HESI EXIT
RN 2023 V3
160
QUESTION
AND
ANSWER
TOPNURS compiled GUARANTEED PASS
,1. A male patient with stomach cancer returns to the unit following a total gastrectomy. He has
a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV.
One hour after admission to the unit, the care giver notes 300 mL of blood in the suction
canister, the patient’s heart rate is 155 beats/minute, and his blood pressure is 78/48
mmHg. In addition to reporting the finding to the surgeon. Which action should the care giver
implement first?
a. Measure and document the patient’s urinary output.
b. Request the patient’s reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated Ringer’s solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to
the intensive care unit (ICU). the care giver notes that the suction control chamber is bubbling at
the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red
blood is measured in the collection chamber. Which intervention should the care giver
implement?
a. Add sterile water to the suction control chamber.
b. Give blood from the collection chamber as autotransfusion
c. Manipulate blood in tubing to drain into chamber.
d. Increase wall suction to eliminate fluctuation in water seal.
3. A patient 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 patient is
manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air
of 89%. Which action should the care giver take first?
a. Elevate the foot of the bed.
b. Restrict the patient’s
fluid. c. Begin
supplemental oxygen.
d. Prepare the patient for hemodialysis.
TOPNURS compiled GUARANTEED PASS
,4. A patient with Addison’s crisis is admitted for treatment with adrenal cortical supplementation.
Based on the patient’s admitting diagnosis, which findings require immediate action by the care
giver?(Select all that apply)
a. Headache and tremors
b. Irregular heart rate
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis
5. An older patient is admitted with fluid volume deficit and dehydration. Which assessment
findingis the best indicator of hydration that the care giver should report to the healthcare
provider?
a. Urine specific gravity is 1.040
b. Systolic blood pressure decreases 10 points when standing.
c. The patient denies being thirsty.
d. Skin tenting occurs when the patient’s forearm is pinched.
6. After an inservice about electronic health record (EHR) security and safeguarding
patientinformation, the care giver observes a colleague going home with printed
copies of patient information in a uniform pocket. Which action should the care giver
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 care giver.
TOPNURS compiled GUARANTEED PASS
, 7. The care giver is evaluating a tertiary prevention program for patients with cardiovascular
diseaseimplemented in a rural health clinic. Which outcome indicate the program is
effective?
a. At-risk patients received an increased number of routine health screenings.
b. Patients reported having new confidence in making healthy food choices.
c. Patients who incurred disease complications promptly received rehabilitation.
d. Patient relapse rate of 30% in a 5-year community-wide anti-smoking campaign.
8. The care giver is caring for a patient with chronic obstructive pulmonary disease (COPD)
who usesoxygen at 2 L/minute per nasal cannula continuously. The care giver observes that
the patient is having increased shortness of breath with respirations at 23 breaths/minute.
Which action should the care giver implement first?
a. Determine if the patient is experiencing any anxiety.
b. Auscultate the patient’s bilateral lung sounds and oxygen saturation.
c. Notify the healthcare provider about the patient’s distress.
d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a patient who is 24 hours post-subtotal thyroidectomy requires
animmediate investigation by the care giver?
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.”
TOPNURS compiled GUARANTEED PASS
RN 2023 V3
160
QUESTION
AND
ANSWER
TOPNURS compiled GUARANTEED PASS
,1. A male patient with stomach cancer returns to the unit following a total gastrectomy. He has
a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV.
One hour after admission to the unit, the care giver notes 300 mL of blood in the suction
canister, the patient’s heart rate is 155 beats/minute, and his blood pressure is 78/48
mmHg. In addition to reporting the finding to the surgeon. Which action should the care giver
implement first?
a. Measure and document the patient’s urinary output.
b. Request the patient’s reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated Ringer’s solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to
the intensive care unit (ICU). the care giver notes that the suction control chamber is bubbling at
the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red
blood is measured in the collection chamber. Which intervention should the care giver
implement?
a. Add sterile water to the suction control chamber.
b. Give blood from the collection chamber as autotransfusion
c. Manipulate blood in tubing to drain into chamber.
d. Increase wall suction to eliminate fluctuation in water seal.
3. A patient 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 patient is
manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air
of 89%. Which action should the care giver take first?
a. Elevate the foot of the bed.
b. Restrict the patient’s
fluid. c. Begin
supplemental oxygen.
d. Prepare the patient for hemodialysis.
TOPNURS compiled GUARANTEED PASS
,4. A patient with Addison’s crisis is admitted for treatment with adrenal cortical supplementation.
Based on the patient’s admitting diagnosis, which findings require immediate action by the care
giver?(Select all that apply)
a. Headache and tremors
b. Irregular heart rate
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis
5. An older patient is admitted with fluid volume deficit and dehydration. Which assessment
findingis the best indicator of hydration that the care giver should report to the healthcare
provider?
a. Urine specific gravity is 1.040
b. Systolic blood pressure decreases 10 points when standing.
c. The patient denies being thirsty.
d. Skin tenting occurs when the patient’s forearm is pinched.
6. After an inservice about electronic health record (EHR) security and safeguarding
patientinformation, the care giver observes a colleague going home with printed
copies of patient information in a uniform pocket. Which action should the care giver
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 care giver.
TOPNURS compiled GUARANTEED PASS
, 7. The care giver is evaluating a tertiary prevention program for patients with cardiovascular
diseaseimplemented in a rural health clinic. Which outcome indicate the program is
effective?
a. At-risk patients received an increased number of routine health screenings.
b. Patients reported having new confidence in making healthy food choices.
c. Patients who incurred disease complications promptly received rehabilitation.
d. Patient relapse rate of 30% in a 5-year community-wide anti-smoking campaign.
8. The care giver is caring for a patient with chronic obstructive pulmonary disease (COPD)
who usesoxygen at 2 L/minute per nasal cannula continuously. The care giver observes that
the patient is having increased shortness of breath with respirations at 23 breaths/minute.
Which action should the care giver implement first?
a. Determine if the patient is experiencing any anxiety.
b. Auscultate the patient’s bilateral lung sounds and oxygen saturation.
c. Notify the healthcare provider about the patient’s distress.
d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a patient who is 24 hours post-subtotal thyroidectomy requires
animmediate investigation by the care giver?
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.”
TOPNURS compiled GUARANTEED PASS
