HESI RN EXIT EXAM 2024-2025 QUESTIONS AND CORRECT VERIFIED
ANSWERS /100% PASS SOLUTION / ALREADY GRADED A+
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion - answer>>A) Apply suction for no more than 10 seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals 2.0
ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip - answer>>A) Administer the
medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse know that the reason for
this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip - answer>>D) Prevent the drug from tissue irritation
Skip
A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse expect to find when
evaluating for the therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output
D) Decreased chest pain and decreased blood pressure - answer>>C) Improved respiratory status and
increased urinary output
While providing home care to a client with congestive heart failure, the nurse is asked how long
diuretics must be taken. What is the nurse's best response?
A) "As you urinate more, you will need less medication to control fluid.
,"B) "You will have to take this medication for about a year."
C) "The medication must be continued so the fluid problem is controlled.
"D) "Please talk to your health care provider about medications and treatments." - answer>>C) "The
medication must be continued so the fluid problem is controlled.
A client is being discharged with a prescription for chlorpromazine (Thorazine).Before leaving for home,
which of these findings should the nurse teach the client to report? A) Change in libido, breast
enlargement
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician's office.
Upon inspection, the nurse notes that the nail went through the shoe and pierced the bottom of the
child's foot. Which action should the nurse implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72 hours.
C. have the mother check the child's temperature q4h for the next 24 hours D. transfer the child to
the emergency department to receive a gamma globulin injection - answer>>A. Cleanse the foot with
soap and water and apply an antibiotic ointment
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the
prescribed dosage is too high for this client? The client experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - answer>>D. Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea, vomiting, yellow vision and
palpitations. Which finding is most important for the nurse to assess to the client? - answer>>Obtain a
list of medications taken for cardiac history
The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all that
apply) - answer>>A. Fluid shifts from intravascular to interstitial area due to decreased serum protein
B. Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
C. Increased circulating aldosterone levels that increase sodium and water retention
,The nurse is auscultating a client's heart sounds. Which description should the nurse use to document
this sound? (Please listen to the audio first to select the option that applies) - answer>>Murmur
A client is admitted with a pressure ulcer in the sacral area. The partial thickness wound is 4cm by 7cm,
the wound base is red and moist with no exudate and the surrounding skin is intact. Which of the
following coverings is most appropriate for this wound?
A 30 month-old child is admitted to the hospital unit. Which of the following toys would be appropriate
for the nurse to select from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - answer>>B) Large wooden puzzle
A nurse is to present information about Chinese folk medicine to a group of student nurses. Based on
this cultural belief, the nurse would explain that illness is attributed to the
A) Yang, the positive force that represents light, warmth, and fullness
B) Yin, the negative force that represents darkness, cold, and emptiness
C) Use of improper hot foods, herbs and plants
D) A failure to keep life in balance with nature and others - answer>>B) Yin, the negative force that
represents darkness, cold, and emptiness
A 2 year-old child has just been diagnosed with cystic fibrosis. The child's father asks the nurse "What is
our major concern now, and what will we have to deal with in the future?" Which of the following is the
best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
D) "You will work with a team of experts and also have access to a support group that the family
can attend." - answer>>C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
, Which type of accidental poisoning would the nurse expect to occur in children under age 6?
A) Oral ingestion
B) Topical contact
C) Inhalation
D) Eye splashes - answer>>A) Oral ingestion
A client was admitted to the psychiatric unit with a diagnosis of bipolar disorder. He constantly bothers
other clients, tries to help the housekeeping staff, demonstrates pressured speech and demands
constant attention from the staff. Which activity would be best for the client? A) Reading
B) Checkers
C) Cards
D) Ping-pong - answer>>D) Ping-pong
The nurse is caring for a client who has developed cardiac tamponade. Which finding would the nurse
anticipate? A) Widening pulse pressure
B) Pleural friction rub
C) Distended neck veins
D) Bradycardia - answer>>C) Distended neck veins
Which nursing action is a priority as the plan of care is developed for a 7 year-old child hospitalized for
acute glomerulonephritis?
A) Assess for generalized edema
B) Monitor for increased urinary output
C) Encourage rest during hyperactive periods
D) Note patterns of increased blood pressure - answer>>D) Note patterns of increased blood
pressure
The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the following actions by the
nurse would be appropriate? A) Schedule the therapy thirty minutes after meals
B) Teach the child not to cough during the treatment
C) Confine the percussion to the rib cage area
D) Place the child in a prone position for the therapy - answer>>C) Confine the percussion to the rib
cage area
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller dennohz2000. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.