RN Exit v2 Test ** HESI Med Surg Real Exit
Exam Questions with Answers NGN
TheMnurseMassumesMcareMofMaMpostoperativeMadultMclientMwithMtypeM2MdiabetesMmellitusMandMlear
nsMthatMtheMclientMhasMaMcurrentMbloodMglucoseMlevelMofM720Mmg/dL.MWhenMassessingMtheMclient,
MwhatMisMtheMpriority?
A.MAssessMforMsignsMofMfluidMvolumeMdeficit
B.MObserveMwoundMdrainageMcharacteristics
C.MMeasureMtheMlevelMofMacuteMpain
D.MDetermineMwhenMtheMclientMlastMateM-MCORRECTMANSWERM-
A.MAssessMforMsignsMofMfluidMvolumeMdeficit
AMmaleMclientMtellsMtheMnurseMthatMheMisMconcernedMthatMheMmayMhaveMaMstomachMulcer,Mbecause
MheMisMexperiencingMheartburnMandMdullMgnawingMpainMthatMisMrelievedMwhenMheMeats.MWhichMisMt
heMbestMresponseMbyMtheMnurse?
A.MEncourageMtheMclientMtoMobtainMaMcompleteMphysicalMexam,MsinceMtheseMsymptomsMareMconsis
tentMwithManMulcer
B.MAssureMtheMclientMthatMhisMsymptomsMmayMonlyMreflectMreflux,MsinceMulcerMpainMisMnotMrelieve
dMwithMfood
C.MInstructMtheMclientMthatMtheseMmildMsymptomsMcanMgenerallyMbeMcontrolledMwithMchangesMinMh
isMdiet
D.MAdviseMtheMclientMthatMheMneedsMtoMseekMimmediateMmedicalMevaluationMandMtreatmentMofMthe
seMsymptomsM-MCORRECTMANSWERM-
A.MEncourageMtheMclientMtoMobtainMaMcompleteMphysicalMexam,MsinceMtheseMsymptomsMareMconsis
tentMwithManMulcer
AMmaleMclientMwithMstomachMcancerMreturnsMtoMtheMunitMfollowingMaMtotalMgastrectomy.MHeMhasMa
MnasogastricMtubeMtoMsuctionMandMisMreceivingMLactatedMRinger'sMsolutionMatM75MmL/hrMIV.MOneM
hourMafterMadmissionMtoMtheMunit,MtheMnurseMnotesM300mLMofMbloodMinMtheMsuctionMcanister,MtheM
client'sMheartMrateMisM155Mbeats/minute,MandMhisMbloodMpressureMisM78/48MmmHg.MInMadditionMtoM
reportingMtheMfindingsMtoMtheMsurgeon,MwhichMactionMshouldMtheMnurseMimplementMfirst?
A.MMeasureMandMdocumentMtheMclient'sMurinaryMoutput
,B.MRequestMtheMclient'sMreservedMunitMofMpackedMredMbloodMcells
C.MPrepareMforMplacementMofMaMcentralMvenousMcatheter
D.MIncreaseMtheMinfusionMrateMofMLactatedMRinger'sMsolutionM-MCORRECTMANSWERM-
D.MIncreaseMtheMinfusionMrateMofMLactatedMRinger'sMsolution
AMheparinMinfusionMisMprescribedMforMaMclientMwhoMweighsM220Mpounds.MAfterMadministeringMaMb
olusMdoseMofM80Munits/kg,MtheMnurseMcalculatesMtheMinfusionMrateMforMtheMheparinMsolutionMasM18M
units/kg/hour.MTheMavailableMsolutionMisMHeparinMSodiumM25,000MUnitsMinM5%MDextroseMInjecti
onM250MmL.MTheMnurseMshouldMprogramMtheMinfusionMpumpMtoMdeliverMhowMmanyMmL/hour?M-
MCORRECTMANSWERM--1st:McalculateMtheMweightM=M220/2.2=M100kg
-ThenMcalculateMtotalMdoseMinMunitsM=M18unitsMxM100kgM=M1800Munits/hr
-M25000MunitsM-MinM250
1800MunitsM---inMXMml
M
xM=M1800MxM250/25000M=18MmL/hr
AnMadultMmaleMwhoMfellM20MfeetMfromMtheMroofMofMhisMhomeMhasMmultipleMinjuries,MincludingMaMr
ightMpneumothorax.MChestMtubesMwereMinsertedMinMtheMemergencyMdepartmentMpriorMtoMhisMtransf
erMtoMtheMintensiveMcareMunitM(ICU).MTheMnurseMnotesMthatMtheMsuctionMcontrolMchamberMisMbubbl
ingMatMtheM-
10cmMH2OMmark,MwhichMfluctuationMinMtheMwaterMseal,MandMoverMtheMpastMhourM75MmLMofMbrigh
tMredMbloodMisMmeasuredMinMtheMcollectionMchamber.MWhichMinterventionMshouldMtheMnurseMimple
ment?
