Science Medicine Nursing
HESI RN Exit Exam
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HESI RN 2024 EXIT EXAM HESI RN EXIT Exam Questions and V... Porth's Patho Ch. 14:
130 terms 150 terms 24 terms
sonya12295 Preview Benard_Ndungu9 Preview akissane88
1. A male client with stomach d. Increase the infusion rate of Lactated Ringer's solution.
cancer returns to the unit
following a total gastrectomy.
He has a nasogastric tube to
suction and is receiving Lactated
Ringer's solution at 75 mL/hour
IV. One hour after admission to
the unit, the nurse notes 300 mL
of blood in the suction canister,
the client's heart rate is 155
beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the finding
to the surgeon. Which action
should the nurse implement
first?
2. an adult male who fell 20 feet a. Add sterile water to the suction control chamber.
from the roof of this home has
multiple injuries, including a right
pneumothorax. Chest tubes
were inserted in the emergency
department prior to his transfer
to the intensive care unit (ICU).
the nurse notes that the suction
control chamber is bubbling at
the
- 10 cm H2O mark, with
fluctuation in the water seal, and
over the past hour 75 ml of
bright red blood is measured in
the collection chamber. Which
intervention should the nurse
implement?
,3. A client who received c. Begin supplemental oxygen.
hemodialysis yesterday is
experiencing a blood pressure
of 200/100 mmHg, heart rate 110
beats/minute, and respiratory
rate 36 breaths/minute. The
client is manifesting shortness of
breath, bilateral 2+ pedal edema,
and an oxygen saturation on
room air of 89%. Which action
should the nurse take first?
4. A client with Addison's crisis is Headache and tremors
admitted for treatment with Irregular heart rate
adrenal cortical pallor and diaphoresis
supplementation. Based on the
client's admitting diagnosis,
which findings require
immediate action by the nurse?
(Select all that apply)
See an expert-written answer!
5. An older client is admitted d. Skin tenting occurs when the client's forearm is pinched.
with fluid volume deficit and
dehydration. Which assessment
finding is the best indicator of
hydration that the nurse should
report to the healthcare
provider?
6. After an inservice about a. File a detailed incident report with the specific hiring facility.
electronic health record (EHR)
security and safeguarding client
information, the nurse observes
a colleague going home with
printed copies of client
information in a uniform pocket.
Which action should the nurse
take?
7. The nurse is evaluating a c. Clients who incurred disease complications promptly received
tertiary prevention program for rehabilitation.
clients with cardiovascular
disease implemented in a rural
health clinic. Which outcome
indicate the program is
effective?
, 8. The nurse is caring for a client d. Assess the delivery mechanism of the oxygen tank, tubing, and
with chronic obstructive cannula.
pulmonary disease (COPD) who
uses oxygen at 2 L/minute per
nasal cannula continuously. The
nurse observes that the client is
having increased shortness of
breath with respirations at 23
breaths/minute. Which action
should the nurse implement
first?
9. Which statement by a client When I get out of bed quickly, I feel a little dizzy."
who is 24 hours post-subtotal
thyroidectomy requires an
immediate investigation by the
nurse?
10. An older adult male who is in b. Notify the healthcare provider of the client's wishes.
his early 70's is admitted to the
emergency department because
of a COPD exacerbation. This
client is struggling to breathe
and the healthcare team is
preparing for endotracheal
intubation. The spouse's wife,
who is 30 years younger than
the client, asks the nurse to stop
the procedure and provide the
nurse a copy of the client's living
will. Which action should the
nurse take?
11. An unlicensed assistive c. Advice the client to maintain bedrest so that safety can be
personnel (UAP) is assigned to ensured.
provide personal care for a
client whose prescribed activity
is bedrest with bedside
commode use. The UAP reports
to the nurse that the client is so
obese that the UAP feels unable
to safely assist the client in
transferring from the bed to the
bedside commode. How should
the nurse respond?
12. A nurse determines that more c. Distribute a shopping list of suggested healthy snack items.
than 25% of the students at a
middle school are overweight.
The nurse presents the
information at the parent-
teacher meeting. What action is
most important for the nurse to
include in the meeting?
