Exam (elaborations)

HESI 799 RN EXIT EXAM 2024/2025

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HESI 799 RN EXIT

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hesi 799 rn exit exam

Institution HESI 799 RN EXIT
Course HESI 799 RN EXIT

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HESI 799 RN EXIT EXAM 2024/2025

A 10 year old who has terminal brain cancer asks the nurse, "What will
happen to my body when I die?" How should the nurse respond?

a. "Your mother & father will be here soon. Talk to them about that."
b. "Why do you want to know about what will happen to your body
when you die?"
c. "The heart will stop beating & you will stop breathing."
d. "Are you concerned about where your spirit will go?" - Precise
Answer ✔✔"The heart will stop beating & you will stop breathing."

A 12 year old client who had an appendectomy two days ago is
receiving 0.9% normal saline at 50 ml/hour. The client's urine specific
gravity is 1.035. What action should the nurse implement?

a. Evaluate postural blood pressure measurements
b. Obtain specimen for uranalysis
c. Encourage popsicles and fluids of choice
d. Assess bowel sounds in all quadrants - Precise Answer ✔✔Encourage
popsicles and fluids of choice

,Rationale: specific gravity of urine is a measurement of hydration status
(normal range of 1.010 to 1.025) which is indicative of fluid volume
deficit when Sp Gr increases as urine becomes more concentrated.

A 13 years-old client with non-union of a comminuted fracture of the
tibia is admitted with osteomyelitis. The healthcare provider collects
home aspirate specimens for culture and sensitivity and applies a cast to
the adolescent's lower leg. What action should the nurse implement
next?

a. Administer antiemetic agents
b. Bivalve the cast for distal compromise
c. Provide high- calorie, high-protein diet
d. Begin parenteral antibiotic therapy - Precise Answer ✔✔d. Begin
parenteral antibiotic therapy

Rationale: The standard of treatment for osteomyelitis is antibiotic
therapy and immobilization. After bond and blood aspirate specimens
are obtained for culture and sensitivity, the nurse should initiate
parenteral antibiotics as prescribed.

A 154 pound client with diabetic ketoacidosis is receiving an IV of
normal saline 100 ML with regular insulin 100 units. The healthcare
provider prescribes a rate of 0.1 units/kg/hour. To deliver the correct
dosage, the nurse should set the infusion pump to Infuse how many
ml/hour? enter numeric value only

,7 - Precise Answer ✔✔7
Rationale: Convert the client's weight to kg, 2.2 pound: 1 kg:: 154
pounds: x kg = 154/2.2 = 70kg. Calculate the client infusion rate, 0.1 x
70 kg = 7 units/hour. Using the formula, D/H x Q = 7 units/hour / 100
units x 100 ml = 7ml / hour

A 16-year-old adolescent with meningococcal meningitis (83) is
receiving a continuous IV infusion of penicillin G, which is prescribed
as 20 million units in a total volume of 2 liters of normal saline every 24
hr. The pharmacy delivers 10 million units/ liters of normal saline. How
many ml/hr should the nurse program the infusion pump? (Enter
numeric value only. If rounding is required, round to the nearest whole
number.)

83 - Precise Answer ✔✔Answer 83

Rationale: 1000 ml-----12hr.
1000/12 = 83.33

A 16-year-old male is admitted to the pediatric intensive care unit after
being involved in a house fire. He has full thickness burns to his lower
torso and extremities. Before a dressing change to his legs, which
intervention is most important for the nurse to implement?

a- Encourage the parents to stay at the bedside
b- Use distraction techniques to reduce pain.
c- Maintain strict aseptic technique

, d- Place a drape over the pubic area. - Precise Answer ✔✔c. Maintain
strict aseptic technique.

A 17-year -old male is brought to the emergency department by his
parents because he has been coughing and running a fever with flu-like
symptoms for the past 24 hours. Which intervention should the nurse
implement first?

a. Place a mask on the client's face. - Precise Answer ✔✔Place a mask
on the client's face.

A 2-year-old girl is brought to the clinic for a routine assessment and all
findings are within the normal limits. However, the mom expresses
concern over her daughter's protruding abdomen and tells the nurse that
she is worry that her child is becoming overweight. How should the
nurse respond to the mother's comment?

a- Tell the mother to keep a twenty- four-hour food diary for the child.
b- Explain that a protruding abdomen is typical for toddlers.
c- Discuss way to increase the child's daily activity level
d- Ask the mother is she has weight problems when she was a child. -
Precise Answer ✔✔b. Explain that a protruding abdomen is typical for
toddler

A 2-year-old is bleeding from a laceration on the right lower extremity
that occurred as the result of a motor vehicle collision. The nurse is

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