HESI RN 2024 EXIT EXAM WITH ALL
NEEDED TO PASS
When npreparing nto nadminister na nprescribed nmedication nto na nhomeless nclient nat
na ncommunity npsychiatric nclinic. nThe nclient ntells nthe nnurse nthat nthe nusual
ndosage ntaken nis ndifferent nfrom nthe ndose nthe nnurse nis ngiving. nWhich naction
nshould nthe nnurse ntake? n
A) nInform nthe nclient nthat nhe nmay nrefuse nthe nmedication nand ndocument nwhether
nor nnot nthe nclient ntakes nit. n
B) nWithhold nthe nmedication nuntil nthe ndosage ncan nbe nconfirmed. n
C) nExplain nto nthe nclient nthat nthe ndosage nhas nbeen nchanged. n
D) nTell nthe nclient nto ntake nthe nmedication nthen nverify nthe ndosage nat nthe nnext
nhealthcare nteam nmeeting. n- ncorrect nanswers n-B) nWithhold nthe nmedication nuntil
nthe ndosage ncan nbe nconfirmed.
,The ncharge nnurse nis nmaking nassignments nfor none npractical nnurse nand nthree
nregistered nnurses nwho nare ncaring nfor nneurologically ncompromised nclients. nWhich
nclient nwith nwhich nchange nin nstatus nis nbest nto nassign nto nthe nPN? n
A) nSubdural nhematoma nwhose nblood npressure nchanged nfrom n150/80 nto n170/60.
B) nViral nmeningitis nwhose ntemperature nchange nfrom n101 nS nto n102F. n
C) nDiabetic nketo nacidosis nwho nis nGlasgow ncoma nscale nscore nchanged nfrom n10
nto n7. n
D) nMyxedema, nwhose nblood npressure nchange nfrom n80/50 nto n70/40. n- ncorrect
nanswers n-B) nViral nmeningitis nwhose ntemperature nchange nfrom n101 nS nto n102F.
The nnurse nis ncaring nfor na nclient nwith npneumonia nwho nnow ndevelops ninitial nsigns
nof nseptic nshock nand nmulti norgan nfailure. nThe nhealthcare nprovider nprescribes na
nsepsis nprotocol. nWhich nintervention nis nmost nimportant nfor nthe nnurse nto ninclude
nin nthe nplan nof ncare? n
A) nMaintain nstrict nintake nand noutput. n
B) nKeep nhead nof nbed nraised n45°. n
C) nExcess nwarmth nof nextremities. n
D) nMonitor nblood nglucose nlevel. n- ncorrect nanswers n-A) nMaintain nstrict nintake nand
noutput.
And nadolescent nclient nis nadmitted nto nthe nhospital nbecause nof nwriting na nsuicide
nnote nto na nteacher nat nschool. nOn nthe nsecond nday nof nhospitalization, nthe nnurse
nasked nthe nclient nto nmeet nwith nthe ntreatment nteam. nAfter nthe nteam nmeeting, nthe
nclient nleaves nin ntears nand ngoes nto ntheir nroom. nWhich nnursing nintervention nis
nbest? n
A) nLet nthe nclient nrest nquietly nin ntheir nroom nfor na nwhile. n
B) nExplore nthe nclients ngoals nand ndesire nfor ntreatment. n
C) nAsk nthe ntreatment nteam nabout nthe nclients nbehavior. n
D) nGo nto nthe nclients nroom nand nask nwhat nhappened. n- ncorrect nanswers n-D) nGo
nto nthe nclients nroom nand nask nwhat nhappened.
