HESI RN EXIT EXAM 2022 V3
ORGANIZED QUESTIONS &
100% CORRECT EXPERT
VERIFIED ANSWERS GRADED
A+ (ORIGINAL COPY!!!!!)
A client who received hemodialysis yesterday is experiencing a
blood pressure of 200/100
mmHg, heart rate 110 beats/minute, and respiratory rate 36
breaths/minute. The client is
manifesting shortness of breath, bilateral 2+ pedal edema, and
an oxygen saturation on room air
of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed. b. Restrict the client's fluid. c.
Begin supplemental oxygen. d. Prepare the client for
hemodialysis. - THE CORRECT ANSWER-c. Begin supplemental oxygen
A client with Addison's crisis is admitted for treatment with
adrenal cortical supplementation.
Based on the client's admitting diagnosis, which findings
require immediate action by the nurse?
(Select all that apply)
a. Headache and tremors b. Irregular heart rate c. Skin
hyperpigmentation d. Postural hypotension e. Pallor and
diaphoresis - THE CORRECT ANSWER-a. Headache and tremors b.
Irregular heart rate e. Pallor and diaphoresis
,An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding
is the best indicator of hydration that the nurse should report to
the healthcare provider?
a. Urine specific gravity is 1.040 b. Systolic blood pressure
decreases 10 points when standing. c. The client denies being
thirsty. d. Skin tenting occurs when the client's forearm is
pinched. - THE CORRECT ANSWER-d. Skin tenting occurs when the
client's forearm is pinched.
After an inservice about electronic health record (EHR) security
and safeguarding client
information, the nurse observes a colleague going home with
printed copies of client
information in a uniform pocket. Which action should the nurse
take?
a. File a detailed incident report with the specific hiring facility.
b. Warn the colleague that their actions are unprofessional. c.
Comment anonymously about the action of a staff discussion
board. d. Communicate the colleague's actions to the unit
charge nurse. - THE CORRECT ANSWER-a. File a detailed incident
report with the specific hiring facility.
The nurse is evaluating a tertiary prevention program for
clients with cardiovascular disease implemented in a rural
health clinic. Which outcome indicate the program is effective?
a. At-risk clients received an increased number of routine
health screenings. b. Clients reported having new confidence in
making healthy food choices. c. Clients who incurred disease
complications promptly received rehabilitation. d. Client
,relapse rate of 30% in a 5-year community-wide anti-smoking
campaign. - THE CORRECT ANSWER-c. Clients who incurred disease
complications promptly received rehabilitation.
The nurse is caring for a client with chronic obstructive
pulmonary disease (COPD) who uses
oxygen at 2 L/minute per nasal cannula continuously. The
nurse observes that the client is
having increased shortness of breath with respirations at 23
breaths/minute. Which action
should the nurse implement first?
a. Determine if the client is experiencing any anxiety. b.
Auscultate the client's bilateral lung sounds and oxygen
saturation. c. Notify the healthcare provider about the client's
distress. d. Assess the delivery mechanism of the oxygen tank,
tubing, and cannula. - THE CORRECT ANSWER-d. Assess the delivery
mechanism of the oxygen tank, tubing, and cannula.
Which statement by a client who is 24 hours post-subtotal
thyroidectomy requires an
immediate investigation by the nurse?
a. "When I get out of bed quickly, I feel a little dizzy." b. "The
dressing over my incision feels like it is too tight." c. "I'm most
comfortable when the head of the bed is raised." d. "This IV
infusion makes me urinate more often than usual." - THE CORRECT
ANSWER-a. "When I get out of bed quickly, I feel a little dizzy."
An older adult male who is in his early 70's is admitted to the
emergency department because of
, a COPD exacerbation. This client is struggling to breathe and
the healthcare team is preparing
for endotracheal intubation. The spouse's wife, who is 30 years
younger than the client, asks the
nurse to stop the procedure and provide the nurse a copy of the
client's living will. Which action
should the nurse take?
a. Facilitate a family meeting with the palliative care team. b.
Notify the healthcare provider of the client's wishes. c. Place a
certified copy of the living will in the client's record. d. Alert the
nursing staff of the client's don't resuscitate status. - THE CORRECT
ANSWER-b. Notify the healthcare provider of the client's wishes.
An unlicensed assistive personnel (UAP) is assigned to provide
personal care for a client whose
prescribed activity is bedrest with bedside commode use. The
UAP reports to the nurse that the
client is so obese that the UAP feels unable to safely assist the
client in transferring from the bed
to the bedside commode. How should the nurse respond?
a. Determine the client's level of mobility and need for
assistance. b. Instruct the UAP that all clients deserve equal
care. c. Advice the client to maintain bedrest so that safety can
be ensured. d. Assign another UAP to care for the client. - THE
CORRECT ANSWER-c. Advice the client to maintain bedrest so that
safety can be ensured.
