HESI RN 2024 EXIT EXAM
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1. When preparing to administer a prescribed medica- B) Withhold the medica-
tion to a homeless male at a community psychiatric tion until the dosage can
clinic, the client tells the nurse that he usually takes be confirmed.
a different dosage. Which action should the nurse
take?
A) Inform the client that he may refuse the medication
and document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting.
2. The charge nurse is making assignments for one prac- B) Viral meningitis whose
tical nurse and three registered nurses who are caring temperature change from
for neurologically compromised clients. Which client 101 S to 102F.
with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure
changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from
101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure change from
80/50 to 70/40.
3. The nurse is caring for a client with pneumonia who A) Maintain strict intake
now develops initial signs of septic shock and multi and output.
, HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_f0qenq
organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important
for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
4. An adolescent client is admitted to the hospital be- D) Go to the clients room
cause of writing a suicide note to a teacher at school. and ask what happened.
On the second day of hospitalization, the nurse asked
the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
5. The healthcare provider prescribes dalteparin 200 0.6
units per kilogram subcutaneous once a day for a
client who weighs 154 pounds. The medication is
available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numer-
ical value only. If rounding is required, round to the
nearest 10th.)
6. NGN: The client is a 49-year-old male who reports B) Start oxygen 3 L per
flu like symptoms including fever and chest conges- minute via nasal cannula.
tion for four days. He came to the emergency depart- C) Place the client on a
ment last night when he was having more difficulty cardio respiratory monitor.
, HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_f0qenq
breathing he has a history of 1/2 pack a day cigarette
smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for tem-
perature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per
hour.
G) Start peripheral IV.
H) NPO.
7. NGN: 0330: place the client on a cardio respiratory D) Nasal cannula.
monitor, NPO, sputum culture, start a peripheral IV in- E) Flow meter.
fusion, start oxygen 3 L per minute via nasal cannula,
begin 0.9% sodium chloride IV infusion at 150 mL per
hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items
should the nurse collects from the supply room? SATA
A) Humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
, HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_f0qenq
8. NGN: The client is awake and alert but restless. He Cardiovascular: capillary
states "I am feeling extremely anxious right now." The refill 4 seconds, blood
client has decreased breath sounds in the left lower pressure 145/89 OR Heart
lobe. His mucus membranes are dry. He has a produc- rate 101 bpm ???
tive cough with thick, yellow secretions. His capillary
refill is 4 seconds. Heart rate 101 bpm. Oxygen satura- Neurological: anxious,
tion 90%. Blood pressure 145/89 mmHg. Temperature restless.
100.2F. Respiratory rate 28 bpm.
Respiratory: oxygen satu-
The nurse places the client on a cardiorespiratory ration 90% on room air,
monitor and places the nasal cannula on the client. respiratory rate 28 bpm.
The nurse then completes an assessment and docu-
ment it in the chart
For each body system, click to specify the assessment
findings that indicates hypoxia.
Cardiovascular: heart rate 100 bpm, capillary refill 4
seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, res-
piratory rate 28 bpm, productive cough.
9. NGN: The client is a 49-year-old male who reports Semi-Fowler , lung expan-
flu like symptoms including fever and chest conges- sion.
tion for four days. He came to the emergency depart-
ment last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette
smoking for 20 years. He has no significant medical or
surgical history.
The nurse should place the client in a _______________
position to promote _____________.
Study online at https://quizlet.com/_f0qenq
1. When preparing to administer a prescribed medica- B) Withhold the medica-
tion to a homeless male at a community psychiatric tion until the dosage can
clinic, the client tells the nurse that he usually takes be confirmed.
a different dosage. Which action should the nurse
take?
A) Inform the client that he may refuse the medication
and document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting.
2. The charge nurse is making assignments for one prac- B) Viral meningitis whose
tical nurse and three registered nurses who are caring temperature change from
for neurologically compromised clients. Which client 101 S to 102F.
with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure
changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from
101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure change from
80/50 to 70/40.
3. The nurse is caring for a client with pneumonia who A) Maintain strict intake
now develops initial signs of septic shock and multi and output.
, HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_f0qenq
organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important
for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
4. An adolescent client is admitted to the hospital be- D) Go to the clients room
cause of writing a suicide note to a teacher at school. and ask what happened.
On the second day of hospitalization, the nurse asked
the client to meet with the treatment team. After the
team meeting, the client leaves in tears and goes to
their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
5. The healthcare provider prescribes dalteparin 200 0.6
units per kilogram subcutaneous once a day for a
client who weighs 154 pounds. The medication is
available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numer-
ical value only. If rounding is required, round to the
nearest 10th.)
6. NGN: The client is a 49-year-old male who reports B) Start oxygen 3 L per
flu like symptoms including fever and chest conges- minute via nasal cannula.
tion for four days. He came to the emergency depart- C) Place the client on a
ment last night when he was having more difficulty cardio respiratory monitor.
, HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_f0qenq
breathing he has a history of 1/2 pack a day cigarette
smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for tem-
perature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per
hour.
G) Start peripheral IV.
H) NPO.
7. NGN: 0330: place the client on a cardio respiratory D) Nasal cannula.
monitor, NPO, sputum culture, start a peripheral IV in- E) Flow meter.
fusion, start oxygen 3 L per minute via nasal cannula,
begin 0.9% sodium chloride IV infusion at 150 mL per
hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items
should the nurse collects from the supply room? SATA
A) Humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
, HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_f0qenq
8. NGN: The client is awake and alert but restless. He Cardiovascular: capillary
states "I am feeling extremely anxious right now." The refill 4 seconds, blood
client has decreased breath sounds in the left lower pressure 145/89 OR Heart
lobe. His mucus membranes are dry. He has a produc- rate 101 bpm ???
tive cough with thick, yellow secretions. His capillary
refill is 4 seconds. Heart rate 101 bpm. Oxygen satura- Neurological: anxious,
tion 90%. Blood pressure 145/89 mmHg. Temperature restless.
100.2F. Respiratory rate 28 bpm.
Respiratory: oxygen satu-
The nurse places the client on a cardiorespiratory ration 90% on room air,
monitor and places the nasal cannula on the client. respiratory rate 28 bpm.
The nurse then completes an assessment and docu-
ment it in the chart
For each body system, click to specify the assessment
findings that indicates hypoxia.
Cardiovascular: heart rate 100 bpm, capillary refill 4
seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, res-
piratory rate 28 bpm, productive cough.
9. NGN: The client is a 49-year-old male who reports Semi-Fowler , lung expan-
flu like symptoms including fever and chest conges- sion.
tion for four days. He came to the emergency depart-
ment last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette
smoking for 20 years. He has no significant medical or
surgical history.
The nurse should place the client in a _______________
position to promote _____________.