A.MAddMsterileMwaterMtoMtheMsuctionMcontrolMchamber
B.MGiveMbloodMfromMtheMcollectionMchamberMasMautotransfusion
C.MManipulateMbloodMinMtubingMtoMdrainMintoMchamber
D.MIncreaseMwallMsuctionMtoMeliminateMfluctuationMinMwaterMsealM-MCORRECTMANSWERM-
A.MAddMsterileMwaterMtoMtheMsuctionMcontrolMchamber
AnMadultMmaleMwasMdiagnosedMwithMstageMIVMlungMcancerMthreeMweeksMago.MHisMwifeMapproach
esMtheMnurseMandMasksMhowMsheMwillMknowMthatMherMhusband'sMdeathMisMimminentMbecauseMtheirM
twoMadultMchildrenMwantMtoMbeMthereMwhenMheMdies.MWhichMisMtheMbestMresponseMbyMtheMnurse?M
A.MGatherMinformationMregardingMhowMlongMitMwillMtakeMforMtheMchildrenMtoMarrive
,B.MExplainMthatMtheMclientMwillMstartMtoMloseMconsciousnessMandMtheMbodyMsystemsMwillMslowMdo
wn
C.MReassureMtheMspouseMthatMtheMhealthcareMproviderMwillMnotifyMwhenMtoMcallMtheMchildrenM
D.MOfferMtoMdiscussMtheMclient'sMhealthMstatusMwithMeachMofMtheMadultMchildrenM-
MCORRECTMANSWERM-
B.MExplainMthatMtheMclientMwillMstartMtoMloseMconsciousnessMandMtheMbodyMsystemsMwillMslowMdo
wn
TheMchargeMnurseMofMaMcriticalMcareMunitMisMinformedMatMtheMbeginningMofMtheMshiftMthatMlessMtha
nMtheMoptimalMnumberMofMregisteredMnursesMwillMbeMworkingMthatMshift.MInMplanningMassignments
,MwhichMclientMshouldMreceiveMtheMmostMcareMhoursMbyMaMregisteredMnurseM(RN)?
A.MAM48-year-
oldMmarathonMrunnerMwithMaMcentralMvenousMcatheterMwhoMisMexperiencingMnauseaMandMvomiting
MdueMtoMelectrolyteMdisturbanceMfollowingMaMrace
B.MAM34-year-
oldMadmittedMtodayMafterManMemergencyMappendectomyMwhoMhasMaMperipheralMintravenousMcathe
terMandMaMFoleyMcatheter
C.MAM63-year-
oldMchainMsmokerMadmittedMwithMchronicMbronchitisMwhoMisMreceivingMoxygenMviaMnasalMcannula
MandMhasMaMsaline-lockedMperipheralMintravenousMcatheter
D.MAnM82-year-oldMclientMwithMAlzheimer'sMdiseaseMandMaMnewly-
fracturedMfemurMwhoMhasMaMFoleyMcatheterMandMsoftMwristMrestraintsMappliedM-
MCORRECTMANSWERM-D.MAnM82-year-oldMclientMwithMAlzheimer'sMdiseaseMandMaMnewly-
fracturedMfemurMwhoMhasMaMFoleyMcatheterMandMsoftMwristMrestraintsMapplied
TheMnurseMisMpreparingMaMdoseMofM60MmcgMofMteriparatide.MTheMmedicationMisMlabeledM"750Mmcg
/2.4mL".MHowMmanyMmLMshouldMtheMnurseMadminister?MRoundMtoMnearestMtenth.M-
MCORRECTMANSWERM-0.2MmL
InMcaringMforMaMclientMwithMCushing'sMSyndrome,MwhichMserumMlaboratoryMvalueMisMmostMimport
antMforMtheMnurseMtoMmonitor?