A nurse determines that more than 25% of the students at a
middle school are overweight. The
ORGANIZED QUESTIONS &
100% CORRECT EXPERT
VERIFIED ANSWERS GRADED
A+ (ORIGINAL COPY!!!!!)
A client who received hemodialysis yesterday is experiencing a
blood pressure of 200/100
mmHg, heart rate 110 beats/minute, and respiratory rate 36
breaths/minute. The client is
manifesting shortness of breath, bilateral 2+ pedal edema, and
an oxygen saturation on room air
of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed. b. Restrict the client's fluid. c.
Begin supplemental oxygen. d. Prepare the client for
hemodialysis. - THE CORRECT ANSWER-c. Begin supplemental oxygen
A client with Addison's crisis is admitted for treatment with
adrenal cortical supplementation.
Based on the client's admitting diagnosis, which findings
require immediate action by the nurse?
(Select all that apply)
a. Headache and tremors b. Irregular heart rate c. Skin
hyperpigmentation d. Postural hypotension e. Pallor and
diaphoresis - THE CORRECT ANSWER-a. Headache and tremors b.
Irregular heart rate e. Pallor and diaphoresis
,An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding
is the best indicator of hydration that the nurse should report to
the healthcare provider?
a. Urine specific gravity is 1.040 b. Systolic blood pressure
decreases 10 points when standing. c. The client denies being
thirsty. d. Skin tenting occurs when the client's forearm is
pinched. - THE CORRECT ANSWER-d. Skin tenting occurs when the
client's forearm is pinched.
After an inservice about electronic health record (EHR) security
and safeguarding client
information, the nurse observes a colleague going home with
printed copies of client
information in a uniform pocket. Which action should the nurse
take?
a. File a detailed incident report with the specific hiring facility.
b. Warn the colleague that their actions are unprofessional. c.
Comment anonymously about the action of a staff discussion
board. d. Communicate the colleague's actions to the unit
charge nurse. - THE CORRECT ANSWER-a. File a detailed incident
report with the specific hiring facility.
The nurse is evaluating a tertiary prevention program for
clients with cardiovascular disease implemented in a rural
health clinic. Which outcome indicate the program is effective?
a. At-risk clients received an increased number of routine
health screenings. b. Clients reported having new confidence in
making healthy food choices. c. Clients who incurred disease
complications promptly received rehabilitation. d. Client
,relapse rate of 30% in a 5-year community-wide anti-smoking
campaign. - THE CORRECT ANSWER-c. Clients who incurred disease
complications promptly received rehabilitation.
The nurse is caring for a client with chronic obstructive
pulmonary disease (COPD) who uses
oxygen at 2 L/minute per nasal cannula continuously. The
nurse observes that the client is
having increased shortness of breath with respirations at 23
breaths/minute. Which action
should the nurse implement first?
a. Determine if the client is experiencing any anxiety. b.
Auscultate the client's bilateral lung sounds and oxygen
saturation. c. Notify the healthcare provider about the client's
distress. d. Assess the delivery mechanism of the oxygen tank,
tubing, and cannula. - THE CORRECT ANSWER-d. Assess the delivery
mechanism of the oxygen tank, tubing, and cannula.
Which statement by a client who is 24 hours post-subtotal
thyroidectomy requires an
immediate investigation by the nurse?
a. "When I get out of bed quickly, I feel a little dizzy." b. "The
dressing over my incision feels like it is too tight." c. "I'm most
comfortable when the head of the bed is raised." d. "This IV
infusion makes me urinate more often than usual." - THE CORRECT
ANSWER-a. "When I get out of bed quickly, I feel a little dizzy."
An older adult male who is in his early 70's is admitted to the
emergency department because of
, a COPD exacerbation. This client is struggling to breathe and
the healthcare team is preparing
for endotracheal intubation. The spouse's wife, who is 30 years
younger than the client, asks the
nurse to stop the procedure and provide the nurse a copy of the
client's living will. Which action
should the nurse take?
a. Facilitate a family meeting with the palliative care team. b.
Notify the healthcare provider of the client's wishes. c. Place a
certified copy of the living will in the client's record. d. Alert the
nursing staff of the client's don't resuscitate status. - THE CORRECT
ANSWER-b. Notify the healthcare provider of the client's wishes.
An unlicensed assistive personnel (UAP) is assigned to provide
personal care for a client whose
prescribed activity is bedrest with bedside commode use. The
UAP reports to the nurse that the
client is so obese that the UAP feels unable to safely assist the
client in transferring from the bed
to the bedside commode. How should the nurse respond?
a. Determine the client's level of mobility and need for
assistance. b. Instruct the UAP that all clients deserve equal
care. c. Advice the client to maintain bedrest so that safety can
be ensured. d. Assign another UAP to care for the client. - THE
CORRECT ANSWER-c. Advice the client to maintain bedrest so that
safety can be ensured.
A nurse determines that more than 25% of the students at a
middle school are overweight. The
