Hesi Exit RN 2022 V2 QUESTIONS, ANSWERS
WITH COMPREHENSIVE VERSION WITHTHE
MOST RECENT AND VERIFIED ANSWERS
GUARANTEED PASS
The nurse assumes care postoperative adult client with type 2 diabetes mellitus and learns that the
client has a current glucose level of 750. When assessing the client, what is the priority?
Assess for signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may have stomach ulcer, because he is
experiencing heartburn and a dull gnawing pain that is relieved..., Which is the best response by the
nurse?
Encourage the client to obtain a complete physical exam since these symptoms are consistent with an
ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He has nasogastric
tube to suction and receiving Lactated Ringer's solution IV. One hour after admission to the unit, the
nurse notes 300mL of blood in the suction canister, the clients heart rate is 155 beats/minute and his
blood pressure... in addition to reporting the findings to the surgeon, which action should the nurse
implement first?
Increase the infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose of
800 units/kg, the calculates the infusion rate for 18/units/kg/hour. The available solution is heparin
sodium 25,000units in 5% Dextrose injection 250ml. The nurse should program the infusion pump to
how many ml/hr?
18
,An adult male who fell 20 feet from the roof of his home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department...transfer to the intensive care
unit. The nurse notes that the suction control chamber is bubbling at the -10cm H20 mark, with
fluctuation in the water seal, ..75ml of bright red blood is measured in the collection chamber. Which
intervention should the nurse implement?
Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches the nurse
and asks how she will know that her husband's death is imminent because their two adult children want
to be there when he dies. What is the best response by the nurse?
Explain that the client will start to lose consciousness and his body system will slow down
The charge nurse of critical care unit informed at beginning of shift that less than optimal number
registered nurses be working that shift. In planning assignments, which client should receive most care
hours by a registered nurse
An 82 yo client with Alzheimer's disease newly-fractures femur w/Foley catheter and soft wrist restrains
applied
The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled 750mcg/2.4 ml. How
many ml should the administer
0.2
In caring for a client with Cushing syndrome, which serum laboratory value is most important for the
nurse to monitor?
glucose
, A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100mmHg, heart
rate 110 beats/minute, and respiratory rate 36 breaths/min, manifesting shortness of breath, bilateral
2+ pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first?
Begin supplemental oxygen
When caring for a client with full thickness burns to both lower extremities, which assessment findings
warrant immediate intervention
Complaint of increased pain and pressure,
Change in the quality of the peripheral pulses
loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the
best indictor of hydration..provider
Skin tenting occurs when the clients forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine
atony. What finding should indicate the nurse... medication.
Hypertension
After an inservice about electronic health record (EHR) security and safeguarding client information, the
nurse observes a colleague going home with printed copies of client information in a uniform pocket.
Which action should the nurse take?
File a detailed incident report with the specific hiring facility
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural ...
clients who incurred disease complications promptly received rehabilitation.
WITH COMPREHENSIVE VERSION WITHTHE
MOST RECENT AND VERIFIED ANSWERS
GUARANTEED PASS
The nurse assumes care postoperative adult client with type 2 diabetes mellitus and learns that the
client has a current glucose level of 750. When assessing the client, what is the priority?
Assess for signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may have stomach ulcer, because he is
experiencing heartburn and a dull gnawing pain that is relieved..., Which is the best response by the
nurse?
Encourage the client to obtain a complete physical exam since these symptoms are consistent with an
ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He has nasogastric
tube to suction and receiving Lactated Ringer's solution IV. One hour after admission to the unit, the
nurse notes 300mL of blood in the suction canister, the clients heart rate is 155 beats/minute and his
blood pressure... in addition to reporting the findings to the surgeon, which action should the nurse
implement first?
Increase the infusion rate of Lactated Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose of
800 units/kg, the calculates the infusion rate for 18/units/kg/hour. The available solution is heparin
sodium 25,000units in 5% Dextrose injection 250ml. The nurse should program the infusion pump to
how many ml/hr?
18
,An adult male who fell 20 feet from the roof of his home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department...transfer to the intensive care
unit. The nurse notes that the suction control chamber is bubbling at the -10cm H20 mark, with
fluctuation in the water seal, ..75ml of bright red blood is measured in the collection chamber. Which
intervention should the nurse implement?
Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches the nurse
and asks how she will know that her husband's death is imminent because their two adult children want
to be there when he dies. What is the best response by the nurse?
Explain that the client will start to lose consciousness and his body system will slow down
The charge nurse of critical care unit informed at beginning of shift that less than optimal number
registered nurses be working that shift. In planning assignments, which client should receive most care
hours by a registered nurse
An 82 yo client with Alzheimer's disease newly-fractures femur w/Foley catheter and soft wrist restrains
applied
The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled 750mcg/2.4 ml. How
many ml should the administer
0.2
In caring for a client with Cushing syndrome, which serum laboratory value is most important for the
nurse to monitor?
glucose
, A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100mmHg, heart
rate 110 beats/minute, and respiratory rate 36 breaths/min, manifesting shortness of breath, bilateral
2+ pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first?
Begin supplemental oxygen
When caring for a client with full thickness burns to both lower extremities, which assessment findings
warrant immediate intervention
Complaint of increased pain and pressure,
Change in the quality of the peripheral pulses
loss of sensation to the left lower extremity
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the
best indictor of hydration..provider
Skin tenting occurs when the clients forearm is pinched
The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine
atony. What finding should indicate the nurse... medication.
Hypertension
After an inservice about electronic health record (EHR) security and safeguarding client information, the
nurse observes a colleague going home with printed copies of client information in a uniform pocket.
Which action should the nurse take?
File a detailed incident report with the specific hiring facility
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural ...
clients who incurred disease complications promptly received rehabilitation.
