pressure change from 80/50 to 70/40. correct
Myxedema,
answers
Viral B)
meningitis whose temperature change from 101 S
to 102F.
The nurse is caring for a client with pneumonia who now develops initial
signs of
shock septic
and multi organ failure. The healthcare provider prescribes a
sepsis intervention
Which protocol. is most important for the nurse to include in the
plan of care?
A) Maintain strict intake and
output.
B) Keep head of bed raised
45°.
C) Excess warmth of
extremities.
D) Monitor blood glucose level. correct answers A) Maintain strict intake
and output.
And adolescent client is admitted to the hospital because of writing a
suicide note
teacher to a On the second day of hospitalization, the nurse asked
at school.
the client
meet withtothe treatment team. After the team meeting, the client leaves
in tears
goes and room. Which nursing intervention
to their
is best?
A) Let the client rest quietly in their room for
a while.
B) Explore the clients goals and desire for
treatment.
C) Ask the treatment team about the clients
behavior.
D) Go to the clients room and ask what happened. correct answers D) Go to
the clients
room and ask what
happened.
,The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous
once a day for a client who weighs 154 pounds. The medication is available
and 25,000
units per milliliter vial. How many milliliters should the nurse
administer?
numerical (Enter
value only. If rounding is required, round to the nearest
10th.) correct
answers
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms
including
chest fever and
congestion for four days. He came to the emergency department last
night
he waswhen
having more difficulty breathing he has a history of 1/2 pack a
day cigarette
smoking for 20 years. He has no significant medical or
surgicaltwo
Which history.
orders should the nurse
complete first?
A) Sputum
culture.
B) Start oxygen 3 L per minute via nasal
cannula.
C) Place the client on a cardio respiratory
monitor.
D) Chest x-
ray.
E) Acetominophen 350 mg PO every six hours for
temperature
F) control. chloride IV infusion at 150 mL
Run 0.9% sodium
perStart
G) hour.peripheral
IV.
H) NPO. correct answers B) Start oxygen 3 L per minute via nasal
cannula.
C) Place the client on a cardio respiratory
monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture,
a startIV infusion, start oxygen 3 L per minute via nasal cannula,
peripheral
begin 0.9%
sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg
PO every
hours for six
temperature.
To start the client on oxygen as ordered which items should the nurse
collectsroom?
supply from the
A)
SATAhumidifier
B)Suction
bottle.
C)Sterile
canister.
water.
D) Nasal
cannula.
E) Flow
meter.
F) Lambs
wool.
G) Tape. correct answers D) Nasal
E) Flow
cannula.
meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased
sounds breath
in the left lower low. His mucus membranes are dry. He has a
productive
with cough secretions. His capillary refill is four seconds. Vital signs,
thick, yellow
temperature
100.2. Heart rate 101 bpm, respiratory rate 28 breaths per minute,
blood pressure
145/89, oxygen saturation 90% on
room air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
,Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert,
restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive
cough. correct answers Cardiovascular: capillary refill for seconds, blood
pressure
145/8
9.
Neurological: anxious,
restless.
Respiratory: oxygen saturation 90% on room air, respiratory
rate 28 bpm.
NGN: The client is a 49-year-old male who reports flu like symptoms
including
chest fever and
congestion for four days. He came to the emergency department last
night
he waswhen
having more difficulty breathing he has a history of 1/2 pack a
day cigarette
smoking for 20 years. He has no significant medical or
surgical history.
The nurse should place the client in a position to
promote . correct answers Semi-Fowler , lung
expansion.
NGN: Orders: 0330: place the client on a cardio respiratory monitor,
NPO, sputum
culture, start a PIV, start oxygen 3L via nasal cannula, normal saline 150
ML per hour,
acetaminophen 350mg PO every six hours for temp greater than 101F,
chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than
94%
.
(mark whether the statements by the new grad nurse indicate
understanding of or the
no use of facemask in the care of
this client)
-I should clean the facemask once per
shift.
-The client should take a 1 to 2 minute break from the facemask
each hour.
-I should put gauze under the elastic straps over
the
-I ears.
can adjust the oxygen level on the flow meter to keep the clients
oxygen saturation
greater than
-The mask should cover only the mouth and leave the nose open for
94%.
expiration.
-I should place the mask first over the nose and then cover the mouth.
correct
-I shouldanswers
clean the facemask once per shift.
(UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each
hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT
????)
UNDERSTANDING
-I can adjust the oxygen level on the flow meter to keep the clients
oxygen saturation
greater than 94%.
(UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for
expiration. (NOT
UNDERSTANDING)
-I should place the mask first over the nose and then cover
the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He
states I extremely
feeling am anxious right now. The client has decreased breath
sounds in the left
, lower lobe. His mucus membranes are dry. He has a productive cough with
thick, yellowHis capillary refill is four seconds. Heart rate 101 BPM, oxygen
secretions.
saturation
90%. Blood pressure 145/89, temperature 100.2 F, respiratory
rate 28Placedthe
0500: BPM. client in semi-Fowlers position. No improvement in oxygen
saturation
on 3L nasal
cannula...
(Which are the three most important
goals?)
A) The client will remain free of skin
breakdown.
B) The client will have quit
smoking.
C) The client will be afebrile for 24
hours.
D) The client will maintain oxygen saturation of 96% without
supplemental
E) oxygen.
The client will report pain less than 3/10. correct answers B) The client
will have quit
smokin
g.
C) The client will be afebrile for 24
hours.
E) The client will report pain less than
3/10.
The nurse has completed the diet teaching of a client who is being
dischargedoffollowing
treatment a leg wound. A high-protein diet is encouraged to promote
wound lunch
Which healing.
toys by the client indicates that the teaching was
effective?
A) A peanut butter sandwich with soda and
cookies.
B) Vegetable soup, crackers, and
milk.
C) A tuna fish sandwich with chips and ice
cream.
D) A salad with three kinds of lettuce and fruit. correct answers C) A tuna
fish sandwich
with chips and ice
cream.
A client with foul-smelling drainage from an incision on the upper left arm
is admitted
with a suspected MRSA. Which nursing intervention should the nurse include
in the
of care?plan
SATA.
A) Institute contact precautions for staff and
visitors.
B) Use standard precautions and wear a
mask.
C) Send wound drainage for culture and
sensitivity.
D) Monitor the clients white blood cell
count.
E) Explain the purpose of a low bacteria diet. correct answers A)
Institute contact
precautions for staff and
visitors.
C) Send wound drainage for culture and
sensitivity.
D) Monitor the clients white blood cell
count.
An adult client who is admitted to the mental health unit for treatment of
bipolar
has a slightly
disorderslurred speech pattern and an unsteady gait. Which
assessment
most finding
important is nurse to report to the healthcare
for the
provider?
A) Weight loss of 10 pounds in the past
month.
B) Six hours of sleep in the past three
days.
