10/24/24, 9:56 AM HESI RN Exit | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIED ANS…
HESI RN Exit | 2024-2025 UPDATE
COMPREHENSIVE MOST FREQUENTLY TESTED
QUESTIONS AND VERIFIED ANSWERS
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Terms in this set (160)
1. A male client with d. Increase the infusion rate of Lactated Ringer's
stomach cancer returns solution.
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?
,10/24/24, 9:56 AM HESI RN Exit | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIED ANS…
2. an adult male who fell a. Add sterile water to the suction control chamber.
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?
3. A client who received c. Begin supplemental oxygen.
hemodialysis yesterday is
experiencing a blood
pressure of 200/100
mmHg, heart rate 110
beats/minute, and
respiratory rate 36
breaths/minute. The client
is manifesting shortness
of breath, bilateral 2+
pedal edema, and an
oxygen saturation on
room air of 89%. Which
action should the nurse
take first?
, 10/24/24, 9:56 AM HESI RN Exit | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIED ANS…
4. A client with Addison's Headache and tremors
crisis is admitted for Irregular heart rate
treatment with adrenal pallor and diaphoresis
cortical supplementation.
Based on the client's
admitting diagnosis,
which findings require
immediate action by the
nurse? (Select all that
apply)
5. An older client is d. Skin tenting occurs when the client's forearm is
admitted with fluid pinched.
volume deficit and
dehydration. Which
assessment finding is the
best indicator of
hydration that the nurse
should report to the
healthcare provider?
6. After an inservice a. File a detailed incident report with the specific
about electronic health hiring facility.
record (EHR) security
and safeguarding client
information, the nurse
observes a colleague
going home with printed
copies of client
information in a uniform
pocket. Which action
should the nurse take?
7. The nurse is evaluating c. Clients who incurred disease complications
a tertiary prevention promptly received rehabilitation.
program for clients with
cardiovascular disease
implemented in a rural
health clinic. Which
outcome indicate the
program is effective?
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