HESI RN 2024 EXIT EXAM Questions and Answers

HESI RN 2024 EXIT EXAM Questions and
Answers

***rPhotorofrquietrinjectingrinsulinrintoroutterrthigh.

A)rDemonstratercorrectrselectionrofrtherinjectionrsite.r
B)rAdvisertherclientrtorchangertheranglerofrtherneedle.r
C)rObservertherinjectionrsiterforrsignsrofrlipodystrophy.r
D)rProviderarpairrofrexamrglovesrforrtherclientrtorwear.r-rCORRECTrrANSWER-
A)rDemonstratercorrectrselectionrofrtherinjectionrsite.

Archildrnewlyrdiagnosedrwithrsicklercellranemiarisrbeingrdischargedrfromrtherhospital.rWhichr
informationrisrmostrimportantrforrthernursertorprovidertherparentsrpriorrtordischarge?r

A)rInstructionsraboutrhowrmuchrfluidrtherchildrtordrinkrdaily.r
B)rReferralrforrsocialrservicesrforrtherchildrandrfamily.r
C)rSignsrofraddictionrtoropioidrpainrmedications.r
D)rInformationraboutrnonpharmaceuticalrpainrreliefrmeasures.r-rCORRECTrrANSWER-
A)rInstructionsraboutrhowrmuchrfluidrtherchildrtordrinkrdaily.

ArclientradmittedrwithrCOPDrexacerbationrisrreceivingrassistedrventilationrwithrCPAP.rTherc
lientsrvitalrsignsrareranroralrtemperaturer98.8rF,rarheartrraterofr118rbpm,rarrespiratoryrraterofr
46rbreathsrperrminute,randrarbloodrpressurerofr176/92.rWhilercompletingrtherpulmonaryrass
essment,rtherclientsroxygenrsaturationrratingrisr78%randrherisrdifficultrtorarouse.rWhichractio
nrshouldrthernurserimplement?

A)rIncreasertheroxygenrdeliveryrbyr10%.r
B)rAdministerrPRNrnebulizerrtreatment.r
C)rCompleterneurologicalrassessment.r
D)rPreparerforrrapidrsequencerintubation.r-rCORRECTrrANSWER-
D)rPreparerforrrapidrsequencerintubation.

Arclientrarrivesratrtheremergencyrdepartmentrdescribingrchestrpainrthatrbeganrthreerhoursre
arlierrwhichrhasrnotrsubsided.rTorassessrtherqualityrofrtherclientsrchestrpain.rWhichrapproac
hrforrthernurseruse?r

A)rProviderarnumericrpainrscale.r
B)rAskrtherclientrtordescribertherpain.r
C)rIdentifyreffectiverpainrreliefrmeasures.r
D)rObserverbodyrlanguagerandrmovement.r-rCORRECTrrANSWER-
B)rAskrtherclientrtordescribertherpain.

,ArclientrdevelopsryourrtorCariaronrthertrunkrandrneckrshortlyrafterrarsecondaryrinfusionrofrpe
pperrSillenrisrinitiated.rInrwhichrorderrshouldrthernurserimplementrtheserinterventions?

Documentrreactionrofrtherdrug.r
Contactrtherhealthcarerprovider.r
Assessrvitalrsigns.r
Stoprtherinfusion.r
Initiateranradversereventrreport.r-rCORRECTrrANSWER-Stoprtherinfusion.r
Assessrvitalrsigns.r
Contactrtherhealthcarerprovider.r
Initiateranradversereventrreport.r
Documentrreactionrtordrug.

Arclientrexperiencingranracuterdystonicrreactionrpresentsrwithrarlaryngealrspasm.rWhichrtre
atmentrshouldrthernurserprepare?r

A)rIVradministrationrofrbenztropine.r
B)rIVradministrationrofrisotonicrcrystalloidrfluid.r
C)rPOradministrationrofrlorazepam.r
D)rPOradministrationrofrdivalproex.r-rCORRECTrrANSWER-
A)rIVradministrationrofrbenztropine.

