HESI RN EXIT V2
A male client tells the nurse that he is A. Encourage the client to obtain a complete physical exam, since these symptoms are
concerned that he may have a stomach ulcer, consistent with an ulcer
because he is experiencing heartburn and dull
gnawing pain that is relieved when he eats.
Which is the best response by the nurse?
A. Encourage the client to obtain a complete
physical exam, since these symptoms are
consistent with an ulcer
B. Assure the client that his symptoms may only
reflect reflux, since ulcer pain is not relieved
with food
C. Instruct the client that these mild symptoms
can generally be controlled with changes in his
diet
D. Advise the client that he needs to seek
immediate medical evaluation and treatment of
these symptoms
A male client with stomach cancer returns to D. Increase the infusion rate of Lactated Ringer's solution
the unit following a total gastrectomy. He has a
nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hr IV. One
hour after admission to the unit, the nurse notes
300mL 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 findings to the surgeon, which
action should the nurse implement first?
A. Measure and document the client's urinary
output
B. Request the client's reserved unit of packed
red blood cells
C. Prepare for placement of a central venous
catheter
D. Increase the infusion rate of Lactated
Ringer's solution
,An adult male was diagnosed with stage IV B. Explain that the client will start to lose consciousness and the body systems will slow down
lung cancer three weeks ago. His wife
approaches the nurse and asks how she will
know that her husband's death is imminent
because their two adult children want to be
there when he dies. Which is the best response
by the nurse?
A. Gather information regarding how long it
will take for the children to arrive
B. Explain that the client will start to lose
consciousness and the body systems will slow
down
C. Reassure the spouse that the healthcare
provider will notify when to call the children
D. Offer to discuss the client's health status with
each of the adult children
We have an expert-written solution to this problem!
The charge nurse of a critical care unit is D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur who has a Foley
informed at the beginning of the shift that less catheter and soft wrist restraints applied
than the optimal number of registered nurses
will be working that shift. In planning
assignments, which client should receive the
most care hours by a registered nurse (RN)?
A. A 48-year-old marathon runner with a
central venous catheter who is experiencing
nausea and vomiting due to electrolyte
disturbance following a race
B. A 34-year-old admitted today after an
emergency appendectomy who has a
peripheral intravenous catheter and a Foley
catheter
C. A 63-year-old chain smoker admitted with
chronic bronchitis who is receiving oxygen via
nasal cannula and has a saline-locked
peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's
disease and a newly-fractured femur who has a
Foley catheter and soft wrist restraints applied
, An older client is admitted with fluid volume D. Skin tenting occurs when the client's forearm is pinched
deficit and dehydration. Which assessment
finding is the best indicator of hydration that
the nurse should report to the healthcare
provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points
when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm
is pinched
The healthcare provider prescribes D. Hypertension
methylergonovine maleate for a postpartum
client with uterine atony. What finding should
indicate to the nurse to withhold the next dose
of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension
After an inservice about electronic health A. File a detailed incident report with the specific hiring facility
record (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?
A. File a detailed incident report with the
specific hiring facility
B. Warn the colleague that their actions are
unprofessional
C. Comment anonymously about the action on a
staff discussion board
D. Communicate the colleague's actions to the
unit charge nurse
A male client tells the nurse that he is A. Encourage the client to obtain a complete physical exam, since these symptoms are
concerned that he may have a stomach ulcer, consistent with an ulcer
because he is experiencing heartburn and dull
gnawing pain that is relieved when he eats.
Which is the best response by the nurse?
A. Encourage the client to obtain a complete
physical exam, since these symptoms are
consistent with an ulcer
B. Assure the client that his symptoms may only
reflect reflux, since ulcer pain is not relieved
with food
C. Instruct the client that these mild symptoms
can generally be controlled with changes in his
diet
D. Advise the client that he needs to seek
immediate medical evaluation and treatment of
these symptoms
A male client with stomach cancer returns to D. Increase the infusion rate of Lactated Ringer's solution
the unit following a total gastrectomy. He has a
nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hr IV. One
hour after admission to the unit, the nurse notes
300mL 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 findings to the surgeon, which
action should the nurse implement first?
A. Measure and document the client's urinary
output
B. Request the client's reserved unit of packed
red blood cells
C. Prepare for placement of a central venous
catheter
D. Increase the infusion rate of Lactated
Ringer's solution
,An adult male was diagnosed with stage IV B. Explain that the client will start to lose consciousness and the body systems will slow down
lung cancer three weeks ago. His wife
approaches the nurse and asks how she will
know that her husband's death is imminent
because their two adult children want to be
there when he dies. Which is the best response
by the nurse?
A. Gather information regarding how long it
will take for the children to arrive
B. Explain that the client will start to lose
consciousness and the body systems will slow
down
C. Reassure the spouse that the healthcare
provider will notify when to call the children
D. Offer to discuss the client's health status with
each of the adult children
We have an expert-written solution to this problem!
The charge nurse of a critical care unit is D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur who has a Foley
informed at the beginning of the shift that less catheter and soft wrist restraints applied
than the optimal number of registered nurses
will be working that shift. In planning
assignments, which client should receive the
most care hours by a registered nurse (RN)?
A. A 48-year-old marathon runner with a
central venous catheter who is experiencing
nausea and vomiting due to electrolyte
disturbance following a race
B. A 34-year-old admitted today after an
emergency appendectomy who has a
peripheral intravenous catheter and a Foley
catheter
C. A 63-year-old chain smoker admitted with
chronic bronchitis who is receiving oxygen via
nasal cannula and has a saline-locked
peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's
disease and a newly-fractured femur who has a
Foley catheter and soft wrist restraints applied
, An older client is admitted with fluid volume D. Skin tenting occurs when the client's forearm is pinched
deficit and dehydration. Which assessment
finding is the best indicator of hydration that
the nurse should report to the healthcare
provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points
when standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm
is pinched
The healthcare provider prescribes D. Hypertension
methylergonovine maleate for a postpartum
client with uterine atony. What finding should
indicate to the nurse to withhold the next dose
of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension
After an inservice about electronic health A. File a detailed incident report with the specific hiring facility
record (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?
A. File a detailed incident report with the
specific hiring facility
B. Warn the colleague that their actions are
unprofessional
C. Comment anonymously about the action on a
staff discussion board
D. Communicate the colleague's actions to the
unit charge nurse