The nhealthcare nprovider nprescribes ndalteparin n200 nunits nper nkilogram
nsubcutaneous nonce na nday nfor na nclient nwho nweighs n154 npounds. nThe
nmedication nis navailable nand n25,000 nunits nper nmilliliter nvial. nHow nmany nmilliliters
nshould nthe nnurse nadminister? n(Enter nnumerical nvalue nonly. nIf nrounding nis
nrequired, nround nto nthe nnearest n10th.) n- ncorrect nanswers n-0.6
NGN: nThe nclient nis na n49-year-old nmale nwho nreports nflu nlike nsymptoms nincluding
nfever nand nchest ncongestion nfor nfour ndays. nHe ncame nto nthe nemergency
ndepartment nlast nnight nwhen nhe nwas nhaving nmore ndifficulty nbreathing nhe nhas na
nhistory nof n1/2 npack na nday ncigarette nsmoking nfor n20 nyears. nHe nhas nno
nsignificant nmedical nor nsurgical nhistory. n
,Which ntwo norders nshould nthe nnurse ncomplete nfirst? n
A) nSputum nculture. n
B) nStart noxygen n3 nL nper nminute nvia nnasal ncannula. n
C) nPlace nthe nclient non na ncardio nrespiratory nmonitor. n
D) nChest nx-ray. n
E) nAcetominophen n350 nmg nPO nevery nsix nhours nfor ntemperature ncontrol. n
F) nRun n0.9% nsodium nchloride nIV ninfusion nat n150 nmL nper nhour. n
G) nStart nperipheral nIV. n
H) nNPO. n- ncorrect nanswers n-B) nStart noxygen n3 nL nper nminute nvia nnasal
ncannula. n
C) nPlace nthe nclient non na ncardio nrespiratory nmonitor.
NGN: n0330: nplace nthe nclient non na ncardio nrespiratory nmonitor, nNPO, nsputum
nculture, nstart na nperipheral nIV ninfusion, nstart noxygen n3 nL nper nminute nvia nnasal
ncannula, nbegin n0.9% nsodium nchloride nIV ninfusion nat n150 nmL nper nhour,
nacetaminophen n350 nmg nPO nevery nsix nhours nfor ntemperature.
To nstart nthe nclient non noxygen nas nordered nwhich nitems nshould nthe nnurse ncollects
nfrom nthe nsupply nroom? nSATA n
A) nhumidifier nbottle. n
B)Suction ncanister. n
C)Sterile nwater. n
D) nNasal ncannula. n
E) nFlow nmeter. n
F) nLambs nwool. n
G) nTape. n- ncorrect nanswers n-D) nNasal ncannula. n
E) nFlow nmeter.
NGN: nstates, nI nam nfeeling nextremely nanxious nright nnow. nThe nclient nhas
ndecreased nbreath nsounds nin nthe nleft nlower nlow. nHis nmucus nmembranes nare
ndry. nHe nhas na nproductive ncough nwith nthick, nyellow nsecretions. nHis ncapillary
nrefill nis nfour nseconds. nVital nsigns, ntemperature n100.2. nHeart nrate n101 nbpm,
nrespiratory nrate n28 nbreaths nper nminute, nblood npressure n145/89, noxygen
nsaturation n90% non nroom nair.
(for neach nbody nsystem nclick nto nspecify nthe nassessment nfindings nthat nindicates
nhypoxia)
Cardiovascular: nheart nrate n100 nbpm, ncapillary nrefill nfor nseconds, nblood npressure
n145/89.
Neurological: nanxious, nawake nand nalert, nrestless.
Respiratory: noxygen nsaturation n90% non nroom nair, nrespiratory nrate n28 nbpm,
nproductive ncough. n- ncorrect nanswers n-Cardiovascular: ncapillary nrefill nfor nseconds,
nblood npressure n145/89.
Neurological: nanxious, nrestless.
Respiratory: noxygen nsaturation n90% non nroom nair, nrespiratory nrate n28 nbpm.
, NGN: nThe nclient nis na n49-year-old nmale nwho nreports nflu nlike nsymptoms nincluding
nfever nand nchest ncongestion nfor nfour ndays. nHe ncame nto nthe nemergency
ndepartment nlast nnight nwhen nhe nwas nhaving nmore ndifficulty nbreathing nhe nhas na
nhistory nof n1/2 npack na nday ncigarette nsmoking nfor n20 nyears. nHe nhas nno
nsignificant nmedical nor nsurgical nhistory. n
The nnurse nshould nplace nthe nclient nin na n_______________ nposition nto npromote
n_____________. n- ncorrect nanswers n-Semi-Fowler n, nlung nexpansion.
NGN: nOrders: n0330: nplace nthe nclient non na ncardio nrespiratory nmonitor, nNPO,
nsputum nculture, nstart na nPIV, nstart noxygen n3L nvia nnasal ncannula, nnormal nsaline
n150 nML nper nhour, nacetaminophen n350mg nPO nevery nsix nhours nfor ntemp ngreater
nthan n101F, nchest nx-ray.
0500: nOxygen n8Lvia nsimple nfacemask, ntitrate nto nkeep noxygen nsaturation ngreater
nthan n94%.
