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,4/24/26, 12:40 PM HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS Flashcard…
The nurse is caring for a client with pneumonia who now A) Maintain strict intake and output.
develops initial signs of septic shock and multi organ
failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse
to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
And adolescent client is admitted to the hospital because D) Go to the clients room and ask what happened.
of writing a suicide note to a teacher at school. On the
second day of hospitalization, the nurse asked the client to
meet with the treatment team. After the team meeting, the
client leaves in tears and goes to their room. Which
nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units 0.6
per kilogram subcutaneous once a day for a client who
weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters should
the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.)
NGN: The client is a 49-year-old male who reports flu like B) Start oxygen 3 L per minute via nasal cannula.
symptoms including fever and chest congestion for four C) Place the client on a cardio respiratory monitor.
days. He came to the emergency department last night
when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for
temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per
hour.
G) Start peripheral IV.
H) NPO.
NGN: 0330: place the client on a cardio respiratory D) Nasal cannula.
monitor, NPO, sputum culture, start a peripheral IV E) Flow meter.
infusion, start oxygen 3 L per minute via nasal cannula,
begin 0.9% sodium chloride IV infusion at 150 mL per
hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items
should the nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
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, 4/24/26, 12:40 PM HESI RN 2025 EXIT EXAM MOST TESTED EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS Flashcard…
NGN: states, I am feeling extremely anxious right now. The Cardiovascular: capillary refill for seconds, blood pressure 145/89.
client has decreased breath sounds in the left lower low. Neurological: anxious, restless.
His mucus membranes are dry. He has a productive cough Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
with thick, yellow secretions. His capillary refill is four
seconds. Vital signs, temperature 100.2. Heart rate 101
bpm, respiratory rate 28 breaths per minute, blood
pressure 145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment
findings that indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for
seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air,
respiratory rate 28 bpm, productive cough.
NGN: The client is a 49-year-old male who reports flu like Semi-Fowler , lung expansion.
symptoms including fever and chest congestion for four
days. He came to the emergency department last night
when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a _______________
position to promote _____________.
NGN: Orders: 0330: place the client on a cardio respiratory -I should clean the facemask once per shift. (UNDERSTANDING)
monitor, NPO, sputum culture, start a PIV, start oxygen 3L -The client should take a 1 to 2 minute break from the facemask each hour. (NOT
via nasal cannula, normal saline 150 ML per hour, UNDERSTANDING)
acetaminophen 350mg PO every six hours for temp -I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING
greater than 101F, chest x-ray. ????)
0500: Oxygen 8Lvia simple facemask, titrate to keep -I can adjust the oxygen level on the flow meter to keep the clients oxygen
oxygen saturation greater than 94%. saturation greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration.
(mark whether the statements by the new grad nurse (NOT UNDERSTANDING)
indicate understanding or no understanding of the use of -I should place the mask first over the nose and then cover the mouth.
facemask in the care of this client) (UNDERSTANDING)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the
facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep
the clients oxygen saturation greater than 94%.
-The mask should cover only the mouth and leave the
nose open for expiration.
-I should place the mask first over the nose and then cover
the mouth.
NGN: Nurses Notes: 0400, the client is awake and alert B) The client will have quit smoking.
but restless. He states I am feeling extremely anxious right C) The client will be afebrile for 24 hours.
now. The client has decreased breath sounds in the left E) The client will report pain less than 3/10.
lower lobe. His mucus membranes are dry. He has a
productive cough with thick, yellow secretions. His capillary
refill is four seconds. Heart rate 101 BPM, oxygen
saturation 90%. Blood pressure 145/89, temperature 100.2
F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No
improvement in oxygen saturation on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96%
without supplemental oxygen.
E) The client will report pain less than 3/10.
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