EXIT HESI V1 EXAM
with NGN Questions and Verified Rationalized Answers
100% Guarantee Pass
This Test Consists Of 130 Multiple Questions And Answers
1. When preparing to administer a prescribed medication to a homeless client
at a community psychiatric clinic. The client tells the nurse that the usual
dosage taken is different from the dose the nurse is giving. Which action
should the nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting
,.:Ans>> B) Withhold the medication until the dosage can be confirmed.
2. The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40
.:Ans>> B) Viral meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider pre-
scribes a sepsis protocol. Which intervention is most important for the nurse
to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level
.:Ans>> A) Maintain strict intake and output.
4. And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization, the
,nurse asked the client to meet with the treatment team. After the team meeting,
the client leaves in tears and goes to their room. Which nursing intervention
is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
,C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened
.:Ans>> D) Go to the clients room and ask what happened.
5. The healthcare provider prescribes dalteparin 200 units per kilogram sub-
cutaneous once a day for a client who weighs 154 pounds. The medication is
available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round
to the nearest 10th.): Ans>> 0.6
6. NGN: The client is a 49-year-old male who reports flu like symptoms in-
cluding fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO
, .:Ans>> B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
7. NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour, aceta-
minophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects
from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape
.:Ans>> D) Nasal cannula.
E) Flow meter.
,8. NGN: states, I am feeling extremely anxious right now. The client has de-
creased breath sounds in the left lower low. His mucus membranes are dry.
He has a productive cough with thick, yellow secretions. His capillary refill is
four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory
rate 28 breaths per minute, blood pressure 145/89, oxygen saturation 90% on
room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough
.:Ans>> Cardiovascular: capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
9. NGN: The client is a 49-year-old male who reports flu like symptoms in-
cluding fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
medical or surgical history.
The nurse should place the client in a position to promote
, .:Ans>> Semi-Fowler , lung expansion.
10. NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal saline
150 ML per hour, acetaminophen 350mg PO every six hours for temp greater
than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater
than 94%.
(mark whether the statements by the new grad nurse indicate understanding
or no understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
