HESI EXIT RN EXAM VERSION Exam WITH 160 Questions AND ANSWERS
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Course
HESI EXIT RN
Institution
HESI EXIT RN
HESI EXIT RN EXAM VERSION
Exam WITH 160 Questions AND ANSWERS
1. A nurse determines that more than 25% of the students at a middle
school are overweight. The nurse presents the information at the parentteacher meeting. What action is most important for the nurse to include in
the meeting? ...
1. 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? - ANSWER-c. Distribute a shopping list of suggested healthy
snack items.
2. 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? - ANSWER-c. If sequential
doses are missed, notify the healthcare provider.
3. The psychiatric nurse is caring for clients on an adolescent unit. Which
client requires the nurse's immediate attention? - ANSWER-c. An 18-year-
old client with antisocial behavior who is being yelled at by other clients
4. The nurse caring for a child with mononucleosis can expect the child to
exhibit which symptoms? - ANSWER-b. Ear pain and fever.
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5. A client arrives for an annual physical exam and complains of having calf
pain. The client's health history reveals peripheral atrial disease. Which
question should the nurse ask the client about expected finding related to
chronic arterial symptoms? - ANSWER-b. Does the calf pain occur when
walking short distances?
6. A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to
the unit, the nurse notes 300 mL of blood in the suction canister, the client's
heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In
addition to reporting the finding to the surgeon. Which action should the
nurse implement first? - ANSWER-d. Increase the infusion rate of Lactated
Ringer's solution.
7. 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? - ANSWER-a. Add sterile
water to the suction control chamber.
8. A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory
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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? - ANSWER-c. Begin
supplemental oxygen.
9. 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) -
ANSWER-Headache and tremors
Irregular heart rate
pallor and diaphoresis
10. 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? - ANSWER-d. Skin tenting occurs
when the client's forearm is pinched.
11. 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? - ANSWER-a. File a detailed incident report
with the specific hiring facility.
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12. 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? - ANSWER-c. Clients who incurred
disease complications promptly received rehabilitation.
13. 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? - ANSWER-d. Assess the delivery
mechanism of the oxygen tank, tubing, and cannula.
14. Which statement by a client who is 24 hours post-subtotal
thyroidectomy requires an immediate investigation by the nurse? -
ANSWER-When I get out of bed quickly, I feel a little dizzy."
15. 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? - ANSWER-b. Notify the
healthcare provider of the client's wishes.
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