HESI Critical Care RN Exit Exam 4 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) WITH RATIONALES/ GUARANTEED PASS GRADED A+

HESI Critical Care RN Exit Exam




HESI Critical Care RN Exit Exam 4
QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) WITH
RATIONALES/ GUARANTEED PASS
GRADED A+



The nurse is administering the 0900 medications to a client who was admitted
during the night. Which client statement indicates that the nurse should further
assess the medication order?
A.
"At home I take my pills at 8:00 am."
A+ TEST BANK 1

, HESI Critical Care RN Exit Exam

B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before." –


Correct Answer :D
Rationale:
The client's recognition of a "new" pill requires further assessment to verify that
the medication is correct, if it is a new prescription or a different manufacturer,
or if the client needs further instruction. The time difference may not be as
significant in terms of its effect, but this should be explained. Although
comments about cost should be considered when developing a discharge plan,
option D is a higher priority. The client's feelings C should be acknowledged, but
observation of the five rights of medication administration is most essential.


During evacuation of a group of clients from a medical unit because of a fire, the
nurse observes an ambulatory client walking alone toward the stairway at the
end of the hall. Which action should the nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.


A+ TEST BANK 2

, HESI Critical Care RN Exit Exam

Ask the client to help by assisting a wheelchair-bound client to a nearby
elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more
rapidly. –


Correct Answer :B
Rationale:
During evacuation of a unit because of fire, ambulatory clients should be
evacuated via the stairway if at all possible and reminded to walk carefully.
Ambulatory clients do not require the assistance of a wheelchair to be
evacuated. Elevators should not be used during a fire, and fire doors should be
kept closed to help contain the fire.


The client reports to the clinic nurse, "I sleep for about 2 hours and then I have
to get up to use the bathroom. I repeat that pattern about three to four times
per night." What questions will the nurse include in this client's assessment?
(Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"

A+ TEST BANK 3

, HESI Critical Care RN Exit Exam

E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?" –


Correct Answer :A, C, D, E, F
Rationale:
Asking if the spouse also gets up at night does not relate to the clients' pattern
of frequency of urination at night. The goal of the assessment is to try and
understand the client's urinary usual patterns and to determine if there are any
modifiable factors that can decrease the frequency of urinating at night. Urinary
frequency is also a sign of a urinary tract infection.


When performing sterile wound care in the acute care setting, the nurse obtains
a bottle of normal saline from the bedside table that is labeled "opened" and
dated 48 hours prior to the current date. Which is the best action for the nurse
to take?
A.
Use the normal saline solution once more and then discard.
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –

A+ TEST BANK 4