NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE
2022/2023
750. The nurse observes a UAP begin to removes exam gloves after emptying a bedpan containing feces.
The UAP slides two fingers inside one of the gloves and begins to roll the glove off. What ac- tion should
the nurse implement?
a. Remind the UAP to discard the gloves in the biohazard container after removal
b. Suggest that the UAP roll both of the gloves and insider out at the same time
c. Advise the UAP that the technique being used will result in
hand
contamination
d. Instruct the UAP to use two pairs of gloves when fecal contamination is likely.
Rationale: By sliding glove fingers inside the other glove the UAP’s hand become contaminated. Gloves should be
discarded in the trash
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE
2022/2023
unless heavily contaminated with body fluids is likely to result in contamination of both hands. Double gloving is not
necessary when performing activities as emptying a bedpan.
751. An adult woman who has recently diagnosed with type 2 diabetes mellitus (DM) is seen in the clinic
for laboratory test. The client height is 5 feet and 2 inches (152.5 cm) and weight is 165 pounds
(74.8kg). Her recent laboratory finding are described above. In planning nutrition teaching for this
client, what diet modifications should the nurse recommend? Select all that apply.
a- Reduce daily fat intake to 10% of total calories
b- Increase dietary fiber such as whole grains c-
Decrease processed carbohydrate in
e- diet
d- Eliminate alcohol intake except for special occasions.
Restrict protein to 10% of total calories indiet.
752. An experiences UAP is hired to work with in an antepartal clin- ic. Which assignments is best for this
new employee’s first day of work at the clinic?
a. Accompany the health care provider during pelvic
examinations
b. Discuss good dietary choices with clients using a char
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE
2022/2023
provided by the clinic
c.
Take initial vital signs and urine checks for glucose along
with the
nurse.
d. Schedule clients for their next antepartal visit to the clinic.
Rationale: The nurse would have an opportunity to assess the UAP’s skills such as vital signs, glucose monitoring and
communication by working with the UAP. A new employee would not be familiar with the location of supplies or the
routines of the healthcare providers. B is re- sponsibility of the RN or aa PN if standard plan is used. Evaluation of
client’s condition and knowledge of clinic protocol are required when scheduling a client ‘s next antepartal visit,
which would require judg- ment of the RN.
753. The home health nurse assesses a male client who is on the wait- ing list for a liver transplant. The
client expresses fear that he will die before a liver becomes available. How should the nurse re-
spond?
a. Encourage the client to discuss how is he is copying with
his
fearfulness
b. Offer to notify the healthcare provider about his feeling of fearfulness
c. Explain that he will be moved up on the list if his condition worsens.
, NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER
INCLUDED) ATTAINED SCORE A+ LATEST UPDATE
2022/2023
d. Assess the client’s current mental status and over-all cognitive functions.
754. The healthcare provider prescribes a low dose heparin protocol at 18 units/kg/hr. for a client with a
possible pulmonary embolism.
This client weighs 144 pound. The available solution is labeled, He- parin Sodium 25,000 Units in 5% dextrose…
250ml. The nurse should program the pump to deliver how many ml/hr. (enter numer- ic value only. If round to the
nearest whole number)
a- 12.
Rationale: Client’s weight 144 lbs./2.2 = 65 kgs 65 kg x 18 units/kg/hr.= 1170 units/hour.
25,000 units of heparin divided by 250ml of D5W = 100 units heparin per 1 ml of solution.
Using the formula D/H x A=X
755. The nurse is planning care for a client at 30-weeks gestation who is experiencing…. Most important in
preventing this fetus from developing respiratory distress syndrome…
a. Butorphanol 1mg IV push q2h PRN pain
b. Betamethasone (celestone) 12 mg deep IM
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