HESI RN EXIT EXAM WITH NGN LATEST
VERSION EXAM PREP SOLVED QUESTIONS
ACCURATE ANSWERS PREMIUM REVIEW
◉ A client who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects
since taking the drug. Which side effect should the nurse report to
the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism
Answer: D. Somnambulism
◉ The nurse instructs a client in use of a incentive spirometer. The
client performs a return demonstration as seen in the video. Which
action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer
,Answer: D. Remind the client to cough after using the spirometer
◉ A client tells the nurse about working out with a personal trainer
and swimming three times a week in an effort to lose weight and
sleep better. The client states that it still is taking hours to fall asleep
at night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to
be effective
B. Encourage the client to exercise everyday to eliminate bedtime
wakefulness
C. Ask the client for a description of the exercise schedule that is
being followed
D. Determine the amount of weight the client has lost since
increasing activity
Answer: C. Ask the client for a description of the exercise schedule
that is being followed
◉ The nurse is developing an educational program for older clients
who are being discharged with new antihypertensive medications.
The nurse should ensure that the education materials include which
characteristics? (Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
,E. Written at a twelfth-grade reading level
Answer: A. Uses common words with few syllables
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
◉ The nurse is providing care for a client with severe peripheral
arterial disease (PAD). The client reports a history of rest ischemia,
with leg pain that occurs during the night. Which action should the
nurse take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs
Answer: C. Offer cold packs when the pain occurs
◉ The nurse assess a client being treated for Herpes zoster
(shingles). Which assessments should the nurse include when
evaluating the effectiveness of the the treatment? (Select all that
apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
, E. heart sounds
Answer: A. Functional ability
B. Skin integrity
◉ A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the nurse
calculates the infusion rate for the heparin solution at 18
units/kg/hr. The available solution is Heparin Sodium 25,000 units
in 5% Dextrose injection 250mL. The nurse should program the
infusion pump to deliver how many mL/hour?
Answer: 18
◉ When providing client care the nurse identifies a problem and
develops a related clinical question. Next, the nurse intends to
gather evidence so that the decision-making process in response to
the problem and clinical question is evidence-based. When
gathering evidence, which consideration is most important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs
Answer: B. Relevance to the situation
VERSION EXAM PREP SOLVED QUESTIONS
ACCURATE ANSWERS PREMIUM REVIEW
◉ A client who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects
since taking the drug. Which side effect should the nurse report to
the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism
Answer: D. Somnambulism
◉ The nurse instructs a client in use of a incentive spirometer. The
client performs a return demonstration as seen in the video. Which
action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer
,Answer: D. Remind the client to cough after using the spirometer
◉ A client tells the nurse about working out with a personal trainer
and swimming three times a week in an effort to lose weight and
sleep better. The client states that it still is taking hours to fall asleep
at night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to
be effective
B. Encourage the client to exercise everyday to eliminate bedtime
wakefulness
C. Ask the client for a description of the exercise schedule that is
being followed
D. Determine the amount of weight the client has lost since
increasing activity
Answer: C. Ask the client for a description of the exercise schedule
that is being followed
◉ The nurse is developing an educational program for older clients
who are being discharged with new antihypertensive medications.
The nurse should ensure that the education materials include which
characteristics? (Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
,E. Written at a twelfth-grade reading level
Answer: A. Uses common words with few syllables
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
◉ The nurse is providing care for a client with severe peripheral
arterial disease (PAD). The client reports a history of rest ischemia,
with leg pain that occurs during the night. Which action should the
nurse take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs
Answer: C. Offer cold packs when the pain occurs
◉ The nurse assess a client being treated for Herpes zoster
(shingles). Which assessments should the nurse include when
evaluating the effectiveness of the the treatment? (Select all that
apply)
A. Functional ability
B. Skin integrity
C. Pain scale
D. Bowel sounds
, E. heart sounds
Answer: A. Functional ability
B. Skin integrity
◉ A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the nurse
calculates the infusion rate for the heparin solution at 18
units/kg/hr. The available solution is Heparin Sodium 25,000 units
in 5% Dextrose injection 250mL. The nurse should program the
infusion pump to deliver how many mL/hour?
Answer: 18
◉ When providing client care the nurse identifies a problem and
develops a related clinical question. Next, the nurse intends to
gather evidence so that the decision-making process in response to
the problem and clinical question is evidence-based. When
gathering evidence, which consideration is most important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs
Answer: B. Relevance to the situation
