HESI EXIT RN V1 CERTIFICATION
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● An adult client presents to the clinic with large draining ulcers on
both lower legs that are characteristic of Kaposi's sarcoma lesions. The
client is accompanied by two family members. Which action should the
nurse take?
Answer: • C Send family to the waiting area while the client's history is
taken.
●● The nurse is developing a teaching plan for a client with acute
gastritis caused by drinking contaminated water. The nurse should
emphasize the need to report the onset of which problem?
Answer: A Bloody mesis
●● The charge nurse in an extended care facility is organizing unit
activities for the day. Which action may be safely delegated to the
practical nurse (PN)?
Answer: Establish blood pressure parameters for client monitoring.
●● The school nurse is preparing a teaching pamphlet in response to
requests from parents regarding an outbreak of pinworms at the local
,preschool. Which information about the most commonly prescribed
medication, mebendazole, should be included?
Answer: A Only children with perianal itching should take the
medication.
●● A 3-year-old boy was successfully toilet trained prior to his
admission to the hospital for inuries sustained from a fall. His parents
are very concerned that the child has regressed in his toileting behaviors.
Which information should the nurse provide to the parents?
Answer: Children usually resume their toileting behaviors when they
leave the hospital.
●● The healthcare provider prescribes the antibiotic cefdinir 300 mg by
mouth every 12 hours for a client with a postoperative wound infection.
Which foods should the nurse encourage this client to eat?
Answer: • B Yogurt or buttermilk.
●● A 10-year-old with acute decompensated heart failure has a 3 pound
(1.4 kg) weight gain in the last 24 hours. Which intervention is most
important for the nurse to implement?
Answer: Assess bilateral lung sounds.
●● A client with delusions tells the nurse, "You aren't doing your job. Go
get those people over there and shoot them before they get me." Which
statement is the nurse's best response?
, Answer: "You seem quite frightened right now."
●● The nurse is caring for a client who receives a prescription for
valproic acid in which the maximum safe dosage is 60 mg/kg/day. How
many mg/day is the maximum safe dosage for a client who weighs 176
pounds? (Enter numerical value only.)
Answer: 4800
●● The public health nurse receives funding to initiate a primary
prevention program in the community. Which program best fits the
nurse's proposal?
Answer: Vitamin supplements for high-risk pregnant women.
●● A client is admitted with the diagnosis of Wernicke's syndrome.
Which assessment finding should the nurse use in planning the client's
care?
Answer: Confusion.
●● The nurse is caring for a client after a thoracentesis that drained 50
mL of clear fluid from the left lung. Which assessment finding should
the nurse report to the healthcare provider immediately?
Answer: Mediastinal shift to the right.
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● An adult client presents to the clinic with large draining ulcers on
both lower legs that are characteristic of Kaposi's sarcoma lesions. The
client is accompanied by two family members. Which action should the
nurse take?
Answer: • C Send family to the waiting area while the client's history is
taken.
●● The nurse is developing a teaching plan for a client with acute
gastritis caused by drinking contaminated water. The nurse should
emphasize the need to report the onset of which problem?
Answer: A Bloody mesis
●● The charge nurse in an extended care facility is organizing unit
activities for the day. Which action may be safely delegated to the
practical nurse (PN)?
Answer: Establish blood pressure parameters for client monitoring.
●● The school nurse is preparing a teaching pamphlet in response to
requests from parents regarding an outbreak of pinworms at the local
,preschool. Which information about the most commonly prescribed
medication, mebendazole, should be included?
Answer: A Only children with perianal itching should take the
medication.
●● A 3-year-old boy was successfully toilet trained prior to his
admission to the hospital for inuries sustained from a fall. His parents
are very concerned that the child has regressed in his toileting behaviors.
Which information should the nurse provide to the parents?
Answer: Children usually resume their toileting behaviors when they
leave the hospital.
●● The healthcare provider prescribes the antibiotic cefdinir 300 mg by
mouth every 12 hours for a client with a postoperative wound infection.
Which foods should the nurse encourage this client to eat?
Answer: • B Yogurt or buttermilk.
●● A 10-year-old with acute decompensated heart failure has a 3 pound
(1.4 kg) weight gain in the last 24 hours. Which intervention is most
important for the nurse to implement?
Answer: Assess bilateral lung sounds.
●● A client with delusions tells the nurse, "You aren't doing your job. Go
get those people over there and shoot them before they get me." Which
statement is the nurse's best response?
, Answer: "You seem quite frightened right now."
●● The nurse is caring for a client who receives a prescription for
valproic acid in which the maximum safe dosage is 60 mg/kg/day. How
many mg/day is the maximum safe dosage for a client who weighs 176
pounds? (Enter numerical value only.)
Answer: 4800
●● The public health nurse receives funding to initiate a primary
prevention program in the community. Which program best fits the
nurse's proposal?
Answer: Vitamin supplements for high-risk pregnant women.
●● A client is admitted with the diagnosis of Wernicke's syndrome.
Which assessment finding should the nurse use in planning the client's
care?
Answer: Confusion.
●● The nurse is caring for a client after a thoracentesis that drained 50
mL of clear fluid from the left lung. Which assessment finding should
the nurse report to the healthcare provider immediately?
Answer: Mediastinal shift to the right.
