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HESI RN EXIT 1 Share this
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Answer and Explanation
Question 1: Report an Issue
Report Wrong Answer
Choice A:
Determine the need for urinary
The nurse leading a care team on a catheterizations: This task requires a higher
medical surgical unit is assigning level of assessment and clinical judgment,
client care to a practical nurse (PN) typically performed by a registered nurse
and an unlicensed assistive (RN) rather than a practical nurse (PN).
personnel Which task should the
nurse assign to the PN? Choice B:
A. Determine the need for urinary Titrate Oxygen to prescribed parameters:
catheterizations. 14% Adjusting oxygen levels requires
B. Titrate Oxygen to prescribed specialized training and knowledge, often
parameters. 73% Most selected performed by RNs or respiratory therapists.
C. Receive a postoperative client
Choice C:
and conduct the assessment 11%
Receive a postoperative client and
conduct the assessment: Assessing
D. Evaluate and update plans of
postoperative clients falls within the scope
care for clients. 0%
of practice of a PN, as they are trained to
conduct assessments and provide basic
care under the supervision of an RN.
Choice D:
Evaluate and update plans of care for
clients: This task involves critical thinking
and decision- making skills beyond the
scope of a PN's role, typically performed by
an RN
, Discussion Section
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Answer and Explanation
Question 2: Report an Issue
Report Wrong Answer
Choice A:
An abdominal binder can be worn daily to
A mother brings her 4-month-old reduce the protrusion: This is not an
son to the clinic with a quarter appropriate intervention for an umbilical
taped over his umbilicus, and tells hernia in an infant. Abdominal binders are
the nurse the quarter is supposed typically used for support after abdominal
to fix her child's hernia. Which surgeries or to manage hernias in adults.
explanation should the nurse
provide? Choice B:
A. An abdominal binder can be This hernia is a normal variation that
worn daily to reduce the protrusion. resolves without treatment: Umbilical
6% hernias are common in infants and
B. This hernia is a normal variation typically resolve on their own without
that resolves without treatment. intervention by around 1 to 2 years of age.
88% Most selected Reassuring the mother about the benign
nature of the hernia is appropriate.
C. The quarter should be secured
with an elastic bandage wrap. 5%
Choice C:
The quarter should be secured with an
D. Restrictive clothing will be
adequate to help the hernia go elastic bandage wrap: Taping a quarter
over the umbilicus is not a recommended
away. 0%
treatment for an umbilical hernia and
could pose a choking hazard to the infant.
Choice D:
Restrictive clothing will be adequate to
help the hernia go away: Restrictive
clothing is not an effective treatment for
umbilical hernias in infants and could
potentially cause discomfort or
complications.
, Discussion Section
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Answer and Explanation
Question 3: Report an Issue
Report Wrong Answer
Choice A:
Advise the client to place one nitroglycerin
A male client reports to the on-call tablet under his tongue as a precaution:
clinic nurse that he took tadalafil 10 Nitroglycerin is contraindicated in
mg by mouth two hours ago and combination with phosphodiesterase type
his skin now feels flushed. He 5 inhibitors like tadalafil due to the risk of
reports a history of stable angina severe hypotension. This action could
but denies experiencing any worsen the client's condition.
current or recent chest pain. Which
action should the nurse take? Choice B:
A. Advise the client to place one Tell the client to have someone bring him
nitroglycerin tablet under his to an emergency department
tongue as a precaution. 2% immediately: Skin flushing is a common
B. Tell the client to have someone side effect of tadalafil and not necessarily
bring him to an emergency indicative of a medical emergency,
department immediately. 27% especially in the absence of chest pain or
other concerning symptoms.
C. Instruct the client to increase his
intake of oral fluids until the skin
Choice C:
flushing is relieved. 6%
D. Reassure the client that skin Instruct the client to increase his intake of
flushing is a common side effect of oral fluids until the skin flushing is relieved
the medication. 63% Most selected
Increasing fluid intake is not likely to
alleviate the skin flushing associated with
tadalafil. This response does not address
the client's concern adequately.
Choice D:
Reassure the client that skin flushing is a
common side effect of the medication:
Tadalafil, a phosphodiesterase type 5
inhibitor, commonly causes facial flushing
as a side effect. Reassuring the client
about this known side effect is appropriate,
, especially since he is not experiencing
chest pain or other concerning symptoms.
Discussion Section
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Answer and Explanation
Question 4: Report an Issue
Report Wrong Answer Choice A:
An adolescent with multiple contusions
The charge nurse is planning for due to a fall that occurred 2 days ago:
the shift and has a registered nurse While contusions may require assessment
(RN) and a practical nurse (PN) on and management, they typically do not
the team. Which client should the require the advanced nursing skills of an
charge nurse assign to the RN? RN. This task could be appropriately
A. An adolescent with multiple managed by a practical nurse (PN).
contusions due to a fall that
occurred 2 days ago. 3% Choice B:
B. A 75-year-old client with renal A 75-year-old client with renal calculi who
calculi who requires urine straining. requires urine straining: Urine straining for
8% renal calculi does not typically require the
advanced nursing skills of an RN. This task
C. A 30-year-old depressed client
could be appropriately managed by a
who admits to suicide ideation. 72%
practical nurse (PN).
Most selected
D. A 64-year-old client who had a Choice C:
total hip replacement the previous
A 30-year-old depressed client who
day. 15%
admits to suicide ideation: Managing a
client with depression and suicide ideation
requires specialized psychiatric nursing
skills and interventions, which are within
the scope of practice of an RN rather than
a practical nurse (PN).
