HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
1. When caring for a client with a post right thoracotomy who has
undergone an upper lobectomy, the nurse focuses on pain management
to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises
2. A nurse is to collect a sputum specimen for acid-fast bacillus
(AFB) from a client. Which action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen
container D) Assist with oral
hygiene
3. The nurse is caring for a child immediately after surgical
correction of a ventricular septal defect. Which of the following nursing
assessments should be a priority?
A) Blanch nail beds for color
and refill B) Assess for post
operative arrhythmias
C) Auscultate for pulmonary congestion
D) Monitor equality of peripheral pulses
4.A client has a history of chronic obstructive pulmonary disease
(COPD). As the nurse enters the client's room, his oxygen is running at 6
HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
,HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
liters per minute, his color is flushed
and his respirations are 8 per minute. What should the nurse do first?
A) Obtain a 12-lead EKG
B) Place client in high Fowler's
position C) Lower the oxygen
rate
D) Take baseline vital signs
5. A 4 year-old has been hospitalized for 24 hours with skeletal
traction for treatment of a fracture of the right femur. The nurse finds
that the child is now crying and the right
foot is pale with the absence of a pulse. What should
the nurse do first? A) Notify the health care provider
B) Readjust the traction
C) Administer the ordered PRN medication
D) Reassess the foot in fifteen minutes
6. The nurse is assessing a client 2 hours postoperatively after a
femoral popliteal bypass. The upper leg dressing becomes saturated
with blood. The nurse's first action should be to
A) Wrap the leg with elastic bandages
B) Apply pressure at the bleeding site
C) Reinforce the dressing and elevate the leg
D) Remove the dressings and re-dress the incision
7. A client is receiving external beam radiation to the
mediastinum for treatment of bronchial cancer. Which of the
following should take priority in planning care?
A)
Esophagiti
s B)
HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
,HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
Leukopeni
a
C) Fatigue
D) Skin irritation
8. A client has a chest tube in place following a left lower lobectomy
inserted after a stab wound to the chest. When repositioning the client,
the nurse notices 200 cc of dark, red
fluid flows into the collection chamber of the chest drain. What is
the most appropriate nursing action?
A) Clamp the chest tube
B) Call the surgeon immediately
C) Prepare for blood transfusion
D) Continue to monitor the rate of drainage
9. A client has returned from a cardiac catheterization. Which one
of the following assessments would indicate the client is experiencing
a complication from the procedure?
A) Increased blood pressure
B) Increased heart rate
C) Loss of pulse in the extremity
D) Decreased urine output
10. A 60 year-old male client had a hernia repair in an outpatient
surgery clinic. He is awake and alert, but has not been able to void
since he returned from surgery 6 hours ago. He received 1000 mL of IV
fluid. Which action would be most likely to help him void?
A) Have him drink several glasses of water
B) Crede’ the bladder from the bottom
HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
, HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
to the top C) Assist him to stand by the
side of the bed to void
D) Wait 2 hours and have him try to void again
11. The nurse is caring for a client who requires a mechanical
ventilator for breathing. The high pressure alarm goes off on the
ventilator. What is the first action the nurse should perform?
A) Disconnect the client from the ventilator and use a manual
resuscitation bag B) Perform a quick assessment of the client's
condition
C) Call the respiratory therapist for help
D) Press the alarm re-set button on the ventilator
12. The health care provider order reads "aspirate nasogastric feeding
(NG) tuber every 4 hours and check pH of aspirate." The pH of the
aspirate is 10. Which action should the
nurse take?
A) Hold the tube feeding and notify the provider
B) Administer the tube feeding as scheduled
C) Irrigate the tube with diet cola soda
D) Apply intermittent suction to the feeding tube
13. To prevent unnecessary hypoxia during suctioning of a
tracheostomy, the nurse must A) Apply suction for no more than 10
seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion
14. An antibiotic IM injection for a 2 year-old child is ordered. The
HESI EXIT RN 2022 V3 160 QUESTIONS WITH ANSWERS
WELL UPDATED 2022/2023
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