2021 HESI EXIT EXAM QUESTIONS AND ANSWERS

2021 HESI EXIT EXAM QUESTIONS AND ANSWERS 1. The Nurse is caring for a client admitted with a spontaneous pneumothorax. Which action should the nurse include in the client’s plan of care? a. Give bronchodilators by endotrac route b. Monitor bubbling of chest unit until water-seal chamber c. Sch client for hyberbanic O2 therapy (HBOT) d. Administer antibiotics via long line IV cath 2. Following a cataract extraction and intraocular lens implantation, a client in the day surgery unit is reporting nausea. a. Position the cline to use an emesis basin b. Administer PRN antiemetic med IV c. Protect the operative eye from any risk for trauma d. Withhold diet progression until nausea subside 3. A group of nurses implement a pilot study to eval a proposed evidence based change to providing client care. Evaluation indicates successful outcomes and the nurses want to integrate the change throughout the facility. Which actions should be taken (SATA) a. Obtain informed consent from clients who rec care b. Arrange in-service training thru the Education Dept c. Submit a sentinel event report to the research committee d. Propose clinical prac guidelines to the nursing committee e. Invite data review by the QI Dep 4. A client is admitted with hypoparathyroidism. Which lab value indicates the nurse should place a client on a telemetry monitor? a. Calcium 6.5 mg/DL or 0.25 mmol/L b. Potassium 5.0 mEq/L or mmol/L c. Sodium 132 d. Magnesium 2.0 or 0.85 mmol/L 5. The RN is assessing a client with an AV fistula who has been rec hemodialysis for 2 years. The nurse auscultates a bruit over the site of the clients fistula. What action should the nurse take/ a. Contact the dialysis unit to r/x the next tx b. Document the finding in the EMR c. Elevate the affected arm on 2 pillows immediately d. Compare the BP readings in both arms 6. The nurse is completing the admission assessm. Of a 3 y/o who is admitted w/ bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased ICP/ a. BP fluctuations and syncope b. Tachycardia and tachypnea c. Increased head circumference and bulging fontanels d. Sluggish and unequal pupillary responses