HESI RN COMPREHENSIVE PREDICTOR EXAM
37. Which bassessment bfinding bin ba bpatient bwho bhas breceived bomalizumab b(Xolair) bis bmost
bimportant bto breport bimmediately bto bthe bhealth bcare bprovider?
a. Pain bat binjection bsite bc. bPeak bflow breading b75% bof bnormal
b. Flushing band bdizziness bd. bRespiratory brate b24
bbreaths/minute bANS: bB
Flushing band bdizziness bmay bindicate bthat bthe bpatient bis bexperiencing ban banaphylactic breaction, band
bimmediate bintervention bis bneeded. bThe bother binformation bshould balso bbe breported, bbut bdo bnot
bindicate bpossibly blife- bthreatening bcomplications bof bomalizumab btherapy.
38. The bnurse bin bthe bemergency bdepartment breceives barterial bblood bgas bresults bfor bfour brecently
badmitted bpatients bwith bobstructive bpulmonary bdisease. bThe bresults bfor bwhich bpatient bwill brequire bthe
bmost brapid baction bby bthe bnurse?
a. pH b7.28, bPaCO2 b50 bmm bHg, band bPaO2 b58 bmm bHg
b. pH b7.48, bPaCO2 b30 bmm bHg, band bPaO2 b65 bmm bHg
c. pH b7.34, bPaCO2 b33 bmm bHg, band bPaO2 b80 bmm bHg
d. pH b7.31, bPaCO2 b58 bmm bHg, band bPaO2 b64
bmm bHg bANS: bA
The bpH, bPaCO2, band bPaO2 bindicate bthat bthe bpatient bhas bsevere buncompensated brespiratory bacidosis
band bhypoxemia. bRapid baction bwill bbe brequired bto bprevent bincreasing bhypoxemia band bcorrect bthe
bacidosis.
OBJ: bSpecial bQuestions: bPrioritization b| bSpecial bQuestions: bMultiple bPatients
39. Which bnursing baction bfor ba bpatient bwith bchronic bobstructive bpulmonary bdisease b(COPD) bcould
bthe bnurse bdelegate bto bexperienced bunlicensed bassistive bpersonnel b(UAP)?
a. Obtain bO2 bsaturation busing bpulse boximetry.
b. Monitor bfor bincreased bO2 bneed bwith bexercise.
c. Teach bthe bpatient babout bsafe buse bof bO2 bat bhome.
d. Adjust bO2 bto bkeep bsaturation bin bprescribed
bparameters. bANS: bA
UAP bcan bobtain bO2 bsaturation b(after bbeing btrained band bevaluated bin bthe bskill). b The bother bactions
brequire bmore beducation band ba bscope bof bpractice bthat blicensed bpractical/vocational bnurses
b(LPN/LVNs) bor bregistered bnurses b(RNs) bwould bhave.
OBJ: bSpecial bQuestions: bDelegation b40. bThe bclinic bnurse bmakes ba bfollow-up btelephone bcall bto ba
bpatient bwith basthma. bThe bpatient breports bhaving ba bbaseline bpeak bflow breading bof b600 bL/min, band
bthe bcurrent bpeak bflow bis b420 bL/min. bWhich baction bshould bthe bnurse btake bfirst?
a. Tell bthe bpatient bto bgo bto bthe bhospital bemergency bdepartment.
b. Instruct bthe bpatient bto buse bthe bprescribed balbuterol b(Ventolin bHFA).
c. Ask babout brecent bexposure bto bany bnew ballergens bor basthma btriggers.
,d. Question bthe bpatient babout buse bof bthe bprescribed binhaled
bcorticosteroids. bANS: bB
The bpatient’s bpeak bflow bis b70% bof bnormal, bindicating ba bneed bfor bimmediate buse bof bshort-acting bb2-
adrenergic bSABA bmedications. bAssessing bfor bcorrect buse bof bmedications bor bexposure bto ballergens bis
balso bappropriate, bbut bwould bnot baddress bthe bcurrent bdecrease bin bpeak bflow. bBecause bthe bpatient bis
bcurrently bin bthe byellow bzone, bhospitalization bis bnot bneeded.
