HESI 700 RN Exit Exam ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ WITH RATIONALE
a. A 34-year -old admitted today after an emergency
appendendectomy who has a peripheral intravenous catheter and
a Foley catheter.
b. A 48-year-old marathon runner with a central venous catheter
who is experiencing nausea and vomiting due to electrolyte
disturbance following a race.
c. A 63-year-old chain smoker admitted with chronic bronchitis
who is receiving oxygen via nasal cannula and has a saline-
locked peripheral intravenous catheter.
d. An 82-year-old client with Alzheimer's disease newly-fractures
femur who has a Foley catheter and soft wrist restrains applied
An 82-year-old client with Alzheimer's disease newly-fractures
femur who has a Foley catheter and soft wrist restrains applied
Rationale: (D) describe the client at the most risk for injury and
complications because of the factor listed. (A) has complete the
recovery period form anesthesia but requires critical care because
of the invasive lines and new abdominal incision. (B) is likely to be
in excellent physical condition and has one invasive line needed
for rehydration. (C) is essentially stable, despite having a chronic
condition.
A mother brings her 6-year-old child, who has just stepped on a
rusty nail, to the pediatrician's office. Upon inspection, the nurse
notes that the nail went through the shoe and pierced the bottom
of the child's foot. Which action should the nurse implement first?
a. Cleanse the foot with soap and water and apply an antibiotic
,ointment
b. Provide teaching about the need for a tetanus booster within
the next 72 hours.
c. have the mother check the child's temperature q4h for the next
24 hours
d. transfer the child to the emergency department to receive a
gamma globulin injection
Cleanse the foot with soap and water and apply an antibiotic
ointment
Rationale: The nurse should cleanse the wound first and
implement B next.
We have an expert-written solution to this problem!
The mother of an adolescent tells the clinic nurse, "My son has
athlete's foot, I have been applying triple antibiotic ointment for
two days, but there has been no improvement." What instruction
should the nurse provide?
a. Antibiotics take two weeks to become effective against
infections such as athlete's foot.
b. Continue using the ointment for a full week, even after the
symptoms disappear.
c. Applying too much ointment can deter its effectiveness. Apply a
thin layer to prevent maceration.
d. Stop using the ointment and encourage complete drying of the
feet and wearing clean socks.
Stop using the ointment and encourage complete drying of the
feet and wearing clean socks.
Rationale: Athlete's foot (tinea pedi) is a fungal infection that
afflicts the feet and causes scaliness and cracking of the skin
between the toes and on the soles of the feet. The feet should be
ventilated, dried well after bathing, and clean socks should be
,placed on the feet after bathing. Antifungal ointments may be
prescribed, but antibiotic ointments are not useful.
A 26-year-old female client is admitted to the hospital for
treatment of a simple goiter, and levothyroxine sodium (Synthroid)
is prescribed. Which symptoms indicate to the nurse that the
prescribed dosage is too high for this client? The client
experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
Rationale: An overdose of thyroid preparation generally manifests
symptoms of an agitated state such as tremors, palpitations,
shortness of breath, tachycardia, increased appetite, agitation,
sweating and diarrhea.
We have an expert-written solution to this problem!
A client with a history of heart failure presents to the clinic with a
nausea, vomiting, yellow vision and palpitations. Which finding is
most important for the nurse to assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat.
Obtain a list of medications taken for cardiac history
Rationale: The client is presenting with signs of digitalis toxicity. A
list of medication, which is likely to include digoxin (Lanoxin) for
heart failure, can direct further assessment in validating digitalis
, toxicity with serum labels greater than 2 mg/ml that is contributing
to client's presenting clinical picture.
The healthcare provider prescribes an IV solution of isoproterenol
(Isuprel) 1 mg in 250 ml of D5W at 300 mcg/hour. The nurse
should program the infusion pump to deliver how many ml/hour?
(Enter numeric value only.)
75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300
mcg/hour / 1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
We have an expert-written solution to this problem!
