BS 1343 HESI exit exam rn – Houston
BS 1343 HESI exit exam rn – Houston
HESI EXIT
VERSION 3
1. The nurse is reviewing medical
prescriptions for newly admitted
clients. It would be a priority
for the nurse to follow up with
the physician if a clientwith
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse should intervene if the
nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client
3. The community health nurse is
caring for the following clients. It
would be a priority for the nurse
to initiate a multidisciplinary
conference for the clientwho is
(a) 12 years old with Autism who is starting a new school and recently had a
1
,URI (upper respiratory tract infection)
2
, BS 1343 HESI exit exam rn – Houston
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices.
4. The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to
the client who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure
5. The nurse in a well baby clinic has assessed several children today. It would be
a priority for the nurse to suggest follow up for the child who is (a) 2 months
old with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It would
be most appropriate to obtain consent for organ donation from the
(a) client‘s primary care provider
(b) client‘s nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
3
, 7. The nurse has received report on
four clients. The nurse should fi
rst assessthe client who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry
reading of 90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has begun
plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign
which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurse should intervene if a staff
member is observed
(a) discussing a client‘s diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood
transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist
10. The nurse is preparing a staff
presentation on legal and
ethical issues in nursing. The
nurse would be correct to
include which of the
followingexamples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in
4
BS 1343 HESI exit exam rn – Houston
HESI EXIT
VERSION 3
1. The nurse is reviewing medical
prescriptions for newly admitted
clients. It would be a priority
for the nurse to follow up with
the physician if a clientwith
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse should intervene if the
nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client
3. The community health nurse is
caring for the following clients. It
would be a priority for the nurse
to initiate a multidisciplinary
conference for the clientwho is
(a) 12 years old with Autism who is starting a new school and recently had a
1
,URI (upper respiratory tract infection)
2
, BS 1343 HESI exit exam rn – Houston
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices.
4. The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to
the client who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure
5. The nurse in a well baby clinic has assessed several children today. It would be
a priority for the nurse to suggest follow up for the child who is (a) 2 months
old with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It would
be most appropriate to obtain consent for organ donation from the
(a) client‘s primary care provider
(b) client‘s nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
3
, 7. The nurse has received report on
four clients. The nurse should fi
rst assessthe client who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry
reading of 90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has begun
plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign
which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurse should intervene if a staff
member is observed
(a) discussing a client‘s diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood
transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist
10. The nurse is preparing a staff
presentation on legal and
ethical issues in nursing. The
nurse would be correct to
include which of the
followingexamples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in
4
