HESI EXIT RN VERSION Exam WITH 160 Questions AND ANSWER
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Course
HESI EXIT RN
Institution
HESI EXIT RN
HESI EXIT RN VERSION Exam
WITH 160 Questions AND ANSWERS
The nurse in the same day surgery unit assigns the unlicensed assistive
personnel (UAP) to give a 1000 ml soap solution enema (SSE) to a client
scheduled for an abdominal hysterectomy. Which statement by the nurse is
most appropriat...
The nurse in the same day surgery unit assigns the unlicensed assistive
personnel (UAP) to give a 1000 ml soap solution enema (SSE) to a client
scheduled for an abdominal hysterectomy. Which statement by the nurse is
most appropriate? - ANSWER-"Slow the flow of the solution if cramping
occurs."
An RN from the women's health clinic is temporarily reassigned to a
medical-surgical unit. Which of these client assignments would be most
appropriate for this nurse? - ANSWER-A client from a motor vehicle
accident with an external fixation device on the leg
Which client data should the nurse act upon when a home health aide calls
the nurse from the client's home to report these items? - ANSWER-The
urine in the urinary catheter bag is of a deeper amber, almost brown color
A client is receiving an intravenous (IV) infusion for pain control. When
caring for this client, which one of these actions can the RN safely assign to
an unlicensed assistive personnel (UAP)? - ANSWER-Assist the client with
ambulation and a gown change
,2|Page
A practical nurse (PN) from the pediatric unit is assigned to work in a
critical care unit. Which client assignment would be appropriate? -
ANSWER-A 35 year-old client in balanced traction admitted 6 days ago
after a motor vehicle accident
A 25 year-old client, unresponsive after a motor vehicle accident, is being
transferred from the hospital to a long term care facility. To which o staff
members should the charge nurse assign the client? - ANSWER-RN
Which statement by the nurse is appropriate when giving an assignment to
an unlicensed assistive personnel (UAP) to ambulate a client for the first
time after a colon resection? - ANSWER-"Have the client sit on the side of
the bed before helping the client to walk."
A charge nurse working in a long term care facility is making out
assignments. Which assignment to an unlicensed assistive personnel
(UAP), if made by the nurse, requires intervention by the supervisor? -
ANSWER-Teaching a family intermittent (bolus) feedings via G-tube before
discharge
Which task for a client with anemia and confusion could the nurse delegate
to the unlicensed assistive personnel (UAP)? - ANSWER-Test stool for
occult blood and urine for glucose
,3|Page
Which one of these tasks can be safely delegated to a PN? - ANSWER-
Provide stoma care for a client with a well functioning ostomy
The nurse assigns an unlicensed assistive personnel (UAP) to care for a
client with a musculoskeletal disorder. The client ambulates with a leg
splint. Which task requires supervision of the UAP? - ANSWER-Monitor the
client's response to ambulatory activity
Which of these clients would be most appropriate to assign to a PN? -
ANSWER-A client with hemiplegia is fed by a nasogastric tube and client
with a left leg amputation in rehabilitation
A client has had a tracheostomy for 2 weeks after a motor vehicle accident.
Which task could the RN safely delegate to unlicensed assistive personnel
(UAP)? - ANSWER-Perform routine tracheostomy dressing care
Which of these clients would be appropriate to assign to a PN? - ANSWER-
An elderly client with cystitis and an indwelling urethral catheter.
Two people call in sick on the medical-surgical unit and no additional help
is available. The team consists of an RN, an LPN and an unlicensed
assistive personnel (UAP). Which of these activities should the nurse
, 4|Page
assign to the UAP? - ANSWER-Provide basic hygiene care to all clients on
the unit
During the interview of a prospective employee who just completed the
agency orientation, which approach would be the best for the nurse
manager to use to assess competence? - ANSWER-Let's review your skills
check-list for type and level of skill.
An unlicensed assistive personnel (UAP), who usually works in pediatrics is
assigned to work on a medical-surgical unit. Which one of the questions by
the charge nurse would be most appropriate prior to making delegation
decisions? - ANSWER-"Do you have your competency checklist that we
can review?"
The measurement and documentation of vital signs is expected for clients
in a long term facility. Which staff type would it be a priority to delegate
these tasks to? - ANSWER-Unlicensed assistive personnel (UAP)
The RN delegates the task of taking vital signs of all the clients on the
medical surgical unit to an unlicensed assistive personnel (UAP). Specific
written and verbal instructions are given to not take a post-mastectomy
client's blood pressure on the left arm. Later as the RN is making rounds,
the nurse finds the blood pressure cuff on that client's left arm. Which of
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