Exit HESI V2
PN HESI EXIT V1 & V2 LATEST EXAM/ HESI PN V1 & V2 LATEST EXAM
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1.
REAL The
EXAMnurse assumes careAND
QUESTIONS of a postoperative adult client A.
CORRECT ANSWERS Assess for signs of fluid
| VERIFIED
with type 2 diabetes mellitus and learns that the client volume deficit
has a current
ANSWERS|GET ITblood
100%glucose
CORRECTlevel of!!|GRADE
720 mg/dL.
A+When
assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
2. A male client tells the nurse that he is concerned that A. Encourage the client to
he may have a stomach ulcer, because he is experi- obtain a complete physical
encing heartburn and dull gnawing pain that is re- exam, since these symp-
lieved when he eats. Which is the best response by the toms are consistent with
nurse? an ulcer
A. Encourage the client to obtain a complete physical
exam, since these symptoms are consistent with an
ulcer
B. Assure the client that his symptoms may only reflect
reflux, since ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can
generally be controlled with changes in his diet
D. Advise the client that he needs to seek immediate
medical evaluation and treatment of these symptoms
3. A male client with stomach cancer returns to the unit D. Increase the infusion
following a total gastrectomy. He has a nasogastric rate of Lactated Ringer's
tube to suction and is receiving Lactated Ringer's so- solution
lution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction
canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition
to reporting the findings to the surgeon, which action
, Exit HESI V2
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should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red
blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's so-
lution
4. A heparin infusion is prescribed for a client who 18
weighs 220 pounds. After administering a bolus dose -1st: calculate the weight =
of 80 units/kg, the nurse calculates the infusion rate 220/2.2= 100kg
for the heparin solution as 18 units/kg/hour. The avail- -Then calculate total dose
able solution is Heparin Sodium 25,000 Units in 5% in units = 18units x 100kg
Dextrose Injection 250 mL. The nurse should program = 1800 units/hr
the infusion pump to deliver how many mL/hour? - 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18
mL/hr
5. An adult male who fell 20 feet from the roof of his A. Add sterile water to the
home has multiple injuries, including a right pneu- suction control chamber
mothorax. Chest tubes were inserted in the emer-
gency department prior to his transfer to the inten-
sive care unit (ICU). The nurse notes that the suction
control chamber is bubbling at the -10cm H2O mark,
which fluctuation in the water seal, and over the past
hour 75 mL of bright red blood is measured in the col-
lection chamber. Which intervention should the nurse
implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as auto-
transfusion
, Exit HESI V2
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C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in
water seal
6. An adult male was diagnosed with stage IV lung can- B. Explain that the client
cer three weeks ago. His wife approaches the nurse will start to lose con-
and asks how she will know that her husband's death sciousness and the body
is imminent because their two adult children want to systems will slow down
be there when he dies. Which is the best response by
the nurse?
A. Gather information regarding how long it will take
for the children to arrive
B. Explain that the client will start to lose conscious-
ness and the body systems will slow down
C. Reassure the spouse that the healthcare provider
will notify when to call the children
D. Offer to discuss the client's health status with each
of the adult children
7. The charge nurse of a critical care unit is informed at D. An 82-year-old client
the beginning of the shift that less than the optimal with Alzheimer's disease
number of registered nurses will be working that shift. and a newly-fractured fe-
In planning assignments, which client should receive mur who has a Foley
the most care hours by a registered nurse (RN)? catheter and soft wrist re-
A. A 48-year-old marathon runner with a central ve- straints applied
nous catheter who is experiencing nausea and vomit-
ing due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency
appendectomy who has a peripheral intravenous
catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chron-
ic bronchitis who is receiving oxygen via nasal can-
, Exit HESI V2
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nula and has a saline-locked peripheral intravenous
catheter
D. An 82-year-old client with Alzheimer's disease and
a newly-fractured femur who has a Foley catheter and
soft wrist restraints applied
8. The nurse is preparing a dose of 60 mcg of teri- 0.2 mL
paratide. The medication is labeled "750 mcg/2.4mL".
How many mL should the nurse administer? Round to
nearest tenth.
9. In caring for a client with Cushing's Syndrome, which C. Glucose
serum laboratory value is most important for the
nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin
10. A client who received hemodialysis yesterday is ex- A. Begin supplement oxy-
periencing a blood pressure of 200/100 mmHg, heart gen
rate 110bpm, and respiratory rate 36 bpm. The client
manifested shortness of breath, bilateral 2+ edema,
and an oxygen saturation on room air of 89%. Which
action should the nurse take first?
A. Administer oxygen
B. Elevate the foot of the bed
C. Restrict the client's fluids
D. Prepare the client for hemodialysis
11. When caring for a client with full thickness burns to B. Complaint of increased
both lower extremities, which assessment findings pain and pressure
warrant immediate intervention? Select all that apply C. Change in the quality of
PN HESI EXIT V1 & V2 LATEST EXAM/ HESI PN V1 & V2 LATEST EXAM
Study online at https://quizlet.com/_h6wnj8
1.
