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BS1343 HESI EXIT RN EXAM - UPDATED
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BS1343 HESI EXIT RN EXAM
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BS 1343 HESI EXIT RN EXAM1. The nurse is caring for a client being treated for Vancomycin Resistant
Enterococcus (VRE). The nurse should place the client on
(a) contact precautions
(b) droplet precautions
(c) protective precautions
(d) airborne precautions
2. The nurse is caring for a client with a Vancomycin Resistant Enterococcus (VRE)
wound infection. Which of the following actions would be appropriate for the nurse
to take?
(a) Wear a particulate respirator mask when providing wound care
(b) Instruct visitors not to bring fl owers into the client’s room
(c) Place the client in a private room with negative air pressure
(d) Wear a disposable gown when changing the client’s dressing
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,3. The nurse should initiate protective precautions for a client who has a
(a) Red Blood Cell Count (RBC) of 3,900/mm3
(b) Platelet count of 400,000μ/L
(c) Hemoglobin (Hgb) 9.0 g/dl
(d) White Blood Cell Count (WBC) 2,500/mm3
4. The nurse has provided health promotion teaching for a group of clients who were
recently diagnosed with the Human immunodefi ciency virus (HIV). Which
statement, if made by one of the clients, would require further teaching?
(a) “I am glad that I can still clean my parakeet’s cage.”
(b) “I will not go to the parade this weekend.”
(c) “I will increase protein in my diet.”
(d) “I will miss not being able to work in my garden.”
5. The nurse in the emergency department is caring for clients admitted following
a rescue from a burning bus. The nurse should fi rst see the client who
(a) has the tibia bone protruding through the skin and is in severe pain
(b) has third degree burns of the left foot and is crying
(c) is unconscious, pulseless, and has dilated pupils
(d) has soot on the face and the nares and is coughing
6. A nurse is observing a newly-hired nurse provide care for assigned clients. The
nurse should follow up if the newly-hired nurse is observed
(a) wearing gloves when taking the blood pressure of a client with
disseminated varicella zoster
(b) cleansing the wound from the outer surface to the inner surface for a client whose
wound is infected with a multi-drug resistant organism
(c) washing the hands with the fi ngertips pointed downward before providing care for
a client on protective precautions
(d) removing the gloves before removing the gown when leaving a room of a client
who is on contact precautions
7. The nurse is caring for a client who has been diagnosed with rheumatoid arthritis.
The nurse should anticipate that the client will initially be prescribed
(a) Disease-modifying rheumatic agents (DMARDs)
(b) Nonselective anti-infl ammatory drugs (NSAIDs)
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, (c) Long-term corticosteroids
(d) Biologic Response Modifi ers
8. The nurse is assessing a 2-month-old-infant at a well baby clinic. The nurse should
anticipate the infant should
(a) roll from prone to back
(b) have no head lag
(c) smile socially
(d) have no tonic neck refl ex
9. The nurse is teaching a class on infant nutrition. The nurse should instruct parents to
introduce (a) fruit juices at 3 months
(b) honey sweetened water at 6 months
(c) pureed chicken at 7 months
(d) whole milk at 9 months
10.The nurse is caring for a 7-year-old who has thrombocytopenia and is on protective
precautions. Which of the following would be an appropriate toy for the nurse to
provide to the client?
(a) Finger paints and paper
(b) A rubber ball and bat
(c) A board game
(d) A stuffed toy
11.The nurse on a pediatric unit has been informed that the following clients are being
admitted. The nurse should fi rst plan to assess the client who is* (a) 2 years old, has a
temperature of 100.8 F and a blood pressure of 68/44
(b) 4 years old with a history of asthma and has a peak expiratory fl ow rate (PERF)
of 81%
(c) 5 years old, has a fracture of the tibia and is reporting pain rated 7 on a pain
scale of 0 (no pain) to 10 (severe pain)
(d) 7 years old with ulcerative colitis and has had 15 blood tinged stools today
12.The nurse is providing discharge instructions to the parents of an infant who has a
cleft lip. The nurse should instruct the parents to
(a) place the infant in a prone position after each feeding
(b) encourage the parents to provide the infant rest periods during feedings
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, (c) regularly offer the infant a pacifi er to enhance the sucking refl ex
(d) elevate the child’s head forty fi ve degrees during feeding
13. The nurse is assessing a 3-year-old during a well-child visit. During the visit
the boy says to his mother, “Mommy, I love you. I’m going to marry you.” The
nurse should
(a) suggest to the mother not to encourage these types of statements
(b) explain to the child that he will not be able to marry his mother even though he
loves her
(c) tell the mother that this statement is appropriate for his stage of development
(d) recommend that the mother provide more opportunities for her son to play
with other 3-year-old boys
14. The nurse is assessing a child with coarctation of the aorta. Which of the
following would be an expected fi nding?
(a) diminished blood pressure in the upper extremities
(b) excessive weight gain
(c) high pitched murmur
(d) absence of femoral pulses
15. The nurse is caring for a child with an acyanotic heart defect. Which of
the following would be an expected fi nding. Select all that apply.
(a) poor suck refl ex
(b) tachycardia
(c) increased respiratory rate
(d) bradycardia
(e) fainting spells
(f) delayed growth and development
16. The nurse is teaching a new mother about immunizations. Which of the following
should the nurse include in the teaching?
(a) “Your baby should wait six months to receive any immunizations since the
baby was born preterm.”
(b) “Your baby will receive the fi rst hepatitis B vaccine after one year of age.”
(c) “Acellular Pertussis vaccine has less side effects than whole-cell
pertussis vaccine.”
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