Nightingale College - HESI RN Exit Exam
Over 800 Questions latest up-to-date question
Fall 2024 100% (Download To Score An A)
A 10 year old who has terminal brain cancer asks the nurse,
"What will happen to my body when I die?" How should the
nurse respond?
a. "Your mother & father will be here soon. Talk to them about
that."
b. "Why do you want to know about what will happen to your
body when you die?"
c. "The heart will stop beating & you will stop breathing."
d. "Are you concerned about where your spirit will go?" Correct
Answers "The heart will stop beating & you will stop
breathing."
A 12 year old client who had an appendectomy two days ago is
receiving 0.9% normal saline at 50 ml/hour. The client's urine
specific gravity is 1.035. What action should the nurse
implement?
a. Evaluate postural blood pressure measurements
b. Obtain specimen for uranalysis
c. Encourage popsicles and fluids of choice
d. Assess bowel sounds in all quadrants Correct Answers
Encourage popsicles and fluids of choice
Rationale: specific gravity of urine is a measurement of
hydration status (normal range of 1.010 to 1.025) which is
,indicative of fluid volume deficit when Sp Gr increases as urine
becomes more concentrated.
A 13 years-old client with non-union of a comminuted fracture
of the tibia is admitted with osteomyelitis. The healthcare
provider collects home aspirate specimens for culture and
sensitivity and applies a cast to the adolescent's lower leg. What
action should the nurse implement next?
a. Administer antiemetic agents
b. Bivalve the cast for distal compromise
c. Provide high- calorie, high-protein diet
d. Begin parenteral antibiotic therapy Correct Answers d.
Begin parenteral antibiotic therapy
Rationale: The standard of treatment for osteomyelitis is
antibiotic therapy and immobilization. After bond and blood
aspirate specimens are obtained for culture and sensitivity, the
nurse should initiate parenteral antibiotics as prescribed.
A 154 pound client with diabetic ketoacidosis is receiving an IV
of normal saline 100 ML with regular insulin 100 units. The
healthcare provider prescribes a rate of 0.1 units/kg/hour. To
deliver the correct dosage, the nurse should set the infusion
pump to Infuse how many ml/hour? enter numeric value only
7 Correct Answers 7
Rationale: Convert the client's weight to kg, 2.2 pound: 1 kg::
154 pounds: x kg = 154/2.2 = 70kg. Calculate the client infusion
rate, 0.1 x 70 kg = 7 units/hour. Using the formula, D/H x Q = 7
units/hour / 100 units x 100 ml = 7ml / hour
,A 16-year-old adolescent with meningococcal meningitis (83) is
receiving a continuous IV infusion of penicillin G, which is
prescribed as 20 million units in a total volume of 2 liters of
normal saline every 24 hr. The pharmacy delivers 10 million
units/ liters of normal saline. How many ml/hr should the nurse
program the infusion pump? (Enter numeric value only. If
rounding is required, round to the nearest whole number.)
83 Correct Answers Answer 83
Rationale: 1000 ml-----12hr.
1000/12 = 83.33
A 16-year-old male is admitted to the pediatric intensive care
unit after being involved in a house fire. He has full thickness
burns to his lower torso and extremities. Before a dressing
change to his legs, which intervention is most important for the
nurse to implement?
a- Encourage the parents to stay at the bedside
b- Use distraction techniques to reduce pain.
c- Maintain strict aseptic technique
d- Place a drape over the pubic area. Correct Answers c.
Maintain strict aseptic technique.
A 17-year -old male is brought to the emergency department by
his parents because he has been coughing and running a fever
with flu-like symptoms for the past 24 hours. Which
intervention should the nurse implement first?
, a. Place a mask on the client's face. Correct Answers Place a
mask on the client's face.
A 2-year-old girl is brought to the clinic for a routine assessment
and all findings are within the normal limits. However, the mom
expresses concern over her daughter's protruding abdomen and
tells the nurse that she is worry that her child is becoming
overweight. How should the nurse respond to the mother's
comment?
a- Tell the mother to keep a twenty- four-hour food diary for the
child.
b- Explain that a protruding abdomen is typical for toddlers.
c- Discuss way to increase the child's daily activity level
d- Ask the mother is she has weight problems when she was a
child. Correct Answers b. Explain that a protruding abdomen is
typical for toddler
A 2-year-old is bleeding from a laceration on the right lower
extremity that occurred as the result of a motor vehicle collision.
The nurse is selecting supplies to start an IV access. Which
assessment finding is most significant in the nurse's selection of
catheter size?
a. Thready brachial pulse.
b. Respirations of 24/minute
c. Right foot cool to touch.
d. Swelling at the site of injury Correct Answers Thready
brachial pulse.
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