HESI RN EXIT Exam Questions and Verified Answers 2024

HESI EXIT RN EXAM | p p p p




April 2023 V2 ( Version 2 )N
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EW FULL EXAM
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Questions and Answers p p p




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Thepnursepassumespcarepofpappostoperativepadultpclientpwithptypep2pdiabetespmellituspandple
arnspthatpthepclientphaspapcurrentpbloodpglucoseplevelpofp720pmg/dL.pWhenpassessingpthepcl
ient,pwhatpisptheppriority?
A.pAssesspforpsignspofpfluidpvolumepdeficitpB.
pObservepwoundpdrainagepcharacteristicsp C.
pMeasureptheplevelpofpacuteppain

D.pDeterminepwhenpthepclientplastpatep-pCORRECTpANSWER-
A.pAssesspforpsignspofpfluidpvolumepdeficit

Apmalepclientptellspthepnursepthatphepispconcernedpthatphepmayphavepapstomachpulcer,pb
ecausephepispexperiencingpheartburnpandpdullpgnawingppainpthatpisprelievedpwhenphepea
ts.pWhichpispthepbestpresponsepbypthepnurse?
A. Encouragepthepclientptopobtainpapcompletepphysicalpexam,psincepthesepsymptomsparepc
onsistentpwithpanpulcer
B. Assurepthepclientpthatphispsymptomspmayponlypreflectpreflux,psincepulcerppainpispnotpr
elievedpwithpfood
C. Instructpthepclientpthatpthesepmildpsymptomspcanpgenerallypbepcontrolledpwithpchangespi
nphispdiet
D. Advisepthepclientpthatphepneedsptopseekpimmediatepmedicalpevaluationpandptreatmentpof
pthesepsymptomsp-pCORRECTp ANSWER-

A.pEncouragepthepclientptopobtainpapcompletepphysicalpexam,psincepthesepsymptomsparepco
nsistentpwithpanpulcer

Apmalepclientpwithpstomachpcancerpreturnsptopthepunitpfollowingpaptotalpgastrectomy.pHepha
spapnasogastricptubeptopsuctionpandpispreceivingpLactatedpRinger'spsolutionpatp75pmL/hrpIV.p
Onephourpafterpadmissionptopthepunit,pthepnursepnotesp300mLpofpbloodpinpthepsuctionpcanist
er,pthepclient'spheartpratepisp155pbeats/minute,pandphispbloodppressurepisp78/48pmmHg.pInpa
dditionptopreportingpthepfindingsptopthepsurgeon,pwhichpactionpshouldpthepnursepimplementpf
irst?
A. Measurepandpdocumentpthepclient'spurinarypoutput
B. Requestpthepclient'spreservedpunitpofppackedpredpbloodpcellsp
C.pPreparepforpplacementpofpapcentralpvenouspcatheter

,D.pIncreasepthepinfusionpratepofpLactatedpRinger'spsolutionp-pCORRECTpANSWER-
D.pIncreasepthepinfusionpratepofpLactatedpRinger'spsolution

Apheparinpinfusionpispprescribedpforpapclientpwhopweighsp220ppounds.pAfterpadministeringpap
boluspdosepofp80punits/kg,pthepnursepcalculatespthepinfusionpratepforpthepheparinpsolutionpasp
18punits/kg/hour.pThepavailablepsolutionpispHeparinpSodiump25,000pUnitspinp5%pDextrosepI
njectionp250pmL.pThepnursepshouldpprogrampthepinfusionppumpptopdeliverphowpmanypmL/ho
ur?p-pCORRECTpANSWER--1st:pcalculatepthepweightp=p220/2.2=p100kg
-Thenpcalculateptotalpdosepinpunitsp=p18unitspxp100kgp=p1800punits/hr

,-p25000punitsp-pinp250
p1800punitsp---inpXpml

xp=p1800pxp250/25000p=18pmL/hr

Anpadultpmalepwhopfellp20pfeetpfromptheproofpofphisphomephaspmultiplepinjuries,pincludingpapri
ghtppneumothorax.pChestptubespwerepinsertedpinpthepemergencypdepartmentppriorptophisptra
nsferptopthepintensivepcarepunitp(ICU).pThepnursepnotespthatpthepsuctionpcontrolpchamberpisp
bubblingpatpthep-
10cmpH2Opmark,pwhichpfluctuationpinpthepwaterpseal,pandpoverptheppastphourp75pmLpofpbrig
htpredpbloodpispmeasuredpinpthepcollectionpchamber.
Whichpinterventionpshouldpthepnursepimplement?pA
.pAddpsterilepwaterptopthepsuctionpcontrolpchamber
B.pGivepbloodpfrompthepcollectionpchamberpaspautotransfusionp
C.pManipulatepbloodpinptubingptopdrainpintopchamber
D.pIncreasepwallpsuctionptopeliminatepfluctuationpinpwaterpsealp-pCORRECTpANSWER-
A.pAddpsterilepwaterptopthepsuctionpcontrolpchamber