HESI RN Exit Exam
Save
Students also studied
Flashcard sets Study guides
HESI RN 2024 EXIT EXAM HESI RN EXIT Exam Questions and V... Porth's Patho Ch. 14:
130 terms 150 terms 24 terms
sonya12295 Preview Benard_Ndungu9 Preview akissane88
1. A male client with stomach d. Increase the infusion rate of Lactated Ringer's solution.
cancer returns to the unit
following a total gastrectomy.
He has a nasogastric tube to
suction and is receiving Lactated
Ringer's solution at 75 mL/hour
IV. One hour after admission to
the unit, the nurse notes 300 mL
of blood in the suction canister,
the client's heart rate is 155
beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the finding
to the surgeon. Which action
should the nurse implement
first?
2. an adult male who fell 20 feet a. Add sterile water to the suction control chamber.
from the roof of this home has
multiple injuries, including a right
pneumothorax. Chest tubes
were inserted in the emergency
department prior to his transfer
to the intensive care unit (ICU).
the nurse notes that the suction
control chamber is bubbling at
the
- 10 cm H2O mark, with
fluctuation in the water seal, and
over the past hour 75 ml of
bright red blood is measured in
the collection chamber. Which
intervention should the nurse
implement?
,3. A client who received c. Begin supplemental oxygen.
hemodialysis yesterday is
experiencing a blood pressure
of 200/100 mmHg, heart rate 110
beats/minute, and respiratory
rate 36 breaths/minute. The
client is manifesting shortness of
breath, bilateral 2+ pedal edema,
and an oxygen saturation on
room air of 89%. Which action
should the nurse take first?
4. A client with Addison's crisis is Headache and tremors
admitted for treatment with Irregular heart rate
adrenal cortical pallor and diaphoresis
supplementation. Based on the
client's admitting diagnosis,
which findings require
immediate action by the nurse?
(Select all that apply)
See an expert-written answer!
5. An older client is admitted d. Skin tenting occurs when the client's forearm is pinched.
with fluid volume deficit and
dehydration. Which assessment
finding is the best indicator of
hydration that the nurse should
report to the healthcare
provider?
6. After an inservice about a. File a detailed incident report with the specific hiring facility.
electronic health record (EHR)
security and safeguarding client
information, the nurse observes
a colleague going home with
printed copies of client
information in a uniform pocket.
Which action should the nurse
take?
7. The nurse is evaluating a c. Clients who incurred disease complications promptly received
tertiary prevention program for rehabilitation.
clients with cardiovascular
disease implemented in a rural
health clinic. Which outcome
indicate the program is
effective?
, 8. The nurse is caring for a client d. Assess the delivery mechanism of the oxygen tank, tubing, and
with chronic obstructive cannula.
pulmonary disease (COPD) who
uses oxygen at 2 L/minute per
nasal cannula continuously. The
nurse observes that the client is
having increased shortness of
breath with respirations at 23
breaths/minute. Which action
should the nurse implement
first?
9. Which statement by a client When I get out of bed quickly, I feel a little dizzy."
who is 24 hours post-subtotal
thyroidectomy requires an
immediate investigation by the
nurse?
10. An older adult male who is in b. Notify the healthcare provider of the client's wishes.
his early 70's is admitted to the
emergency department because
of a COPD exacerbation. This
client is struggling to breathe
and the healthcare team is
preparing for endotracheal
intubation. The spouse's wife,
who is 30 years younger than
the client, asks the nurse to stop
the procedure and provide the
nurse a copy of the client's living
will. Which action should the
nurse take?
11. An unlicensed assistive c. Advice the client to maintain bedrest so that safety can be
personnel (UAP) is assigned to ensured.
provide personal care for a
client whose prescribed activity
is bedrest with bedside
commode use. The UAP reports
to the nurse that the client is so
obese that the UAP feels unable
to safely assist the client in
transferring from the bed to the
bedside commode. How should
the nurse respond?
12. A nurse determines that more c. Distribute a shopping list of suggested healthy snack items.
than 25% of the students at a
middle school are overweight.
The nurse presents the
information at the parent-
teacher meeting. What action is
most important for the nurse to
include in the meeting?
