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HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND V6 AND STUDY GUIDE | ACCURATE REAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES | VERIFIED FOR GUARANTEED PASS $43.89
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HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND V6 AND STUDY GUIDE | ACCURATE REAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES | VERIFIED FOR GUARANTEED PASS
HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND
V6 AND STUDY GUIDE | ACCURATE REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
| VERIFIED FOR GUARANTEED PASS
HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND
V6 AND STUDY GUIDE | ACCURATE REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
| VERI...
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HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND
V6 AND STUDY GUIDE | ACCURATE REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
| VERIFIED FOR GUARANTEED PASS
A client's infusion of normal saline infiltrated earlier today, and
approximately 500 ml of saline infused into the subcutaneous tissue. The
client is now complaining of excruciating arm pain and demanding
"stronger pain medications". What initial action is most important for the
nurse to take?
a. Ask about any past history of drug abuse or addiction.
b.Measure the pulse volume and capillary refill distal to the infiltration.
c. Compress the infiltrated tissue to measure the degree of edema.
d.Evaluate the extent of ecchymosis over the forearm area.
ANS B - Measure the pulse volume and capillary refill distal to the
infiltration. Pain and diminished pulse volume (B) are signs of compartment
syndrome, which can progress to complete loss of the peripheral pulse in
the extremity. Compartment syndrome occurs when external pressure
(usually from a cast), or internal pressure (usually from subcutaneous
infused fluid), exceeds capillary perfusion pressure resulting in decreased
blood flow to the extremity.
A nurse is administering medications through a nasogastric tube (NGT) which
is connected to suction. After ensuring correct tube placement, what action
should the nurse take next?
a. Clamp the tube for 20 minutes
b.Flush the tube with water.
c. Administer the medications.
d.Crush the tablets and dissolve in sterile water.
ANS B - Flush the tube with water. The NGT tube should be flushed before,
after and in between each medication administered. (B). Once all medications
are administered, the NGT should be clamped for 20 minutes.
Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
A. Apply a condom catheter.
B. Apply a skin protectant.
C.Encourage increased fluid intake.
D. Assess for bladder distention.
ANS D - Assess for bladder distention. Urinary retention is the inability to
void all urine collected in the bladder, which leads to uncomfortable
bladder distension.
,HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND
V6 AND STUDY GUIDE | ACCURATE REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
| VERIFIED FOR GUARANTEED PASS
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a
rate of 30 mcg/min prescribed for a client in premature labor. How many
ml/hr should the nurse set the infusion pump?
A. 30
B. 60
C.120
D. 180
ANS D - 500mL/5mg x 1mg/1000mcg x 30mcp/1min x 60 min/hr. = 180mL/hr.
A client is receiving a cephalosporin antibiotic IV and complains of pain
and irritation at the infusion site. The nurse observes erythema, swelling,
and a red streak along the vessel above the IV access site. Which action
should the nurse take at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C.Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses.
ANS B - Initiate an alternate site for the IV infusion of the medication.
cephalosporin antibiotic that is administered IV may cause vessel
irritation. Rotating the infusion site minimizes the risk of thrombophlebitis,
so an alternate infusion site should be initiated. (b) before issuing the next
dose.
The nurse performing nasotracheal suctioning. After suctioning the client's
trachea for fifteen seconds, large amounts of thick yellow secretions return.
What action should the nurse implement next?
a. Encourage the client to cough to help loosen secretions.
b.Advise the client to increase the intake of oral fluids.
c. Rotate the suction catheter to obtain any remaining secretions.
d.Re-oxygenate the client before attempting to suction again.
ANS D - Re-oxygenate the client before attempting to suction again.
Suctioning should not be continued for longer than ten to fifteen seconds,
since the client's oxygenation is compromised during this time. (D) may be
performed after the client is re-oxygenated and additional suctioning is
performed.
Which assessment data would provide the most accurate determination of
proper placement of a nasogastric tube?
A. Aspirating gastric contents to assure a pH value of 4 or less.
B. Hearing air pass in the stomach after injecting air into the tubing.
,HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND
V6 AND STUDY GUIDE | ACCURATE REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
| VERIFIED FOR GUARANTEED PASS
C.Examining a chest x-ray obtained after the tubing was inserted.
D. Checking the remaining length of tubing to ensure that the correct
length was inserted. ANS C - Examining a chest x-ray obtained after
the tubing was inserted.
Examination of a client complaining of itching on his right arm reveals a
rash made up of multiple flat areas of redness ranging from pinpoint to 0.5
cm in diameter. How should the nurse
, HESI RN EXIT EXAM 2024 V1, V2, V3, V4, V5 AND
V6 AND STUDY GUIDE | ACCURATE REAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
| VERIFIED FOR GUARANTEED PASS
record this finding?
A. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm
to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C.Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5
cm in diameter. ANS B - Localized red rash comprised of flat
areas, pinpoint to 0.5cm in diameter.
The nurse is assigned to care for four clients. In planning client rounds,
which client should the nurse assess first?
a. A postoperative client preparing for discharge with a new medication.
b.A client requiring daily dressing changes of a recent surgical incision.
c. A client scheduled for a chest x-ray after insertion of a nasogastric tube.
d.A client with asthma who requested a breathing treatment during the
previous shift.
ANS - D A client with asthma who requested a breathing treatment during the
previous shift.
The nurse employed in an emergency department is assigned to triage
clients coming to the emergency department for treatment on the evening
shift. The nurse should assign priority to which client?
a. A client complaining of muscle aches, a headache, and history of
seizures.
b.A client who twisted her ankle when rollerblading and is requesting
medication for pain.
c. A client with a minor laceration on the index finger sustain while cutting an
eggplant.
d.A client with chest pain who states that he just ate pizza that was
made with a very spicy sauce.
ANS - D A client with chest pain who states that he just ate pizza that was
made with a very spicy sauce.
While triaging clients after an earthquake that has caused mass casualties,
the nurse notes that a client with a massive head injury does not respond
to stimulation and cannot breathe independently. Which color tag would be
given to the client?
a. Red
b.Black
c. Green
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