(mark nwhether nthe nstatements nby nthe nnew ngrad nnurse nindicate nunderstanding nor
nno nunderstanding nof nthe nuse nof nfacemask nin nthe ncare nof nthis nclient)
-I nshould nclean nthe nfacemask nonce nper nshift.
-The nclient nshould ntake na n1 nto n2 nminute nbreak nfrom nthe nfacemask neach nhour.
-I nshould nput ngauze nunder nthe nelastic nstraps nover nthe nears.
-I ncan nadjust nthe noxygen nlevel non nthe nflow nmeter nto nkeep nthe nclients noxygen
nsaturation ngreater nthan n94%.
-The nmask nshould ncover nonly nthe nmouth nand nleave nthe nnose nopen nfor
nexpiration.
-I nshould nplace nthe nmask nfirst nover nthe nnose nand nthen ncover nthe nmouth. n-
ncorrect nanswers n--I nshould nclean nthe nfacemask nonce nper nshift.
n(UNDERSTANDING)
-The nclient nshould ntake na n1 nto n2 nminute nbreak nfrom nthe nfacemask neach nhour.
n(NOT nUNDERSTANDING)
-I nshould nput ngauze nunder nthe nelastic nstraps nover nthe nears. n(NOT
nUNDERSTANDING n????)
-I ncan nadjust nthe noxygen nlevel non nthe nflow nmeter nto nkeep nthe nclients noxygen
nsaturation ngreater nthan n94%. n(UNDERSTANDING)
-The nmask nshould ncover nonly nthe nmouth nand nleave nthe nnose nopen nfor
nexpiration. n(NOT nUNDERSTANDING)
-I nshould nplace nthe nmask nfirst nover nthe nnose nand nthen ncover nthe nmouth.
n(UNDERSTANDING)
NGN: nNurses nNotes: n0400, nthe nclient nis nawake nand nalert nbut nrestless. nHe
nstates nI nam nfeeling nextremely nanxious nright nnow. nThe nclient nhas ndecreased
nbreath nsounds nin nthe nleft nlower nlobe. nHis nmucus nmembranes nare ndry. nHe nhas
na nproductive ncough nwith nthick, nyellow nsecretions. nHis ncapillary nrefill nis nfour
NEEDED TO PASS
When npreparing nto nadminister na nprescribed nmedication nto na nhomeless nclient nat
na ncommunity npsychiatric nclinic. nThe nclient ntells nthe nnurse nthat nthe nusual
ndosage ntaken nis ndifferent nfrom nthe ndose nthe nnurse nis ngiving. nWhich naction
nshould nthe nnurse ntake? n
A) nInform nthe nclient nthat nhe nmay nrefuse nthe nmedication nand ndocument nwhether
nor nnot nthe nclient ntakes nit. n
B) nWithhold nthe nmedication nuntil nthe ndosage ncan nbe nconfirmed. n
C) nExplain nto nthe nclient nthat nthe ndosage nhas nbeen nchanged. n
D) nTell nthe nclient nto ntake nthe nmedication nthen nverify nthe ndosage nat nthe nnext
nhealthcare nteam nmeeting. n- ncorrect nanswers n-B) nWithhold nthe nmedication nuntil
nthe ndosage ncan nbe nconfirmed.
,The ncharge nnurse nis nmaking nassignments nfor none npractical nnurse nand nthree
nregistered nnurses nwho nare ncaring nfor nneurologically ncompromised nclients. nWhich
nclient nwith nwhich nchange nin nstatus nis nbest nto nassign nto nthe nPN? n
A) nSubdural nhematoma nwhose nblood npressure nchanged nfrom n150/80 nto n170/60.
B) nViral nmeningitis nwhose ntemperature nchange nfrom n101 nS nto n102F. n
C) nDiabetic nketo nacidosis nwho nis nGlasgow ncoma nscale nscore nchanged nfrom n10
nto n7. n
D) nMyxedema, nwhose nblood npressure nchange nfrom n80/50 nto n70/40. n- ncorrect
nanswers n-B) nViral nmeningitis nwhose ntemperature nchange nfrom n101 nS nto n102F.