OBJ: bSpecial bQuestions: bPrioritization b41. bThe bnurse breviews bthe bmedication badministration brecord
b(MAR) bfor ba bpatient bhaving ban bacute basthma battack. bWhich bmedication bshould bthe bnurse
badminister bfirst?
a. Methylprednisolone b(Solu-Medrol) b60 bmg bIV
b. Albuterol b(Ventolin bHFA) b2.5 bmg bper bnebulizer
c. Salmeterol b(Serevent) b50 bmcg bper bdry-powder binhaler b(DPI)
d. Ipratropium b(Atrovent) b2 bpuffs bper bmetered-dose binhaler
b(MDI) bANS: bA
Albuterol bis ba brapidly bacting bbronchodilator band bis bthe bfirst-line bmedication bto breverse bairway
bnarrowing bin bacute basthma battacks. bThe bother bmedications bwork bmore bslowly.
OBJ: bSpecial bQuestions: bPrioritization b42. bThe bnurse breceives ba bchange-of-shift breport bon bthe
bfollowing bpatients bwith bchronic bobstructive bpulmonary bdisease b(COPD). bWhich bpatient bshould bthe
bnurse bassess bfirst?
a. bA bpatient bwith bloud bexpiratory bwheezes
b. bA bpatient bwith ba brespiratory brate bof b38 bbreaths/min
c. bA bpatient bwho bhas ba bcough bproductive bof bthick, bgreen bmucus
d. bA bpatient bwith bjugular bvenous bdistention band bperipheral
bedema bANS: bB
A brespiratory brate bof b38/min bindicates bsevere brespiratory bdistress, band bthe bpatient bneeds bimmediate
bassessment band bintervention bto bprevent bpossible brespiratory barrest. bThe bother bpatients balso bneed
bassessment bas bsoon bas bpossible, bbut bthey bdo bnot bneed bto bbe bassessed bas burgently bas bthe bpatient
bwith btachypnea.
OBJ: bSpecial bQuestions: bPrioritization b| bSpecial bQuestions: bMultiple bPatients
43. Which bfinding bin ba bpatient bhospitalized bwith bbronchiectasis bis bmost bimportant bto breport bto bthe
bhealth bcare bprovider?
a. Cough bproductive bof bbloody, bpurulent bmucus
b. Scattered bcrackles band bwheezes bheard bbilaterally
c. Complaint bof bsharp bchest bpain bwith bdeep bbreathing
d. Respiratory brate b28 bbreaths/minute bwhile
bambulating bANS: bA
, Hemoptysis bmay bindicate blife-threatening bhemorrhage, band bshould bbe breported bimmediately
bto bthe bhealth bcare bprovider. bThe bother bfindings bare bfrequently bnoted bin bpatients bwith
bbronchiectasis band bmay bneed bfurther bassessment bbut bare bnot bindicators bof blife-threatening
bcomplications.
COMPLETION
ALL bHESI bLINKS bAVAILABLE
HESI bPN bMATERNAL bNEWBERN bOB bEXAM b(4
bVERSIONS) b/ bPN bHESI bMATERNAL bNEWBERN
bOB bEXAM b(LATEST-2021): b(ANSWERS bVERIFIED
b100% bCORRECT)
https://www.stuvia.com/doc/1032238/hesi-pn-maternal-newbern-ob-exam-4-versions-pn-hesi-
bmaternal-newbern-ob-exam-latest-2021-answers-verified-100-correct
HESI bRN bLEADERSHIP bPROCTORED bEXAM b( b11
bVERSIONS) b/ bRN bHESI bLEADERSHIP
bPROCTORED bEXAM(LATEST-2021): b(ANSWERS
bVERIFIED b100% bCORRECT)
https://www.stuvia.com/doc/1032243/hesi-rn-leadership-proctored-exam-11-versions-rn-hesi-
bleadership-proctored-examlatest-2021-answers-verified-100-correct
HESI bCOMMUNITY bHEALTH bPROCTORED bEXAM
b(13 bVERSIONS) b/ bCOMMUNITY bHEALTH bHESI
bPROCTORED bEXAM(LATEST-2021): b(ANSWERS
bVERIFIED b100% bCORRECT)
https://www.stuvia.com/doc/1032247/hesi-community-health-proctored-exam-13-versions-
bcommunity-health-hesi-proctored-examlatest-2021-answers-verified-100-correct
HESI bCOMPREHENSIVE bEXIT bEXAM b(14
bVERSIONS) b/ bCOMPREHENSIVE bHESI bEXIT 205
37. Which bassessment bfinding bin ba bpatient bwho bhas breceived bomalizumab b(Xolair) bis bmost
bimportant bto breport bimmediately bto bthe bhealth bcare bprovider?
