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HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS WITH RATIONALE
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HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS WITH RATIONALE
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HESI RN 2024 EXIT EXAM1. When preparing to administer a prescribed medication to a homeless
client at a community psychiatric clinic. The client tells the nurse that the
usual dosage taken is different from the dose the nurse is giving. Which
action should the nurse take?
A) Inform the client that he may refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.: B) Withhold the medication until the dosage
can be confirmed.
2. The charge nurse is making assignments for one practical nurse and
,three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to
170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from
10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.: B)
Viral meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider pre-
scribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
,A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.: A) Maintain strict intake and output.
4. And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization, the
nurse asked the client to meet with the treatment team. After the team
meeting, the client leaves in tears and goes to their room. Which nursing
intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
, C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.: D) Go to the clients
room and ask what happened.
5. The healthcare provider prescribes dalteparin 200 units per kilogram sub-
cutaneous once a day for a client who weighs 154 pounds. The medication
is available and 25,000 units per milliliter vial. How many milliliters should
the nurse administer? (Enter numerical value only. If rounding is required,
round to the nearest 10th.): 0.6
6. NGN: The client is a 49-year-old male who reports flu like symptoms in-
cluding fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no
significant medical or surgical history.
Which two orders should the nurse complete first?
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