HESI RN Exit Comprehensive V3
(5 Sets of V3 Exams)
HESI RN EXIT Comprehensive V3 Exam
Set 1
•Which change in sleep patterns is most likely to occur in an older adult
ANS -
Has a decline in stage 4 sleep
•The nurse is developing the plan of care for an older client who is
immobile and at risk for pressure ulcers. Which contributing factor should the
nurse in- clude in the nursing diagnosis, "risk for altered skin integrity?" ANS tissue ischemia
Prolonged, intense pressure affects cellular metabolism by impeding capillary blood flow to tissue over weight-bearing bony prominences, resulting in tissue ischemia, skin breakdown, and tissue death
•A male client tells the nurse that he is frequently constipated. Which
finding should the nurse identify as a common dietary cause of the complication ANS In- adequate intake of dietary fiber and fluids
•The nurse is obtaining a client's consent for a paracentesis. What informa- tion should a nurse provide to ensure the client understands the purpose of the procedure ANS A needle is inserted to remove excessive fluid from the abdominal peritoneal cavity. •The nurse is teaching a client with Addison's disease about this new diag- nosis. what pathophysio explanation should the nurse share with the client
ANS c. Adrenal insufficiency is an autoimmune dysfunction that results from white blood cells damaging the adrenal cortex
•The nurse is caring for a client with diabetic ketoacidosis (DKA) who is manifesting rapid and deep rests. Which resp pattern should the nurse docu- ment ANS Kussmaul respirations
•The nurse is teaching a client who is newly diagnosed with Type 1 diabetes mellitus about diet and insulin. The client should be instructed to perform glucose self-monitoring when which symptoms occur after exercising ANS Shak- iness
•Which action should the nurse implement when providing nasogastric (NG) feeding to an unresponsive client ANS Check residual volume every four hours.
•The healthcare provider prescribes digital evacuation a focal impaction for an older client who is admitted for a closed head injury after falling out of bed. As a part of the procedure policy, the nurse applies a topical anesthetic gel to the rectum. What rationale best supports the use of the anesthetic gel
ANS Decrease risk for bradycardia
•What nursing intervention should the nurse include in the plan of care
for a client following a bone marrow aspiration ANS Use of a compression dressing for firm pressure to the site
•A client is admitted with myasthenia graves (MG). During admission as- sessment, the nurse identifies that the client's upper eyelid are drooping.
(5 Sets of V3 Exams)
HESI RN EXIT Comprehensive V3 Exam
Set 1
•Which change in sleep patterns is most likely to occur in an older adult
ANS -
Has a decline in stage 4 sleep
•The nurse is developing the plan of care for an older client who is
immobile and at risk for pressure ulcers. Which contributing factor should the
nurse in- clude in the nursing diagnosis, "risk for altered skin integrity?" ANS tissue ischemia
Prolonged, intense pressure affects cellular metabolism by impeding capillary blood flow to tissue over weight-bearing bony prominences, resulting in tissue ischemia, skin breakdown, and tissue death
•A male client tells the nurse that he is frequently constipated. Which
finding should the nurse identify as a common dietary cause of the complication ANS In- adequate intake of dietary fiber and fluids
•The nurse is obtaining a client's consent for a paracentesis. What informa- tion should a nurse provide to ensure the client understands the purpose of the procedure ANS A needle is inserted to remove excessive fluid from the abdominal peritoneal cavity. •The nurse is teaching a client with Addison's disease about this new diag- nosis. what pathophysio explanation should the nurse share with the client
ANS c. Adrenal insufficiency is an autoimmune dysfunction that results from white blood cells damaging the adrenal cortex
•The nurse is caring for a client with diabetic ketoacidosis (DKA) who is manifesting rapid and deep rests. Which resp pattern should the nurse docu- ment ANS Kussmaul respirations
•The nurse is teaching a client who is newly diagnosed with Type 1 diabetes mellitus about diet and insulin. The client should be instructed to perform glucose self-monitoring when which symptoms occur after exercising ANS Shak- iness
•Which action should the nurse implement when providing nasogastric (NG) feeding to an unresponsive client ANS Check residual volume every four hours.
•The healthcare provider prescribes digital evacuation a focal impaction for an older client who is admitted for a closed head injury after falling out of bed. As a part of the procedure policy, the nurse applies a topical anesthetic gel to the rectum. What rationale best supports the use of the anesthetic gel
ANS Decrease risk for bradycardia
•What nursing intervention should the nurse include in the plan of care
for a client following a bone marrow aspiration ANS Use of a compression dressing for firm pressure to the site
•A client is admitted with myasthenia graves (MG). During admission as- sessment, the nurse identifies that the client's upper eyelid are drooping.