The nnurse nis ncaring nfor na nclient nwith npneumonia nwho nnow ndevelops ninitial nsigns
nof nseptic nshock nand nmulti norgan nfailure. nThe nhealthcare nprovider nprescribes na
nsepsis nprotocol. nWhich nintervention nis nmost nimportant nfor nthe nnurse nto ninclude
nin nthe nplan nof ncare? n
A) nMaintain nstrict nintake nand noutput. n
B) nKeep nhead nof nbed nraised n45°. n
C) nExcess nwarmth nof nextremities. n
D) nMonitor nblood nglucose nlevel. n- ncorrect nanswers n-A) nMaintain nstrict nintake nand
noutput.
And nadolescent nclient nis nadmitted nto nthe nhospital nbecause nof nwriting na nsuicide
nnote nto na nteacher nat nschool. nOn nthe nsecond nday nof nhospitalization, nthe nnurse
nasked nthe nclient nto nmeet nwith nthe ntreatment nteam. nAfter nthe nteam nmeeting, nthe
nclient nleaves nin ntears nand ngoes nto ntheir nroom. nWhich nnursing nintervention nis
nbest? n
A) nLet nthe nclient nrest nquietly nin ntheir nroom nfor na nwhile. n
B) nExplore nthe nclients ngoals nand ndesire nfor ntreatment. n
C) nAsk nthe ntreatment nteam nabout nthe nclients nbehavior. n
D) nGo nto nthe nclients nroom nand nask nwhat nhappened. n- ncorrect nanswers n-D) nGo
nto nthe nclients nroom nand nask nwhat nhappened.
The nhealthcare nprovider nprescribes ndalteparin n200 nunits nper nkilogram
nsubcutaneous nonce na nday nfor na nclient nwho nweighs n154 npounds. nThe
nmedication nis navailable nand n25,000 nunits nper nmilliliter nvial. nHow nmany nmilliliters
nshould nthe nnurse nadminister? n(Enter nnumerical nvalue nonly. nIf nrounding nis
nrequired, nround nto nthe nnearest n10th.) n- ncorrect nanswers n-0.6
NGN: nThe nclient nis na n49-year-old nmale nwho nreports nflu nlike nsymptoms nincluding
nfever nand nchest ncongestion nfor nfour ndays. nHe ncame nto nthe nemergency
ndepartment nlast nnight nwhen nhe nwas nhaving nmore ndifficulty nbreathing nhe nhas na
nhistory nof n1/2 npack na nday ncigarette nsmoking nfor n20 nyears. nHe nhas nno
nsignificant nmedical nor nsurgical nhistory. n
,Which ntwo norders nshould nthe nnurse ncomplete nfirst? n
A) nSputum nculture. n
B) nStart noxygen n3 nL nper nminute nvia nnasal ncannula. n
C) nPlace nthe nclient non na ncardio nrespiratory nmonitor. n
D) nChest nx-ray. n
E) nAcetominophen n350 nmg nPO nevery nsix nhours nfor ntemperature ncontrol. n
F) nRun n0.9% nsodium nchloride nIV ninfusion nat n150 nmL nper nhour. n
G) nStart nperipheral nIV. n
H) nNPO. n- ncorrect nanswers n-B) nStart noxygen n3 nL nper nminute nvia nnasal
ncannula. n
C) nPlace nthe nclient non na ncardio nrespiratory nmonitor.
NGN: n0330: nplace nthe nclient non na ncardio nrespiratory nmonitor, nNPO, nsputum
nculture, nstart na nperipheral nIV ninfusion, nstart noxygen n3 nL nper nminute nvia nnasal
ncannula, nbegin n0.9% nsodium nchloride nIV ninfusion nat n150 nmL nper nhour,
nacetaminophen n350 nmg nPO nevery nsix nhours nfor ntemperature.
To nstart nthe nclient non noxygen nas nordered nwhich nitems nshould nthe nnurse ncollects
nfrom nthe nsupply nroom? nSATA n
A) nhumidifier nbottle. n
B)Suction ncanister. n
C)Sterile nwater. n
D) nNasal ncannula. n
E) nFlow nmeter. n
F) nLambs nwool. n
G) nTape. n- ncorrect nanswers n-D) nNasal ncannula. n
E) nFlow nmeter.
NGN: nstates, nI nam nfeeling nextremely nanxious nright nnow. nThe nclient nhas
ndecreased nbreath nsounds nin nthe nleft nlower nlow. nHis nmucus nmembranes nare
ndry. nHe nhas na nproductive ncough nwith nthick, nyellow nsecretions. nHis ncapillary
nrefill nis nfour nseconds. nVital nsigns, ntemperature n100.2. nHeart nrate n101 nbpm,
nrespiratory nrate n28 nbreaths nper nminute, nblood npressure n145/89, noxygen
nsaturation n90% non nroom nair.
