HESI EXIT RN V2 EXAM (NEW) All 160 Questions
and Answers Latest Updated 2024.
The38nurse38assumes38care38of38a38postoperative38adult38client38with38type38238diabetes38mellitus38and
38learns38that38the38client38has38a38current38blood38glucose38level38of3872038mg/dL.38When38assessing
38the38client,38what38is38the38priority?
A. Assess38for38signs38of38fluid38volume38deficit
B. Observe38wound38drainage38characteristics
C. Measure38the38level38of38acute38pain
D. Determine38when38the38client38last38ate38-38✅✅A.38Assess38for38signs38of38fluid38volume38deficit
A38male38client38tells38the38nurse38that38he38is38concerned38that38he38may38have38a38stomach38ulcer,38b
ecause38he38is
experiencing38heartburn38and38dull38gnawing38pain38that38is38relieved38when38he38eats.38Which38is38th
e38best38response38by38the38nurse?
A. Encourage38the38client38to38obtain38a38complete38physical38exam,38since38these38symptoms38are38co
nsistent38with38an38ulcer
B. Assure38the38client38that38his38symptoms38may38only38reflect38reflux,38since38ulcer38pain38is38not38rel
ieved38with38food
C. Instruct38the38client38that38these38mild38symptoms38can38generally38be38controlled38with38changes38i
n38his38diet
D. Advise38the38client38that38he38needs38to38seek38immediate38medical38evaluation38and38treatment38
of38these38symptoms38-
38✅✅A.38Encourage38the38client38to38obtain38a38complete38physical38exam,38since38these38symptoms
38are38consistent38with38an38ulcer
A38male38client38with38stomach38cancer38returns38to38the38unit38following38a38total38gastrectomy.38He38
has38a38nasogastric38tube38to38suction38and38is38receiving38Lactated38Ringer's38solution38at387538mL/hr
38IV.38One38hour38after38admission38to
the38unit,38the38nurse38notes38300mL38of38blood38in38the38suction38canister,38the38client's38heart38ra
te38is3815538beats/minute,38and38his38blood38pressure38is3878/4838mmHg.38In38addition38to38reporting
38the38findings38to38the38surgeon,38which38action38should38the38nurse38implement38first?
A. Measure38and38document38the38client's38urinary38output
B. Request38the38client's38reserved38unit38of38packed38red38blood38cells
C. Prepare38for38placement38of38a38central38venous38catheter
D. Increase38the38infusion38rate38of38Lactated38Ringer's38solution38-
38✅✅D.38Increase38the38infusion38rate38of38Lactated38Ringer's38solution
,P38a38g38e3 8 138|3844
,HESI EXIT RN V2 EXAM (NEW) All 160 Questions
38 38 38 38 38 38 38 38
and Answers Latest Updated 2024.
38 38 38 38
A38heparin38infusion38is38prescribed38for38a38client38who38weighs3822038pounds.38After38administering3
8a38bolus38dose38of388038units/kg,38the38nurse38calculates38the38infusion38rate38for38the38heparin38sol
ution38as381838units/kg/hour.38The
available38solution38is38Heparin38Sodium3825,00038Units38in385%38Dextrose38Injection3825038mL.38The3
8nurse38should38program38the38infusion38pump38to38deliver38how38many38mL/hour?38-38✅✅-
1st:38calculate38the38weight38=38220/2.2=38100kg
-Then38calculate38total38dose38in38units38=3818units38x38100kg38=38180038units/hr
-382500038units38-
38in3825038180038units3
8---in38X38ml
x38=38180038x38250/2500038=1838mL/hr
An38adult38male38who38fell382038feet38from38the38roof38of38his38home38has38multiple38injuries,38includi
ng38a38right
pneumothorax.38Chest38tubes38were38inserted38in38the38emergency38department38prior38to38his38transf
er38to38the
intensive38care38unit38(ICU).38The38nurse38notes38that38the38suction38control38chamber38is38bubbling38a
t38the38-
10cm38H2O38mark,38which38fluctuation38in38the38water38seal,38and38over38the38past38hour387538mL38o
f38bright38red38blood38is38measured38in38the38collection38chamber.38Which38intervention38should38the
38nurse38implement?
A. Add38sterile38water38to38the38suction38control38chamber
B. Give38blood38from38the38collection38chamber38as38autotransfusion
C. Manipulate38blood38in38tubing38to38drain38into38chamber
D. Increase38wall38suction38to38eliminate38fluctuation38in38water38seal38-
38✅✅A.38Add38sterile38water38to38the38suction38control38chamber
An38adult38male38was38diagnosed38with38stage38IV38lung38cancer38three38weeks38ago.38His38wife38app
roaches38the38nurse38and38asks38how38she38will38know38that38her38husband's38death38is38imminent38b
ecause38their38two38adult38children38want38to38be38there38when38he38dies.38Which38is38the38best38res
ponse38by38the38nurse?
A. Gather38information38regarding38how38long38it38will38take38for38the38children38to38arrive
B. Explain38that38the38client38will38start38to38lose38consciousness38and38the38body38systems38will38slow38
down
C. Reassure38the38spouse38that38the38healthcare38provider38will38notify38when38to38call38the38children
D. Offer38to38discuss38the38client's38health38status38with38each38of38the38adult38children38-
38✅✅B.38Explain38that38the38client38will38start38to38lose38consciousness38and38the38body38syste
ms38will38slow38down
, The38charge38nurse38of38a38critical38care38unit38is38informed38at38the38beginning38of38the38shift38that38l
ess38than38the38optimal38number38of38registered38nurses38will38be38working38that38shift.38In38planning
38assignments,38which38client38should
receive38the38most38care38hours38by38a38registered38nurse38(RN)?
