Hesi Exit Exam RN V2 2025 Screenshots andReview Questions (160 Q&A) Graded A Best Exam

Hesi Exit Exam RN V2 2025 Screenshots and Review Questions (160 Q& A) • After receiving IV fluids in the emergency department, an elderly client is admitted to the acute care unit with a medical diagnosis of dehydration. The client is receiving 0.9% normal saline at 125 ml/hour via saline lock and has a bounding pulse, tachycardia, and pedal edema. When contacting the healthcare provider, the nurse anticipates a prescription what intervention? A) Remove the saline lock from the client’s arm. B) Increase the rate of the normal saline infusion. C) Decrease the rate of the normal saline infusion. D) Change the IV solution to 0.45% saline solution. • A client who is admitted to the care unit with syndrome of inappropriate antidiuretic hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse implement first? A) Patch one eye. B) Evaluate swallow. C) Reorient often. D) Range of motion. • The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to home. Which recommendations should the nurse provide this client? (Select all that apply) A) Wash the stump with soap and water. B) Avoid range of motion exercise. C) Apply alcohol to the stump after bathing. D) Inspect skin for redness. E) Use a residual limb shrinker. • After 2 days treatment for dehydration, a child continues to vomit and have diarrhea. Normal saline is infusing and the child’s urine output is 50ml/hour. During morning assessment, the nurse determines that the child is lethargic and difficult to arouse. Which should the nurse implement? A) Increase the IV fluid flow rate. B) Review 24-hour intake and output. C) Obtain arterial blood gases. D) Perform a finger stick glucose test. • A client with bleeding esophageal varices receives vasopressin IV. What should the nurse monitor for during the IV infusion of this medication? A) Vasodilatation of the extremities. B) Chest pain and dysrhythmia. C) Hypotension and tachycardia. D) Decreasing GI cramping and nausea. • A male client with an antisocial personality disorder is admitted to an inpatient mental health unit for multiple substance dependency. When providing a history, the client justifies to the nurse his use of illicit drugs. Based on this pattern of behavior, this client’s history is most likely to include which finding? A) Multiple convictions for misdemeanors and Class B felonies. B)Delusions of grandiosity and persecution. C) Suicidal ideations and multiple attempts. D) Photos and panic attacks when confronted by authority figures. • An older client is admitted for repair of a broken hip. To reduce the risk for infection postoperative period., which nursing care intervention should the nurse include the client’s plan of care? (Select all that apply) A)Administer low molecular weight heparin as prescribed. B) Teach client to use incentive spirometer every 2 hours while awake. C) Remove urinary catheter as soon as possible and encourage voiding. D) Maintain sequential compression devices while in bed. E) Assess pain level and medicate PRN as prescribed. • The nurse is preparing a 50 ml dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication? A. Dilute the dextrose in one liter of 0.9% Normal Saline solution. B. Push undiluted slowly though the currently infusing IV. C. Mix the dextrose in a 50 ml piggyback for a total volume of 100 ml. D. Ask the pharmacist to add the Dextrose to a TPN solution. • A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor? A) Serum Calcium. B) Erythrocyte sedimentation rate. C) Osmolality . D) Hemoglobi n. • A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic response to the phenytoin? A) Increased time of ambulation between periods of rest. B) Decrease in intracranial pressure and cerebral edema. C) Absence of seizure activity for the duration of treatment. D) Normal electroencephalogram after drug administration. • A client peptic ulcer disease receives a prescription for intermittent suction via a SalemSump nasogastric tube (NGT). After inserting the NGT and obtaining coffee- ground gastric contents, the nurse clamps the NGT because the client must leave the unit for diagnostic studies. Upon return to the unit, the client complains of nausea. What action should the nurse implement first? A) Administering a prescribed antiemetic agent. B) Provide oral suction using a Yankauer tip. C) Connect the NGT to low intermittent suction. D) Irrigate the NGT with sterile normal saline. • The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride 1,000 ml to be influenced over 4 hours. The IV administration set delivers 10 gtt/ml. How many gtt/minute should the nurse regulate the infusion? ( round the nearest whole number.) Flow rate(gtt/min) = volume(ml)/ time(min) × drop factor(gtt/mL). Flow rate=1000ml/240min×10gtt/ml. Flow rate = 41.667gtt/min. 42 • A family member reports that the client who is bedridden has not been turned or repositioned all night and is sleeping on a special air • At 40-week gestation, a