HESI RN EXIT EXAM.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/HESI%20RN%20EX
HESI RN EXIT EXAM WITH NGN QUESTIONS &
ANSWERS
1. When preparing to administer a prescribed medication to a homeless clientat
a community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whetheror
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
ANS B) Withhold the medication until the dosage can beconfirmed.
2. The charge nurse is making assignments for one practical nurse and three
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registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
ANS B) Viralmeningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider pre-
scribes a sepsis protocol. Which intervention is most important for the nurseto
include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
ANS A) Maintain strict intake and output.
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4. And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, thenurse asked
the client to meet with the treatment team. After the team meeting,the client
leaves in tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
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C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
ANS D) Go to the clients room andask what happened.
5. The healthcare provider prescribes dalteparin 200 units per kilogram sub-
cutaneous once a day for a client who weighs 154 pounds.The medication is
available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, roundto
the nearest 10th.)
ANS 0.6
6. NGN
The client is a 49-year-old male who reports flu like symptoms in- cluding fever
and chest congestion for four days. He came to the emergencydepartment last
night when he was having more difficulty breathing he has ahistory of 1/2 pack
a day cigarette smoking for 20 years. He has no significantmedical or surgical
history.
Which two orders should the nurse complete first?
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HESI RN EXIT EXAM WITH NGN QUESTIONS &
ANSWERS
1. When preparing to administer a prescribed medication to a homeless clientat
a community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whetheror
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
ANS B) Withhold the medication until the dosage can beconfirmed.
2. The charge nurse is making assignments for one practical nurse and three
1 of 102 8/8/2024, 3:04
,HESI RN EXIT EXAM.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/HESI%20RN%20EX
registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
ANS B) Viralmeningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider pre-
scribes a sepsis protocol. Which intervention is most important for the nurseto
include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
ANS A) Maintain strict intake and output.
2 of 102 8/8/2024, 3:04
,HESI RN EXIT EXAM.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/HESI%20RN%20EX
4. And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, thenurse asked
the client to meet with the treatment team. After the team meeting,the client
leaves in tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
3 of 102 8/8/2024, 3:04
,HESI RN EXIT EXAM.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/HESI%20RN%20EX
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
ANS D) Go to the clients room andask what happened.
5. The healthcare provider prescribes dalteparin 200 units per kilogram sub-
cutaneous once a day for a client who weighs 154 pounds.The medication is
available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, roundto
the nearest 10th.)
ANS 0.6
6. NGN
The client is a 49-year-old male who reports flu like symptoms in- cluding fever
and chest congestion for four days. He came to the emergencydepartment last
night when he was having more difficulty breathing he has ahistory of 1/2 pack
a day cigarette smoking for 20 years. He has no significantmedical or surgical
history.
Which two orders should the nurse complete first?
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