A.MCreatinine
B.MLactate
, C.MGlucose
D.MHemoglobinM-MCORRECTMANSWERM-C.MGlucose
AMclientMwhoMreceivedMhemodialysisMyesterdayMisMexperiencingMaMbloodMpressureMofM200/100Mm
mHg,MheartMrateM110Mbeats/minute,MandMrespiratoryMrateM36Mbreaths/minute.MTheMclientMisMmanif
estingMshortnessMofMbreath,MbilateralM2+MpedalMedema,MandManMoxygenMsaturationMonMroomMairMof
M89%.MWhichMactionMshouldMtheMnurseMtakeMfirst?
A.MElevateMtheMfootMofMtheMbed
B.MRestrictMtheMclient'sMfluids
C.MBeginMsupplementalMoxygen
D.MPrepareMclientMforMhemodialysisM-MCORRECTMANSWERM-C.MBeginMsupplementalMoxygen
WhenMcaringMforMaMclientMwithMfullMthicknessMburnsMtoMbothMlowerMextremities,MwhichMassessme
ntMfindingsMwarrantMimmediateMintervention?MSelectMallMthatMapply
A.MSloughingMtissueMaroundMwoundMedges
B.MComplaintMofMincreasedMpainMandMpressure
C.MChangeMinMtheMqualityMofMtheMperipheralMpulses
D.MLossMofMsensationMtoMtheMleftMlowerMextremity
E.MWeepingMserosanguineousMfluidMfromMwoundsM-MCORRECTMANSWERM-
B.MComplaintMofMincreasedMpainMandMpressure
C.MChangeMinMtheMqualityMofMtheMperipheralMpulses
D.MLossMofMsensationMtoMtheMleftMlowerMextremity
AnMolderMclientMisMadmittedMwithMfluidMvolumeMdeficitMandMdehydration.MWhichMassessmentMfind
ingMisMtheMbestMindicatorMofMhydrationMthatMtheMnurseMshouldMreportMtoMtheMhealthcareMprovider?
A.MUrineMspecificMgravityMisM1.040
B.MSystolicMbloodMpressureMdecreasesM10MpointsMwhenMstanding
C.MTheMclientMdeniesMbeingMthirsty
Exam Questions with Answers NGN
TheMnurseMassumesMcareMofMaMpostoperativeMadultMclientMwithMtypeM2MdiabetesMmellitusMandMlear
nsMthatMtheMclientMhasMaMcurrentMbloodMglucoseMlevelMofM720Mmg/dL.MWhenMassessingMtheMclient,
MwhatMisMtheMpriority?
A.MAssessMforMsignsMofMfluidMvolumeMdeficit
B.MObserveMwoundMdrainageMcharacteristics
C.MMeasureMtheMlevelMofMacuteMpain
D.MDetermineMwhenMtheMclientMlastMateM-MCORRECTMANSWERM-
A.MAssessMforMsignsMofMfluidMvolumeMdeficit
AMmaleMclientMtellsMtheMnurseMthatMheMisMconcernedMthatMheMmayMhaveMaMstomachMulcer,Mbecause
MheMisMexperiencingMheartburnMandMdullMgnawingMpainMthatMisMrelievedMwhenMheMeats.MWhichMisMt
heMbestMresponseMbyMtheMnurse?
A.MEncourageMtheMclientMtoMobtainMaMcompleteMphysicalMexam,MsinceMtheseMsymptomsMareMconsis
tentMwithManMulcer
B.MAssureMtheMclientMthatMhisMsymptomsMmayMonlyMreflectMreflux,MsinceMulcerMpainMisMnotMrelieve
dMwithMfood
C.MInstructMtheMclientMthatMtheseMmildMsymptomsMcanMgenerallyMbeMcontrolledMwithMchangesMinMh
isMdiet
D.MAdviseMtheMclientMthatMheMneedsMtoMseekMimmediateMmedicalMevaluationMandMtreatmentMofMthe
seMsymptomsM-MCORRECTMANSWERM-
A.MEncourageMtheMclientMtoMobtainMaMcompleteMphysicalMexam,MsinceMtheseMsymptomsMareMconsis
tentMwithManMulcer
AMmaleMclientMwithMstomachMcancerMreturnsMtoMtheMunitMfollowingMaMtotalMgastrectomy.MHeMhasMa
MnasogastricMtubeMtoMsuctionMandMisMreceivingMLactatedMRinger'sMsolutionMatM75MmL/hrMIV.MOneM
hourMafterMadmissionMtoMtheMunit,MtheMnurseMnotesM300mLMofMbloodMinMtheMsuctionMcanister,MtheM
client'sMheartMrateMisM155Mbeats/minute,MandMhisMbloodMpressureMisM78/48MmmHg.MInMadditionMtoM
reportingMtheMfindingsMtoMtheMsurgeon,MwhichMactionMshouldMtheMnurseMimplementMfirst?
