2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
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?
B) Viral meningitis whose temperature change from 101 S to 102F.
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.
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?
D) Go to the client's room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneously 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.)
,2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
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?
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardiorespiratory monitor.
NGN: 0330: place the client on a cardiorespiratory 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 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 collect from
the supply room? SATA
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 indicate
hypoxia)
,2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough.
Cardiovascular: capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
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.
The nurse should place the client in a _______________ position to promote
_____________.
Semi-Fowler, lung expansion.
NGN: Orders: 0330: place the client on a cardiorespiratory monitor, NPO, sputum
culture, start a PIV, start oxygen 3L via nasal cannula, normal saline 150 ML per
hour, acetaminophen 350mg PO every six hours for temp greater than 101F, chest
x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater
than 94%.
(Mark whether the statements by the new grad nurse indicate understanding or no
understanding of the use of facemasks in the care of this client)
, 2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
-I should clean the facemask once per shift.
-The client should take a 1 to 2-minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the client's oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for expiration.
-I should place the mask first over the nose and then cover the mouth.
-I should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2-minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT
UNDERSTANDING ????)
-I can adjust the oxygen level on the flow meter to keep the clients' oxygen
saturation greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration.
(NOT UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am
feeling extremely anxious right now. The client has decreased breath sounds in the
left lower lobe. His mucus membranes are dry. He has a productive cough with
thick, yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM,
oxygen saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory
rate 28 BPM.
0500: Placed the client in semi-Fowlers position. No improvement in oxygen
saturation on 3L nasal cannula...
(Which are the three most important goals?)
B) The client will have quit smoking.
COMPLETE, ACCURATE&GRADED
A+
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?
B) Viral meningitis whose temperature change from 101 S to 102F.
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.
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?
D) Go to the client's room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneously 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.)
,2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
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?
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardiorespiratory monitor.
NGN: 0330: place the client on a cardiorespiratory 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 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 collect from
the supply room? SATA
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 indicate
hypoxia)
,2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough.
Cardiovascular: capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
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.
The nurse should place the client in a _______________ position to promote
_____________.
Semi-Fowler, lung expansion.
NGN: Orders: 0330: place the client on a cardiorespiratory monitor, NPO, sputum
culture, start a PIV, start oxygen 3L via nasal cannula, normal saline 150 ML per
hour, acetaminophen 350mg PO every six hours for temp greater than 101F, chest
x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater
than 94%.
(Mark whether the statements by the new grad nurse indicate understanding or no
understanding of the use of facemasks in the care of this client)
, 2024 HESI RN EXIT EXAM
COMPLETE, ACCURATE&GRADED
A+
-I should clean the facemask once per shift.
-The client should take a 1 to 2-minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the client's oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for expiration.
-I should place the mask first over the nose and then cover the mouth.
-I should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2-minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT
UNDERSTANDING ????)
-I can adjust the oxygen level on the flow meter to keep the clients' oxygen
saturation greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration.
(NOT UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am
feeling extremely anxious right now. The client has decreased breath sounds in the
left lower lobe. His mucus membranes are dry. He has a productive cough with
thick, yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM,
oxygen saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory
rate 28 BPM.
0500: Placed the client in semi-Fowlers position. No improvement in oxygen
saturation on 3L nasal cannula...
(Which are the three most important goals?)
B) The client will have quit smoking.