REAL The
EXAMnurse assumes careAND
QUESTIONS of a postoperative adult client A.
CORRECT ANSWERS Assess for signs of fluid
| VERIFIED
with type 2 diabetes mellitus and learns that the client volume deficit
has a current
ANSWERS|GET ITblood
100%glucose
CORRECTlevel of!!|GRADE
720 mg/dL.
A+When
assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
2. A male client tells the nurse that he is concerned that A. Encourage the client to
he may have a stomach ulcer, because he is experi- obtain a complete physical
encing heartburn and dull gnawing pain that is re- exam, since these symp-
lieved when he eats. Which is the best response by the toms are consistent with
nurse? an ulcer
A. Encourage the client to obtain a complete physical
exam, since these symptoms are consistent with an
ulcer
B. Assure the client that his symptoms may only reflect
reflux, since ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can
generally be controlled with changes in his diet
D. Advise the client that he needs to seek immediate
medical evaluation and treatment of these symptoms
3. A male client with stomach cancer returns to the unit D. Increase the infusion
following a total gastrectomy. He has a nasogastric rate of Lactated Ringer's
tube to suction and is receiving Lactated Ringer's so- solution
lution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction
canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition
to reporting the findings to the surgeon, which action
, Exit HESI V2
Study online at https://quizlet.com/_h6wnj8
should the nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red
blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's so-
lution
4. A heparin infusion is prescribed for a client who 18
weighs 220 pounds. After administering a bolus dose -1st: calculate the weight =
of 80 units/kg, the nurse calculates the infusion rate 220/2.2= 100kg
for the heparin solution as 18 units/kg/hour. The avail- -Then calculate total dose
able solution is Heparin Sodium 25,000 Units in 5% in units = 18units x 100kg
Dextrose Injection 250 mL. The nurse should program = 1800 units/hr
the infusion pump to deliver how many mL/hour? - 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18
mL/hr
5. An adult male who fell 20 feet from the roof of his A. Add sterile water to the
home has multiple injuries, including a right pneu- suction control chamber
mothorax. Chest tubes were inserted in the emer-
gency department prior to his transfer to the inten-
sive care unit (ICU). The nurse notes that the suction
control chamber is bubbling at the -10cm H2O mark,
which fluctuation in the water seal, and over the past
hour 75 mL of bright red blood is measured in the col-
lection chamber. Which intervention should the nurse
implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as auto-
transfusion
, Exit HESI V2
Study online at https://quizlet.com/_h6wnj8
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in
water seal
6. An adult male was diagnosed with stage IV lung can- B. Explain that the client
cer three weeks ago. His wife approaches the nurse will start to lose con-
and asks how she will know that her husband's death sciousness and the body
is imminent because their two adult children want to systems will slow down
be there when he dies. Which is the best response by
the nurse?
A. Gather information regarding how long it will take
for the children to arrive
B. Explain that the client will start to lose conscious-
ness and the body systems will slow down
C. Reassure the spouse that the healthcare provider
will notify when to call the children
D. Offer to discuss the client's health status with each
of the adult children
7. The charge nurse of a critical care unit is informed at D. An 82-year-old client
the beginning of the shift that less than the optimal with Alzheimer's disease
number of registered nurses will be working that shift. and a newly-fractured fe-
In planning assignments, which client should receive mur who has a Foley
the most care hours by a registered nurse (RN)? catheter and soft wrist re-
A. A 48-year-old marathon runner with a central ve- straints applied
nous catheter who is experiencing nausea and vomit-
ing due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency
appendectomy who has a peripheral intravenous
catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chron-
ic bronchitis who is receiving oxygen via nasal can-
, Exit HESI V2
Study online at https://quizlet.com/_h6wnj8
nula and has a saline-locked peripheral intravenous
catheter
D. An 82-year-old client with Alzheimer's disease and
a newly-fractured femur who has a Foley catheter and
soft wrist restraints applied
8. The nurse is preparing a dose of 60 mcg of teri- 0.2 mL
paratide. The medication is labeled "750 mcg/2.4mL".
How many mL should the nurse administer? Round to
nearest tenth.
9. In caring for a client with Cushing's Syndrome, which C. Glucose
serum laboratory value is most important for the
nurse to monitor?
A. Creatinine
B. Lactate
C. Glucose
D. Hemoglobin
10. A client who received hemodialysis yesterday is ex- A. Begin supplement oxy-
periencing a blood pressure of 200/100 mmHg, heart gen
rate 110bpm, and respiratory rate 36 bpm. The client
manifested shortness of breath, bilateral 2+ edema,
and an oxygen saturation on room air of 89%. Which
action should the nurse take first?
A. Administer oxygen
B. Elevate the foot of the bed
C. Restrict the client's fluids
D. Prepare the client for hemodialysis
11. When caring for a client with full thickness burns to B. Complaint of increased
both lower extremities, which assessment findings pain and pressure
warrant immediate intervention? Select all that apply C. Change in the quality of
