Answers
1. When preparing to administer a prescribed medication to a
homeless client at a community psychiatric clinic. The client tells the
nurse that the usual dosage taken is different from 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 or not the client 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 Answer: B) Withhold the medication
until the dosage can be confirmed.
2. 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 10 to 7.
D)Myxedema, whose blood pressure change from 80/50 to 70/40.Correct
Answer: B) Viral meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
,HESI RN 2024 EXIT EXAM. edited V2 Questions and
Answers
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.Correct Answer: A) Maintain strict intake and output.
4. And adolescent client is admitted to the hospital because of
writing a suicide note to a teacher at school. On the second day of
hospitalization, the nurse
,HESI RN 2024 EXIT EXAM. edited V2 Questions and
Answers
asked the client to meet with the treatment team. After the team
meeting, the client leaves in tears and goes to their room. Which
nursing intervention 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 Answer: D) Go to
the clients room and ask what happened.
5. NGNCorrect Answer: The client is a 49-year-old male who reports
flu like symptoms including fever and chest congestion for four
days. He came to the emergency depart- ment last night when he
was 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.
Which two 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 control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.Correct Answer: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
6. NGNCorrect Answer: 0330Correct Answer: place the client on a
cardio respiratory monitor, NPO, sputum culture, start a peripheral IV
infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9%
sodium chloride IV infusion at 150 mL per hour, aceta- minophen
350 mg PO every six hours for temperature.
,HESI RN 2024 EXIT EXAM. edited V2 Questions and
Answers
To start the client on oxygen as ordered which items should the
nurse collects from the supply room? SATA
A) humidifier bottle.