HESI RN Exit Exam Questions and
Answers 100% Solved | Rated A+
d. Increase the infusion rate of Lactated Ringer's solution. - ✔✔d. Increase
the infusion rate of Lactated Ringer's solution.
a. Add sterile water to the suction control chamber. - ✔✔2. an adult male
who fell 20 feet from the roof of this home has multiple injuries, including a
right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). the nurse
notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past
hour 75 ml of bright red blood is measured in the collection chamber.
Which intervention should the nurse implement?
c. Begin supplemental oxygen. - ✔✔3. A client who received hemodialysis
yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate
110 beats/minute, and respiratory rate 36 breaths/minute. The client is
manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
saturation on room air of 89%. Which action should the nurse take first?
,Headache and tremors
Irregular heart rate
pallor and diaphoresis - ✔✔4. A client with Addison's crisis is admitted for
treatment with adrenal cortical supplementation. Based on the client's
admitting diagnosis, which findings require immediate action by the nurse?
(Select all that apply)
d. Skin tenting occurs when the client's forearm is pinched. - ✔✔5. An older
client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should
report to the healthcare provider?
a. File a detailed incident report with the specific hiring facility. - ✔✔6. After
an inservice about electronic health 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?
c. Clients who incurred disease complications promptly received
rehabilitation. - ✔✔7. The nurse is evaluating a tertiary prevention program
for clients with cardiovascular disease implemented in a rural health clinic.
Which outcome indicate the program is effective?
,d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
- ✔✔8. The nurse is caring for a client with chronic obstructive pulmonary
disease (COPD) who uses oxygen at 2 L/minute per nasal cannula
continuously. The nurse observes that the client is having increased
shortness of breath with respirations at 23 breaths/minute. Which action
should the nurse implement first?
When I get out of bed quickly, I feel a little dizzy." - ✔✔9. Which statement
by a client who is 24 hours post-subtotal thyroidectomy requires an
immediate investigation by the nurse?
b. Notify the healthcare provider of the client's wishes. - ✔✔10. An older
adult male who is in his early 70's is admitted to the emergency department
because of a COPD exacerbation. This client is struggling to breathe and
the healthcare team is preparing for endotracheal intubation. The spouse's
wife, who is 30 years younger than the client, asks the nurse to stop the
procedure and provide the nurse a copy of the client's living will. Which
action should the nurse take?
c. Advice the client to maintain bedrest so that safety can be ensured. -
✔✔11. An unlicensed assistive personnel (UAP) is assigned to provide
personal care for a client whose prescribed activity is bedrest with bedside
, commode use. The UAP reports to the nurse that the client is so obese that
the UAP feels unable to safely assist the client in transferring from the bed
to the bedside commode. How should the nurse respond?
c. Distribute a shopping list of suggested healthy snack items. - ✔✔12. A
nurse determines that more than 25% of the students at a middle school
are overweight. The nurse presents the information at the parent-teacher
meeting. What action is most important for the nurse to include in the
meeting?
c. If sequential doses are missed, notify the healthcare provider. - ✔✔13.
After several months of chronic fatigue, morning stiffness, and join pain, a
young adult is diagnosed with rheumatoid arthritis, and the healthcare
provider prescribes prednisone. Which education should the nurse provide
the client with regard to taking prednisone?
c. An 18-year-old client with antisocial behavior who is being yelled at by
other clients - ✔✔14. The psychiatric nurse is caring for clients on an
adolescent unit. Which client requires the nurse's immediate attention?
b. Ear pain and fever. - ✔✔15. The nurse caring for a child with
mononucleosis can expect the child to exhibit which symptoms?
Answers 100% Solved | Rated A+
d. Increase the infusion rate of Lactated Ringer's solution. - ✔✔d. Increase
the infusion rate of Lactated Ringer's solution.
a. Add sterile water to the suction control chamber. - ✔✔2. an adult male
who fell 20 feet from the roof of this home has multiple injuries, including a
right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). the nurse
notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past
hour 75 ml of bright red blood is measured in the collection chamber.
Which intervention should the nurse implement?
c. Begin supplemental oxygen. - ✔✔3. A client who received hemodialysis
yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate
110 beats/minute, and respiratory rate 36 breaths/minute. The client is
manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
saturation on room air of 89%. Which action should the nurse take first?
,Headache and tremors
Irregular heart rate
pallor and diaphoresis - ✔✔4. A client with Addison's crisis is admitted for
treatment with adrenal cortical supplementation. Based on the client's
admitting diagnosis, which findings require immediate action by the nurse?
(Select all that apply)
d. Skin tenting occurs when the client's forearm is pinched. - ✔✔5. An older
client is admitted with fluid volume deficit and dehydration. Which
assessment finding is the best indicator of hydration that the nurse should
report to the healthcare provider?
a. File a detailed incident report with the specific hiring facility. - ✔✔6. After
an inservice about electronic health 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?
c. Clients who incurred disease complications promptly received
rehabilitation. - ✔✔7. The nurse is evaluating a tertiary prevention program
for clients with cardiovascular disease implemented in a rural health clinic.
Which outcome indicate the program is effective?
,d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
- ✔✔8. The nurse is caring for a client with chronic obstructive pulmonary
disease (COPD) who uses oxygen at 2 L/minute per nasal cannula
continuously. The nurse observes that the client is having increased
shortness of breath with respirations at 23 breaths/minute. Which action
should the nurse implement first?
When I get out of bed quickly, I feel a little dizzy." - ✔✔9. Which statement
by a client who is 24 hours post-subtotal thyroidectomy requires an
immediate investigation by the nurse?
b. Notify the healthcare provider of the client's wishes. - ✔✔10. An older
adult male who is in his early 70's is admitted to the emergency department
because of a COPD exacerbation. This client is struggling to breathe and
the healthcare team is preparing for endotracheal intubation. The spouse's
wife, who is 30 years younger than the client, asks the nurse to stop the
procedure and provide the nurse a copy of the client's living will. Which
action should the nurse take?
c. Advice the client to maintain bedrest so that safety can be ensured. -
✔✔11. An unlicensed assistive personnel (UAP) is assigned to provide
personal care for a client whose prescribed activity is bedrest with bedside
, commode use. The UAP reports to the nurse that the client is so obese that
the UAP feels unable to safely assist the client in transferring from the bed
to the bedside commode. How should the nurse respond?
c. Distribute a shopping list of suggested healthy snack items. - ✔✔12. A
nurse determines that more than 25% of the students at a middle school
are overweight. The nurse presents the information at the parent-teacher
meeting. What action is most important for the nurse to include in the
meeting?
c. If sequential doses are missed, notify the healthcare provider. - ✔✔13.
After several months of chronic fatigue, morning stiffness, and join pain, a
young adult is diagnosed with rheumatoid arthritis, and the healthcare
provider prescribes prednisone. Which education should the nurse provide
the client with regard to taking prednisone?
c. An 18-year-old client with antisocial behavior who is being yelled at by
other clients - ✔✔14. The psychiatric nurse is caring for clients on an
adolescent unit. Which client requires the nurse's immediate attention?
b. Ear pain and fever. - ✔✔15. The nurse caring for a child with
mononucleosis can expect the child to exhibit which symptoms?
