HESI EXIT EXAM RN QUESTIONS & ANSWERS ALL
ANSWERS 100% CORRECT- TEST BANK GRADED A+
In evaluaing the efeciveness of a postoperaive client’s intermitent
pneumaiccompression devices, which assessment is most important for
the nurse to complete?
A. Evaluate the client’s ability to use an incenive spirometer
B. Monitor the amount of drainage from the client’s incision
C. Observe both lower extremiies for redness and swelling
D. Palpate all peripheral pulse points for volume and strength
E. Raionale: Intermitent compression devices (ICDs) are used to
reduce venous stasis andprevent venous thrombosis in mobile and
postoperaive clients and its efeciveness is best assessed by
observing the client’s lower extremiies for early signs of
thrombophlebiis.
A school-age child who weighs 42 pounds receives a post-tonsillectomy
prescripion for promethazine (Phenergan) 0.5 mg/kg IM to prevent
postoperaive nausea. The medicaion is available in 25 mg/ml ampules.
How many ml should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth).
A. 0.4
B. Raionale: Convert pounds to kg 42lbs = 19.09 kg
,C. Next calculate to prescribed dose, 0.5 mg x 1909 kg = 9.545
D. Then use the desired dose/ dose on hand x volume on hand
(9.545/25x1ml =0.3818=0.4
, ml)
E. Or use raio proporion (9.545 mg: x ml = 25 mg: 1ml
F. 25x = 9.545
G. X= 0.3818 = 0.4)
A nurse stops at the site of a motorcycle accident and inds a young adult
male lying face down in the road in a puddle of water. It is raining, no one is
available to send for help, and thecell phone is in the car about 50 feet away.
What acion should the nurse take irst?
F. Examine the vicim’s body surfaces for arterial bleeding
G. Stabilize the vicim’s neck and roll over to evaluate his status
H. Return to the car to call emergency response 911 for help
I. Open the airway and iniiate resuscitaive measures
During a well-baby, 6-month visit, a mother tells the nurse that her infant
has had fewerear infecions than her 10-year-old daughter. The nurse
should explain that which vaccine is likely to have made the diference in
the siblings’ incidence of oiis media?
, J. Varicella Virus Vaccine Live
K. Hemophilic Inluenza Type B (HiB) vaccine
L. Pneumococcal vaccine
M. Palivizumab vaccine for RSV
The healthcare provider prescribes Morphine Sulfate Oral Soluion 38 mg PO q4
hours fora client who is opioid-tolerant. The available 30 mL botle is labeled, 100
mg/5 mL (20mg/mL),and is packaged with a calibrated oral syringe to provide to
provide accurate dose measurements. How many mL should the nurse administer?
(Enter the numerical value only.If rounding is required, round to the nearest
tenth.)
A. 1.9
B. Raionale: D/H x Q 38/20x1=1.9 mL
The nurses observes that a postoperaive client with a coninuous bladder
irrigaion has alarge blood clot in the urinary drainage tubing. What acions
should the nurse perform irst?
N. Observe the amount of urine in the client’s urinary drainage bag
Which medicaion should the nurse anicipate administering to a client who is
diagnosed withmyxedema coma?
ANSWERS 100% CORRECT- TEST BANK GRADED A+
In evaluaing the efeciveness of a postoperaive client’s intermitent
pneumaiccompression devices, which assessment is most important for
the nurse to complete?
A. Evaluate the client’s ability to use an incenive spirometer
B. Monitor the amount of drainage from the client’s incision
C. Observe both lower extremiies for redness and swelling
D. Palpate all peripheral pulse points for volume and strength
E. Raionale: Intermitent compression devices (ICDs) are used to
reduce venous stasis andprevent venous thrombosis in mobile and
postoperaive clients and its efeciveness is best assessed by
observing the client’s lower extremiies for early signs of
thrombophlebiis.
A school-age child who weighs 42 pounds receives a post-tonsillectomy
prescripion for promethazine (Phenergan) 0.5 mg/kg IM to prevent
postoperaive nausea. The medicaion is available in 25 mg/ml ampules.
How many ml should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth).
A. 0.4
B. Raionale: Convert pounds to kg 42lbs = 19.09 kg
,C. Next calculate to prescribed dose, 0.5 mg x 1909 kg = 9.545
D. Then use the desired dose/ dose on hand x volume on hand
(9.545/25x1ml =0.3818=0.4
, ml)
E. Or use raio proporion (9.545 mg: x ml = 25 mg: 1ml
F. 25x = 9.545
G. X= 0.3818 = 0.4)
A nurse stops at the site of a motorcycle accident and inds a young adult
male lying face down in the road in a puddle of water. It is raining, no one is
available to send for help, and thecell phone is in the car about 50 feet away.
What acion should the nurse take irst?
F. Examine the vicim’s body surfaces for arterial bleeding
G. Stabilize the vicim’s neck and roll over to evaluate his status
H. Return to the car to call emergency response 911 for help
I. Open the airway and iniiate resuscitaive measures
During a well-baby, 6-month visit, a mother tells the nurse that her infant
has had fewerear infecions than her 10-year-old daughter. The nurse
should explain that which vaccine is likely to have made the diference in
the siblings’ incidence of oiis media?
, J. Varicella Virus Vaccine Live
K. Hemophilic Inluenza Type B (HiB) vaccine
L. Pneumococcal vaccine
M. Palivizumab vaccine for RSV
The healthcare provider prescribes Morphine Sulfate Oral Soluion 38 mg PO q4
hours fora client who is opioid-tolerant. The available 30 mL botle is labeled, 100
mg/5 mL (20mg/mL),and is packaged with a calibrated oral syringe to provide to
provide accurate dose measurements. How many mL should the nurse administer?
(Enter the numerical value only.If rounding is required, round to the nearest
tenth.)
A. 1.9
B. Raionale: D/H x Q 38/20x1=1.9 mL
The nurses observes that a postoperaive client with a coninuous bladder
irrigaion has alarge blood clot in the urinary drainage tubing. What acions
should the nurse perform irst?
N. Observe the amount of urine in the client’s urinary drainage bag
Which medicaion should the nurse anicipate administering to a client who is
diagnosed withmyxedema coma?
