HESI EXIT RN V2 EXAM (NEW) All 160 Questions
and Answers Latest Updated 2024.
The2nurse2assumes2care2of2a2postoperative2adult2client2with2type222diabetes2mellitus2and2learns2that
2the2client2has2a2current2blood2glucose2level2of27202mg/dL.2When2assessing2the2client,2what2is2the2
priority?
A. Assess2for2signs2of2fluid2volume2deficit
B. Observe2wound2drainage2characteristics
C. Measure2the2level2of2acute2pain
D. Determine2when2the2client2last2ate2-2✅✅A.2Assess2for2signs2of2fluid2volume2deficit
A2male2client2tells2the2nurse2that2he2is2concerned2that2he2may2have2a2stomach2ulcer,2because2he2is
experiencing2heartburn2and2dull2gnawing2pain2that2is2relieved2when2he2eats.2Which2is2the2best2respo
nse2by2the2nurse?
A. Encourage2the2client2to2obtain2a2complete2physical2exam,2since2these2symptoms2are2consistent2wi
th2an2ulcer
B. Assure2the2client2that2his2symptoms2may2only2reflect2reflux,2since2ulcer2pain2is2not2relieved2with2f
ood
C. Instruct2the2client2that2these2mild2symptoms2can2generally2be2controlled2with2changes2in2his2diet
D. Advise2the2client2that2he2needs2to2seek2immediate2medical2evaluation2and2treatment2of2these2sy
mptoms2-
2✅✅A.2Encourage2the2client2to2obtain2a2complete2physical2exam,2since2these2symptoms2are2consis
tent2with2an2ulcer
A2male2client2with2stomach2cancer2returns2to2the2unit2following2a2total2gastrectomy.2He2has2a2nasog
astric2tube2to2suction2and2is2receiving2Lactated2Ringer's2solution2at2752mL/hr2IV.2One2hour2after2ad
mission2to
the2unit,2the2nurse2notes2300mL2of2blood2in2the2suction2canister,2the2client's2heart2rate2is21552bea
ts/minute,2and2his2blood2pressure2is278/482mmHg.2In2addition2to2reporting2the2findings2to2the2surg
eon,2which2action2should2the2nurse2implement2first?
A. Measure2and2document2the2client's2urinary2output
B. Request2the2client's2reserved2unit2of2packed2red2blood2cells
C. Prepare2for2placement2of2a2central2venous2catheter
D. Increase2the2infusion2rate2of2Lactated2Ringer's2solution2-
2✅✅D.2Increase2the2infusion2rate2of2Lactated2Ringer's2solution
,P2a2g2e2 12|244
,HESI EXIT RN V2 EXAM (NEW) All 160 Questions
2 2 2 2 2 2 2 2
and Answers Latest Updated 2024.
2 2 2 2
A2heparin2infusion2is2prescribed2for2a2client2who2weighs22202pounds.2After2administering2a2bolus2do
se2of2802units/kg,2the2nurse2calculates2the2infusion2rate2for2the2heparin2solution2as2182units/kg/hou
r.2The
available2solution2is2Heparin2Sodium225,0002Units2in25%2Dextrose2Injection22502mL.2The2nurse2shoul
d2program2the2infusion2pump2to2deliver2how2many2mL/hour?2-2✅✅-
1st:2calculate2the2weight2=2220/2.2=2100kg
-Then2calculate2total2dose2in2units2=218units2x2100kg2=218002units/hr
-2250002units2-
2in2250218002units2---
in2X2ml
x2=218002x2250/250002=182mL/hr
An2adult2male2who2fell2202feet2from2the2roof2of2his2home2has2multiple2injuries,2including2a2right
pneumothorax.2Chest2tubes2were2inserted2in2the2emergency2department2prior2to2his2transfer2to2the
intensive2care2unit2(ICU).2The2nurse2notes2that2the2suction2control2chamber2is2bubbling2at2the2-
10cm2H2O2mark,2which2fluctuation2in2the2water2seal,2and2over2the2past2hour2752mL2of2bright2red2b
lood2is2measured2in2the2collection2chamber.2Which2intervention2should2the2nurse2implement?
A. Add2sterile2water2to2the2suction2control2chamber
B. Give2blood2from2the2collection2chamber2as2autotransfusion
C. Manipulate2blood2in2tubing2to2drain2into2chamber
D. Increase2wall2suction2to2eliminate2fluctuation2in2water2seal2-
2✅✅A.2Add2sterile2water2to2the2suction2control2chamber
An2adult2male2was2diagnosed2with2stage2IV2lung2cancer2three2weeks2ago.2His2wife2approaches2the2
nurse2and2asks2how2she2will2know2that2her2husband's2death2is2imminent2because2their2two2adult2chi
ldren2want2to2be2there2when2he2dies.2Which2is2the2best2response2by2the2nurse?
A. Gather2information2regarding2how2long2it2will2take2for2the2children2to2arrive
B. Explain2that2the2client2will2start2to2lose2consciousness2and2the2body2systems2will2slow2down
C. Reassure2the2spouse2that2the2healthcare2provider2will2notify2when2to2call2the2children
D. Offer2to2discuss2the2client's2health2status2with2each2of2the2adult2children2-
2✅✅B.2Explain2that2the2client2will2start2to2lose2consciousness2and2the2body2systems2will2slow2
down
The2charge2nurse2of2a2critical2care2unit2is2informed2at2the2beginning2of2the2shift2that2less2than2the2o
ptimal2number2of2registered2nurses2will2be2working2that2shift.2In2planning2assignments,2which2client
2should
, receive2the2most2care2hours2by2a2registered2nurse2(RN)?
