HESI RN EXIT EXAM Questions and
Answers 100% Solved
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client
develops pontine myselinolysis. Which intervention should the nurse implement first?
Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain? Has his
weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of breath and a
persistent cough. She is anxious and is complaining of a dry mouth. Which intervention should
the nurse implement? Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB, productive cough with
thickened tenacious mucous and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the client about self care?
Increase the daily intake of oral fluids to to liquefy secretions
,A cardiac catherization of a client with heart disease indicates the following blockages 95% LAD
99% proximal circumflex and 95% proximal RCA. The client later asks the nurse "what does all
that mean for me" 3 main arteries have major blockages with only 1 to 5% of blood flow
getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position should the
nurse instruct the client to maintain left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or
drink without nausea and vomiting. Which finding should the nurse report to the healthcare
provider yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neuro
assessment every 4 hours. which assessment finding warrants immediate intervention by the
nurse? Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which info should the nurse provide this client? The
xenograft is taken from nonhuman sources
,A male client who had colon surgery 3 days ago is anxious and requests assistance to reposition.
The wound dehiscences and eviscerates. The nurse moistens an available sterile dressing and
places it over the wound which intervention should the nurse implement next? prepare the
client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of
117 mEq/L. Which nursing problem should the nurse include in this client's plan of care?
Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous, and reports a
racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the
healthcare provider suspects hyperthyroidism and admits her for further testing. Which action
should the nurse implement? space the clients care to provide periods of rest
The nurse is teaching the client with glomerulonephritis about self care which dietary
recommendations should the nurse encourage the client to follow? restrict intake by
limiting meats and other high protein foods
, An overweight, young adult male who was recently diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which
actions should the nurse implement? - assess his skin temp and moisture
- document anxiety on the surgical checklist
-administer a PRN dose of regular insulin
A client with Cushings Syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? irregular apical pulse
An adult client with primary Raynauds phenomenon develops pallor and then cyanosis of her
finger. After warming her hands the fingers turn red and the client reports a burning sensation.
What action should the nurse take? secure a pulse oximeter to monitor the clients oxygen
saturation
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool with palpable pedal pulses. Lungs are coarse with diminished breath
sounds. Vital signs are temp 101, heart rate 128 bpm, respirations 28 bpm and BP 122/82 . Which
intervention is most important for the nurse to implement first? Assess lower extremity
circulation
Answers 100% Solved
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client
develops pontine myselinolysis. Which intervention should the nurse implement first?
Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain? Has his
weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of breath and a
persistent cough. She is anxious and is complaining of a dry mouth. Which intervention should
the nurse implement? Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB, productive cough with
thickened tenacious mucous and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the client about self care?
Increase the daily intake of oral fluids to to liquefy secretions
,A cardiac catherization of a client with heart disease indicates the following blockages 95% LAD
99% proximal circumflex and 95% proximal RCA. The client later asks the nurse "what does all
that mean for me" 3 main arteries have major blockages with only 1 to 5% of blood flow
getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position should the
nurse instruct the client to maintain left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or
drink without nausea and vomiting. Which finding should the nurse report to the healthcare
provider yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neuro
assessment every 4 hours. which assessment finding warrants immediate intervention by the
nurse? Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which info should the nurse provide this client? The
xenograft is taken from nonhuman sources
,A male client who had colon surgery 3 days ago is anxious and requests assistance to reposition.
The wound dehiscences and eviscerates. The nurse moistens an available sterile dressing and
places it over the wound which intervention should the nurse implement next? prepare the
client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of
117 mEq/L. Which nursing problem should the nurse include in this client's plan of care?
Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous, and reports a
racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the
healthcare provider suspects hyperthyroidism and admits her for further testing. Which action
should the nurse implement? space the clients care to provide periods of rest
The nurse is teaching the client with glomerulonephritis about self care which dietary
recommendations should the nurse encourage the client to follow? restrict intake by
limiting meats and other high protein foods
, An overweight, young adult male who was recently diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which
actions should the nurse implement? - assess his skin temp and moisture
- document anxiety on the surgical checklist
-administer a PRN dose of regular insulin
A client with Cushings Syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? irregular apical pulse
An adult client with primary Raynauds phenomenon develops pallor and then cyanosis of her
finger. After warming her hands the fingers turn red and the client reports a burning sensation.
What action should the nurse take? secure a pulse oximeter to monitor the clients oxygen
saturation
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool with palpable pedal pulses. Lungs are coarse with diminished breath
sounds. Vital signs are temp 101, heart rate 128 bpm, respirations 28 bpm and BP 122/82 . Which
intervention is most important for the nurse to implement first? Assess lower extremity
circulation