ArclientrisrbeingrurgentlyrtransportedrtorradiologyrforrarCTrscanrafterrarsuddenrdecreaserinrle
velrofrconsciousness.rTherclientrisrorallyrintubatedrandrhasrarleftrlateralrchestrtuberofr20rcmrs
ection.rWhichractionrisrmostrimportantrforrthernursertortake?r

A)rSecurertherchestrtubertortherstretcherrforrtransport.r
B)rKeeprtherchestrtubercontainerrbelowrthersiterofrinsertion.r
C)rAdministerrarPRNrpainrmanagementrpriorrtortransport.r
D)rMarkrtheramountrofrchestrdrainageronrthercontainer.r-rCORRECTrrANSWER-
B)rKeeprtherchestrtubercontainerrbelowrthersiterofrinsertion.

ArclientrisrreceivingrIVrfluidsrbyrgravityrinfusionrandrexhibitrsignsrofrfluidrvolumeroverload.rW
henrassessingrtherclientsrIVrdeliveryrsystem,rwherershouldrthernurserassessrfirst?r-
rCORRECTrrANSWER-Ar




Ircan'trseerallrtherpics.rUsertherclampronrtherIVrtubing.

Arclientrisrreceivingrmethylaminer800rmgrPOrthreertimesrarday.rWhichrassessmentrshouldrth
ernurserperformrtorassessrthereffectivenessrofrthermedication?r

A)rBowelrpatterns.r
B)rPupillaryrresponse.r
C)rPeripheralrpulses.r
D)rOxygenrsaturation.r-rCORRECTrrANSWER-A)rBowelrpatterns.r

,UlcerativercolitisrmedicationrthatrhelpsrreducerinflammationrinrtherG.I..

ArclientrreceivesrarprescriptionrforrAcetarmediciner1000rmgrPOreveryreightrhoursrPRNrforrpa
in.rTherbottlerisrlabeledracetaminophenrforroralrsuspension,rUSrPr500rmgrperr15rmL.rHowrm
anyrtablespoonsrshouldrthernurseradministerrwithreachrdose?r(Enterrnumericalrvalueronly.)r
-rCORRECTrrANSWER-2

15rmLrperrtablespoon

Arclientrwhorisr65rkgrreceivesrarprescriptionrforrlorazepamr44rmcg/kgrIVrtorberadministeredr2
0rminutesrbeforerarscheduledrprocedure.rThermedicationrisravailablerinr2rmg/mLrvial.rHowr
manyrmillilitersrshouldrthernurseradminister?r(Enterrnumericalrvalueronly.rIfrroundingrisrrequ
ired,rroundrtorthernearestr10th)r-rCORRECTrrANSWER-1.4

Arclientrwhorisrreceivingrzidovudinerreportsrtherappearancerofrpinpoint,rred,rbrownrspotsronr
therskin.rWhichrresultrshouldrthernurserreportrtortherhealthcarerprovider?r

A)rSkinrbiopsy.r
B)rCompleterbloodrcount.r
C)rAllergyrtest.r
D)rElectromyography.r-rCORRECTrrANSWER-B)rCompleterbloodrcount.r

Petechiaercanroccurrduertorlowrplateletrcounts.rZidovudinerisrusedrforrHIVrandrcanrcauserhe
matologicalrtoxicity,ranemiarneutropenia.

Arclientrwithrarhistoryrofrhypertensionrandrdiabetesrmellitusrisradmittedrwithruncontrolledrarfi
b.rTherhealthcarerproviderrprefersrsynchronizedrcardioversionrandrprescribedrarstatrdoserof
rdronedaroner400rmgrPO.rWhichrassessmentrfindingrwarrantsrimmediaterinterventionrbyrth

ernurse?r

A)rProximalrarfib.r
B)rThird-degreerheartrblock.r
C)rElevatedrmeanrarterialrpressure.r
D)rPrematurerventricularrbeats.r-rCORRECTrrANSWER-B)rThird-degreerheartrblock.

