HESI EXIT EXAM RN REAL EXAM QUESTIONS AND VERIFIED SOLUTIONS || UPDATED
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Course
HESI RN 2024
Institution
HESI RN 2024
HESI EXIT EXAM RN REAL EXAM
QUESTIONS AND VERIFIED
SOLUTIONS || UPDATED
A client with a history of using illicit drugs intravenously is
admitted with Kaposi's sarcoma. Which intervention should the
nurse include in this client's admission plan of care?
A. Assess for symptoms of A...
HESI EXIT EXAM RN REAL EXAM
QUESTIONS AND VERIFIED
SOLUTIONS || UPDATED
A client with a history of using illicit drugs intravenously is
admitted with Kaposi's sarcoma. Which intervention should the
nurse include in this client's admission plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions - ANSWER ✔ B. Monitor
for secondary infections
An older woman who has difficulty hearing is being discharged
from day surgery following a cataract extraction and lens
implantation. Which intervention is most important for the nurse to
implement to help ensure the client's compliance with self care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration -
ANSWER ✔ A. Have the client vocalize the instructions provided
An older woman with history of atrial fibrillation fell at home and
fractured her left hip. She is currently taking warfarin 5 mg daily
and has an international normalized ratio (INR) value of 5.0. Upon
admission, which prescription should the nurse expect to
implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
,C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells - ANSWER ✔ A.
Administer Vitamin K injection
A 12-year-old client who had an appendectomy two days ago is
receiving 0.9% normal saline at 50mL/hr. The client's urine
specific gravity is 1.035. Which action should the nurse
implement?
A. Assess bowel sounds in all quadrants
B. Encourage popsicles and fluids of choice
C. Evaluate postural blood pressure measurements
D. Obtain a specimen for urinalysis - ANSWER ✔ B. Encourage
popsicles and fluids of choice
Which instruction should the nurse provide to a client who is
preparing to have a cystoscopy?
A. Report any allergies to shellfish or iodine
B. Report any painful urination, blood in urine, or fever
C. Lay prone for 24 hours after the procedure
D. Avoid strenuous activity and sports for at least 2 weeks -
ANSWER ✔ B. Report any painful urination, blood in urine, or
fever
What statement by a client who is 24 hours post-subtotal
thyroidectomy requires an immediate investigation by the nurse?
A. "When I get out of bed quickly, I feel a little dizzy."
B. "The dressing over my incision feels like it is too tight
C. "I'm most comfortable when the head of the bed is raised"
D. "This IV infusion makes me urinate more often than usual" -
ANSWER ✔ A. "When I get out of bed quickly, I feel a little dizzy."
An older adult male who is in his early 70s admitted to the
emergency department because of a COPD exacerbation. The
client is struggling to breath 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
provides the nurse a copy of the client's living will. Which action
should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider - ANSWER ✔ B. Notify the
healthcare provider of the client's wishes
While caring for a toddler receiving oxygen via face mask, the
nurse observes that the child's lips and nares are dry and
cracked. Which intervention should the nurse implement?
A. Use a topical lidocaine analgesic for cracked lips
B. Use a water soluble lubricant on affected oral and nasal
mucosa
C. Ask the mother what she usually uses on the child's lips and
nose
D. Apply a petroleum jelly to the child's lips and nose - ANSWER
✔ B. Use a water soluble lubricant on affected oral and nasal
mucosa
An unlicensed assistive personnel (UAP) is assigned to provide
personal care for a client who's 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?
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maint - ANSWER ✔ A. Determine the
client's level of mobility and need for assistance
Which information is most important for the nurse to obtain when
determining a client's risk for obstructive sleep apnea syndrome
(OSAS)?
, A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness - ANSWER ✔ A. Body mass index
The nurse is caring for a client who is entering the second stage
of labor. Which action should the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery -
ANSWER ✔ C. Convey to the client that birth is imminent
A nurse determines that more than 25% of the students at a
middle school are overweight. The nurse presents the information
at a parent-teacher meeting. What action is most important for the
nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with
obesity
C. Distribute a shopping list of suggested healthy snack ideas
D. Determine the parents' degree of concern - ANSWER ✔ A.
Provide information on ways to increase activity for the family
The nurse is assigning rooms for four clients, each newly
diagnosed, and being admitted to the acute neuro unit for
treatment. The client with which condition should be assigned the
only private room available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess - ANSWER ✔ A. Bacterial meningitis
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