HESI Critical Care RN Exit Exam Actual
Exam Questions And Answers Practice
Questions with Solutions Newest |
Already Graded A+
A nurse is caring for a client with a pneumothorax who has a chest tube in place with a closed
drainage system. Which of these actions by the nurse is correct?
a. Strip the chest tube periodically.
b. Administer the prescribed cough suppressant at the scheduled times.
c. Empty and measure the drainage in the collection chamber each shift.
d. Keep the drainage system lower than the level of the client's chest. - Correct Answer -d
What is the main motto of the Hersey's 2006 model?
a. Information decay
b. Information salience
c. Situational leadership
d. Individual accountability - Correct Answer -c
Which nursing professional has the maximum span of control?
a. Nurse manager
b. Registered nurse
c. Patient care associate
d. Licensed vocational nurse - Correct Answer -a
1
,The nurse is caring for a client before, during, and immediately after surgery. Which type of
care is provided to the client?
a. Care that supports physical functioning
b. Care that supports homeostatic regulation
c. Care that supports psychosocial functioning
d. Care that provides immediate short-term help in physiological crises - Correct Answer -b
What factors are most important for the nurse to consider when delegating responsibilities?
a. Preferences of the clients and staff
b. Physical layout of the unit and client rooms
c. Staff member's level of education and expertise
d. Client's diagnosis and length of time in the hospital - Correct Answer -c
A client is rescued from a house fire and arrives at the emergency department 1 hour after the
rescue. The client weighs 132 pounds (60 kilograms) and is burned over 35% of the body. The
nurse expects that the amount of lactated Ringer solution that will be prescribed to be infused
in the next 8 hours is what?
a. 2100 mL
b. 4200 mL
c. 6300 mL
d. 8400 mL - Correct Answer -b
When assessing an obese client, a nurse observes dehiscence of the abdominal surgical wound
with evisceration. The nurse places the client in the low-Fowler position with the knees slightly
bent and encourages the client to lie still. What is the next nursing action?
a. Obtain vital signs.
b. Notify the healthcare provider.
2
,c. Reinsert the protruding organs using aseptic technique.
d. Cover the wound with a sterile towel moistened with normal saline. - Correct Answer -d
The nurse is caring for a client who is 1 day postoperative for a left hip fracture repair. During
the assessment, which finding should the nurse assess further?
a. Pain at the surgical site
b. Small amount of serosanguinous drainage
c. Decreased range of motion to the left extremity
d. Sudden shortness of breath - Correct Answer -d
The nurse is developing a plan of care for the client who has activity intolerance. In determining
the desired client outcomes, what should the nurse do?
a. Prioritize psychosocial needs over physical needs.
b. Use the Nursing Outcomes Classification (NOC) only.
c. Use nursing knowledge to plan outcomes and disregard client and family desires.
d. Set priorities and outcomes using the client's and family input. - Correct Answer -d
To improve client care, the registered nurse (RN) has delegated tasks involved in assisting the
client with activities of daily life (ADLs) to a certified nursing aide, and the administration of oral
medications to the licensed practical nurse. Which member of the health care team would be
accountable for the final client care?
a. Registered nurse
b. Chief nursing officer
c. Licensed practical nurse
d. Unlicensed nursing personnel - Correct Answer -a
3
, The nurse is caring for a client in the postanesthesia care unit immediately after the client had a
subtotal gastrectomy. The nurse identifies small blood clots in the client's gastric drainage.
What action should the nurse take?
a. Clamp the tube.
b. Consider this an expected event.
c. Instill the tube with iced normal saline.
d. Notify the surgeon immediately. - Correct Answer -b
The nursing manager is preparing a schedule for delegating appropriate tasks to different
health care team members. Which health care team member can be delegated the task of
administering oral medications?
Select all that apply.
a. Certified technician
b. Patient care associate
c. Licensed practical nurse
d. Licensed vocational nurse
e. Unlicensed nursing personnel - Correct Answer -c, d
The nurse is performing nursing care therapies and including the client as an active participant
in the care. Which basic step is involved in this situation?
a. Planning
b. Evaluation
c. Assessment
d. Implementation - Correct Answer -d
The nurse assesses a client receiving intravenous (IV) fluids. Which assessment finding should
warrant the nurse calling the primary healthcare provider?
