FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
FUNDAMENTALS BRAND NEW AUTHENTIC RN
HESI EXIT EXAM VERSION 2 (V2) TEST BANK (
55 out of 55 Question & ANSWER(S)) Next
Generation Format ALL 100% CORRECT –
GUARANTEED A+
A hospitalized client has had difficulty falling asleep for two nights, and is becoming irritable
and restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care as
safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8 hours.
D.
A+ TEST BANK 1
, FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
Encourage the client to avoid pain medication during the day, which might increase daytime
napping.
A
Rationale: Including habitual rituals that do not interfere with the client's care or safety may
allow the client to go to sleep faster and increase the quality of care. Options B, C, and D
decrease the client's standard of care and compromise safety.
Which instruction is most important for the nurse to include when teaching a client with
limited mobility strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour.
C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the client in
measures that promote venous return, such as dorsiflexion and plantar flexion. Options A, B,
and D are helpful to prevent other complications of immobility but are less effective in
preventing venous thrombus formation than option C.
For the client with a sodium level of 128 mEq/L, which meal selections should the nurse
suggest to the client? (Select all that apply.)
A.
Bacon, egg, and cheese biscuit
A+ TEST BANK 2
, FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
B.
Chinese chicken and vegetables, with rice and soy sauce
C.
Strawberry, spinach salad with yogurt-based blue cheese dressing
D.
Chicken salad stuffed fresh tomato with a side of celery sticks
E.
Grilled tilapia with a fresh green side salad
F.
Grilled hot dog on a bun with ketchup and mustard
A, B, F
Rationale: The client is hyponatremic and additional salt is needed in the diet. Fresh fruits and
vegetables are low in sodium. Bacon, soy, and hot dogs with ketchup and mustard are high in
sodium.
A 76-year-old client has returned from surgery. The nurse plans on decreasing the chance of
respiratory compromise for this client. What will the nurse include in this client's plan of care?
(Select all that apply.)
A.
Raise the head of the bed to no less than a 45 degrees angle.
B.
Have the client use an incentive spirometer 10 times every hour while awake.
C.
Limit total fluid intake to no more than 1000 mL/day.
D.
Have the client sit on the side of the bed instead of getting up and walking.
E.
Ask the client to take deep breaths and cough five times every hour while awake.
A+ TEST BANK 3
, FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
A, B, E
Rationale:As long as the client is not on a fluid restriction, offer no less than 2000 mL of fluid
to keep the body well hydrated and keep respiratory secretions loose. Ambulation is key for
this client. Sitting at the side of the bed is not a replacement for ambulating. Having the client
sit up helps expand the lungs. Taking deep breaths, through coughing or incentive
spirometry, helps expand the lungs and decrease atelectasis.
While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes
that one of the side effects is a reduction in sexual drive. Which is the best response by the
nurse?
A.
"How will this affect your present sexual activity?"
B.
"How active is your current sex life?"
C.
"How has your sex life changed as you have become older?"
D.
"Tell me about your sexual needs as an older adult."
A
Rationale: Option A offers an open-ended question most relevant to the client's statement.
Option B does not offer the client the opportunity to express concerns. Options C and D are
even less relevant to the client's statement.
The nurse teaches the use of a gait belt to a caregiver whose spouse has right-sided weakness
and needs assistance with ambulation. The caregiver performs a return demonstration of the
skill. Which observation indicates that the caregiver has learned how to use the belt?
A.
Standing on the spouse's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
A+ TEST BANK 4
RN HESI EXIT EXAM
FUNDAMENTALS BRAND NEW AUTHENTIC RN
HESI EXIT EXAM VERSION 2 (V2) TEST BANK (
55 out of 55 Question & ANSWER(S)) Next
Generation Format ALL 100% CORRECT –
GUARANTEED A+
A hospitalized client has had difficulty falling asleep for two nights, and is becoming irritable
and restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care as
safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8 hours.
D.
A+ TEST BANK 1
, FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
Encourage the client to avoid pain medication during the day, which might increase daytime
napping.
A
Rationale: Including habitual rituals that do not interfere with the client's care or safety may
allow the client to go to sleep faster and increase the quality of care. Options B, C, and D
decrease the client's standard of care and compromise safety.
Which instruction is most important for the nurse to include when teaching a client with
limited mobility strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour.
C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the client in
measures that promote venous return, such as dorsiflexion and plantar flexion. Options A, B,
and D are helpful to prevent other complications of immobility but are less effective in
preventing venous thrombus formation than option C.
For the client with a sodium level of 128 mEq/L, which meal selections should the nurse
suggest to the client? (Select all that apply.)
A.
Bacon, egg, and cheese biscuit
A+ TEST BANK 2
, FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
B.
Chinese chicken and vegetables, with rice and soy sauce
C.
Strawberry, spinach salad with yogurt-based blue cheese dressing
D.
Chicken salad stuffed fresh tomato with a side of celery sticks
E.
Grilled tilapia with a fresh green side salad
F.
Grilled hot dog on a bun with ketchup and mustard
A, B, F
Rationale: The client is hyponatremic and additional salt is needed in the diet. Fresh fruits and
vegetables are low in sodium. Bacon, soy, and hot dogs with ketchup and mustard are high in
sodium.
A 76-year-old client has returned from surgery. The nurse plans on decreasing the chance of
respiratory compromise for this client. What will the nurse include in this client's plan of care?
(Select all that apply.)
A.
Raise the head of the bed to no less than a 45 degrees angle.
B.
Have the client use an incentive spirometer 10 times every hour while awake.
C.
Limit total fluid intake to no more than 1000 mL/day.
D.
Have the client sit on the side of the bed instead of getting up and walking.
E.
Ask the client to take deep breaths and cough five times every hour while awake.
A+ TEST BANK 3
, FUNDAMENTALS BRAND NEW AUTHENTIC
RN HESI EXIT EXAM
A, B, E
Rationale:As long as the client is not on a fluid restriction, offer no less than 2000 mL of fluid
to keep the body well hydrated and keep respiratory secretions loose. Ambulation is key for
this client. Sitting at the side of the bed is not a replacement for ambulating. Having the client
sit up helps expand the lungs. Taking deep breaths, through coughing or incentive
spirometry, helps expand the lungs and decrease atelectasis.
While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes
that one of the side effects is a reduction in sexual drive. Which is the best response by the
nurse?
A.
"How will this affect your present sexual activity?"
B.
"How active is your current sex life?"
C.
"How has your sex life changed as you have become older?"
D.
"Tell me about your sexual needs as an older adult."
A
Rationale: Option A offers an open-ended question most relevant to the client's statement.
Option B does not offer the client the opportunity to express concerns. Options C and D are
even less relevant to the client's statement.
The nurse teaches the use of a gait belt to a caregiver whose spouse has right-sided weakness
and needs assistance with ambulation. The caregiver performs a return demonstration of the
skill. Which observation indicates that the caregiver has learned how to use the belt?
A.
Standing on the spouse's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
A+ TEST BANK 4