laboring client who is lying is a supine position tells the nurse that she has finally found a comfortable position. What action should the nurse take? A) Place a pillow under the client’s head and knees. B)Place a wedge under the client’s right hip. C)Encourage the client to turn on her left side. D)Explain to the client that her position is not safe. mattress with no sheets. What information should the nurse provide to the family member? A) Clarify that an aerated support surface does not use sheets that often cause skin breakdown. B) Described the night staff’s plan of care to ensure the client’s sleep is not disturbed. C) Explained that turning is only necessary to reposition the client during waking hours. D) Suggest that a family member turn the client during the night when someone is there. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which action should the nurse implement? (Select all that apply.) A) Monitor stools for presence of blood. B)Auscultate bowel sounds in all quadrants. C) Assess characteristics of pain. D) Review last partial thromboplastin time results. E) Prepare to administer warfarin. • The healthcare provider prescribes potassium chloride 25 mEq in 500ml D5W to infuse over 6 hours. The available 20ml vial of potassium chloride is labeled, “How many ml of potassium chloride should the nurse add to the IV fluid? (Round to the nearest tenth.) Hesi Exit Exam RN V2 2022/2023 Screenshots Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Using the formula D / H X Q: 25 mEq / 10 mEq x 5ml ꞊12.5ml • A male client reports to the on-call clinic nurse that he took Tadalafil 10 mg PO two hours age and his skin now feels flushed. He reports a history of stable angina, but denies experiencing any current or recent chest pain. What action should the nurse take? A) Tell the client to have someone bring him to an emergency department immediately. B) Advise the client to place one nitroglycerin tablet under his tongue as a precaution. C) Reassure the client that skin flushing is a common side effect of the medication. D) Instruct the client to increase his intake of oral until the skin flushing is relieved. • An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What intervention should the nurse take? A) Prepare the client for an echocardiogram. B) Limit the client’s fluids. C) Document in the client’s record. D) Notify the healthcare provider. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • The nurse is assessing a client with a closed head injury sustained in a motor vehicle collision. Which finding indicates the lowest neurologic functioning? A)Decerebrate posturing during position changes. B)Withdrawal from painful stimuli. C) Decorticate posturing during tracheal suctioning. D)Localization of a tactile stimulus. • Prior to obtaining a trapeze bar for a client with limited mobility, which client assessment is most important for the nurse to obtain? A) Balance and posture. B) Pressure sore risk. C) Risk for disuse syndrome. D) Upper body muscle strength. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • When planning care for a client with acute pancreatitis, which nursing intervention has the highest priority? A) Administer antiemetic as needed. B) Initiate IV fluid replacement. C) Evaluate intake and output ratio. D) Withhold food and fluid intake. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. The child smells of chemicals on hands, face and on the front of the child’s clothes. After ensuring the airway is patent, what action should the nurse implement first? A) Obtain equipment for gastric lavage. B) Determine type of chemical exposure. C) Assess child for altered sensorium. D) Call poison control emergency number. • The nurse enters room of a client with Parkinson’s disease who is taking Carbidopa- Levodopa. The client is arising slowly from the chair while the unlicensed assistive personnel (UAP) stands next to the chair. What action should the nurse take? A) Demonstrate how to help the client move more efficiently. B) Affirm that the client should arise slowly from the chair. C) Tell the UAP to assist the client in moving more quickly. D) Offer a PRN analgesic to reduce painful movement. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • When should the nurse conduct an Allen’s test? A) When pulmonary artery pressures are obtained. B) Just before arterial blood gasses are drawn peripherally. C) Prior to attempting a cardiac output calculation. D) To assess for presence of a deep vein thrombus in the leg. • A middle aged female client tells the clinic nurse that she has lost an inch of height in the last year. What is the priority nursing intervention? A) Assist the client to schedule a bone density exam. B) Observe for the presence of a dowager’s Hump. C) Advice the client to begin stretching exercises. D)Encourage the client to eat calcium rich foods. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • An adult female tells the nurse that her grandmother was diagnosed with colorectal cancer at age 75 and the client is implementing measures to reduce her own risk. Which of the client’s plans indicates the need for additional information? A) Annual sigmoidoscopy screening. B) Increased intake of fresh fruits, vegetables, and whole grains. C) Reduced dietary intake of animal fat and protein. D) Yearly fecal occult blood testing. • In early septic shock states, what is the primary cause of hypotension? A) Peripheral vasodilation. B) Cardiac failure. C) A vagal response. D) Peripheral vasoconstriction. • Four clients arrive on the labor and delivery unit at the same time. Which client should the nurse assess first? A) A 3-week multigravida with a prescription for serial blood pressures. B) A 39-week primigravida with biophysical profile score of 5 out of 8. C) A 38- week primigravida who reports contractions occurring every 10 minutes. D) A 41-week multigravida who is scheduled induction of labor today. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A male client with cirrhosis has jaundice and pruritis. He tells the nurse that he has been soak in hot baths at night with no relief of his discomfort. What action should the nurse take? A) Suggest that the client take brief showers and apply oil-based lotion after showering. B) Explain that the symptoms are caused by liver damaged and cannot be relieved. C) Encourage the client to use cooler water and apply calamine lotion after soaking. D) Obtain a PRN prescription for an analgesic that the client can use for symptom relief. • An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)? A) 36% B) 9% C) 45% D) 15% • The nurse is teaching a mother of a newborn with a cleft lip how to bottle feed her baby using a Medela Haberman feeder, which has a valve Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ to control the release of milk and a slit nipple opening. The nurse discusses placing the nipple’s elongated tip in the back of the oral cavity. What instruction should the nurse provide the mother about feedings? A) Alternate milk with water during the feedings. B) Squeeze the nipple base to introduce milk into the mouth. C) Position the baby in the left lateral position after feeding. D) Hold the newborn in an upright position. • When caring for a client with a traumatic brain injury (TBI) who had a craniotomy for increased intracranial pressure (ICP), the nurse assesses the client using the Glasgow coma scale (GCS) every two hours. For the past 8 hours the client’s GCS score has been 14. What goes this GCS finding indicate about this client? A)Rehabilitative prognosis is an expected full recovery. B)Insertion of an ICP monitoring device is necessary. C) Neurologically stable without indications of an increased ICP. D) Risk for irreversible cerebral damage related to increased ICP. • While caring for a client’s postoperative dressing the nurse observes purulent wound drainage. Previously, the wound was inflamed and tender but without daring. Which is the most important action for the nurse to take? A) Determines if the drainage has an unpleasant Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ B) Cleanse the wound with a sterile saline solution. C) Request a culture and sensitivity of the wound. D) Monitor the client’s white blood cell count (WBC). Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • Following morning care, a client with a C-5 spinal cord injury who is sitting in a wheelchair becomes flushed and complains of a headache. Which interventions should the nurse implement first? A) Assess the client’s blood pressure every 15 minutes. B) Relieve any kinks or obstruction in the client’s Foley tubing. C) Teach the client to response symptoms of dyreflexia. D)Administer a prescribed PRN dose of hydrazine (Apresoline) • The nurse is planning care for a young adult client with acromegaly. It is most important for the nurse to monitor which of the client’s serum laboratory test results? A) White blood cell count. B) Glucose. C) Hemoglobin. D) Partial thromboplastin time. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with history of adrenal insufficiency is admitted to the intensive care unit with an acute adrenal crisis. The client is complaining of nausea and joint pain. Vital signs are: temperature 102 F (38.9 C) heart rate 138 beats/minute, blood pressure 80/60 mmHg. Which intervention should the nurse implement first? A) Obtain an analgesic prescription. B) Cover client with cooling blanket. C) Administer PRN oral antipyretic. D) Infuse an intravenous fluid bolus. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • The nurse supplies a blood pressure cuff around a client’s left thigh. To measure client’s pressure, where should the diaphragm of the stethoscope be placed? (Mark location on image) • The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendations for hypertension? A) Grilled steak, baked potato with sour cream, green beans, coffee. B) Beef stir fry, fried rice, egg drop soup, Diet Coke, and pumpkin pie. C) Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon menage pie. D) Baked pork chop, applesauce, corn on the cob, 1% milk, Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ and key lime pie. • A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge? A)Referral for social services for the child and family. B)Instruction about how much fluid the child should drink daily. C) Signs of addiction to opioid pain medications. D)Information about non-pharmaceutical pain relief measures. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with osteoporosis related to long-term corticosteroid therapy receives a prescription for calcium carbonate. Which client’s serum laboratory values requires intervention by the nurse? A)Creatinine 4 mg/dl (354 micromol/L SI) B)Total calcium 9 mg/dl (2.25 mmol/L SI) C)Phosphate 4 mg/dl (1.293 mmol/L SI) D)Fasting glucose 95 mg/dl (5.3 mmol/L SI) Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with multiple sclerosis (MS) is receiving interferon beta-1b 0.1875 mg subcutaneously QOD. The nurse reconstitutes the vial by slowly injecting 1.2 ml of diluent into the interferon vial for a reconstituted solution of 0.25 mg/1 ml. How many ml should the nurse administer? (Enter numerical value only. If required, round to the nearest hundredth.) 0.75 • A client who had a percutaneous coronary intervention (PCI) two weeks ago returns to the clinic for a follow up visit. The client has a postoperative ejection fraction of 30%. Today the client has links which are clear, +1 pedal edema, and a 5-pound weight gain. Which intervention should the nurse implement? A) Insert saline lock for IV diuretic therapy. B) Arrange transport for admission to the hospital. C) Assess compliance with Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ routine prescriptions. D) Instruct the client to monitor daily caloric intake. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A nurse stops at the site of a motorcycle accident and finds a young adult male lying face down in the road in a puddle of water. It is raining, no one is available to send for help, and the cell phone is in the car about 50 feet away. What action should the nurse take first? A) Stabilize the victim’s neck and roll over to evaluate his status. B) Return to the car to call emergency response 911 for help. C) Open the airway and initiate resuscitative measures. D) Examine the victim’s body surfaces for arterial bleeding. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • Following a cardiac catherization, an adult client is sent to the cardiovascular unit. The nurse instructs the client to keep the affected leg immobile. Which intervention should the nurse plan to include in the client’s plan of care? A) Apply a sequential compression device. B) Ambulate once vital signs stable. C) Monitor telemetry of dysrhythmias. D) Maintain NPO until bowel sounds return. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • Following a gunshot wound, an adult client has a hemoglobin level 4 grams/dl (40 mmol/L SI). The nurse prepares to administer a unit of blood for an emergency transfusion. The client has AB negative blood type and the blood bank sends a unit of Type A Rh negative, reporting that there is no Type AB negative blood currently available. Which intervention should the nurse implement? A) Administer normal saline solution until Type AB negative is available. B) Obtain additional consent for administration of Type A negative blood. C) Transfuse Types A negative blood until Type AB negative is available. D) Recheck the client’s hemoglobin, blood type, and Rh factor. • A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ should the nurse instruct the unlicensed assistive personnel (UAP) to implement? A) Orient the client to the location of the food on the plate. B) Ask to visit during meal time to assist with feeding. C) Provide with only finger foods D) Feed the client the entire meal. • The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these finding, this client is at greatest risk for which pathophysiology condition? A) Epstein Bar Virus. B) Cytomegalovirus. C) Guillen Barre syndrome. D)Mycoplasma Pneumonia. • In caring for a client with Cushing syndrome, which serum laboratory value is most important for the nurse to monitor? A) Lactate. B) Glucose. C) Hemoglobin. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ D) Creatinine. • A young adult female college student visits the health clinic in early winter to obtain birth control pills. The clinic nurse asks if the student has received an influenza vaccination. The student stated she did not receive vaccination because she has asthma. How should the nurse respond? A)Offer to provide the influenza vaccination to the student while she is at the clinic. B)Encourage the student to obtain a vaccination prior to the next influenza season. C) Confirm that a history of asthma can increase risks associated with the vaccine. D) Advise the student that the nasal spray vaccine reduces side effects for people with asthma. • A client who is admitted to the intensive care unit with a right chest tube attached to a THORA-SEAL chest drainage unit becomes increasingly anxious and complain of difficulty breathing. The nurse determines the client is tachypneic with absent breath sounds in the client’s right lungs fields. Which additional finding indicates that the client has developed a tension pneumothorax? A) Continuous bubbling in the water seal chamber. B) Decrease bright red blood drainage. C)Tachypnea and difficulty breathing. D)Tracheal deviation toward the left lung. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A 16 years old male client who has been treated in the past for a seizure disorder is admitted to the hospital immediately after admission he begins to have a grand mal seizure. Which action should the nurse implement? A) Observe the client carefully. B) Place a padded tongue blade between client’s teeth. C) Obtain assistance in holding him to prevent injury. D) Call the rapid respond team. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A female client is admitted for diabetic crisis resulting from inadequate dietary practice. After stabilization, the nurse talks to the client about her prescribed diet. What client characteristic is most important for successful adherence to the diabetic diet? A) Knows that insulin must be given 30 min before eating. B) Frequently eats fruits and vegetables at meals and between meals. C) Has someone available who can prepare and oversee the diet. D) Demonstrates willingness to adhere to the diet consistently. • The nurse is using a straight urinary catheter kit to collect a sterile urine specimen from a female client. After positioning am prepping this client, rank the actions in the sequence they should be implemented. (Place to first action on the top on the last action on the bottom.) 1. Open the sterile catheter kit close to the client’s perineum. 2. Don sterile gloves and prepare to sterile field. 3. Cleanse the urinary meatus using the solution, swabs, and forceps provided. 4. Place distal end of the catheter in sterile specimen cup and insert catheter into meatus. • The nurse is caring for a group of clients with the help of a practical Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ nurse (PN). Which nursing actions should the nurse assign to the PN? (Select all that apply.) A) Administer a dose of insulin per sliding scale for a client with type 2 diabetes mellitus (DM). B) Obtain postoperative vital signs for a client one day following unilateral knee arthroplasty. C) Perform daily surgical dressing change for a client who had an abdominal hysterectomy. D) Initiate patient-controlled analgesia (PCA) pumps for two clients immediately postoperative. E) Start the second blood transfusion for a client twelve hour following a below knee amputation. • The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instructions should the nurse provide the unlicensed assistive personnel (UAP) who is working with the nurse? A) Continue to measure the client’s vital signs every thirty minutes until the transfusion is complete. B) Since a reaction did not occur, the priority is to maintain client comfort during the transfusion. C) Monitor the client carefully for the next three hours and report the onset of a reaction immediately. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ D) Notify the nurse when the transfusion has finished, so further client assessment can be done. • The charge nurse is marking assignments on a psychiatric unit for a practical nurse (PN) and a newly licensed registered nurse (RN). Which client should be assigned to the RN? A) An older male who tells the staff and other clients that he is superman and can fly. B) A young male with schizophrenia who says voices are telling him to kill his psychiatrist. C) A middle- aged client who is in the depressive phase of bipolar disease and is receiving lithium. D) An adult client who has been depressed for the past several months and denies social ideation. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • An older male client is admitted with the medical diagnosis of possible cerebral vascular accident (CVA). He has facial paralysis and cannot move his left side. When entering the room, the nurse finds the client’s wife tearful and trying unsuccessfully to give him a drink of water. What action should the nurse take? A) Give the wife a straw to help facilitate the client’s drinking. B) Assist the wife and carefully give the client small sips of water. C) Obtain a thickening powder before providing any more fluids. D) Ask the wife to stop and assess the client’s swallowing reflex. • The nurse assesses a client with new onset diarrhea. It is most important for the nurse to question the client about recent use of which type of medication? A) Antibiotics. B) Anticoagulants. C) Antihypertensive. D) Anticholinergics. • Identify the conductive structure that is visualized with an otoscope. (Click the chosen location to change, click on the new location) Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with diabetic peripheral tells the nurse that her healthy “chubby” baby is irritable and not very active. After obtaining a dietary history, the nurse determines that the infant refuses to eat any infant cereals. Which finding is most important to report to the healthcare provider? A) Breast feeds 10 minutes at night to go to sleep. B) Has porcelain-like skin and tripled birth weight. C) Does not take an infant vitamin supplement. D) Ingests 6 ten-ounce bottles of cow’s milk daily. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with renal disease seems anxious and presents with the onset of shortness of breath, lethargy, edema, and weight gain. Which action should the nurse implement first? A) Determine serum potassium level. B) Calculate the client’s daily fluid intake. C) Assess client for signs of vertigo. D) Review the client’s pulse oximetry reading. • A nurse working on an endocrine unit should see which client first? A) An adolescent male with diabetes who is arguing about his insulin dose. B) An older client with Addison’s disease whose current blood sugar level is 62mg/dl (3.44 mmol/l). C) An adult with a blood sugar of 384mg/dl (21.31mmol/l) and urine output of 350 ml in the last hour. D) A client taking corticosteroids who has become disoriented in the last two hours. • The nurse auscultates a client's abdomen and hears a loud bruit near the umbilicus. What is the nurse's best action based on this assessment finding? A) Document the assessment finding in the medical record. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ B) Palpate the abdomen lightly in all four quadrants. C) Report the finding to the health care provider. D) Place the client in a semi-Fowler's position. • The nurse is caring for a 3 years old child who is two hours postoperative from a cardiac catherization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? A. Blood pressure trend is downward, and pulse is rapid and irregular. B. The pressure dressing at right femoral area is moist and oozing blood. C. Right foot is cool to the touch and appears pale and blanched. D. Pulse distal to the femoral artery is weaker on left foot than right foot. • The nurse observes an unlicensed assistive personal (UAP) begin to provide oral care to an unresponsive client who is at risk for aspiration as seen in the picture. What instruction should the nurse provide the UAP? (Select all that apply). Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ A) Flex the client neck forward. B) Turn the clients head to the side. C) Remove the gloved finger from the mouth. D) Elevate the head of the bed to semi fowlers. E) Apply lubricant to the toothed. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • The nurse is performing a peritoneal dialysis exchange on a client with chronic kidney disease (CKD). Which assessment finding should the nurse report to the healthcare provider? A) The client complains of abdominal fullness and cramping during installation. B) The client complains of a slight shortness of breath during installation. C) The amount of the returning dialysis fluid is greater than the amount instilled. D) The appearance of the returning dialysate fluid is cloudy. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • The healthcare provider prescribed furosemide for a 4-year old child who has a ventricular septal defect. Which outcome indicates to the nurse that this pharmacological intervention was effective? A) Urinary output decrease of 5 ml/hour. B) Urine specific gravity change from 1.021 to 1.031 C) Daily weight decreases of 2 pounds (0.9 kg) D) Blood urea nitrogen (BUN) increase from 8 to 12 mg/dL (2.9 to 4.3 mmol/L) • The nurse is preparing to administer an oral antibiotic to a client with unilateral weakness, ptosis, mouth drooping, and aspiration pneumonia. What is the priority nursing assessment that should be done before administering this medication? A) Ask the client about soft food preferences. B) Determine which side Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ of the body is weak. C) Obtain and record the client’s vital signs. D) Auscultate the client’s breath sounds. • The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation? A) Continued development of the brain lesion determines the child's outcome. B) Severe motor dysfunction determines the extent of successful habilitation. C) Brain damage with CP is not progressive but does have a variable course. D) CP is one of the most common permanent physical disability in children. • An adult male is brought to the emergency department by ambulance following a motorcycle accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse? A) Rebound abdominal tenderness. B) Nausea and projectile vomit. C) Rib pain with deep inspiration. D) Diminished bilateral breath sounds. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client with Addison’s disease becomes weak, confused, and dehydrated following the onset of an acute viral infection. The client’s laboratory values include sodium 129 mEq/l (129mmol/l SI), glucose 54 mg/dl (2.97mmol/l SI) and potassium 5.3 mmol/l SI). When reporting the findings to the HCP, the nurse anticipates a prescription for which intravenous medications? A) Regular insulin. B) Hydrocortisone. C) Broad spectrum antibiotic. D) Potassium chloride. • The nurse administers the osmotic diuretic mannitol to a client who has a closed head injury. Which assessment finding indicates immediate response to administration of the mannitol? A) A decrease in skin turgor. B) A decrease in intracranial pressure. C) An increase in serum sodium. D) An increase in serum osmolality values. • A male client is admitted for the removal of an internal fixation that was Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ inserted for the fracture ankle. During the admission history, he tells the nurse he recently received vancomycin (vancomycin) for a methicillin- resistant Staphylococcus aureus (MRSA) wound infection. Which action should the nurse take? (Select all that apply.) A) Collect multiple site screening culture for MRSA. B) Call healthcare provider for a prescription for linezolid (Zyrovix). C) Place the client on contact transmission precautions. D) Obtain sputum specimen for culture and sensitivity. E) Continue to monitor for client sign of infection. • The nurse is teaching a group of clients with rheumatoid arthritis about the need to modify daily activities. Which goal should the nurse emphasize? A) Protect joint function. B) Improve circulation. C) Control tremors. D) Increase weight bearing. • The nurse is preparing a discharge teaching plan for a client who had a liver transplant. Which instruction is most important to include in this plan? Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ A) Limit intake fatty foods for one month after surgery. B) Notify the healthcare provider if edema occurs. C) Increase activity and exercise gradually, as tolerated. D) Avoid crowds for first two months after surgery. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client stares into the distance and appears to be concentrating on something other than the lesson the nurse is presenting. What action should the nurse take? A) Remind the client that a rescue inhaler might save his life. B) Gently touch the client then continue with the teaching. C) Ask the client what he is thinking about at this time. D) Leave the client alone so that he can grieve his illness. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • A client presents to the clinic with concerns regarding her left breast. Which assessment findings most important for the nurse to report to the healthcare provider? A) Multiple firm, round, freely moveable masses. B) A slight asymmetry of the breasts. C) A fixed nodular mass with dimpling of skin. D) Bloody discharge from the nipple. • A male client is admitted to the hospital due to multiple fractures following a motor vehicle collision that occurred when he ran his car into his ex-spouse’s home. When the client becomes angry and starts throwing objects at the staff, which PRN prescription should the nurse implement? A) Apply soft wrist restraints if needed for client safety. B) Consult with the chaplain emotional support. C) Hydromorphone (Dilaudid) 2mg IV. D) Haloperidol (Haldol) Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ 1mg IM. • When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse elevates the head of the bed 30 degrees. What in the reason for this intervention? A) To promote retraction of the intercostal accessory muscles. B) To reduce abdominal pressure on the diaphragm. C) To decrease pressure on the medullary center which stimulates breathing. D) To promote bronchodilation and effective airway clearance. • As adult client’s apical pulse is 110 beats per minute. What intervention should the nurse implement first? A) Assess the client’s radial pulse and apical pulse at the same time. B) Assess the client to determine the reason why the pulse is elevated. C) Notify the charge nurse that the client’s pulse is elevated. D) Attempt to calm the client and take the pulse again in one hour. Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ • Several clients on a busy antepartum unit are scheduled for procedures that require informed consent. Which situation should the nurse explore further before witnessing the client’s signature on the consent form? A) The client is illiterate but verbalizes understanding and consent for the procedure. B) A 15-year-old primigravida who has been self-supporting for the past 6 months. C) The obstetrician explained a procedure that a neurologist will perform. D) The client was mediated for pain with a narcotic IM 6 hours ago. • The nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease (GTD) two days age. Which information is most important for the nurse to include in this Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+ Hesi Exit Exam RN V2 2022/2023 Screenshots and Review Questions ( 160 Q&A )Best Exam Solution Guaranteed success Graded A+