(for neach nbody nsystem nclick nto nspecify nthe nassessment nfindings nthat nindicates
nhypoxia)
Cardiovascular: nheart nrate n100 nbpm, ncapillary nrefill nfor nseconds, nblood npressure
n145/89.
Neurological: nanxious, nawake nand nalert, nrestless.
Respiratory: noxygen nsaturation n90% non nroom nair, nrespiratory nrate n28 nbpm,
nproductive ncough. n- ncorrect nanswers n-Cardiovascular: ncapillary nrefill nfor nseconds,
nblood npressure n145/89.
Neurological: nanxious, nrestless.
Respiratory: noxygen nsaturation n90% non nroom nair, nrespiratory nrate n28 nbpm.
, NGN: nThe nclient nis na n49-year-old nmale nwho nreports nflu nlike nsymptoms nincluding
nfever nand nchest ncongestion nfor nfour ndays. nHe ncame nto nthe nemergency
ndepartment nlast nnight nwhen nhe nwas nhaving nmore ndifficulty nbreathing nhe nhas na
nhistory nof n1/2 npack na nday ncigarette nsmoking nfor n20 nyears. nHe nhas nno
nsignificant nmedical nor nsurgical nhistory. n
The nnurse nshould nplace nthe nclient nin na n_______________ nposition nto npromote
n_____________. n- ncorrect nanswers n-Semi-Fowler n, nlung nexpansion.
NGN: nOrders: n0330: nplace nthe nclient non na ncardio nrespiratory nmonitor, nNPO,
nsputum nculture, nstart na nPIV, nstart noxygen n3L nvia nnasal ncannula, nnormal nsaline
n150 nML nper nhour, nacetaminophen n350mg nPO nevery nsix nhours nfor ntemp ngreater
nthan n101F, nchest nx-ray.
0500: nOxygen n8Lvia nsimple nfacemask, ntitrate nto nkeep noxygen nsaturation ngreater
nthan n94%.
(mark nwhether nthe nstatements nby nthe nnew ngrad nnurse nindicate nunderstanding nor
nno nunderstanding nof nthe nuse nof nfacemask nin nthe ncare nof nthis nclient)
-I nshould nclean nthe nfacemask nonce nper nshift.
-The nclient nshould ntake na n1 nto n2 nminute nbreak nfrom nthe nfacemask neach nhour.
-I nshould nput ngauze nunder nthe nelastic nstraps nover nthe nears.
-I ncan nadjust nthe noxygen nlevel non nthe nflow nmeter nto nkeep nthe nclients noxygen
nsaturation ngreater nthan n94%.
-The nmask nshould ncover nonly nthe nmouth nand nleave nthe nnose nopen nfor
nexpiration.
-I nshould nplace nthe nmask nfirst nover nthe nnose nand nthen ncover nthe nmouth. n-
ncorrect nanswers n--I nshould nclean nthe nfacemask nonce nper nshift.
n(UNDERSTANDING)
-The nclient nshould ntake na n1 nto n2 nminute nbreak nfrom nthe nfacemask neach nhour.
n(NOT nUNDERSTANDING)
-I nshould nput ngauze nunder nthe nelastic nstraps nover nthe nears. n(NOT
nUNDERSTANDING n????)
-I ncan nadjust nthe noxygen nlevel non nthe nflow nmeter nto nkeep nthe nclients noxygen
nsaturation ngreater nthan n94%. n(UNDERSTANDING)
-The nmask nshould ncover nonly nthe nmouth nand nleave nthe nnose nopen nfor
nexpiration. n(NOT nUNDERSTANDING)
-I nshould nplace nthe nmask nfirst nover nthe nnose nand nthen ncover nthe nmouth.
n(UNDERSTANDING)
NGN: nNurses nNotes: n0400, nthe nclient nis nawake nand nalert nbut nrestless. nHe
nstates nI nam nfeeling nextremely nanxious nright nnow. nThe nclient nhas ndecreased
nbreath nsounds nin nthe nleft nlower nlobe. nHis nmucus nmembranes nare ndry. nHe nhas
na nproductive ncough nwith nthick, nyellow nsecretions. nHis ncapillary nrefill nis nfour