Arclientrwithrarhistoryrofrtyperonerdiabetesrmellitusrandrasthmarisrreadmittedrtortherunitrforrth
erthirdrtimerinrtwormonthsrwithrarcurrentrfastingrbloodrsugarrofr325.rTherclientrdescribesrtorth
ernurserofrnotrunderstandingrwhyrtherbloodrglucoserlevelrcontinuesrtorberoutrofrcontrol.rWhic
hrinterventionrshouldrthernurserimplement?rSATA.r

A)rAskrtherclientrifrtheyrwantrardifferentrmanufacturersrglucosermonitoringrdevice.r
B)rDeterminerifrtherclientrisrusingrarnewrinsulinrneedlereachradministration.
C)rEvaluatertherclientsrasthmarmedication'srthatrcanrelevatertherbloodrglucose.r
D)rHavertherclientrdescriberartypicalrdayratrwork,rhome,randrsocialractivities.

, E)rHavertherclientrdemonstratertechniquerusedrtormonitorrbloodrglucoserlevels.r-
rCORRECTrrANSWER-

C)rEvaluatertherclientsrasthmarmedication'srthatrcanrelevatertherbloodrglucose.r
D)rHavertherclientrdescriberartypicalrdayratrwork,rhome,randrsocialractivities.
E)rHavertherclientrdemonstratertechniquerusedrtormonitorrbloodrglucoserlevels.

Arclientrwithracuterasthmarexacerbationrisrmanifestingrinspiratoryrandrexpiratoryrwheezesra
ndrardecreasedrforcedrexpiratoryrvolume.rWhichrprescribedrdrugrclassrshouldrthernurserad
ministerrfirstrtortherclient?r

A)rInhaledrshortractingrbetartworagonists.r
B)rInhaledrcorticosteroids.r
C)rAnti-cholinergics.r
D)rLeukotrienermodifiers.r-rCORRECTrrANSWER-B)rInhaledrcorticosteroids.

Arclientrwithranracutermyocardialrinfarctionrisrgivenrarthrombolyticrmedication,raspirin,randrI
Vrheparinrinrtheremergencyrdepartment.rWhichrfindingrindicatesrtherclientrisrhavingrarsatisfa
ctoryrresponse?r

A)rActivatedrpartialrthromboplastinr(aPTT)rtimerisrtwortimesrthercontrolrvalue.
B)rCardiacrtracingrshowsr1.2rMMrwiderQrwavesrhalfrtherheightrofrthercomplex.
C)rGuiacrtestrofrtherstoolsrisrpositive.r
D)rS3rheartrsoundsrarerpresentrwithrauscultationr-rCORRECTrrANSWER-
A)rActivatedrpartialrthromboplastinr(aPTT)rtimerisrtwortimesrthercontrolrvalue.

Arclientrwithrchronicrkidneyrdiseaserreportedrtorthernurserofrfeelingrincreasinglyrtired.rThercli
entrreceivesrinjectionsrforrepoetinralpharthreertimesrarweek.rWhichrlaboratoryrvaluershouldrt
hernurserreview?r

A)rPlateletrcount.r
B)rLiverrenzymes.r
C)rSerumrelectrolytes.r
D)rCompleterbloodrcount.r-rCORRECTrrANSWER-D)rCompleterbloodrcount.

ThisrinjectionrstimulatesrproductionrofrRBCsrsorcheckrforranemia.

Arclientrwithrdiabetesrinsipidusrhasranraveragerurinaryroutputrofr500rMLrofrdiluterurinereveryr
hourrforrtherpastrfourrhours.rWhichrlaboratoryrtestrisrmostrimportantrforrthernursertormonitor?r

A)rUrinerspecificrgravity.r
B)rCapillaryrglucose.r
C)rSerumrsodium.r
D)rWhiterbloodrcount.r-rCORRECTrrANSWER-C)rSerumrsodium.