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Hesi RN exit exam Share this
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Answer and Explanation
Question 1: Report an Issue
Choice A:
Report Wrong Answer While addressing anxiety is important, it is
not the most immediate priority in the
History and Physical emergency setting where acute pain,
Laboratory Results potential infection, and fluid management
take precedence.
Nurses' Notes Assessment
Choice B:
Flow Sheet Orders Given the diagnosis of appendicitis,
preventing infection is crucial. The client is
Imaging Studies
at risk for developing an infection or sepsis
if the appendix perforates, which could
Day 1, 1100
result in peritonitis.
Computed tomography (CT) scan
Choice C:
of abdomen dilated appendix 7
mm in diameter and fat stranding The client is experiencing severe
noted. abdominal pain (pain rating of 9/10).
Effective pain management is essential for
The nurse is stabilizing the client
the client’s comfort and stabilization.
and preparing her for surgery.
Choice D:
Exhibits
This is more relevant post-surgery. In the
emergency department, the focus should
What goal(s) should the nurse
be on stabilizing the client and preparing
prioritize in the care plan for the
her for surgery.
client while in the emergency
department? Select all that apply. Choice E:
A. Effective coping with illness The client has regular bowel movements
related anxiety 2% Most selected and this is not a priority in the context of
acute appendicitis.
,B. Infection prevention related to Choice F:
illness 1%
This is a consideration for longer-term
C. Relief of acute pain 0% inpatient care or post-surgery, not an
D. A review of diet progression immediate priority in the emergency
postoperatively 0% setting.
E. Promotion of bowel routine 0% Choice G:
F. Prevention of deep vein The client is receiving a bolus of Lactated
thrombosis (DVT) related to Ringer’s to manage her fluid volume.
immobility 0%
Maintaining adequate hydration and
G. Fluid volume management 1% correcting any potential dehydration or
fluid imbalance is vital.
H. Client education about diagnosis Choice H:
and plan of care
Educating the client about her diagnosis
and the plan of care, including the
upcoming surgery, helps reduce anxiety
and ensures that she is informed about her
treatment.
Discussion Section
M Share insights...
1 Pulse Check
Ana: Appendicitis, preventing infection is crucial. High risk for developing an infection
for sepsis if the appendix perforates, which could result in peritonitis. ~ 4mos ago
1 1 Reply
Answer and Explanation
Question 2: Report an Issue
Choice A:
Report Wrong Answer Early ambulation helps prevent
complications such as atelectasis,
History and Physical pneumonia, and deep vein thrombosis
(DVT). It also promotes intestinal motility.
Nurses' Notes Flow Sheet
Choice B:
, Monitoring for bleeding should be more
Orders
frequent, especially in the immediate
A 24-year-old female client postoperative period, rather than just once
presents to emergency daily.
department with reports of Choice C:
abdominal pain. The client reports
This helps prevent respiratory
that she was vacuuming her home
complications such as atelectasis and
approximately 1 hour prior to arrival
promotes lung expansion.
when she had a sudden onset of
abdominal pain. She also reports Choice D:
nausea and vomiting. The client
Adequate hydration is essential to
has a prior medical history of
maintain fluid balance, promote healing,
anxiety and constipation. The client
and prevent complications such as urinary
has regular bowel movements
tract infections and constipation.
every day. Her last bowel
movement was this morning. Choice E:
The stool was soft and formed. Monitoring for sedation is crucial to ensure
There are no known diagnosed that pain medications are not causing
allergies. Her last menstrual period excessive drowsiness, which could impair
was reported to be 1 week ago. She the client's ability to participate in activities
is not currently sexually active. Her such as ambulation and use of the
last partner was 2 years ago. incentive spirometer.
Patient Data Choice F:
Exhibits While assessing neurological status is
important, frequent neurological
Click to select the 5 most important
assessments are more relevant for clients
nursing interventions for
with neurological conditions or concerns. In
postoperative client care.
this case, routine assessments should be
A. Encourage sitting up and sufficient unless the client has specific
ambulation 1% neurological symptoms.
B. Monitor for bleeding once daily Choice G:
0%
Pain medications should be administered
C. Use Incentive spirometer every 1 prophylactically before activity. However, it
hour 2% Most selected can also be administered after activity in
D. Promote adequate hydration 0% case the client complains of pain.
E. Assess for sedation after pain
medications 0%
F. Complete neurologic assessment
every 2 hours 0%
G. Administer pain medication after
activity 0%
, Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 3: Report an Issue
Explanation
Report Wrong Answer
Fever is a common symptom that can be
present in gastroenteritis, appendicitis,
History and Physical and, less commonly, ectopic pregnancy.
Laboratory Results Tachycardia may occur in all three
conditions but is more commonly
Nurses' Notes Flow Sheet
associated with ectopic pregnancy,
Orders Imaging Studies especially if there is internal bleeding.
Nausea and vomiting are symptoms that
A 24-year-old female client can be seen in gastroenteritis and
presents to emergency appendicitis, and occasionally in ectopic
department with reports of pregnancy. Diarrhea is most commonly
abdominal pain. The client reports associated with gastroenteritis.
that she was vacuuming her home
approximately 1 hour prior to arrival
when she had a sudden onset of
abdominal pain. She also reports
nausea and vomiting. The client
has a prior medical history of
anxiety and constipation. The client
has regular bowel movements
every day. Her last bowel
movement was this morning.
The stool was soft and formed.
There are no known diagnosed
allergies. Her last menstrual period
was reported to be 1 week ago. She
is not currently sexually active. Her
last partner was 2 years ago.
Exhibits
Use the chart to indicate if the
listed symptom or finding is
consistent with gastroenteritis,
Hesi RN exit exam Share this
We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the
latest features, improvements, and component updates, please switch to the new system as soon
as possible.