P38a38g38e3 8 238|3844
and Answers Latest Updated 2024.
The38nurse38assumes38care38of38a38postoperative38adult38client38with38type38238diabetes38mellitus38and
38learns38that38the38client38has38a38current38blood38glucose38level38of3872038mg/dL.38When38assessing
38the38client,38what38is38the38priority?
A. Assess38for38signs38of38fluid38volume38deficit
B. Observe38wound38drainage38characteristics
C. Measure38the38level38of38acute38pain
D. Determine38when38the38client38last38ate38-38✅✅A.38Assess38for38signs38of38fluid38volume38deficit
A38male38client38tells38the38nurse38that38he38is38concerned38that38he38may38have38a38stomach38ulcer,38b
ecause38he38is
experiencing38heartburn38and38dull38gnawing38pain38that38is38relieved38when38he38eats.38Which38is38th
e38best38response38by38the38nurse?
A. Encourage38the38client38to38obtain38a38complete38physical38exam,38since38these38symptoms38are38co
nsistent38with38an38ulcer
B. Assure38the38client38that38his38symptoms38may38only38reflect38reflux,38since38ulcer38pain38is38not38rel
ieved38with38food
C. Instruct38the38client38that38these38mild38symptoms38can38generally38be38controlled38with38changes38i
n38his38diet
D. Advise38the38client38that38he38needs38to38seek38immediate38medical38evaluation38and38treatment38
of38these38symptoms38-
38✅✅A.38Encourage38the38client38to38obtain38a38complete38physical38exam,38since38these38symptoms
38are38consistent38with38an38ulcer
A38male38client38with38stomach38cancer38returns38to38the38unit38following38a38total38gastrectomy.38He38
has38a38nasogastric38tube38to38suction38and38is38receiving38Lactated38Ringer's38solution38at387538mL/hr
38IV.38One38hour38after38admission38to
the38unit,38the38nurse38notes38300mL38of38blood38in38the38suction38canister,38the38client's38heart38ra
te38is3815538beats/minute,38and38his38blood38pressure38is3878/4838mmHg.38In38addition38to38reporting
38the38findings38to38the38surgeon,38which38action38should38the38nurse38implement38first?
A. Measure38and38document38the38client's38urinary38output
B. Request38the38client's38reserved38unit38of38packed38red38blood38cells
C. Prepare38for38placement38of38a38central38venous38catheter
D. Increase38the38infusion38rate38of38Lactated38Ringer's38solution38-
38✅✅D.38Increase38the38infusion38rate38of38Lactated38Ringer's38solution
,P38a38g38e3 8 138|3844
,HESI EXIT RN V2 EXAM (NEW) All 160 Questions
38 38 38 38 38 38 38 38
and Answers Latest Updated 2024.
38 38 38 38
A38heparin38infusion38is38prescribed38for38a38client38who38weighs3822038pounds.38After38administering3
8a38bolus38dose38of388038units/kg,38the38nurse38calculates38the38infusion38rate38for38the38heparin38sol
ution38as381838units/kg/hour.38The
available38solution38is38Heparin38Sodium3825,00038Units38in385%38Dextrose38Injection3825038mL.38The3
8nurse38should38program38the38infusion38pump38to38deliver38how38many38mL/hour?38-38✅✅-
1st:38calculate38the38weight38=38220/2.2=38100kg
-Then38calculate38total38dose38in38units38=3818units38x38100kg38=38180038units/hr
-382500038units38-
38in3825038180038units3
8---in38X38ml
x38=38180038x38250/2500038=1838mL/hr
An38adult38male38who38fell382038feet38from38the38roof38of38his38home38has38multiple38injuries,38includi
ng38a38right
pneumothorax.38Chest38tubes38were38inserted38in38the38emergency38department38prior38to38his38transf
er38to38the
intensive38care38unit38(ICU).38The38nurse38notes38that38the38suction38control38chamber38is38bubbling38a
t38the38-
10cm38H2O38mark,38which38fluctuation38in38the38water38seal,38and38over38the38past38hour387538mL38o
f38bright38red38blood38is38measured38in38the38collection38chamber.38Which38intervention38should38the
38nurse38implement?
A. Add38sterile38water38to38the38suction38control38chamber
B. Give38blood38from38the38collection38chamber38as38autotransfusion
C. Manipulate38blood38in38tubing38to38drain38into38chamber
D. Increase38wall38suction38to38eliminate38fluctuation38in38water38seal38-
38✅✅A.38Add38sterile38water38to38the38suction38control38chamber
An38adult38male38was38diagnosed38with38stage38IV38lung38cancer38three38weeks38ago.38His38wife38app
roaches38the38nurse38and38asks38how38she38will38know38that38her38husband's38death38is38imminent38b
ecause38their38two38adult38children38want38to38be38there38when38he38dies.38Which38is38the38best38res
ponse38by38the38nurse?
A. Gather38information38regarding38how38long38it38will38take38for38the38children38to38arrive
B. Explain38that38the38client38will38start38to38lose38consciousness38and38the38body38systems38will38slow38
down
C. Reassure38the38spouse38that38the38healthcare38provider38will38notify38when38to38call38the38children
D. Offer38to38discuss38the38client's38health38status38with38each38of38the38adult38children38-
38✅✅B.38Explain38that38the38client38will38start38to38lose38consciousness38and38the38body38syste
ms38will38slow38down
, The38charge38nurse38of38a38critical38care38unit38is38informed38at38the38beginning38of38the38shift38that38l
ess38than38the38optimal38number38of38registered38nurses38will38be38working38that38shift.38In38planning
38assignments,38which38client38should
receive38the38most38care38hours38by38a38registered38nurse38(RN)?
P38a38g38e3 8 238|3844
