STUDOC : Hesi Exit RN V3 questions and
answers with correct solution
A jmale jclient jwith jstomach jcancer jreturns jto jthe junit jfollowing ja jtotal jgastrectomy. jHe jhas ja
nasogastric jtube jto jsuction jand jis jreceiving jLactated jRinger's jsolution jat j75 jmL/hour jIV. jOne
hour jafter jadmission jto jthe junit, jthe jnurse jnotes j300 jmL jof jblood jin jthe jsuction jcanister, jthe
client's jheart jrate jis j155 jbeats/minute, jand jhis jblood jpressure jis j78/48 jmmHg. jIn jaddition jto
reporting jthe jfinding jto jthe jsurgeon. jWhich jaction jshould jthe jnurse jimplement jfirst?
a. jMeasure jand jdocument jthe jclient's jurinary joutput.
b. jRequest jthe jclient's jreserved junit jif jpacked jred jblood jcells.
c. jPrepare jthe jplacement jof ja jcentral jvenous jcatheter.
d. jIncrease jthe jinfusion jrate jof jLactated jRinger's jsolution j- jAnswer j- jd. jIncrease jthe jinfusion
jrate jof jLactated jRinger's jsolution
an jadult jmale jwho jfell j20 jfeet jfrom jthe jroof jof jthis jhome jhas jmultiple jinjuries, jincluding ja
jright
pneumothorax. jChest jtubes jwere jinserted jin jthe jemergency jdepartment jprior jto jhis jtransfer jto
the jintensive jcare junit j(ICU). jthe jnurse jnotes jthat jthe jsuction jcontrol jchamber jis jbubbling jat
jthe
- j10 jcm jH2O jmark, jwith jfluctuation jin jthe jwater jseal, jand jover jthe jpast jhour j75 jml jof jbright
jred
blood jis jmeasured jin jthe jcollection jchamber. jWhich jintervention jshould jthe jnurse jimplement?
a. jAdd jsterile jwater jto jthe jsuction jcontrol jchamber.
b. jGive jblood jfrom jthe jcollection jchamber jas jautotransfusion
c. jManipulate jblood jin jtubing jto jdrain jinto jchamber.
,d. jIncrease jwall jsuction jto jeliminate jfluctuation jin jwater jseal j- jAnswer j- ja. jAdd jsterile jwater
jto jthe jsuction jcontrol jchamber.
A jclient jwho jreceived jhemodialysis jyesterday jis jexperiencing ja jblood jpressure jof j200/100
mmHg, jheart jrate j110 jbeats/minute, jand jrespiratory jrate j36 jbreaths/minute. jThe jclient jis
manifesting jshortness jof jbreath, jbilateral j2+ jpedal jedema, jand jan joxygen jsaturation jon jroom
jair
of j89%. jWhich jaction jshould jthe jnurse jtake jfirst?
a. jElevate jthe jfoot jof jthe jbed.
b. jRestrict jthe jclient's jfluid.
c. jBegin jsupplemental joxygen.
d. jPrepare jthe jclient jfor jhemodialysis. j- jAnswer j- jc. jBegin jsupplemental joxygen.
A jclient jwith jAddison's jcrisis jis jadmitted jfor jtreatment jwith jadrenal jcortical jsupplementation.
Based jon jthe jclient's jadmitting jdiagnosis, jwhich jfindings jrequire jimmediate jaction jby jthe
jnurse?
(Select jall jthat japply)
a. jHeadache jand jtremors
b. jIrregular jheart jrate
c. jSkin jhyperpigmentation
d. jPostural jhypotension
e. jPallor jand jdiaphoresis j- jAnswer j- ja. jHeadache jand jtremors
b. jIrregular jheart jrate
e. jPallor jand jdiaphoresis
An jolder jclient jis jadmitted jwith jfluid jvolume jdeficit jand jdehydration. jWhich jassessment jfinding
is jthe jbest jindicator jof jhydration jthat jthe jnurse jshould jreport jto jthe jhealthcare jprovider?
a. jUrine jspecific jgravity jis j1.040
b. jSystolic jblood jpressure jdecreases j10 jpoints jwhen jstanding.
c. jThe jclient jdenies jbeing jthirsty.
,d. jSkin jtenting joccurs jwhen jthe jclient's jforearm jis jpinched. j- jAnswer j- jd. jSkin jtenting joccurs
jwhen jthe jclient's jforearm jis jpinched.
