NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
720.A female client on the mental health unit frequently asks the nurse when she can be discharged.
Then, becoming more anxious, she begins to pace the hallway. What intervention
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
should the nurse implement first?
a- Explore the client’s reasons for wanting to be discharged.
721.The nurse is assessing a primigravida a 39-weeks gestation during a weekly prenatal visit. Which
finding is most important for the nurse to report to the healthcare provider?
a. Complain of early morning heart burn
b. Report intermittent low back pain
c. d-
Maternal hemoglobin of 11.0 grams
722.A female client receives a prescription for alendronate sodium (Fosamax) to treat her newly
diagnose osteoporosis. What instruc- tion should the nurse include in the client’s teaching plan?
q. Consume a light snack with the medication
r. s-
Ingest an antacid 30 minutes of taking themedication. t- Eat within 30 minutes of taking the medication.
723.The nurse is assessing a female client’s blood pressure because she reported feeling dizzy. The
blood pressure cuff is inflated to 140
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
mm hg and as soon as the cuff is deflated a korotkoff sound is heard. Which intervention should the
nurse implement next?
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
a. Wait 1 minute and palpate the systolic pressure before auscultating again.
b. Educate the client about risk factor that predispose one for hypertension
c. Obtain a medication history to assess for drugs that affect blood pressure
d. Provide a quiet environment and retake the blood pressure in
20 mints.
Rationale: To accurately assess blood pressure, the sphygmo- manometer cuff should be inflated above
the client’s usual systolic reading, but a Korotkoff sound heard immediately upon deflating the cuff
indicated that the cuff was insufficiently inflated. The sys- tolic pressure should be palpated at the radial
pulse, which provides a reference as to how high to inflate the cuff when auscultating the blood
pressure. B, there is insufficient date to suggest that the client has hypertension. C A medication history
can be obtained after an accurate blood pressure measurement is obtained
724.After administering a proton pump inhibitor (PPI), which action should the nurse take to evaluate
the effectiveness of the medica-
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
tion?
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
a- Ask the client about gastrointestinal pain b- Auscultate for bowel sounds in all quadrants
c. Measure the client’s fluid intake and output
d. Monitor the client’s serum electrolyte levels.
Rationale: Proton pump inhibitor suppress gastric acid secretion, re- lieving the symptoms of peptic
ulcer disease and GERD. To evaluate the effectiveness of PPIs, the client should be asked about the relief
of symptoms such as gastrointestinal discomfort.
725.A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49 mm/hg; HCO3 25
mEq/L; PaO2 95. What inter- vention should the nurse implement based on these results?
a. Instruct the client to breath into a paper bag.
b. Prepare to administer sodium chloride fluids
c. Institute coughing and deep breathing protocols
d. Initiate oxygen administration at 2 to 3 L per nasal cannula
Rationale: Pulmonary hygiene measures will clear the respiratory tract of mucus and purulent drainage,
thereby improving ventilation, since these ABG’s reveal respiratory acidosis, and treatment should be
direct-
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
ed to improving ventilation. A would be good for respiratory alkalosis, B for metabolic alkalosis A paO2
of 95 is within normal limits do D is
, NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
726. The healthcare provider explains through an interpreter the risks and benefits of a scheduled
surgical procedure to a non- English speaking female client. The client gives verbal consent and the
healthcare provider leaves, instructing the nurse to witness the sig- nature on the consent form. The
client and the interpreter then speak together in the foreign language for an additional 2 minutes until
the interpreter concludes, “She says it is OK.” What action should the nurse take next?
a. Have the interpreter co- sign the consent to validate client understanding
b. Have the client sign the consent and the nurse witness the signature
c. Ask for a full explanation from the interpreter of the witnessed discussion.
d. Clarify the client’s consent through the use of gestures and
simple terms.
Rationale: The interpreter’s role is to literally translate exactly what the client indicates not to provide a
summary. Further information is needed about what was said during the lengthy conversation before
proceeding. The nurse concerns about informed consent are not answered by Ab or
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
D
727. While assisting a male client who has muscular dystrophy
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE 2022/2023
(MD) to the bathroom, the nurse observes that he is awkward and clumsy. When he expresses his
frustration and complains of hip dis- comfort, which intervention should the nurseimplement?
a. Administer a PRN dose of pain medication
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