HESI EXIT EXAM

1. The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed (b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions (c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) (d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) 2. The nurse sho...

1. A nurse is evaluating care of an immobilized patient. Which action will the nurse take? a. Focus on whether the interdisciplinary team is satisfied with the care. Compare the patient’s actual outcomes with the outcomes in the care b. plan. Involve primarily the patient’s family and health care team to c. determine goal achievement. Use objective data solely in determining whether interventions have d. been successful. ANS: B From your perspective as the nurse, you are to evaluat...

2021 HESI EXIT V4 1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment. B) Be sure the traction weights touch the end of the bed. C) Adjust the head and foot of the bed for the child's comfort D) Release the traction for 15-20 minutes every 6 hours PRN. The correct answer is A: Make certain the child is maintained in correct body alignment...

2021 HESI EXIT V5 1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety The correct answer is D: Safety 2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age? A) They are able to make simple association of ideas B) They are able to think logically in organizing facts C) Interpr...

2021 HESI EXIT V3 1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's re...

2019 HESI EXIT V1

A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing? 
 A Justice B Fidelity C Autonomy D Nonmaleficence Correct 


Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in healthcare ethics, ethical practice inv...

1.
ID: 4
A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? 
 A A client admitted with pneumonia with a fever of 100° F and some diaphoresis B A client with congestive heart failure with clear lung sounds on the previous shift C A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema Correct D A client undergoing long-term corticosteroid therapy with mild bruising on ...

1.
ID: 1
A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing? 
 A Justice B Fidelity C Autonomy D Nonmaleficence Correct 


Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in healthcare ethics, ethical...