A.MMeasureMandMdocumentMtheMclient'sMurinaryMoutput
,B.MRequestMtheMclient'sMreservedMunitMofMpackedMredMbloodMcells
C.MPrepareMforMplacementMofMaMcentralMvenousMcatheter
D.MIncreaseMtheMinfusionMrateMofMLactatedMRinger'sMsolutionM-MCORRECTMANSWERM-
D.MIncreaseMtheMinfusionMrateMofMLactatedMRinger'sMsolution
AMheparinMinfusionMisMprescribedMforMaMclientMwhoMweighsM220Mpounds.MAfterMadministeringMaMb
olusMdoseMofM80Munits/kg,MtheMnurseMcalculatesMtheMinfusionMrateMforMtheMheparinMsolutionMasM18M
units/kg/hour.MTheMavailableMsolutionMisMHeparinMSodiumM25,000MUnitsMinM5%MDextroseMInjecti
onM250MmL.MTheMnurseMshouldMprogramMtheMinfusionMpumpMtoMdeliverMhowMmanyMmL/hour?M-
MCORRECTMANSWERM--1st:McalculateMtheMweightM=M220/2.2=M100kg
-ThenMcalculateMtotalMdoseMinMunitsM=M18unitsMxM100kgM=M1800Munits/hr
-M25000MunitsM-MinM250
1800MunitsM---inMXMml
M
xM=M1800MxM250/25000M=18MmL/hr
AnMadultMmaleMwhoMfellM20MfeetMfromMtheMroofMofMhisMhomeMhasMmultipleMinjuries,MincludingMaMr
ightMpneumothorax.MChestMtubesMwereMinsertedMinMtheMemergencyMdepartmentMpriorMtoMhisMtransf
erMtoMtheMintensiveMcareMunitM(ICU).MTheMnurseMnotesMthatMtheMsuctionMcontrolMchamberMisMbubbl
ingMatMtheM-
10cmMH2OMmark,MwhichMfluctuationMinMtheMwaterMseal,MandMoverMtheMpastMhourM75MmLMofMbrigh
tMredMbloodMisMmeasuredMinMtheMcollectionMchamber.MWhichMinterventionMshouldMtheMnurseMimple
ment?
A.MAddMsterileMwaterMtoMtheMsuctionMcontrolMchamber
B.MGiveMbloodMfromMtheMcollectionMchamberMasMautotransfusion
C.MManipulateMbloodMinMtubingMtoMdrainMintoMchamber
D.MIncreaseMwallMsuctionMtoMeliminateMfluctuationMinMwaterMsealM-MCORRECTMANSWERM-
A.MAddMsterileMwaterMtoMtheMsuctionMcontrolMchamber
AnMadultMmaleMwasMdiagnosedMwithMstageMIVMlungMcancerMthreeMweeksMago.MHisMwifeMapproach
esMtheMnurseMandMasksMhowMsheMwillMknowMthatMherMhusband'sMdeathMisMimminentMbecauseMtheirM
twoMadultMchildrenMwantMtoMbeMthereMwhenMheMdies.MWhichMisMtheMbestMresponseMbyMtheMnurse?M
A.MGatherMinformationMregardingMhowMlongMitMwillMtakeMforMtheMchildrenMtoMarrive
,B.MExplainMthatMtheMclientMwillMstartMtoMloseMconsciousnessMandMtheMbodyMsystemsMwillMslowMdo
wn
C.MReassureMtheMspouseMthatMtheMhealthcareMproviderMwillMnotifyMwhenMtoMcallMtheMchildrenM
D.MOfferMtoMdiscussMtheMclient'sMhealthMstatusMwithMeachMofMtheMadultMchildrenM-
MCORRECTMANSWERM-
B.MExplainMthatMtheMclientMwillMstartMtoMloseMconsciousnessMandMtheMbodyMsystemsMwillMslowMdo
wn
TheMchargeMnurseMofMaMcriticalMcareMunitMisMinformedMatMtheMbeginningMofMtheMshiftMthatMlessMtha
nMtheMoptimalMnumberMofMregisteredMnursesMwillMbeMworkingMthatMshift.MInMplanningMassignments
,MwhichMclientMshouldMreceiveMtheMmostMcareMhoursMbyMaMregisteredMnurseM(RN)?
