Hesi Exit Rn V5 Latest
Most Recent One Updated
2025 Q&A
1. The Nurse Is Reviewing Medical Prescriptions For Newly
Admitted Clients. It Would Be A Priority For The Nurse To
Follow Up With The Physician If A Client With
(a) A Potassium Level Of 4.5meq/L Has Kayexalate
(Sodium Polystyrene) Prescribed
(b) A Dilantin (Phenytoin) Level Of 8 Mcg/Ml Is Placed
On Seizure
Precautions(C) Sensitivity To Aspirin (Acetylsalicylic
Acid) Is Prescribed Tylenol (Acetaminophen)
(D) Sensitivity To Penicillin Is Prescribed Zithromax
(Azithromycin)
2. The Nurse Should Intervene If The Nurse Notes A Staff
Member
(A)Obtaining A Clients Consent Prior To Their Operative
Procedure After Receiving Ativan (Lorazepam)
(B)Placing A Client On The Affected Side Following
Surgical Repair Of A Retinal Detachment
(C)Handling A Wet Cast With The Palms Of The Hands
, (D)Using A Broad Base Of Support While Transferring A Client
3. The Community Health Nurse Is Caring For The Following
Clients. It Would
Be A Priority For The Nurse To Initiate A Multidisciplinary
Conference For The Client
Who Is
(a) 12 Years Old With Autism Who Is Starting A New
School And Recently Had A Uri (Upper Respiratory
Tract Infection)
(b) 16 Years Old, Has Type 1 Diabetes Mellitus, Is
Unemployed And Had A Recent Hemoglobin A1c Of
13%
(c) 52 Years Old, With Myasthenia Gravis, Recently
Prescribed
Mestinon (Pyridostigmine) And Employed As A Mail
Carrier
(d) 70 Years Old, Has Schizophrenia, Lives Alone And
Reports Hearing Non Threatening Voices.
4. The Nurse From The Postpartum Unit Has Been
Temporarily Assigned To The Medical Surgical Unit. It
Would Be Most Appropriate To Assign This Nurse To The
Client Who*
(A)Has Returned From Right Total Hip Replacement Surgery Four
Hours Ago
, (B)Is Being Observed For Increased Intracranial Pressure
(C)Had Surgery Two Hours Ago To Remove The Appendix
(D)Is Two Weeks Post Partum Being Maintained On A
Mechanical Ventilator For Respiratory Failure
5. The Nurse In A Well Baby Clinic Has Assessed Several
Children Today. It Would Be A Priority For The Nurse To
Suggest Follow Up For The Child Who Is
(a) 2 Months Old With A Positive Babinski Refl Ex
(b) 5 Months Old And Does Not Hold Their Own Bottle
(c) 10 Months Old Who Cries Around Strangers
(d) 18 Months Old Who Needs Support While Ambulating
6. The Nurse Is Caring For A Mechanically Ventilated Client
Who Was Declared Brain Dead. An Advance Directive Is
Not Documented On The Medical Record. It Would Be
Most Appropriate To Obtain Consent For Organ Donation
From The
(A)Client‘S Primary Care Provider
(B)Client‘S Nurse Manager
(C)Closest Living Family Member
(D)Hospital‘S Ethics Committee
, 7. The Nurse Has Received Report On Four Clients. The
Nurse Should Fi Rst Assess The Client Who Has*
(A)Chronic Obstructive Pulmonary Disease (Copd) With A
Pulse Oximetry Reading Of 90%
(B)Parkinson‘S Disease And Is Demanding To Leave The Hospital
Against Medical Advice (Ama)
(C)Been Admitted With Suspected Guillian-Barre´
Syndrome And Has Begun Plasmapheresis Therapy
(D)Congestive Heart Failure (Chf) Whose Pitting Edema Has
Increased To 2(+)
8. It Would Be Appropriate To Assign Which Of These Tasks
To The Cna?
