RN HESI EXIT EXAM VERSION 3 NEWEST ACTUAL
VERIFIED EXAM COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
A client with a documented pulmonary embolism has the
following arterial blood
gases: PO2 - 70 mm hg, PCO2 - 32 mm hg, pH - 4.5,
SaO2 - 87%, HCO3 - 2 Based
on this data, what is the first nursing action?
A) Review other lab data
B) Notify the health care provider
C) Administer oxygen
D) Calm the client - ANSWER-is C: Administer oxygen
8
A client diagnosed with hepatitis C discusses his health
history with the admitting
nurse. The nurse should recognize which statement by the
client as the most important?
A) I got back from Central America a few weeks ago.
B) I had the best raw oysters last week.
C) I have many different sex partners.
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D) I had a blood transfusion 15 years ago. - ANSWER-is
D: I had a blood transfusion
8
A client is recovering from a thyroidectomy. While
monitoring the client's initial post
operative condition, which of the following should the
nurse report immediately?
A) Tetany and paresthesia
B) Mild stridor and hoarseness
C) Irritability and insomnia
D) Headache and nausea - ANSWER-is A: Tetany and
paresthesia
8
A client is admitted with a right upper lobe infiltrate and to
rule out tuberculosis. The
most appropriate action by the nurse to protect the self
would be which of these?
A) Negative room ventilation
B) Face mask with sheild
C) Particulate respirator mask
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D) Airborne precautions - ANSWER-is C: Particulate
respirator mask
8
A client had 20 mg of Lasix (furosemide) PO at 10 AM.
Which would be essential for
the nurse to include at the change of shift report?
A) The client lost 2 pounds in 24 hours
B) The client's potassium level is 4 mEq/liter.
C) The client's urine output was 1500 cc in 5 hours
D) The client is to receive another dose of Lasix at 10 PM -
ANSWER-is C: The client's urine output was 1500 cc in
five hours
8
The nurse is caring for a client with a colostomy. During a
teaching session, the nurse
recommends that the pouch be emptied
A) When it is 1/3 to 1/2 full
B) Prior to meals
C) After each fecal elimination
D) At the same time each day - ANSWER-is A: When it is
1/3 to 1/2 full
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8
Lactulose (Chronulac) has been prescribed for a client
with advanced liver disease.
Which of the following assessments would the nurse use
to evaluate the effectiveness of
this treatment?
A) An increase in appetite
B) A decrease in fluid retention
C) A decrease in lethargy
D) A reduction in jaundice - ANSWER-is C: A decrease in
lethargy
8
The mother of a 3 month-old infant tells the nurse that she
wants to change from
formula to whole milk and add cereal and meats to the
diet. What should be emphasized
as the nurse teaches about infant nutrition?
A) Solid foods should be introduced at 3-4 months
B) Whole milk is difficult for a young infant to digest
C) Fluoridated tap water should be used to dilute milk