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Exam (elaborations)

HESI NURSING EXIT EXAM Questions and Answers (100% Pass)

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  • HESI EXIT

A hospitalized pt reports to the nurse he has not had a BM in 2 days. Which intervention should the nurse implement first? Assess the pt's medical record to determine his normal bowel pattern A pt who has COPD is resting in a semi-Fowler's position with O2 at 2L/min NC. The pt develops dyspn...

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  • October 22, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HESI EXIT
  • HESI EXIT
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HESI NURSING EXIT EXAM Questions
and Answers (100% Pass)
A hospitalized pt reports to the nurse he has not had a BM in 2 days. Which

intervention should the nurse implement first?


✓ Assess the pt's medical record to determine his normal bowel pattern




A pt who has COPD is resting in a semi-Fowler's position with O2 at 2L/min NC.

The pt develops dyspnea. What action should the RN take first?


✓ Raise the HOB higher




A pt who has hyperparathyroidism is scheduled to receive a prescribed dose

of oral phosphate. The RN notes that the pt's serum calcium level is 12.5

mg/dL. What action should the nurse take?


✓ Administer the dose of oral phosphate (to counter the hypercalcemia)




In completing a pt's preoperative routine, the RN finds that the consent has

not been signed. The pt begins to ask more questions about the medical

procedure. What action should the nurse take next?


✓ Inform the HCP that the pt has additional questions about the surgery




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

Complementary and Alternative therapy (CAM) includes the use of?


✓ Culture, herbals, yoga, acupressure, acupuncture, reiki, and

aromatherapy




What OTCs can cause bleeding?


✓ ASA, ginko biloba, Vitamin E




What are the post-partum daily caloric increases?


✓ Post-partum, 300 calories extra daily; Post-partum & breatfeeding, 500

calories extra daily




Regarding ABXs, after the 1st 2 doses, what should be done? One hour later?


✓ Redraw blood to determine Trough; RE-draw blood to determine Peak




List of Teratogenic medications


✓ Ibuprofen, Alcohol, Nicotine, Warfarin, Falidemide, Accutane, Tylenol




List of Vesicants


✓ Chemo, Dopamine, Dobutamine; any Med whose pH is 9 or better is

considered a Vesicant



Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

Scope of Practice for an LPN


✓ can assess wounds, perform wound dressing changes, administer PO,

Nasal, SQ, IM & transdermal meds; SVN therapy; BUT cannot do

VANCO




The UAP reports to a staff nurse that a pt who had surgery 4 hours ago has had

a dec in BP from 150/80 to 110/70 in the past hour. The nurse advises the UAP

to check the pt's dressing for excess drainage & report the findings to the

nurse. Which factor is most important to consider when assessing the legal

ramifications of this situation?


✓ The parameters of the State's or Province's Nurse Practice Act




An awake & alert pt with impending pulmonary edema is brought to the ED.

The pt provides the nurse with a copy of a living will stating "no invasive

medical procedures should be used to keep me alive." The healthcare team

is questioning whether the pt should be intubated. What info should guide the

team's decision?


✓ The pt is awake & alert, which makes the living will irrelevant & non-

binding




A family member of a pt who is in a Posey vest restraint asks why the restraint

was applied. How should the nurse respond?


Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ The pt's previous actions place her at a high risk for harming herself &

others.




What nursing action has the highest priority when admitting a pt to a

psychiatric unit on an involuntary basis?


✓ Determine the behaviors that resulted in the need for the pt's

admission; i.e., danger to self or others




Informed consent must meet the following criteria:


✓ +pt is competent & of legal age

✓ +legal sexual age is 13

✓ +the pt understands the procedure, risks & benefits, & alternative

procedures

✓ +the RN is witnessing the signature

✓ +all questions the pt has about the procedure are the responsibility of

the HCP who will perform the procedure




The nurse enters the room of a preoperative pt to obtain the pt's signature on

the surgical consent form. Which question is most important to ask the pt?


✓ Have you received any preoperative pain medication?




Master01 | October, 2024/2025 | Latest update

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