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HESI RN 2024 FINAL EXAM WITH BEST
SOLUTIONS(QUESTIONS AND
ANSWERS)
The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically
compromised clients. Which client with which change in status is
best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80
to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. -
answer-B) Viral meningitis whose temperature change from 101 S to
102F.
When preparing to administer a prescribed medication to a
homeless client at a community psychiatric clinic. The client tells the
nurse that the usual dosage taken is different from the dose the
nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
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D) Tell the client to take the medication then verify the dosage at the
next healthcare team meeting. - answer-B) Withhold the medication
until the dosage can be confirmed.
The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - answer-A) Maintain strict intake and
output.
And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of
hospitalization, the nurse asked the client to meet with the treatment
team. After the team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - answer-D) Go to
the clients room and ask what happened.
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The healthcare provider prescribes dalteparin 200 units per
kilogram subcutaneous once a day for a client who weighs 154
pounds. The medication is available and 25,000 units per milliliter
vial. How many milliliters should the nurse administer? (Enter
numerical value only. If rounding is required, round to the nearest
10th.) - answer-0.6
NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20
years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature
control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - answer-B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a peripheral IV infusion, start oxygen 3 L per
minute via nasal cannula, begin 0.9% sodium chloride IV infusion at
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150 mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the
nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - answer-D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus
membranes are dry. He has a productive cough with thick, yellow
secretions. His capillary refill is four seconds. Vital signs,
temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths
per minute, blood pressure 145/89, oxygen saturation 90% on room
air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds,
blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
HESI RN 2024 FINAL EXAM WITH BEST
SOLUTIONS(QUESTIONS AND
ANSWERS)
The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically
compromised clients. Which client with which change in status is
best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80
to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. -
answer-B) Viral meningitis whose temperature change from 101 S to
102F.
When preparing to administer a prescribed medication to a
homeless client at a community psychiatric clinic. The client tells the
nurse that the usual dosage taken is different from the dose the
nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
, Page 2 of 59
D) Tell the client to take the medication then verify the dosage at the
next healthcare team meeting. - answer-B) Withhold the medication
until the dosage can be confirmed.
The nurse is caring for a client with pneumonia who now develops
initial signs of septic shock and multi organ failure. The healthcare
provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - answer-A) Maintain strict intake and
output.
And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of
hospitalization, the nurse asked the client to meet with the treatment
team. After the team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - answer-D) Go to
the clients room and ask what happened.
, Page 3 of 59
The healthcare provider prescribes dalteparin 200 units per
kilogram subcutaneous once a day for a client who weighs 154
pounds. The medication is available and 25,000 units per milliliter
vial. How many milliliters should the nurse administer? (Enter
numerical value only. If rounding is required, round to the nearest
10th.) - answer-0.6
NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20
years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature
control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - answer-B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a peripheral IV infusion, start oxygen 3 L per
minute via nasal cannula, begin 0.9% sodium chloride IV infusion at
, Page 4 of 59
150 mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the
nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - answer-D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus
membranes are dry. He has a productive cough with thick, yellow
secretions. His capillary refill is four seconds. Vital signs,
temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths
per minute, blood pressure 145/89, oxygen saturation 90% on room
air.
(for each body system click to specify the assessment findings that
indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds,
blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