P2a2g2e2 22|244
and Answers Latest Updated 2024.
The2nurse2assumes2care2of2a2postoperative2adult2client2with2type222diabetes2mellitus2and2learns2that
2the2client2has2a2current2blood2glucose2level2of27202mg/dL.2When2assessing2the2client,2what2is2the2
priority?
A. Assess2for2signs2of2fluid2volume2deficit
B. Observe2wound2drainage2characteristics
C. Measure2the2level2of2acute2pain
D. Determine2when2the2client2last2ate2-2✅✅A.2Assess2for2signs2of2fluid2volume2deficit
A2male2client2tells2the2nurse2that2he2is2concerned2that2he2may2have2a2stomach2ulcer,2because2he2is
experiencing2heartburn2and2dull2gnawing2pain2that2is2relieved2when2he2eats.2Which2is2the2best2respo
nse2by2the2nurse?
A. Encourage2the2client2to2obtain2a2complete2physical2exam,2since2these2symptoms2are2consistent2wi
th2an2ulcer
B. Assure2the2client2that2his2symptoms2may2only2reflect2reflux,2since2ulcer2pain2is2not2relieved2with2f
ood
C. Instruct2the2client2that2these2mild2symptoms2can2generally2be2controlled2with2changes2in2his2diet
D. Advise2the2client2that2he2needs2to2seek2immediate2medical2evaluation2and2treatment2of2these2sy
mptoms2-
2✅✅A.2Encourage2the2client2to2obtain2a2complete2physical2exam,2since2these2symptoms2are2consis
tent2with2an2ulcer
A2male2client2with2stomach2cancer2returns2to2the2unit2following2a2total2gastrectomy.2He2has2a2nasog
astric2tube2to2suction2and2is2receiving2Lactated2Ringer's2solution2at2752mL/hr2IV.2One2hour2after2ad
mission2to
the2unit,2the2nurse2notes2300mL2of2blood2in2the2suction2canister,2the2client's2heart2rate2is21552bea
ts/minute,2and2his2blood2pressure2is278/482mmHg.2In2addition2to2reporting2the2findings2to2the2surg
eon,2which2action2should2the2nurse2implement2first?
A. Measure2and2document2the2client's2urinary2output
B. Request2the2client's2reserved2unit2of2packed2red2blood2cells
C. Prepare2for2placement2of2a2central2venous2catheter
D. Increase2the2infusion2rate2of2Lactated2Ringer's2solution2-
2✅✅D.2Increase2the2infusion2rate2of2Lactated2Ringer's2solution
,P2a2g2e2 12|244
,HESI EXIT RN V2 EXAM (NEW) All 160 Questions
2 2 2 2 2 2 2 2
and Answers Latest Updated 2024.
2 2 2 2
A2heparin2infusion2is2prescribed2for2a2client2who2weighs22202pounds.2After2administering2a2bolus2do
se2of2802units/kg,2the2nurse2calculates2the2infusion2rate2for2the2heparin2solution2as2182units/kg/hou
r.2The
available2solution2is2Heparin2Sodium225,0002Units2in25%2Dextrose2Injection22502mL.2The2nurse2shoul
d2program2the2infusion2pump2to2deliver2how2many2mL/hour?2-2✅✅-
1st:2calculate2the2weight2=2220/2.2=2100kg
-Then2calculate2total2dose2in2units2=218units2x2100kg2=218002units/hr
-2250002units2-
2in2250218002units2---
in2X2ml
x2=218002x2250/250002=182mL/hr
An2adult2male2who2fell2202feet2from2the2roof2of2his2home2has2multiple2injuries,2including2a2right
pneumothorax.2Chest2tubes2were2inserted2in2the2emergency2department2prior2to2his2transfer2to2the
intensive2care2unit2(ICU).2The2nurse2notes2that2the2suction2control2chamber2is2bubbling2at2the2-
10cm2H2O2mark,2which2fluctuation2in2the2water2seal,2and2over2the2past2hour2752mL2of2bright2red2b
lood2is2measured2in2the2collection2chamber.2Which2intervention2should2the2nurse2implement?
A. Add2sterile2water2to2the2suction2control2chamber
B. Give2blood2from2the2collection2chamber2as2autotransfusion
C. Manipulate2blood2in2tubing2to2drain2into2chamber
D. Increase2wall2suction2to2eliminate2fluctuation2in2water2seal2-
2✅✅A.2Add2sterile2water2to2the2suction2control2chamber
An2adult2male2was2diagnosed2with2stage2IV2lung2cancer2three2weeks2ago.2His2wife2approaches2the2
nurse2and2asks2how2she2will2know2that2her2husband's2death2is2imminent2because2their2two2adult2chi
ldren2want2to2be2there2when2he2dies.2Which2is2the2best2response2by2the2nurse?
A. Gather2information2regarding2how2long2it2will2take2for2the2children2to2arrive
B. Explain2that2the2client2will2start2to2lose2consciousness2and2the2body2systems2will2slow2down
C. Reassure2the2spouse2that2the2healthcare2provider2will2notify2when2to2call2the2children
D. Offer2to2discuss2the2client's2health2status2with2each2of2the2adult2children2-
2✅✅B.2Explain2that2the2client2will2start2to2lose2consciousness2and2the2body2systems2will2slow2
down
The2charge2nurse2of2a2critical2care2unit2is2informed2at2the2beginning2of2the2shift2that2less2than2the2o
ptimal2number2of2registered2nurses2will2be2working2that2shift.2In2planning2assignments,2which2client
2should
, receive2the2most2care2hours2by2a2registered2nurse2(RN)?
P2a2g2e2 22|244