(A)Feeding A Client Who Is Experiencing Dysphagia
(B)One-On-One Client Observation For Safety
(C)Removal Of An Indwelling Catheter
(D)Performing A Simple Dressing Change
9. The Nurse Should Intervene If A Staff Member Is
Observed
(A)Discussing A Client‘S Diagnosis With Visiting Family Members
(B)Collaborating With Another Nurse To Review A Prescription
For Blood Transfusion
Most Recent One Updated
2025 Q&A
1. The Nurse Is Reviewing Medical Prescriptions For Newly
Admitted Clients. It Would Be A Priority For The Nurse To
Follow Up With The Physician If A Client With
(a) A Potassium Level Of 4.5meq/L Has Kayexalate
(Sodium Polystyrene) Prescribed
(b) A Dilantin (Phenytoin) Level Of 8 Mcg/Ml Is Placed
On Seizure
Precautions(C) Sensitivity To Aspirin (Acetylsalicylic
Acid) Is Prescribed Tylenol (Acetaminophen)
(D) Sensitivity To Penicillin Is Prescribed Zithromax
(Azithromycin)
2. The Nurse Should Intervene If The Nurse Notes A Staff
Member
(A)Obtaining A Clients Consent Prior To Their Operative
Procedure After Receiving Ativan (Lorazepam)
(B)Placing A Client On The Affected Side Following
Surgical Repair Of A Retinal Detachment
(C)Handling A Wet Cast With The Palms Of The Hands
, (D)Using A Broad Base Of Support While Transferring A Client
3. The Community Health Nurse Is Caring For The Following
Clients. It Would
Be A Priority For The Nurse To Initiate A Multidisciplinary
Conference For The Client
Who Is
(a) 12 Years Old With Autism Who Is Starting A New
School And Recently Had A Uri (Upper Respiratory
Tract Infection)
(b) 16 Years Old, Has Type 1 Diabetes Mellitus, Is
Unemployed And Had A Recent Hemoglobin A1c Of
13%
(c) 52 Years Old, With Myasthenia Gravis, Recently
Prescribed
Mestinon (Pyridostigmine) And Employed As A Mail
Carrier
(d) 70 Years Old, Has Schizophrenia, Lives Alone And
Reports Hearing Non Threatening Voices.
4. The Nurse From The Postpartum Unit Has Been
Temporarily Assigned To The Medical Surgical Unit. It
Would Be Most Appropriate To Assign This Nurse To The
Client Who*
(A)Has Returned From Right Total Hip Replacement Surgery Four
Hours Ago
, (B)Is Being Observed For Increased Intracranial Pressure
(C)Had Surgery Two Hours Ago To Remove The Appendix
(D)Is Two Weeks Post Partum Being Maintained On A
Mechanical Ventilator For Respiratory Failure
5. The Nurse In A Well Baby Clinic Has Assessed Several
Children Today. It Would Be A Priority For The Nurse To
Suggest Follow Up For The Child Who Is
(a) 2 Months Old With A Positive Babinski Refl Ex
(b) 5 Months Old And Does Not Hold Their Own Bottle
(c) 10 Months Old Who Cries Around Strangers
(d) 18 Months Old Who Needs Support While Ambulating
6. The Nurse Is Caring For A Mechanically Ventilated Client
Who Was Declared Brain Dead. An Advance Directive Is
Not Documented On The Medical Record. It Would Be
Most Appropriate To Obtain Consent For Organ Donation
From The
(A)Client‘S Primary Care Provider
(B)Client‘S Nurse Manager
(C)Closest Living Family Member
(D)Hospital‘S Ethics Committee
, 7. The Nurse Has Received Report On Four Clients. The
Nurse Should Fi Rst Assess The Client Who Has*
(A)Chronic Obstructive Pulmonary Disease (Copd) With A
Pulse Oximetry Reading Of 90%
(B)Parkinson‘S Disease And Is Demanding To Leave The Hospital
Against Medical Advice (Ama)
(C)Been Admitted With Suspected Guillian-Barre´
Syndrome And Has Begun Plasmapheresis Therapy
(D)Congestive Heart Failure (Chf) Whose Pitting Edema Has
Increased To 2(+)
8. It Would Be Appropriate To Assign Which Of These Tasks
To The Cna?
(A)Feeding A Client Who Is Experiencing Dysphagia
(B)One-On-One Client Observation For Safety
(C)Removal Of An Indwelling Catheter
(D)Performing A Simple Dressing Change
9. The Nurse Should Intervene If A Staff Member Is
Observed
(A)Discussing A Client‘S Diagnosis With Visiting Family Members
(B)Collaborating With Another Nurse To Review A Prescription
For Blood Transfusion