AnpadultpmalepwaspdiagnosedpwithpstagepIVplungpcancerpthreepweekspago.pHispwifepapproac
hespthepnursepandpasksphowpshepwillpknowpthatpherphusband'spdeathpispimminentpbecausepth
eirptwopadultpchildrenpwantptopbeptherepwhenphepdies.pWhichpispthepbestpresponsepbypthepnur
se?
A. Gatherpinformationpregardingphowplongpitpwillptakepforpthepchildrenptoparrive
B. Explainpthatpthepclientpwillpstartptoplosepconsciousnesspandpthepbodypsystemspwillpslowpd
own
C. ReassurepthepspousepthatpthephealthcarepproviderpwillpnotifypwhenptopcallpthepchildrenpD
.pOfferptopdiscusspthepclient'sphealthpstatuspwithpeachpofpthepadultpchildrenp-
pCORRECTp ANSWER-
B.pExplainpthatpthepclientpwillpstartptoplosepconsciousnesspandpthepbodypsystemspwillpslowp
down

Thepchargepnursepofpapcriticalpcarepunitpispinformedpatpthepbeginningpofpthepshiftpthatplessptha
npthepoptimalpnumberpofpregisteredpnursespwillpbepworkingpthatpshift.pInpplanningpassignme
nts,pwhichpclientpshouldpreceivepthepmostpcarephourspbypapregisteredpnursep(RN)?
A. Ap48-year-
oldpmarathonprunnerpwithpapcentralpvenouspcatheterpwhopispexperiencingpnauseapandpv
omitingpdueptopelectrolytepdisturbancepfollowingpaprace
B. Ap34-year-
oldpadmittedptodaypafterpanpemergencypappendectomypwhophaspapperipheralpintr
avenouspcatheterpandpapFoleypcatheter
C. Ap63-year-
oldpchainpsmokerpadmittedpwithpchronicpbronchitispwhopispreceivingpoxygenpviapnasalpcann
ulapandphaspapsaline-lockedpperipheralpintravenouspcatheter
D. Anp82-year-oldpclientpwithpAlzheimer'spdiseasepandpapnewly-
fracturedpfemurpwhophaspapFoleypcatheterpandpsoftpwristprestraintspappliedp-
pCORRECTpANSWER-D.pAnp82-year-p oldpclientpwithpAlzheimer'spdiseasepandpapnewly-
fracturedpfemurpwhophaspapFoleypcatheterpandpsoftpwristprestraintspapplied

Thepnursepisppreparingpapdosepofp60pmcgpofpteriparatide.pThepmedicationpisplabeledp"750pmcg
/2.4mL".pHowpmanypmLpshouldpthepnursepadminister?pRoundptopnearestptenth.p-
pCORRECTpANSWER-0.2pmL

, InpcaringpforpapclientpwithpCushing'spSyndrome,pwhichpserumplaboratorypvaluepispmostpimport
antpforpthepnurseptopmonitor?
A.pCreatininep
B.p LactatepC
.pGlucose
D.pHemoglobinp-pCORRECTp ANSWER-C.pGlucose

Apclientpwhopreceivedphemodialysispyesterdaypispexperiencingpapbloodppressurepofp200/10
0pmmHg,pheartpratep110pbeats/minute,pandprespiratorypratep36pbreaths/minute.pThepclientpi
spmanifestingpshortnesspofpbreath,pbilateralp2+ppedalpedema,pandpanpoxygenpsaturationponpr
oompairpofp89%.pWhichpactionpshouldpthepnurseptakepfirst?
A.pElevatepthepfootpofpthepbedpB
.pRestrictpthep client'sp fluidspC.p
Beginpsupplementalpoxygen
D.pPreparepclientpforphemodialysisp-pCORRECTpANSWER-
C.pBeginpsupplementalpoxygen

Whenpcaringpforpapclientpwithpfullpthicknesspburnsptopbothplowerpextremities,pwhichpassessme
ntpfindingspwarrantpimmediatepintervention?pSelectpallpthatpapply
A. Sloughingptissueparoundpwoundpedges
B. Complaintpofpincreasedppainpandppressure
C. Changepinpthepqualitypofpthepperipheralppulsesp
D.pLosspofpsensationptopthepleftplowerpextremity
E.pWeepingpserosanguineouspfluidpfrompwoundsp-pCORRECTpANSWER-
B.pComplaintpofpincreasedppainpandppressure
C.pChangepinpthepqualitypofpthepperipheralppulsesp
D.pLosspofpsensationptopthepleftplowerpextremity

Anpolderpclientpispadmittedpwithpfluidpvolumepdeficitpandpdehydration.pWhichpassessmentpfin
dingpispthepbestpindicatorpofphydrationpthatpthepnursepshouldpreportptopthephealthcarepprovid
er?
A. Urinepspecificpgravitypisp1.040
B. Systolicpbloodppressurepdecreasesp10ppointspwhenpstandingp
C.pThepclientpdeniespbeingpthirsty
D.pSkinptentingpoccurspwhenpthepclient'spforearmpisppinchedp-pCORRECTpANSWER-
D.pSkinptentingpoccurspwhenpthepclient'spforearmpisppinched

Thephealthcarepproviderpprescribespmethylergonovinepmaleatepforpappostpartumpclientpwit
hputerinepatony.pWhatpfindingpshouldpindicateptopthepnurseptopwithholdpthepnextpdosepofpthep
medication?
A.pDifficultyplocatingptheputerinepfundusp
B.pExcessiveplochia
C.pSaturationpofpmorepthanponeppadpperphour
D.pHypertensionp-pCORRECTp ANSWER-D.pHypertension