BS 1343 HESI exit
exam rn V3 A grade
Latest and
Updated/Houston
Community college
1
,HESI EXIT
VERSION 3
1. The nurs is reviewing medical prescriptions for newly admitted patients. It
would be a priority for the nurs to follow up with the physician if a
patientwith
(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 nurs should intervene if the nurs notes a staff member
(a) obtaining a patients consent prior to their operative procedure after
receivingAtivan (lorazepam)
(b) placing a patient on the affected side following surgical repair of a
retinaldetachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a patient
3. The community health nurs is caring for the following patients. It would be a
priority for the nurs to initiate a multidisciplinary conference for the
patientwho is
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
2
, (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 nurs from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurs to
the patient 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 nurs in a well baby clinic has assessed several children today. It would be
a priority for the nurs 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 nurs is caring for a mechanically ventilated patient 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) patient’s primary care provider
(b) patient’s nurs manager
(c) closest living family member
(d) hospital’s ethics committee
3
, 7. The nurs has received report on four patients. The nurs should fi rst assess
the patient 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 patient who is experiencing dysphagia
(b) One-on-one patient observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurs should intervene if a staff member is observed
(a) discussing a patient’s diagnosis with visiting family members
(b) collaborating with another nurs to review a prescription for blood
transfusion
(c) interrupting other staff members discussing a patient in the cafeteria
(d) reviewing a patients lab values with the nutritionist
10. The nurs is preparing a staff presentation on legal and ethical issues in
nursing. The nurs would be correct to include which of the following
examples?
(a) Putting a patient in a geriatric chair with the lap tray in front of the
patient inthe day room to watch television is false imprisonment
(b) Telling a patient that you will put in a feeding tube if the patient does not
eat isan example of battery
4
exam rn V3 A grade
Latest and
Updated/Houston
Community college
1
,HESI EXIT
VERSION 3
1. The nurs is reviewing medical prescriptions for newly admitted patients. It
would be a priority for the nurs to follow up with the physician if a
patientwith
(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 nurs should intervene if the nurs notes a staff member
(a) obtaining a patients consent prior to their operative procedure after
receivingAtivan (lorazepam)
(b) placing a patient on the affected side following surgical repair of a
retinaldetachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a patient
3. The community health nurs is caring for the following patients. It would be a
priority for the nurs to initiate a multidisciplinary conference for the
patientwho is
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
2
, (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 nurs from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurs to
the patient 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 nurs in a well baby clinic has assessed several children today. It would be
a priority for the nurs 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 nurs is caring for a mechanically ventilated patient 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) patient’s primary care provider
(b) patient’s nurs manager
(c) closest living family member
(d) hospital’s ethics committee
3
, 7. The nurs has received report on four patients. The nurs should fi rst assess
the patient 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 patient who is experiencing dysphagia
(b) One-on-one patient observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurs should intervene if a staff member is observed
(a) discussing a patient’s diagnosis with visiting family members
(b) collaborating with another nurs to review a prescription for blood
transfusion
(c) interrupting other staff members discussing a patient in the cafeteria
(d) reviewing a patients lab values with the nutritionist
10. The nurs is preparing a staff presentation on legal and ethical issues in
nursing. The nurs would be correct to include which of the following
examples?
(a) Putting a patient in a geriatric chair with the lap tray in front of the
patient inthe day room to watch television is false imprisonment
(b) Telling a patient that you will put in a feeding tube if the patient does not
eat isan example of battery
4