Visit Latest Version
Answer and Explanation
Question 1: Report an Issue
Choice A:
Report Wrong Answer While addressing anxiety is important, it is
not the most immediate priority in the
History and Physical emergency setting where acute pain,
Laboratory Results potential infection, and fluid management
take precedence.
Nurses' Notes Assessment
Choice B:
Flow Sheet Orders Given the diagnosis of appendicitis,
preventing infection is crucial. The client is
Imaging Studies
at risk for developing an infection or sepsis
if the appendix perforates, which could
Day 1, 1100
result in peritonitis.
Computed tomography (CT) scan
Choice C:
of abdomen dilated appendix 7
mm in diameter and fat stranding The client is experiencing severe
noted. abdominal pain (pain rating of 9/10).
Effective pain management is essential for
The nurse is stabilizing the client
the client’s comfort and stabilization.
and preparing her for surgery.
Choice D:
Exhibits
This is more relevant post-surgery. In the
emergency department, the focus should
What goal(s) should the nurse
be on stabilizing the client and preparing
prioritize in the care plan for the
her for surgery.
client while in the emergency
department? Select all that apply. Choice E:
A. Effective coping with illness The client has regular bowel movements
related anxiety 2% Most selected and this is not a priority in the context of
acute appendicitis.
,B. Infection prevention related to Choice F:
illness 1%
This is a consideration for longer-term
C. Relief of acute pain 0% inpatient care or post-surgery, not an
D. A review of diet progression immediate priority in the emergency
postoperatively 0% setting.
E. Promotion of bowel routine 0% Choice G:
F. Prevention of deep vein The client is receiving a bolus of Lactated
thrombosis (DVT) related to Ringer’s to manage her fluid volume.
immobility 0%
Maintaining adequate hydration and
G. Fluid volume management 1% correcting any potential dehydration or
fluid imbalance is vital.
H. Client education about diagnosis Choice H:
and plan of care
Educating the client about her diagnosis
and the plan of care, including the
upcoming surgery, helps reduce anxiety
and ensures that she is informed about her
treatment.
Discussion Section
M Share insights...
1 Pulse Check
Ana: Appendicitis, preventing infection is crucial. High risk for developing an infection
for sepsis if the appendix perforates, which could result in peritonitis. ~ 4mos ago
1 1 Reply
Answer and Explanation
Question 2: Report an Issue
Choice A:
Report Wrong Answer Early ambulation helps prevent
complications such as atelectasis,
History and Physical pneumonia, and deep vein thrombosis
(DVT). It also promotes intestinal motility.
Nurses' Notes Flow Sheet
Choice B:
, Monitoring for bleeding should be more
Orders
frequent, especially in the immediate
A 24-year-old female client postoperative period, rather than just once
presents to emergency daily.
department with reports of Choice C:
abdominal pain. The client reports
This helps prevent respiratory
that she was vacuuming her home
complications such as atelectasis and
approximately 1 hour prior to arrival
promotes lung expansion.
when she had a sudden onset of
abdominal pain. She also reports Choice D:
nausea and vomiting. The client
Adequate hydration is essential to
has a prior medical history of
maintain fluid balance, promote healing,
anxiety and constipation. The client
and prevent complications such as urinary
has regular bowel movements
tract infections and constipation.
every day. Her last bowel
movement was this morning. Choice E:
The stool was soft and formed. Monitoring for sedation is crucial to ensure
There are no known diagnosed that pain medications are not causing
allergies. Her last menstrual period excessive drowsiness, which could impair
was reported to be 1 week ago. She the client's ability to participate in activities
is not currently sexually active. Her such as ambulation and use of the
last partner was 2 years ago. incentive spirometer.
Patient Data Choice F:
Exhibits While assessing neurological status is
important, frequent neurological
Click to select the 5 most important
assessments are more relevant for clients
nursing interventions for
with neurological conditions or concerns. In
postoperative client care.
this case, routine assessments should be
A. Encourage sitting up and sufficient unless the client has specific
ambulation 1% neurological symptoms.
B. Monitor for bleeding once daily Choice G:
0%
Pain medications should be administered
C. Use Incentive spirometer every 1 prophylactically before activity. However, it
hour 2% Most selected can also be administered after activity in
D. Promote adequate hydration 0% case the client complains of pain.
E. Assess for sedation after pain
medications 0%
F. Complete neurologic assessment
every 2 hours 0%
G. Administer pain medication after
activity 0%
, Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 3: Report an Issue
Explanation
Report Wrong Answer
Fever is a common symptom that can be
present in gastroenteritis, appendicitis,
History and Physical and, less commonly, ectopic pregnancy.
Laboratory Results Tachycardia may occur in all three
conditions but is more commonly
Nurses' Notes Flow Sheet
associated with ectopic pregnancy,
Orders Imaging Studies especially if there is internal bleeding.
Nausea and vomiting are symptoms that
A 24-year-old female client can be seen in gastroenteritis and
presents to emergency appendicitis, and occasionally in ectopic
department with reports of pregnancy. Diarrhea is most commonly
abdominal pain. The client reports associated with gastroenteritis.
that she was vacuuming her home
approximately 1 hour prior to arrival
when she had a sudden onset of
abdominal pain. She also reports
nausea and vomiting. The client
has a prior medical history of
anxiety and constipation. The client
has regular bowel movements
every day. Her last bowel
movement was this morning.
The stool was soft and formed.
There are no known diagnosed
allergies. Her last menstrual period
was reported to be 1 week ago. She
is not currently sexually active. Her
last partner was 2 years ago.
Exhibits
Use the chart to indicate if the
listed symptom or finding is
consistent with gastroenteritis,