After jan jinservice jabout jelectronic jhealth jrecord j(EHR) jsecurity jand jsafeguarding jclient
information, jthe jnurse jobserves ja jcolleague jgoing jhome jwith jprinted jcopies jof jclient
information jin ja juniform jpocket. jWhich jaction jshould jthe jnurse jtake?
a. jFile ja jdetailed jincident jreport jwith jthe jspecific jhiring jfacility.
b. jWarn jthe jcolleague jthat jtheir jactions jare junprofessional.
c. jComment janonymously jabout jthe jaction jof ja jstaff jdiscussion jboard.
d. jCommunicate jthe jcolleague's jactions jto jthe junit jcharge jnurse j- jAnswer j- ja. jFile ja jdetailed
jincident jreport jwith jthe jspecific jhiring jfacility.
The jnurse jis jevaluating ja jtertiary jprevention jprogram jfor jclients jwith jcardiovascular jdisease
implemented jin ja jrural jhealth jclinic. jWhich joutcome jindicate jthe jprogram jis jeffective?
a. jAt-risk jclients jreceived jan jincreased jnumber jof jroutine jhealth jscreenings.
b. jClients jreported jhaving jnew jconfidence jin jmaking jhealthy jfood jchoices.
c. jClients jwho jincurred jdisease jcomplications jpromptly jreceived jrehabilitation.
d. jClient jrelapse jrate jof j30% jin ja j5-year jcommunity-wide janti-smoking jcampaign. j- jAnswer j- jc.
jClients jwho jincurred jdisease jcomplications jpromptly jreceived jrehabilitation.
The jnurse jis jcaring jfor ja jclient jwith jchronic jobstructive jpulmonary jdisease j(COPD) jwho juses
oxygen jat j2 jL/minute jper jnasal jcannula jcontinuously. jThe jnurse jobserves jthat jthe jclient jis
having jincreased jshortness jof jbreath jwith jrespirations jat j23 jbreaths/minute. jWhich jaction
should jthe jnurse jimplement jfirst?
a. jDetermine jif jthe jclient jis jexperiencing jany janxiety.
b. jAuscultate jthe jclient's jbilateral jlung jsounds jand joxygen jsaturation.
c. jNotify jthe jhealthcare jprovider jabout jthe jclient's jdistress.
d. jAssess jthe jdelivery jmechanism jof jthe joxygen jtank, jtubing, jand jcannula. j- jAnswer j- jd.
jAssess jthe jdelivery jmechanism jof jthe joxygen jtank, jtubing, jand jcannula.
, Which jstatement jby ja jclient jwho jis j24 jhours jpost-subtotal jthyroidectomy jrequires jan
immediate jinvestigation jby jthe jnurse?
a. j"When jI jget jout jof jbed jquickly, jI jfeel ja jlittle jdizzy."
b. j"The jdressing jover jmy jincision jfeels jlike jit jis jtoo jtight."
c. j"I'm jmost jcomfortable jwhen jthe jhead jof jthe jbed jis jraised."
d. j"This jIV jinfusion jmakes jme jurinate jmore joften jthan jusual. j- jAnswer j- ja. j"When jI jget jout
jof jbed jquickly, jI jfeel ja jlittle jdizzy."
An jolder jadult jmale jwho jis jin jhis jearly j70's jis jadmitted jto jthe jemergency jdepartment
jbecause jof
a jCOPD jexacerbation. jThis jclient jis jstruggling jto jbreathe jand jthe jhealthcare jteam jis jpreparing
for jendotracheal jintubation. jThe jspouse's jwife, jwho jis j30 jyears jyounger jthan jthe jclient, jasks
jthe
nurse jto jstop jthe jprocedure jand jprovide jthe jnurse ja jcopy jof jthe jclient's jliving jwill. jWhich
jaction
should jthe jnurse jtake?
a. jFacilitate ja jfamily jmeeting jwith jthe jpalliative jcare jteam.
b. jNotify jthe jhealthcare jprovider jof jthe jclient's jwishes.
c. jPlace ja jcertified jcopy jof jthe jliving jwill jin jthe jclient's jrecord.
d. jAlert jthe jnursing jstaff jof jthe jclient's jdon't jresuscitate jstatus. j- jAnswer j- jb. jNotify jthe
jhealthcare jprovider jof jthe jclient's jwishes.
An junlicensed jassistive jpersonnel j(UAP) jis jassigned jto jprovide jpersonal jcare jfor ja jclient jwhose
prescribed jactivity jis jbedrest jwith jbedside jcommode juse. jThe jUAP jreports jto jthe jnurse jthat
jthe
client jis jso jobese jthat jthe jUAP jfeels junable jto jsafely jassist jthe jclient jin jtransferring jfrom jthe
jbed
to jthe jbedside jcommode. jHow jshould jthe jnurse jrespond?
a. jDetermine jthe jclient's jlevel jof jmobility jand jneed jfor jassistance.
b. jInstruct jthe jUAP jthat jall jclients jdeserve jequal jcare.
c. jAdvice jthe jclient jto jmaintain jbedrest jso jthat jsafety jcan jbe jensured.