A.MAM48-year-
oldMmarathonMrunnerMwithMaMcentralMvenousMcatheterMwhoMisMexperiencingMnauseaMandMvomiting
MdueMtoMelectrolyteMdisturbanceMfollowingMaMrace
B.MAM34-year-
oldMadmittedMtodayMafterManMemergencyMappendectomyMwhoMhasMaMperipheralMintravenousMcathe
terMandMaMFoleyMcatheter
C.MAM63-year-
oldMchainMsmokerMadmittedMwithMchronicMbronchitisMwhoMisMreceivingMoxygenMviaMnasalMcannula
MandMhasMaMsaline-lockedMperipheralMintravenousMcatheter
D.MAnM82-year-oldMclientMwithMAlzheimer'sMdiseaseMandMaMnewly-
fracturedMfemurMwhoMhasMaMFoleyMcatheterMandMsoftMwristMrestraintsMappliedM-
MCORRECTMANSWERM-D.MAnM82-year-oldMclientMwithMAlzheimer'sMdiseaseMandMaMnewly-
fracturedMfemurMwhoMhasMaMFoleyMcatheterMandMsoftMwristMrestraintsMapplied
TheMnurseMisMpreparingMaMdoseMofM60MmcgMofMteriparatide.MTheMmedicationMisMlabeledM"750Mmcg
/2.4mL".MHowMmanyMmLMshouldMtheMnurseMadminister?MRoundMtoMnearestMtenth.M-
MCORRECTMANSWERM-0.2MmL
InMcaringMforMaMclientMwithMCushing'sMSyndrome,MwhichMserumMlaboratoryMvalueMisMmostMimport
antMforMtheMnurseMtoMmonitor?
A.MCreatinine
B.MLactate
, C.MGlucose
D.MHemoglobinM-MCORRECTMANSWERM-C.MGlucose
AMclientMwhoMreceivedMhemodialysisMyesterdayMisMexperiencingMaMbloodMpressureMofM200/100Mm
mHg,MheartMrateM110Mbeats/minute,MandMrespiratoryMrateM36Mbreaths/minute.MTheMclientMisMmanif
estingMshortnessMofMbreath,MbilateralM2+MpedalMedema,MandManMoxygenMsaturationMonMroomMairMof
M89%.MWhichMactionMshouldMtheMnurseMtakeMfirst?
A.MElevateMtheMfootMofMtheMbed
B.MRestrictMtheMclient'sMfluids
C.MBeginMsupplementalMoxygen
D.MPrepareMclientMforMhemodialysisM-MCORRECTMANSWERM-C.MBeginMsupplementalMoxygen
WhenMcaringMforMaMclientMwithMfullMthicknessMburnsMtoMbothMlowerMextremities,MwhichMassessme
ntMfindingsMwarrantMimmediateMintervention?MSelectMallMthatMapply
A.MSloughingMtissueMaroundMwoundMedges
B.MComplaintMofMincreasedMpainMandMpressure
C.MChangeMinMtheMqualityMofMtheMperipheralMpulses
D.MLossMofMsensationMtoMtheMleftMlowerMextremity
E.MWeepingMserosanguineousMfluidMfromMwoundsM-MCORRECTMANSWERM-
B.MComplaintMofMincreasedMpainMandMpressure
C.MChangeMinMtheMqualityMofMtheMperipheralMpulses
D.MLossMofMsensationMtoMtheMleftMlowerMextremity
AnMolderMclientMisMadmittedMwithMfluidMvolumeMdeficitMandMdehydration.MWhichMassessmentMfind
ingMisMtheMbestMindicatorMofMhydrationMthatMtheMnurseMshouldMreportMtoMtheMhealthcareMprovider?
A.MUrineMspecificMgravityMisM1.040
B.MSystolicMbloodMpressureMdecreasesM10MpointsMwhenMstanding
C.MTheMclientMdeniesMbeingMthirsty