4
Exam Questions And Answers Practice
Questions with Solutions Newest |
Already Graded A+
A nurse is caring for a client with a pneumothorax who has a chest tube in place with a closed
drainage system. Which of these actions by the nurse is correct?
a. Strip the chest tube periodically.
b. Administer the prescribed cough suppressant at the scheduled times.
c. Empty and measure the drainage in the collection chamber each shift.
d. Keep the drainage system lower than the level of the client's chest. - Correct Answer -d
What is the main motto of the Hersey's 2006 model?
a. Information decay
b. Information salience
c. Situational leadership
d. Individual accountability - Correct Answer -c
Which nursing professional has the maximum span of control?
a. Nurse manager
b. Registered nurse
c. Patient care associate
d. Licensed vocational nurse - Correct Answer -a
1
,The nurse is caring for a client before, during, and immediately after surgery. Which type of
care is provided to the client?
a. Care that supports physical functioning
b. Care that supports homeostatic regulation
c. Care that supports psychosocial functioning
d. Care that provides immediate short-term help in physiological crises - Correct Answer -b
What factors are most important for the nurse to consider when delegating responsibilities?
a. Preferences of the clients and staff
b. Physical layout of the unit and client rooms
c. Staff member's level of education and expertise
d. Client's diagnosis and length of time in the hospital - Correct Answer -c
A client is rescued from a house fire and arrives at the emergency department 1 hour after the
rescue. The client weighs 132 pounds (60 kilograms) and is burned over 35% of the body. The
nurse expects that the amount of lactated Ringer solution that will be prescribed to be infused
in the next 8 hours is what?
a. 2100 mL
b. 4200 mL
c. 6300 mL
d. 8400 mL - Correct Answer -b
When assessing an obese client, a nurse observes dehiscence of the abdominal surgical wound
with evisceration. The nurse places the client in the low-Fowler position with the knees slightly
bent and encourages the client to lie still. What is the next nursing action?
a. Obtain vital signs.
b. Notify the healthcare provider.
2
,c. Reinsert the protruding organs using aseptic technique.
d. Cover the wound with a sterile towel moistened with normal saline. - Correct Answer -d
The nurse is caring for a client who is 1 day postoperative for a left hip fracture repair. During
the assessment, which finding should the nurse assess further?
a. Pain at the surgical site
b. Small amount of serosanguinous drainage
c. Decreased range of motion to the left extremity
d. Sudden shortness of breath - Correct Answer -d
The nurse is developing a plan of care for the client who has activity intolerance. In determining
the desired client outcomes, what should the nurse do?
a. Prioritize psychosocial needs over physical needs.
b. Use the Nursing Outcomes Classification (NOC) only.
c. Use nursing knowledge to plan outcomes and disregard client and family desires.
d. Set priorities and outcomes using the client's and family input. - Correct Answer -d
To improve client care, the registered nurse (RN) has delegated tasks involved in assisting the
client with activities of daily life (ADLs) to a certified nursing aide, and the administration of oral
medications to the licensed practical nurse. Which member of the health care team would be
accountable for the final client care?
a. Registered nurse
b. Chief nursing officer
c. Licensed practical nurse
d. Unlicensed nursing personnel - Correct Answer -a
3
, The nurse is caring for a client in the postanesthesia care unit immediately after the client had a
subtotal gastrectomy. The nurse identifies small blood clots in the client's gastric drainage.
What action should the nurse take?
a. Clamp the tube.
b. Consider this an expected event.
c. Instill the tube with iced normal saline.
d. Notify the surgeon immediately. - Correct Answer -b
The nursing manager is preparing a schedule for delegating appropriate tasks to different
health care team members. Which health care team member can be delegated the task of
administering oral medications?
Select all that apply.
a. Certified technician
b. Patient care associate
c. Licensed practical nurse
d. Licensed vocational nurse
e. Unlicensed nursing personnel - Correct Answer -c, d
The nurse is performing nursing care therapies and including the client as an active participant
in the care. Which basic step is involved in this situation?
a. Planning
b. Evaluation
c. Assessment
d. Implementation - Correct Answer -d
The nurse assesses a client receiving intravenous (IV) fluids. Which assessment finding should
warrant the nurse calling the primary healthcare provider?
4