answers with correct solution
A jmale jclient jwith jstomach jcancer jreturns jto jthe junit jfollowing ja jtotal jgastrectomy. jHe jhas ja
nasogastric jtube jto jsuction jand jis jreceiving jLactated jRinger's jsolution jat j75 jmL/hour jIV. jOne
hour jafter jadmission jto jthe junit, jthe jnurse jnotes j300 jmL jof jblood jin jthe jsuction jcanister, jthe
client's jheart jrate jis j155 jbeats/minute, jand jhis jblood jpressure jis j78/48 jmmHg. jIn jaddition jto
reporting jthe jfinding jto jthe jsurgeon. jWhich jaction jshould jthe jnurse jimplement jfirst?
a. jMeasure jand jdocument jthe jclient's jurinary joutput.
b. jRequest jthe jclient's jreserved junit jif jpacked jred jblood jcells.
c. jPrepare jthe jplacement jof ja jcentral jvenous jcatheter.
d. jIncrease jthe jinfusion jrate jof jLactated jRinger's jsolution j- jAnswer j- jd. jIncrease jthe jinfusion
jrate jof jLactated jRinger's jsolution
an jadult jmale jwho jfell j20 jfeet jfrom jthe jroof jof jthis jhome jhas jmultiple jinjuries, jincluding ja
jright
pneumothorax. jChest jtubes jwere jinserted jin jthe jemergency jdepartment jprior jto jhis jtransfer jto
the jintensive jcare junit j(ICU). jthe jnurse jnotes jthat jthe jsuction jcontrol jchamber jis jbubbling jat
jthe
- j10 jcm jH2O jmark, jwith jfluctuation jin jthe jwater jseal, jand jover jthe jpast jhour j75 jml jof jbright
jred
blood jis jmeasured jin jthe jcollection jchamber. jWhich jintervention jshould jthe jnurse jimplement?
a. jAdd jsterile jwater jto jthe jsuction jcontrol jchamber.
b. jGive jblood jfrom jthe jcollection jchamber jas jautotransfusion
c. jManipulate jblood jin jtubing jto jdrain jinto jchamber.
,d. jIncrease jwall jsuction jto jeliminate jfluctuation jin jwater jseal j- jAnswer j- ja. jAdd jsterile jwater
jto jthe jsuction jcontrol jchamber.
A jclient jwho jreceived jhemodialysis jyesterday jis jexperiencing ja jblood jpressure jof j200/100
mmHg, jheart jrate j110 jbeats/minute, jand jrespiratory jrate j36 jbreaths/minute. jThe jclient jis
manifesting jshortness jof jbreath, jbilateral j2+ jpedal jedema, jand jan joxygen jsaturation jon jroom
jair
of j89%. jWhich jaction jshould jthe jnurse jtake jfirst?
a. jElevate jthe jfoot jof jthe jbed.
b. jRestrict jthe jclient's jfluid.
c. jBegin jsupplemental joxygen.
d. jPrepare jthe jclient jfor jhemodialysis. j- jAnswer j- jc. jBegin jsupplemental joxygen.
A jclient jwith jAddison's jcrisis jis jadmitted jfor jtreatment jwith jadrenal jcortical jsupplementation.
Based jon jthe jclient's jadmitting jdiagnosis, jwhich jfindings jrequire jimmediate jaction jby jthe
jnurse?
(Select jall jthat japply)
a. jHeadache jand jtremors
b. jIrregular jheart jrate
c. jSkin jhyperpigmentation
d. jPostural jhypotension
e. jPallor jand jdiaphoresis j- jAnswer j- ja. jHeadache jand jtremors
b. jIrregular jheart jrate
e. jPallor jand jdiaphoresis
An jolder jclient jis jadmitted jwith jfluid jvolume jdeficit jand jdehydration. jWhich jassessment jfinding
is jthe jbest jindicator jof jhydration jthat jthe jnurse jshould jreport jto jthe jhealthcare jprovider?
a. jUrine jspecific jgravity jis j1.040
b. jSystolic jblood jpressure jdecreases j10 jpoints jwhen jstanding.
c. jThe jclient jdenies jbeing jthirsty.
,d. jSkin jtenting joccurs jwhen jthe jclient's jforearm jis jpinched. j- jAnswer j- jd. jSkin jtenting joccurs
jwhen jthe jclient's jforearm jis jpinched.
