RN HESI Exit Exam Remediation
questions with certified
solutions.
The nurse is caring for a client who has a fiberglass long leg cast on the right leg. Which nursing
actions should be implemented in the cast care of this client? SATA
a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four hours.
c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the fracture bedpan. -
Answer a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four hours.
d) Placing the nurse's finger in the client's cast while performing cast care.
,e) Covering the perineal area of the cast with plastic before client uses the fracture bedpan.
Rationale
Cast care should include ensuring the cast is not too tight, by placing a finger between the
client's skin and cast; by protecting the cast from being soiled by placing a protective plastic
covering in the perineal area before the client uses a bedpan; by smelling for a foul odor coming
from the cast; by palpating for hot spots on the cast every shift; and by performing
neurovascular checks distal to the cast every four hours. Nothing should be placed in the cast to
facilitate scratching beneath the cast.
The nurse is caring for an older client being treated for a cardiac condition who has developed
"dry eyes". Which medication may be contributing to this condition?
a) Procainamide (Procanbid).
b) Iron supplements.
c) Atenolol (Tenormin).
d) Lipitor (Atorvastatin). - Answer c) Atenolol (Tenormin).
Rationale
Dry eyes is an annoying side effect of some medications that can cause a client to feel like they
have something in their eye or a continuous scratchy sensation. This condition can cause eye
strain and discomfort to a client. Clients prescribed Atenolol for hypertension are at risk of
developing dry eyes as a side effect of the medication.
,The lead nurse notes an increase in post-operative infections on the unit, despite the use of
case management and clinical pathways. Based on the disadvantages of case management,
which is the most likely explanation?
a) Team members are not communicating.
b) The case manager is not unit-based.
c) A nurse is not the case manager.
d) Nurses are focusing too much on checklists. - Answer d) Nurses are focusing too much on
checklists.
A transitional care model is being implemented on the unit. A staff nurses ask the lead nurse
why money is being spent to hire a transitional care nurse (TCN) instead of hiring more unit
staff. Which response by the lead nurse best explains the benefits of transitional care models to
the unit staff?
a) TCN and staff go to the client home and community for 2-3 months at a lower salary than
unit staff.
b) TCN and staff use case management techniques to improve outcomes at a limited cost.
c) Hiring a TCN decreases client and family complaints, which decreases staff stress and
turnover.
d) Hiring a TCN decreases readmissions for complex clients, which improves unit staffing issues.
- Answer d) Hiring a TCN decreases readmissions for complex clients, which improves unit
staffing issues.
, The nurse is providing education to a pregnant client about how to prevent urinary tract
infections (UTIs). Which statement by the client indicates the need for further education?
a) "I should take a bath every day."
b) "I should urinate frequently."
c) "I should increase fluid intake."
d) "I should avoid tight-fitting pants." - Answer a) "I should take a bath every day."
The nurse is assessing a client who has reported 7 episodes of diarrhea in the past 24 hours.
What questions would determine a possible causative factor of the diarrhea? Select all that
apply
a) Have you been experiencing any stress or anxiety lately?
b) Does the diarrhea have a strong, unpleasant odor to it?
c) What type of food have you eaten within the last 36 hours?
d) What medications and supplements are you currently taking?
e) When did you last urinate and what was the color and amount of the urine? - Answer a)
Have you been experiencing any stress or anxiety lately?
b) Does the diarrhea have a strong, unpleasant odor to it?
c) What type of food have you eaten within the last 36 hours?
d) What medications and supplements are you currently taking?
questions with certified
solutions.
The nurse is caring for a client who has a fiberglass long leg cast on the right leg. Which nursing
actions should be implemented in the cast care of this client? SATA
a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four hours.
c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the fracture bedpan. -
Answer a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four hours.
d) Placing the nurse's finger in the client's cast while performing cast care.
,e) Covering the perineal area of the cast with plastic before client uses the fracture bedpan.
Rationale
Cast care should include ensuring the cast is not too tight, by placing a finger between the
client's skin and cast; by protecting the cast from being soiled by placing a protective plastic
covering in the perineal area before the client uses a bedpan; by smelling for a foul odor coming
from the cast; by palpating for hot spots on the cast every shift; and by performing
neurovascular checks distal to the cast every four hours. Nothing should be placed in the cast to
facilitate scratching beneath the cast.
The nurse is caring for an older client being treated for a cardiac condition who has developed
"dry eyes". Which medication may be contributing to this condition?
a) Procainamide (Procanbid).
b) Iron supplements.
c) Atenolol (Tenormin).
d) Lipitor (Atorvastatin). - Answer c) Atenolol (Tenormin).
Rationale
Dry eyes is an annoying side effect of some medications that can cause a client to feel like they
have something in their eye or a continuous scratchy sensation. This condition can cause eye
strain and discomfort to a client. Clients prescribed Atenolol for hypertension are at risk of
developing dry eyes as a side effect of the medication.
,The lead nurse notes an increase in post-operative infections on the unit, despite the use of
case management and clinical pathways. Based on the disadvantages of case management,
which is the most likely explanation?
a) Team members are not communicating.
b) The case manager is not unit-based.
c) A nurse is not the case manager.
d) Nurses are focusing too much on checklists. - Answer d) Nurses are focusing too much on
checklists.
A transitional care model is being implemented on the unit. A staff nurses ask the lead nurse
why money is being spent to hire a transitional care nurse (TCN) instead of hiring more unit
staff. Which response by the lead nurse best explains the benefits of transitional care models to
the unit staff?
a) TCN and staff go to the client home and community for 2-3 months at a lower salary than
unit staff.
b) TCN and staff use case management techniques to improve outcomes at a limited cost.
c) Hiring a TCN decreases client and family complaints, which decreases staff stress and
turnover.
d) Hiring a TCN decreases readmissions for complex clients, which improves unit staffing issues.
- Answer d) Hiring a TCN decreases readmissions for complex clients, which improves unit
staffing issues.
, The nurse is providing education to a pregnant client about how to prevent urinary tract
infections (UTIs). Which statement by the client indicates the need for further education?
a) "I should take a bath every day."
b) "I should urinate frequently."
c) "I should increase fluid intake."
d) "I should avoid tight-fitting pants." - Answer a) "I should take a bath every day."
The nurse is assessing a client who has reported 7 episodes of diarrhea in the past 24 hours.
What questions would determine a possible causative factor of the diarrhea? Select all that
apply
a) Have you been experiencing any stress or anxiety lately?
b) Does the diarrhea have a strong, unpleasant odor to it?
c) What type of food have you eaten within the last 36 hours?
d) What medications and supplements are you currently taking?
e) When did you last urinate and what was the color and amount of the urine? - Answer a)
Have you been experiencing any stress or anxiety lately?
b) Does the diarrhea have a strong, unpleasant odor to it?
c) What type of food have you eaten within the last 36 hours?
d) What medications and supplements are you currently taking?
