HERZING HESI RN 2024 EXIT EXAM
*** Photo of quiet injecting insulin into outter thigh.
A) Demonstrate correct selection of the injection site.
B) Advise the client to change the angle of the needle.
C) Observe the injection site for signs of lipodystrophy.
D) Provide a pair of exam gloves for the client to wear. Correct
Answers A) Demonstrate correct selection of the injection site.
A child newly diagnosed with sickle cell anemia is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
A) Instructions about how much fluid the child to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures.
Correct Answers A) Instructions about how much fluid the
child to drink daily.
A client admitted with COPD exacerbation is receiving assisted
ventilation with CPAP. The clients vital signs are an oral
temperature 98.8 F, a heart rate of 118 bpm, a respiratory rate of
46 breaths per minute, and a blood pressure of 176/92. While
completing the pulmonary assessment, the clients oxygen
saturation rating is 78% and he is difficult to arouse. Which
action should the nurse implement?
A) Increase the oxygen delivery by 10%.
B) Administer PRN nebulizer treatment.
,C) Complete neurological assessment.
D) Prepare for rapid sequence intubation. Correct Answers D)
Prepare for rapid sequence intubation.
A client arrives at the emergency department describing chest
pain that began three hours earlier which has not subsided. To
assess the quality of the clients chest pain. Which approach for
the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. Correct Answers B)
Ask the client to describe the pain.
A client develops your to Caria on the trunk and neck shortly
after a secondary infusion of pepper Sillen is initiated. In which
order should the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. Correct Answers Stop the
infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
,A client experiencing an acute dystonic reaction presents with a
laryngeal spasm. Which treatment should the nurse prepare?
A) IV administration of benztropine.
B) IV administration of isotonic crystalloid fluid.
C) PO administration of lorazepam.
D) PO administration of divalproex. Correct Answers A) IV
administration of benztropine.
A client is being urgently transported to radiology for a CT scan
after a sudden decrease in level of consciousness. The client is
orally intubated and has a left lateral chest tube of 20 cm
section. Which action is most important for the nurse to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container. Correct
Answers B) Keep the chest tube container below the site of
insertion.
A client is receiving IV fluids by gravity infusion and exhibit
signs of fluid volume overload. When assessing the clients IV
delivery system, where should the nurse assess first? Correct
Answers A
I can't see all the pics. Use the clamp on the IV tubing.
A client is receiving methylamine 800 mg PO three times a day.
Which assessment should the nurse perform to assess the
effectiveness of the medication?
, A) Bowel patterns.
B) Pupillary response.
C) Peripheral pulses.
D) Oxygen saturation. Correct Answers A) Bowel patterns.
Ulcerative colitis medication that helps reduce inflammation in
the G.I..
A client receives a prescription for Aceta medicine 1000 mg PO
every eight hours PRN for pain. The bottle is labeled
acetaminophen for oral suspension, US P 500 mg per 15 mL.
How many tablespoons should the nurse administer with each
dose? (Enter numerical value only.) Correct Answers 2
15 mL per tablespoon
A client who is 65 kg receives a prescription for lorazepam 44
mcg/kg IV to be administered 20 minutes before a scheduled
procedure. The medication is available in 2 mg/mL vial. How
many milliliters should the nurse administer? (Enter numerical
value only. If rounding is required, round to the nearest 10th)
Correct Answers 1.4
A client who is receiving zidovudine reports the appearance of
pinpoint, red, brown spots on the skin. Which result should the
nurse report to the healthcare provider?
A) Skin biopsy.
B) Complete blood count.
C) Allergy test.
*** Photo of quiet injecting insulin into outter thigh.
A) Demonstrate correct selection of the injection site.
B) Advise the client to change the angle of the needle.
C) Observe the injection site for signs of lipodystrophy.
D) Provide a pair of exam gloves for the client to wear. Correct
Answers A) Demonstrate correct selection of the injection site.
A child newly diagnosed with sickle cell anemia is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
A) Instructions about how much fluid the child to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures.
Correct Answers A) Instructions about how much fluid the
child to drink daily.
A client admitted with COPD exacerbation is receiving assisted
ventilation with CPAP. The clients vital signs are an oral
temperature 98.8 F, a heart rate of 118 bpm, a respiratory rate of
46 breaths per minute, and a blood pressure of 176/92. While
completing the pulmonary assessment, the clients oxygen
saturation rating is 78% and he is difficult to arouse. Which
action should the nurse implement?
A) Increase the oxygen delivery by 10%.
B) Administer PRN nebulizer treatment.
,C) Complete neurological assessment.
D) Prepare for rapid sequence intubation. Correct Answers D)
Prepare for rapid sequence intubation.
A client arrives at the emergency department describing chest
pain that began three hours earlier which has not subsided. To
assess the quality of the clients chest pain. Which approach for
the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. Correct Answers B)
Ask the client to describe the pain.
A client develops your to Caria on the trunk and neck shortly
after a secondary infusion of pepper Sillen is initiated. In which
order should the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. Correct Answers Stop the
infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
,A client experiencing an acute dystonic reaction presents with a
laryngeal spasm. Which treatment should the nurse prepare?
A) IV administration of benztropine.
B) IV administration of isotonic crystalloid fluid.
C) PO administration of lorazepam.
D) PO administration of divalproex. Correct Answers A) IV
administration of benztropine.
A client is being urgently transported to radiology for a CT scan
after a sudden decrease in level of consciousness. The client is
orally intubated and has a left lateral chest tube of 20 cm
section. Which action is most important for the nurse to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container. Correct
Answers B) Keep the chest tube container below the site of
insertion.
A client is receiving IV fluids by gravity infusion and exhibit
signs of fluid volume overload. When assessing the clients IV
delivery system, where should the nurse assess first? Correct
Answers A
I can't see all the pics. Use the clamp on the IV tubing.
A client is receiving methylamine 800 mg PO three times a day.
Which assessment should the nurse perform to assess the
effectiveness of the medication?
, A) Bowel patterns.
B) Pupillary response.
C) Peripheral pulses.
D) Oxygen saturation. Correct Answers A) Bowel patterns.
Ulcerative colitis medication that helps reduce inflammation in
the G.I..
A client receives a prescription for Aceta medicine 1000 mg PO
every eight hours PRN for pain. The bottle is labeled
acetaminophen for oral suspension, US P 500 mg per 15 mL.
How many tablespoons should the nurse administer with each
dose? (Enter numerical value only.) Correct Answers 2
15 mL per tablespoon
A client who is 65 kg receives a prescription for lorazepam 44
mcg/kg IV to be administered 20 minutes before a scheduled
procedure. The medication is available in 2 mg/mL vial. How
many milliliters should the nurse administer? (Enter numerical
value only. If rounding is required, round to the nearest 10th)
Correct Answers 1.4
A client who is receiving zidovudine reports the appearance of
pinpoint, red, brown spots on the skin. Which result should the
nurse report to the healthcare provider?
A) Skin biopsy.
B) Complete blood count.
C) Allergy test.
