PRACTICE Q'S NGN HESI EXIT EXAM, HESI WITH RATIONALE 12, STUDOC: HESI
EXIT RN V3 QUESTIONS REVISED EDITION
1. A mother runs into the emergency room with a toddler and tells the nurse that the child has some
type of chemical on their clothes. After assessing airway is patent, what it the next intervention the
nurse should take?
a. Assess for altered mental senosorium
b. Determine the type of chemical exposure
c. Obtain equipment for lavage
d. Call poision control - ANSWERS-b. Determine the type of chemical exposure
1. A patient was admitted for treatment of bipolar into the mental health unit. He exhibited signs and
symptoms of slightly slurred speech patterns. Which of the following would be crucial to report to the
HCP?
a. Lithium level of 1.6
b. Only 6 hours of sleep in the past 72 hrs
c. Weight loss of 15lb in the last two months
d. Blood alcohol level of 0.10 - ANSWERS-a. Lithium level of 1.6
1. A patient was admitted with the diagnosis of urolithiasis. Which finding is significant to report to the
HCP?
a. Voiding more than 300ml with each void
b. Elevating potassium
c. Relief of flank pain in the groin area
d. Hematuria beginning to turn pinkish - ANSWERS-B. Elevating potassium
,1. The nurse is planning care for a patient with JIA. The care plan includes activities that include to
strengthen and mobilize the joints and surrounding muscle. Which is the appropriate physical therapy
regimen?
a. Passive range of motion twice a day
b. Exercise in a swimming pool
c. Slint affect joints during movement
d. Begin a lifting weights and running - ANSWERS-b. Exercise in a swimming pool
1. A patient is immediately administered thrombolytic therapy following an MI. The client has a bowel
movement during this time. What is intervention that the nurse should do?
a. Observe stool for clay appearance
b. Obtain a culture for sensitivity analysis
c. Send sampel for guaiac test
d. Assess for fatty yellow streaks - ANSWERS-c. Send sampel for guaiac test
1. A patient is admitted into the ICU with a R. chest tube attached to Thora-Seal drainage system. The
nurse assses the patients and find them tachypenic with absent breath sounds in the right lung fields.
What additional s/s might the nurse find?
a. Continuous bubbling in the water-seal chamber
b. Tracheal deviation toward the left lung
c. Decreased bright red bloody drainage
d. Tachypeana with difficulty breathing - ANSWERS-b. Tracheal deviation toward the left lung
1. What conditions are mostly likely to respoind to treatment with antihistamines? (Select all that apply)
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ANSWERS-b. Allergic rhinitis
d. Contact dermatitis
,1. An older clients daughter call the home health nurse that her mother has become forgetful 3 days ago
and it has gotten worse. Which actions should the nurse take (Select all that apply)
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein and foods
c. Instruct the daughter to check her mothers temperature
d. Review the clients current food and medication allergies
e. Determine if the mother has recently fallen - ANSWERS-a. Ask if the mother is experiencing any pain
with urination
c. Instruct the daughter to check her mothers temperature
e. Determine if the mother has recently fallen
1. The nurse is assessing a male patient with a history of Addisons disease. The patient has flu like
symptoms and is extremely weak when he awake this morning. The patient is febrile and tachcardic.
Which of the following will the PCP prescribe?
a. Hypotonic saline solution at 100ml/hr until edema disappears
b. Hydrocortisone 100mg IV every 6 hours until systolic bp reaches 100.
c. Potassium chloride 20mEq IV to infue over two hours until confusion resolves
d. Regular insulin drip to keep BG around 100. - ANSWERS-b. Hydrocortisone 100mg IV every 6 hours
until systolic bp reaches 100.
1. A male patient with a history of mitral valve prolapse is admitted with a fever and dyspnea on
exertion. The nurse observes multiple areas of petechia on the client's skin. What interventions should
the nurse expect to implement? (select all that apply)
a. Monitor cardiac rhythm via tele
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmition precautions - ANSWERS-a. Monitor cardiac rhythm via tele
b. Report changes in pre-existing murmurs
e. Initiate contact transmition precautions
, 1. The nurse is planning an educational session for new parents on ways to prevent sudden infant death
syndrome. Which information is important to include?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles during naps and bedtime - ANSWERS-c. Position the infant in a supine position
while sleeping
1. The nurse notes that an older adult client has a moist cough and increase in severity after eating.
What intervention will the nurse implement?
a. Collect sputum culture immediately
b. Request a consultation to confirm dysphagia
c. Offer the client additional clear liquids frequently
d. Encourage client to do deep breathing exercises daily - ANSWERS-b. Request a consultation to confirm
dysphagia
1. A multiparous client who delivered her infant three hours ago asks to nurse to take warm shower.
What intervention should the nurse look to implement?
a. Use an analgesic spray to the perineal area to reduce pain
b. Apply an ice pack to the perinium for the first 24 hours
c. Teach the client how to practice Kegal exercises
d. Review the use of sitz bath equipment with the client - ANSWERS-d. Review the use of sitz bath
equipment with the client
1. When the parents of a 6 year old boy with a brain tumor are told of his condition, the mother yells at
the father," if this would have been found sooner he could've been cured!" Which intervention is the
best for the nurse to implement?
a. Refer the parents to the chaplain to provide grief counseling
b. Assure the parents that a terminal diagnosis was inevitable
c. Tell the parents that blaming each other will not change the situation
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