HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
1. A client on a long-term mental health unit repeatedly Overlook the
client's be-
takes own pulse regardless of the circumstance. What havior.
action should the nurse implement?
a. Overlook the client's behavior.
b. Distract client to interfere with the ritual.
c. Ask why the client checks the pulse.
d. Hold client's hand to stop the behavior.
2. A client is discharged with automated peritoneal dial- Wash hands
before clean-
ysis (PD) to be used nightly...which instructions should ing exit site
the nurse include?
d- Positionin
a. Wash hands before cleaning exit site of the
b. Keep the head of the bed flat at night table
c. Feel for a thrill and a distal pulse nightly
4. A young adu
d. Do not get up if fluid is left in the
who is h
abdomen
with
baseball ba
on th
3. The charge nurse observes the practical nurse temporal are
(PN) apply sterile gloves in preparation for of the le
performing a sterile dressing change. Which skull
action by the PN re- quires correction by the conscious
charge nurse? when ad-
a- Opening the package
b- Picking up the second glove
c- Picking up the first glove
,HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
Rationale: meticulous hand hygiene is essen- tial when performing
care for a peritoneal dialysis, infections is a common complication of
peritoneal dialysis.
Picking up the second glove
Altered
consciousness within
the first 24 hours
mitted to the ED and is transferred to the Neurological after injury
,HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
Unit to be monitored for signs of closed head cooperation
injury. Which assessment finding is indicative of c. Allow the
a developing epidural hematoma? child to
keep
a.Altered consciousness within the first 24 hours underpants
after injury. on to
b. Cushing reflex and cerebral edema after 24 examine
hours genitalia
c. Fever, nuchal rigidity and opisthotonos
within hours
d. Headache and pupillary changes 48 hours
after a head injury
5. A male client reports to the clinic nurse that
he has been feeling well and is often "dizzy"
his blood pres- sure is elevated. Based on this
findings, this client is at a greatest risk for
which pathophysiological condi- tion?
a. Pulmonary hypertension
b. Left ventricular hypertrophy
c. Renal failure
d. Stroke
6. The nurse ask the parent to stay during the
examina- tion of a male toddler's genital area.
Which interven- tion should the nurse
implement?
a. Examine the genitalia as the last part of
the total exam.
b. Use soothing statements to facilitate
, HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
Stroke
Examine the genitalia as the last part of the total exam.
Rationale: Examination of a child's genitalia is par- ticularly stressful to
tod- dles, so this assessment is best left as the last part
of the examination. B are
solutions graded A+ passed
1. A client on a long-term mental health unit repeatedly Overlook the
client's be-
takes own pulse regardless of the circumstance. What havior.
action should the nurse implement?
a. Overlook the client's behavior.
b. Distract client to interfere with the ritual.
c. Ask why the client checks the pulse.
d. Hold client's hand to stop the behavior.
2. A client is discharged with automated peritoneal dial- Wash hands
before clean-
ysis (PD) to be used nightly...which instructions should ing exit site
the nurse include?
d- Positionin
a. Wash hands before cleaning exit site of the
b. Keep the head of the bed flat at night table
c. Feel for a thrill and a distal pulse nightly
4. A young adu
d. Do not get up if fluid is left in the
who is h
abdomen
with
baseball ba
on th
3. The charge nurse observes the practical nurse temporal are
(PN) apply sterile gloves in preparation for of the le
performing a sterile dressing change. Which skull
action by the PN re- quires correction by the conscious
charge nurse? when ad-
a- Opening the package
b- Picking up the second glove
c- Picking up the first glove
,HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
Rationale: meticulous hand hygiene is essen- tial when performing
care for a peritoneal dialysis, infections is a common complication of
peritoneal dialysis.
Picking up the second glove
Altered
consciousness within
the first 24 hours
mitted to the ED and is transferred to the Neurological after injury
,HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
Unit to be monitored for signs of closed head cooperation
injury. Which assessment finding is indicative of c. Allow the
a developing epidural hematoma? child to
keep
a.Altered consciousness within the first 24 hours underpants
after injury. on to
b. Cushing reflex and cerebral edema after 24 examine
hours genitalia
c. Fever, nuchal rigidity and opisthotonos
within hours
d. Headache and pupillary changes 48 hours
after a head injury
5. A male client reports to the clinic nurse that
he has been feeling well and is often "dizzy"
his blood pres- sure is elevated. Based on this
findings, this client is at a greatest risk for
which pathophysiological condi- tion?
a. Pulmonary hypertension
b. Left ventricular hypertrophy
c. Renal failure
d. Stroke
6. The nurse ask the parent to stay during the
examina- tion of a male toddler's genital area.
Which interven- tion should the nurse
implement?
a. Examine the genitalia as the last part of
the total exam.
b. Use soothing statements to facilitate
, HESI 799 RN Exit Exam (301-400) with complete
solutions graded A+ passed
Stroke
Examine the genitalia as the last part of the total exam.
Rationale: Examination of a child's genitalia is par- ticularly stressful to
tod- dles, so this assessment is best left as the last part
of the examination. B are
