HESI NURSING EXIT EXAM 2024-2025 QUESTIONS AND CORRECT
VERIFIED ANSWERS /100% PASS SOLUTION / ALREADY GRADED A+
The ED nurse is assessing a pt with a vesicular rash as a result of suspected smallpox exposure. Which of
the following transmission precautions would be most appropriate for this pt? - answer>>All of them:
Standard, Airborne, Contact, Droplet
The nurse is caring for a pt in shock of unknown etiology & observes V-FIB on the cardiac monitor. What
is the nurse's first priority intervention? - answer>>SHOCK ME! Defibrillate the pt with 360 joules of
energy
What nursing action has the highest priority when admitting a pt to a psychiatric unit on an involuntary
basis? - answer>>Determine the behaviors that resulted in the need for the pt's admission; i.e., danger
to self or others
Informed consent must meet the following criteria: - answer>>+pt is competent & of legal age +legal
sexual age is 13
+the pt understands the procedure, risks & benefits, & alternative procedures
+the RN is witnessing the signature
+all questions the pt has about the procedure are the responsibility of the HCP who will perform the
procedure
The nurse enters the room of a preoperative pt to obtain the pt's signature on the surgical consent form.
Which question is most important to ask the pt? - answer>>Have you received any preoperative pain
medication?
Which assignment should the nurse delegate to a UAP in an acute care setting? - answer>>Taking VS for
an older pt with left humeral & left tibial fractures
The charge nurse confronts a staff nurse whose behavior has been resentful & negative since a change
in unit policy was announced. The staff nurse states, "Don't blame me; nobody likes this idea." What is
the charge nurse's priority action? - answer>>Encourage the nurse to be accountable for her own
behavior
The charge nurse is making assignments for each of 4 staff members, including an RN, an LPN, & 2 UAPs.
Which task is best assigned to the LPN? - answer>>Perform sterile wound irrigation
Which situation warrants a variance (incident) report by the nurse? - answer>>Pt A received medication
prescribed for Pt B
,A nurse is preparing for a change of shift. Which action by the RN is characteristic of ineffective handoff
communication? - answer>>During rounds, the nurse talks about the problem the UAP created by not
performing a fingerstick blood glucose
The nurse is planning pt assignments for the shift. The care team includes an RN, an LPN,& a UAP. Which
pts could be assigned to the LPN? - answer>>+A pt scheduled for a STAT X-ray after a fall on his hip
+A pt with a pressure ulcer who was prescribed negative pressure care (wound VAC)
A charge nurse is making assignments for 5 pts; The nursing team has an RN, an LPN, and 2 UAPs. Which
pts would be assigned to the RN? - answer>>+A pt from the previous shift with unstable angina
+A cardiotomy pt who is day 2 Post-op & has chest tubes
A 72-yo pt returned from surgery 6 hours ago. The pt received hydromorphone 2 mg IV 30 minutes ago
for a pain rating of 8/10. A family member requested that her father be checked immediately. Upon
arrival to the pt's room, you find the pt difficult to arouse, & a RR = 6. What is the priority nursing
action? - answer>>Administer Naloxone 0.4 mg IVP
A nurse auscultates the abdomen of a pt who is 48 hours Post-op & finds hypoactive BS. The pt states he
is nauseous. The nurse knows the pt might be experiencing a ____________________ _____________ -
answer>>paralytic ileus
In the pt's Pre-op interview & assessment, what would the nurse be most concerned with? -
answer>>+pt did not adhere to NPO orders
+pt took his OTCs that morning which included ASA and Vitamin E
+pt did not sign the surgical consent form
+pt does not know his allergies
How should a nurse assess a pt immediately Post-op? - answer>>+1st PULMONARY
+2nd VTEs
+3rd Bowel Sounds
+4th CHK Foley
+5th CHK Wound for dehiscence or evisceration
+Upon awakening Assess pt's PAIN level
+Monitor for s/sx of SHOCK
The nurse's Pre-operative teaching to a pt about to undergo surgery would include? - answer>>+Pre-op
checklist +diet restrictions
, +specific pre-procedure prep
+cough/deep breathe
+incentive spirometer
+turning
+SCDs
+methods of pain control
+plan of care
+expected outcome
The maximum recommended dosage for Tylenol (Acetaminophen) is 4,000 mg in 24 hours. What is its
antidote? - answer>>Acetylcysteine
List some causes of Hypervolemia or ECF fluid volume excess - answer>>Heart failure, aldosterone
excess, glucocorticoid excess, oliguric renal disease, cirrhosis, DEC BUN & H and H
List some causes of Hypovolemia or ECF fluid volume deficit - answer>>Inadequate fluid intake, blood or
plasma loss, hemorrhage, burns, vomiting, diarrhea, adrenal insufficiency (deficiency of aldosterone &
cortisol), INC BUN & H and H
Which laboratory result for a Pre-op pt would prompt the nurse to contact the HCP? - answer>>Serum
K+ level at 2.8 mmol/L
A pt is receiving an infusion of dobutamine hydrochloride. The order reads: infuse dobutamine IV at 5
mcg/kg/min., 500 mg in 250 mL D5W. The pt weighs 65 kg. Calculate the flow rate in mL/hr. -
answer>>9.75 mL/hr
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