1. 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'...
HESI RN Exit Exam Questions & 100%
Correct Answers- Latest Test | Graded A+ |
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1. 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?
✓ -:- d. Increase the infusion rate of Lactated Ringer's solution.
2. 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?
✓ -:- a. Add sterile water to the suction control chamber.
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?
✓ -:- b. Notify the healthcare provider of the client's wishes.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client
whose prescribed activity is bedrest with bedside commode use. The UAP reports to the
nurse that the client is so obese that the UAP feels unable to safely assist the client in
transferring from the bed to the bedside commode. How should the nurse respond?
✓ -:- c. Advice the client to maintain bedrest so that safety can be ensured.
12. 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?
✓ -:- c. Distribute a shopping list of suggested healthy snack items.
13. 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?
✓ -:- c. If sequential doses are missed, notify the healthcare provider.
4|Page | Grade A+| 2024/2025
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