UPDATE 2021/2022 Houston Community
college (grade A+)
HESI
EXIT
VERSION
3
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 client with
a potassium level of 4.5mEq/L has Kayexalate
(sodium polystyrene) prescribed
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)
The nurse should intervene if the nurse notes a staff member
obtaining a clients consent prior to their operative
procedure after receiving Ativan (lorazepam)
BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+) 1
,BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+)
placing a client on the affected side following surgical
repair of a retinal detachment
handling a wet cast with the palms of the hands
using a broad base of support while transferring a client
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 client who is
12 years old with Autism who is starting a new school
and recently had a URI (upper respiratory tract
infection)
BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+) 2
,BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+)
16 years old, has type 1 Diabetes Mellitus, is
unemployed and had a recent Hemoglobin A1c of 13%
52 years old, with Myasthenia Gravis, recently
prescribed Mestinon (pyridostigmine) and
employed as a mail carrier
70 years old, has schizophrenia, lives alone and
reports hearing non threatening voices.
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*
has returned from right total hip replacement surgery four
hours ago
is being observed for increased intracranial pressure
had surgery two hours ago to remove the appendix
is two weeks post partum being maintained on a
mechanical ventilator for respiratory failure
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
BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+) 3
, BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+)
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
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
client’s primary care provider
client’s nurse manager
closest living family member
hospital’s ethics committee
BS 1343 HESI exit exam rn Q & As LATEST
UPDATE 2021/2022 Houston Community
college (grade A+) 4