The pathophysiological mechanism are responsible for ascites
related to liver failure? (Select all that apply)
a. Bleeding that results from a decreased production of the body's
clotting factors
b. Fluid shifts from intravascular to interstitial area due to
decreased serum protein
c. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium
and water retention
e. Decreased absorption of fatty acids in the duodenum leading to
abdominal distention.
b. Fluid shifts from intravascular to interstitial area due to
decreased serum protein
c. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium
and water retention
Rationale: When liver fail production of albumin is reduced. Since
albumin is the primary serum protein creating intravascular
osmotic pressure, decreased serum protein allows a fluids shift
AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ WITH RATIONALE
a. A 34-year -old admitted today after an emergency
appendendectomy who has a peripheral intravenous catheter and
a Foley catheter.
b. A 48-year-old marathon runner with a central venous catheter
who is experiencing nausea and vomiting due to electrolyte
disturbance following a race.
c. A 63-year-old chain smoker admitted with chronic bronchitis
who is receiving oxygen via nasal cannula and has a saline-
locked peripheral intravenous catheter.
d. An 82-year-old client with Alzheimer's disease newly-fractures
femur who has a Foley catheter and soft wrist restrains applied
An 82-year-old client with Alzheimer's disease newly-fractures
femur who has a Foley catheter and soft wrist restrains applied
Rationale: (D) describe the client at the most risk for injury and
complications because of the factor listed. (A) has complete the
recovery period form anesthesia but requires critical care because
of the invasive lines and new abdominal incision. (B) is likely to be
in excellent physical condition and has one invasive line needed
for rehydration. (C) is essentially stable, despite having a chronic
condition.
A mother brings her 6-year-old child, who has just stepped on a
rusty nail, to the pediatrician's office. Upon inspection, the nurse
notes that the nail went through the shoe and pierced the bottom
of the child's foot. Which action should the nurse implement first?
a. Cleanse the foot with soap and water and apply an antibiotic
,ointment
b. Provide teaching about the need for a tetanus booster within
the next 72 hours.
c. have the mother check the child's temperature q4h for the next
24 hours
d. transfer the child to the emergency department to receive a
gamma globulin injection
Cleanse the foot with soap and water and apply an antibiotic
ointment
Rationale: The nurse should cleanse the wound first and
implement B next.
We have an expert-written solution to this problem!
The mother of an adolescent tells the clinic nurse, "My son has
athlete's foot, I have been applying triple antibiotic ointment for
two days, but there has been no improvement." What instruction
should the nurse provide?
a. Antibiotics take two weeks to become effective against
infections such as athlete's foot.
b. Continue using the ointment for a full week, even after the
symptoms disappear.
c. Applying too much ointment can deter its effectiveness. Apply a
thin layer to prevent maceration.
d. Stop using the ointment and encourage complete drying of the
feet and wearing clean socks.
Stop using the ointment and encourage complete drying of the
feet and wearing clean socks.
Rationale: Athlete's foot (tinea pedi) is a fungal infection that
afflicts the feet and causes scaliness and cracking of the skin
between the toes and on the soles of the feet. The feet should be
ventilated, dried well after bathing, and clean socks should be
,placed on the feet after bathing. Antifungal ointments may be
prescribed, but antibiotic ointments are not useful.
A 26-year-old female client is admitted to the hospital for
treatment of a simple goiter, and levothyroxine sodium (Synthroid)
is prescribed. Which symptoms indicate to the nurse that the
prescribed dosage is too high for this client? The client
experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
Rationale: An overdose of thyroid preparation generally manifests
symptoms of an agitated state such as tremors, palpitations,
shortness of breath, tachycardia, increased appetite, agitation,
sweating and diarrhea.
We have an expert-written solution to this problem!
A client with a history of heart failure presents to the clinic with a
nausea, vomiting, yellow vision and palpitations. Which finding is
most important for the nurse to assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat.
Obtain a list of medications taken for cardiac history
Rationale: The client is presenting with signs of digitalis toxicity. A
list of medication, which is likely to include digoxin (Lanoxin) for
heart failure, can direct further assessment in validating digitalis
, toxicity with serum labels greater than 2 mg/ml that is contributing
to client's presenting clinical picture.
The healthcare provider prescribes an IV solution of isoproterenol
(Isuprel) 1 mg in 250 ml of D5W at 300 mcg/hour. The nurse
should program the infusion pump to deliver how many ml/hour?
(Enter numeric value only.)
75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300
mcg/hour / 1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
We have an expert-written solution to this problem!
The pathophysiological mechanism are responsible for ascites
related to liver failure? (Select all that apply)
a. Bleeding that results from a decreased production of the body's
clotting factors
b. Fluid shifts from intravascular to interstitial area due to
decreased serum protein
c. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium
and water retention
e. Decreased absorption of fatty acids in the duodenum leading to
abdominal distention.
b. Fluid shifts from intravascular to interstitial area due to
decreased serum protein
c. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium
and water retention
Rationale: When liver fail production of albumin is reduced. Since
albumin is the primary serum protein creating intravascular
osmotic pressure, decreased serum protein allows a fluids shift
