RN HESI EXIT EXAM VERSION D/HESI EXIT EXAM
FORM D COMPLETE 160 QUESTIONS AND
CORRECT ANSWERS|ALREADY GRADED A+
Save
Terms in this set (160)
1. A male client with d. Increase the infusion rate of Lactated Ringer's
stomach cancer returns to solution.
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 a. Add sterile water to the suction control chamber.
20 feet 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 Headache and tremors
crisis is admitted for Irregular heart rate
treatment with adrenal pallor and diaphoresis
cortical supplementation.
Based on the client's
admitting diagnosis, which
findings require immediate
action by the nurse?
(Select all that apply)
5. An older client is d. Skin tenting occurs when the client's forearm is
admitted with fluid volume pinched.
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
electronic health record hiring facility.
(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?
FORM D COMPLETE 160 QUESTIONS AND
CORRECT ANSWERS|ALREADY GRADED A+
Save
Terms in this set (160)
1. A male client with d. Increase the infusion rate of Lactated Ringer's
stomach cancer returns to solution.
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 a. Add sterile water to the suction control chamber.
20 feet 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 Headache and tremors
crisis is admitted for Irregular heart rate
treatment with adrenal pallor and diaphoresis
cortical supplementation.
Based on the client's
admitting diagnosis, which
findings require immediate
action by the nurse?
(Select all that apply)
5. An older client is d. Skin tenting occurs when the client's forearm is
admitted with fluid volume pinched.
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
electronic health record hiring facility.
(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?