a. Pain bat binjection bsite bc. bPeak bflow breading b75% bof bnormal
b. Flushing band bdizziness bd. bRespiratory brate b24
bbreaths/minute bANS: bB
Flushing band bdizziness bmay bindicate bthat bthe bpatient bis bexperiencing ban banaphylactic breaction, band
bimmediate bintervention bis bneeded. bThe bother binformation bshould balso bbe breported, bbut bdo bnot
bindicate bpossibly blife- bthreatening bcomplications bof bomalizumab btherapy.
38. The bnurse bin bthe bemergency bdepartment breceives barterial bblood bgas bresults bfor bfour brecently
badmitted bpatients bwith bobstructive bpulmonary bdisease. bThe bresults bfor bwhich bpatient bwill brequire bthe
bmost brapid baction bby bthe bnurse?
a. pH b7.28, bPaCO2 b50 bmm bHg, band bPaO2 b58 bmm bHg
b. pH b7.48, bPaCO2 b30 bmm bHg, band bPaO2 b65 bmm bHg
c. pH b7.34, bPaCO2 b33 bmm bHg, band bPaO2 b80 bmm bHg
d. pH b7.31, bPaCO2 b58 bmm bHg, band bPaO2 b64
bmm bHg bANS: bA
The bpH, bPaCO2, band bPaO2 bindicate bthat bthe bpatient bhas bsevere buncompensated brespiratory bacidosis
band bhypoxemia. bRapid baction bwill bbe brequired bto bprevent bincreasing bhypoxemia band bcorrect bthe
bacidosis.
OBJ: bSpecial bQuestions: bPrioritization b| bSpecial bQuestions: bMultiple bPatients
39. Which bnursing baction bfor ba bpatient bwith bchronic bobstructive bpulmonary bdisease b(COPD) bcould
bthe bnurse bdelegate bto bexperienced bunlicensed bassistive bpersonnel b(UAP)?
a. Obtain bO2 bsaturation busing bpulse boximetry.
b. Monitor bfor bincreased bO2 bneed bwith bexercise.
c. Teach bthe bpatient babout bsafe buse bof bO2 bat bhome.
d. Adjust bO2 bto bkeep bsaturation bin bprescribed
bparameters. bANS: bA
UAP bcan bobtain bO2 bsaturation b(after bbeing btrained band bevaluated bin bthe bskill). b The bother bactions
brequire bmore beducation band ba bscope bof bpractice bthat blicensed bpractical/vocational bnurses
b(LPN/LVNs) bor bregistered bnurses b(RNs) bwould bhave.
OBJ: bSpecial bQuestions: bDelegation b40. bThe bclinic bnurse bmakes ba bfollow-up btelephone bcall bto ba
bpatient bwith basthma. bThe bpatient breports bhaving ba bbaseline bpeak bflow breading bof b600 bL/min, band
bthe bcurrent bpeak bflow bis b420 bL/min. bWhich baction bshould bthe bnurse btake bfirst?
a. Tell bthe bpatient bto bgo bto bthe bhospital bemergency bdepartment.
b. Instruct bthe bpatient bto buse bthe bprescribed balbuterol b(Ventolin bHFA).
c. Ask babout brecent bexposure bto bany bnew ballergens bor basthma btriggers.
,d. Question bthe bpatient babout buse bof bthe bprescribed binhaled
bcorticosteroids. bANS: bB
The bpatient’s bpeak bflow bis b70% bof bnormal, bindicating ba bneed bfor bimmediate buse bof bshort-acting bb2-
adrenergic bSABA bmedications. bAssessing bfor bcorrect buse bof bmedications bor bexposure bto ballergens bis
balso bappropriate, bbut bwould bnot baddress bthe bcurrent bdecrease bin bpeak bflow. bBecause bthe bpatient bis
bcurrently bin bthe byellow bzone, bhospitalization bis bnot bneeded.
