HESI Rn Exit Exam Complete Solution 180 Questions Graded A

1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? - a. "You don't have to go through with the treatment." 2. While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's CPM device. Which of the following actions should the nurse take first? - c. Remove the device from the room 3. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone. Which of the following actions should the nurse take? - c. Count the current number of unit doses available in the medication dispensing system 4. A nurse performing a change-of-shift assessment. Which of the following clients has the priority finding? - c. 2 hr. post cast placement and has 2+ pitting edema and pallor 5. A nurse in an outpatient mental health facility is providing teaching to a group of adolescents. Which of the following statements by a client indicates an understanding of the teaching? - c. "I will take the sustained-release methylphenidate every morning." 6. A nurse in the emergency department is assessing client who has major depressive disorder. Which of the following actions should the nurse take first? [View Exhibit] - b. Implement seizure precautions for the client 7. A nurse is completing an admission assessment for a client who ahs narcissistic personality disorder. Which of the following should the nurse expect? - d. Preoccupied with aging 8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many grams of protein perday should the nurse include in the client's dietary plan? - (no answer provided) 9. A nurse is planning care for a group of clients and is working with one LPN and one AP. Which of the following actions should the nurse take first to manage her time effectively? - c. Determine goals of the day 10. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan? - b. Measure the client's urine output every hour 11. A nurse is caring for a group of clients. Which of the following wounds should the nurse expect to heal by primary intention? - c. Approximated surgical incision 12. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first? - a. Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. 72: monitor for infection [fever, sore throat, etc.]) 13. A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to assess the port? - c. A noncoring needle 14. A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like an elephant is sitting on my chest." The client is weak and unable to walk. After the nurse indicates chest pain protocol, which of the following is the priority diagnostic test? - b. 12 lead ECG 15. A nurse is assessing the growth and development of a 3 y/o child. Which of the following questions should the nurse ask the parent to determine if the child is exhibiting typical developmental expectations? - c. "Can your child ride a tricycle?"