After jan jinservice jabout jelectronic jhealth jrecord j(EHR) jsecurity jand jsafeguarding jclient
information, jthe jnurse jobserves ja jcolleague jgoing jhome jwith jprinted jcopies jof jclient
information jin ja juniform jpocket. jWhich jaction jshould jthe jnurse jtake?
a. jFile ja jdetailed jincident jreport jwith jthe jspecific jhiring jfacility.
b. jWarn jthe jcolleague jthat jtheir jactions jare junprofessional.
c. jComment janonymously jabout jthe jaction jof ja jstaff jdiscussion jboard.
d. jCommunicate jthe jcolleague's jactions jto jthe junit jcharge jnurse j- jAnswer j- ja. jFile ja jdetailed
jincident jreport jwith jthe jspecific jhiring jfacility.
The jnurse jis jevaluating ja jtertiary jprevention jprogram jfor jclients jwith jcardiovascular jdisease
implemented jin ja jrural jhealth jclinic. jWhich joutcome jindicate jthe jprogram jis jeffective?
a. jAt-risk jclients jreceived jan jincreased jnumber jof jroutine jhealth jscreenings.
b. jClients jreported jhaving jnew jconfidence jin jmaking jhealthy jfood jchoices.
c. jClients jwho jincurred jdisease jcomplications jpromptly jreceived jrehabilitation.
d. jClient jrelapse jrate jof j30% jin ja j5-year jcommunity-wide janti-smoking jcampaign. j- jAnswer j- jc.
jClients jwho jincurred jdisease jcomplications jpromptly jreceived jrehabilitation.
The jnurse jis jcaring jfor ja jclient jwith jchronic jobstructive jpulmonary jdisease j(COPD) jwho juses
oxygen jat j2 jL/minute jper jnasal jcannula jcontinuously. jThe jnurse jobserves jthat jthe jclient jis
having jincreased jshortness jof jbreath jwith jrespirations jat j23 jbreaths/minute. jWhich jaction
should jthe jnurse jimplement jfirst?
a. jDetermine jif jthe jclient jis jexperiencing jany janxiety.
b. jAuscultate jthe jclient's jbilateral jlung jsounds jand joxygen jsaturation.
c. jNotify jthe jhealthcare jprovider jabout jthe jclient's jdistress.
d. jAssess jthe jdelivery jmechanism jof jthe joxygen jtank, jtubing, jand jcannula. j- jAnswer j- jd.
jAssess jthe jdelivery jmechanism jof jthe joxygen jtank, jtubing, jand jcannula.
, Which jstatement jby ja jclient jwho jis j24 jhours jpost-subtotal jthyroidectomy jrequires jan
immediate jinvestigation jby jthe jnurse?
a. j"When jI jget jout jof jbed jquickly, jI jfeel ja jlittle jdizzy."
b. j"The jdressing jover jmy jincision jfeels jlike jit jis jtoo jtight."
c. j"I'm jmost jcomfortable jwhen jthe jhead jof jthe jbed jis jraised."
d. j"This jIV jinfusion jmakes jme jurinate jmore joften jthan jusual. j- jAnswer j- ja. j"When jI jget jout
jof jbed jquickly, jI jfeel ja jlittle jdizzy."
An jolder jadult jmale jwho jis jin jhis jearly j70's jis jadmitted jto jthe jemergency jdepartment
jbecause jof
a jCOPD jexacerbation. jThis jclient jis jstruggling jto jbreathe jand jthe jhealthcare jteam jis jpreparing
for jendotracheal jintubation. jThe jspouse's jwife, jwho jis j30 jyears jyounger jthan jthe jclient, jasks
jthe
nurse jto jstop jthe jprocedure jand jprovide jthe jnurse ja jcopy jof jthe jclient's jliving jwill. jWhich
jaction
should jthe jnurse jtake?
a. jFacilitate ja jfamily jmeeting jwith jthe jpalliative jcare jteam.
b. jNotify jthe jhealthcare jprovider jof jthe jclient's jwishes.
c. jPlace ja jcertified jcopy jof jthe jliving jwill jin jthe jclient's jrecord.
d. jAlert jthe jnursing jstaff jof jthe jclient's jdon't jresuscitate jstatus. j- jAnswer j- jb. jNotify jthe
jhealthcare jprovider jof jthe jclient's jwishes.
An junlicensed jassistive jpersonnel j(UAP) jis jassigned jto jprovide jpersonal jcare jfor ja jclient jwhose
prescribed jactivity jis jbedrest jwith jbedside jcommode juse. jThe jUAP jreports jto jthe jnurse jthat
jthe
client jis jso jobese jthat jthe jUAP jfeels junable jto jsafely jassist jthe jclient jin jtransferring jfrom jthe
jbed
to jthe jbedside jcommode. jHow jshould jthe jnurse jrespond?
a. jDetermine jthe jclient's jlevel jof jmobility jand jneed jfor jassistance.
b. jInstruct jthe jUAP jthat jall jclients jdeserve jequal jcare.
c. jAdvice jthe jclient jto jmaintain jbedrest jso jthat jsafety jcan jbe jensured.