OBJ: bSpecial bQuestions: bPrioritization b41. bThe bnurse breviews bthe bmedication badministration brecord
b(MAR) bfor ba bpatient bhaving ban bacute basthma battack. bWhich bmedication bshould bthe bnurse
badminister bfirst?
a. Methylprednisolone b(Solu-Medrol) b60 bmg bIV
b. Albuterol b(Ventolin bHFA) b2.5 bmg bper bnebulizer
c. Salmeterol b(Serevent) b50 bmcg bper bdry-powder binhaler b(DPI)
d. Ipratropium b(Atrovent) b2 bpuffs bper bmetered-dose binhaler
b(MDI) bANS: bA
Albuterol bis ba brapidly bacting bbronchodilator band bis bthe bfirst-line bmedication bto breverse bairway
bnarrowing bin bacute basthma battacks. bThe bother bmedications bwork bmore bslowly.
OBJ: bSpecial bQuestions: bPrioritization b42. bThe bnurse breceives ba bchange-of-shift breport bon bthe
bfollowing bpatients bwith bchronic bobstructive bpulmonary bdisease b(COPD). bWhich bpatient bshould bthe
bnurse bassess bfirst?
a. bA bpatient bwith bloud bexpiratory bwheezes
b. bA bpatient bwith ba brespiratory brate bof b38 bbreaths/min
c. bA bpatient bwho bhas ba bcough bproductive bof bthick, bgreen bmucus
d. bA bpatient bwith bjugular bvenous bdistention band bperipheral
bedema bANS: bB
A brespiratory brate bof b38/min bindicates bsevere brespiratory bdistress, band bthe bpatient bneeds bimmediate
bassessment band bintervention bto bprevent bpossible brespiratory barrest. bThe bother bpatients balso bneed
bassessment bas bsoon bas bpossible, bbut bthey bdo bnot bneed bto bbe bassessed bas burgently bas bthe bpatient
bwith btachypnea.
OBJ: bSpecial bQuestions: bPrioritization b| bSpecial bQuestions: bMultiple bPatients
43. Which bfinding bin ba bpatient bhospitalized bwith bbronchiectasis bis bmost bimportant bto breport bto bthe
bhealth bcare bprovider?
a. Cough bproductive bof bbloody, bpurulent bmucus
b. Scattered bcrackles band bwheezes bheard bbilaterally
c. Complaint bof bsharp bchest bpain bwith bdeep bbreathing
d. Respiratory brate b28 bbreaths/minute bwhile
bambulating bANS: bA
, Hemoptysis bmay bindicate blife-threatening bhemorrhage, band bshould bbe breported bimmediately
bto bthe bhealth bcare bprovider. bThe bother bfindings bare bfrequently bnoted bin bpatients bwith
bbronchiectasis band bmay bneed bfurther bassessment bbut bare bnot bindicators bof blife-threatening
bcomplications.
COMPLETION
ALL bHESI bLINKS bAVAILABLE
HESI bPN bMATERNAL bNEWBERN bOB bEXAM b(4
bVERSIONS) b/ bPN bHESI bMATERNAL bNEWBERN
bOB bEXAM b(LATEST-2021): b(ANSWERS bVERIFIED
b100% bCORRECT)
https://www.stuvia.com/doc/1032238/hesi-pn-maternal-newbern-ob-exam-4-versions-pn-hesi-
bmaternal-newbern-ob-exam-latest-2021-answers-verified-100-correct
HESI bRN bLEADERSHIP bPROCTORED bEXAM b( b11
bVERSIONS) b/ bRN bHESI bLEADERSHIP
bPROCTORED bEXAM(LATEST-2021): b(ANSWERS
bVERIFIED b100% bCORRECT)
https://www.stuvia.com/doc/1032243/hesi-rn-leadership-proctored-exam-11-versions-rn-hesi-
bleadership-proctored-examlatest-2021-answers-verified-100-correct
HESI bCOMMUNITY bHEALTH bPROCTORED bEXAM
b(13 bVERSIONS) b/ bCOMMUNITY bHEALTH bHESI
bPROCTORED bEXAM(LATEST-2021): b(ANSWERS
bVERIFIED b100% bCORRECT)
https://www.stuvia.com/doc/1032247/hesi-community-health-proctored-exam-13-versions-
bcommunity-health-hesi-proctored-examlatest-2021-answers-verified-100-correct
HESI bCOMPREHENSIVE bEXIT bEXAM b(14
bVERSIONS) b/ bCOMPREHENSIVE bHESI bEXIT 205
