RN HESI EXIT CERTIFICATION EVALUATION
COMPLETE QUESTIONS WITH VERIFIED
SOLUTIONS
◉ A toddler presenting with a history of intermittent skin rashes,
hives, abdominal pain, and vomiting that occurs after ingesting of
milk products arrives to the clinic accompanied by the parents.
Which type of testing should the nurse provide education to the
toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge.
Answer: A. Serum immunoglobulin E (IgE)
◉ A client who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack.
,Answer: C. Instruct client to write down the questions
◉ The nurse assesses a client one hour after starting a transfusion of
packed red blood cells and determines that there are no indications
of a transfusion reaction. What instruction should the nurse provide
the unlicensed assistive personnel (UAP) who is working with the
nurse?
A. Notify the nurse when the transfusion has finished, so further
client assessment can be done
B. Continue to measure the client's vital signs every thirty minutes
until the transfusion is complete
C. Monitor the client carefully for the next three hours and report the
onset of a reaction immediately
D. Since a reaction did not occur, the priority is to maintain client
comfort during the transfusion.
Answer: B. Continue to measure the client's vital signs every thirty
minutes until the transfusion is complete
◉ The healthcare provider prescribes a sepsis protocol for a client
with multi-organ failure caused by a ruptured appendix. Which
intervention is most important for the nurse to include in the plan of
care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
,D. Maintain strict intake and output.
Answer: D. Maintain strict intake and output
◉ A client presses the call bell and requests pain medication for a
severe headache. To assess the quality of the client's pain, which
approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale.
Answer: A. Ask the client to describe the pain
◉ A client presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which action
should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring.
Answer: D. Begin continuous fetal monitoring
, ◉ A client asks the nurse for information about how to reduce risk
factors for benign prostatic hyperplasia (BPH). Which information
should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test.
Answer: B. Increase physical activity
◉ The healthcare provider prescribes a fluid challenge of 0.9%
sodium chloride 1,000 mL to be infused intravenously over 4 hours.
The IV administration set delivers 10gtt/mL. How many gtt/minute
should the nurse regulate the infusion? (Round to the nearest whole
number).
Answer: 42 gtt/min
◉ Following a cardiac catheterization and placement of a stent in the
right coronary artery, the nurse administers prasugrel, a platelet
inhibitor, to the client. To monitor for adverse effects from the
medication, which assessment is most important for the nurse to
include in this client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
COMPLETE QUESTIONS WITH VERIFIED
SOLUTIONS
◉ A toddler presenting with a history of intermittent skin rashes,
hives, abdominal pain, and vomiting that occurs after ingesting of
milk products arrives to the clinic accompanied by the parents.
Which type of testing should the nurse provide education to the
toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge.
Answer: A. Serum immunoglobulin E (IgE)
◉ A client who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack.
,Answer: C. Instruct client to write down the questions
◉ The nurse assesses a client one hour after starting a transfusion of
packed red blood cells and determines that there are no indications
of a transfusion reaction. What instruction should the nurse provide
the unlicensed assistive personnel (UAP) who is working with the
nurse?
A. Notify the nurse when the transfusion has finished, so further
client assessment can be done
B. Continue to measure the client's vital signs every thirty minutes
until the transfusion is complete
C. Monitor the client carefully for the next three hours and report the
onset of a reaction immediately
D. Since a reaction did not occur, the priority is to maintain client
comfort during the transfusion.
Answer: B. Continue to measure the client's vital signs every thirty
minutes until the transfusion is complete
◉ The healthcare provider prescribes a sepsis protocol for a client
with multi-organ failure caused by a ruptured appendix. Which
intervention is most important for the nurse to include in the plan of
care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
,D. Maintain strict intake and output.
Answer: D. Maintain strict intake and output
◉ A client presses the call bell and requests pain medication for a
severe headache. To assess the quality of the client's pain, which
approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale.
Answer: A. Ask the client to describe the pain
◉ A client presents to the labor and delivery unit with a report of
leaking fluid that is greenish-brown vaginal discharge. Which action
should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring.
Answer: D. Begin continuous fetal monitoring
, ◉ A client asks the nurse for information about how to reduce risk
factors for benign prostatic hyperplasia (BPH). Which information
should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test.
Answer: B. Increase physical activity
◉ The healthcare provider prescribes a fluid challenge of 0.9%
sodium chloride 1,000 mL to be infused intravenously over 4 hours.
The IV administration set delivers 10gtt/mL. How many gtt/minute
should the nurse regulate the infusion? (Round to the nearest whole
number).
Answer: 42 gtt/min
◉ Following a cardiac catheterization and placement of a stent in the
right coronary artery, the nurse administers prasugrel, a platelet
inhibitor, to the client. To monitor for adverse effects from the
medication, which assessment is most important for the nurse to
include in this client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