Choice D:
A 64-year-old client who had a total hip
replacement the previous day:
HESI RN EXIT 1 Share this
We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the
latest features, improvements, and component updates, please switch to the new system as soon
as possible.
Visit Latest Version
Answer and Explanation
Question 1: Report an Issue
Report Wrong Answer
Choice A:
Determine the need for urinary
The nurse leading a care team on a catheterizations: This task requires a higher
medical surgical unit is assigning level of assessment and clinical judgment,
client care to a practical nurse (PN) typically performed by a registered nurse
and an unlicensed assistive (RN) rather than a practical nurse (PN).
personnel Which task should the
nurse assign to the PN? Choice B:
A. Determine the need for urinary Titrate Oxygen to prescribed parameters:
catheterizations. 14% Adjusting oxygen levels requires
B. Titrate Oxygen to prescribed specialized training and knowledge, often
parameters. 73% Most selected performed by RNs or respiratory therapists.
C. Receive a postoperative client
Choice C:
and conduct the assessment 11%
Receive a postoperative client and
conduct the assessment: Assessing
D. Evaluate and update plans of
postoperative clients falls within the scope
care for clients. 0%
of practice of a PN, as they are trained to
conduct assessments and provide basic
care under the supervision of an RN.
Choice D:
Evaluate and update plans of care for
clients: This task involves critical thinking
and decision- making skills beyond the
scope of a PN's role, typically performed by
an RN
, Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 2: Report an Issue
Report Wrong Answer
Choice A:
An abdominal binder can be worn daily to
A mother brings her 4-month-old reduce the protrusion: This is not an
son to the clinic with a quarter appropriate intervention for an umbilical
taped over his umbilicus, and tells hernia in an infant. Abdominal binders are
the nurse the quarter is supposed typically used for support after abdominal
to fix her child's hernia. Which surgeries or to manage hernias in adults.
explanation should the nurse
provide? Choice B:
A. An abdominal binder can be This hernia is a normal variation that
worn daily to reduce the protrusion. resolves without treatment: Umbilical
6% hernias are common in infants and
B. This hernia is a normal variation typically resolve on their own without
that resolves without treatment. intervention by around 1 to 2 years of age.
88% Most selected Reassuring the mother about the benign
nature of the hernia is appropriate.
C. The quarter should be secured
with an elastic bandage wrap. 5%
Choice C:
The quarter should be secured with an
D. Restrictive clothing will be
adequate to help the hernia go elastic bandage wrap: Taping a quarter
over the umbilicus is not a recommended
away. 0%
treatment for an umbilical hernia and
could pose a choking hazard to the infant.
Choice D:
Restrictive clothing will be adequate to
help the hernia go away: Restrictive
clothing is not an effective treatment for
umbilical hernias in infants and could
potentially cause discomfort or
complications.
, Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 3: Report an Issue
Report Wrong Answer
Choice A:
Advise the client to place one nitroglycerin
A male client reports to the on-call tablet under his tongue as a precaution:
clinic nurse that he took tadalafil 10 Nitroglycerin is contraindicated in
mg by mouth two hours ago and combination with phosphodiesterase type
his skin now feels flushed. He 5 inhibitors like tadalafil due to the risk of
reports a history of stable angina severe hypotension. This action could
but denies experiencing any worsen the client's condition.
current or recent chest pain. Which
action should the nurse take? Choice B:
A. Advise the client to place one Tell the client to have someone bring him
nitroglycerin tablet under his to an emergency department
tongue as a precaution. 2% immediately: Skin flushing is a common
B. Tell the client to have someone side effect of tadalafil and not necessarily
bring him to an emergency indicative of a medical emergency,
department immediately. 27% especially in the absence of chest pain or
other concerning symptoms.
C. Instruct the client to increase his
intake of oral fluids until the skin
Choice C:
flushing is relieved. 6%
D. Reassure the client that skin Instruct the client to increase his intake of
flushing is a common side effect of oral fluids until the skin flushing is relieved
the medication. 63% Most selected
Increasing fluid intake is not likely to
alleviate the skin flushing associated with
tadalafil. This response does not address
the client's concern adequately.
Choice D:
Reassure the client that skin flushing is a
common side effect of the medication:
Tadalafil, a phosphodiesterase type 5
inhibitor, commonly causes facial flushing
as a side effect. Reassuring the client
about this known side effect is appropriate,
, especially since he is not experiencing
chest pain or other concerning symptoms.
Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 4: Report an Issue
Report Wrong Answer Choice A:
An adolescent with multiple contusions
The charge nurse is planning for due to a fall that occurred 2 days ago:
the shift and has a registered nurse While contusions may require assessment
(RN) and a practical nurse (PN) on and management, they typically do not
the team. Which client should the require the advanced nursing skills of an
charge nurse assign to the RN? RN. This task could be appropriately
A. An adolescent with multiple managed by a practical nurse (PN).
contusions due to a fall that
occurred 2 days ago. 3% Choice B:
B. A 75-year-old client with renal A 75-year-old client with renal calculi who
calculi who requires urine straining. requires urine straining: Urine straining for
8% renal calculi does not typically require the
advanced nursing skills of an RN. This task
C. A 30-year-old depressed client
could be appropriately managed by a
who admits to suicide ideation. 72%
practical nurse (PN).
Most selected
D. A 64-year-old client who had a Choice C:
total hip replacement the previous
A 30-year-old depressed client who
day. 15%
admits to suicide ideation: Managing a
client with depression and suicide ideation
requires specialized psychiatric nursing
skills and interventions, which are within
the scope of practice of an RN rather than
a practical nurse (PN).
Choice D:
A 64-year-old client who had a total hip
replacement the previous day:
