HESI EXIT RN EXAM |
April 2023 V2 ( Version 2 )
NEW FULL EXAM
Questions and Answers
Guaranteed A+.
The nurse assumes care of a postoperative adult
... [Show More] client with type 2 diabetes mellitus and
learns that the client has a current blood glucose level of 720 mg/dL. When assessing
the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - CORRECT ANSWER-A. Assess for signs of fluid
volume deficit
A male client tells the nurse that he is concerned that he may have a stomach ulcer,
because he is experiencing heartburn and dull gnawing pain that is relieved when he
eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these symptoms are
consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not
relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with changes
in his diet
D. Advise the client that he needs to seek immediate medical evaluation and treatment
of these symptoms - CORRECT ANSWER-A. Encourage the client to obtain a complete
physical exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following a total gastrectomy. He
has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hr
IV. One hour after admission to the unit, the nurse notes 300mL of blood in the suction
canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/48
mmHg. In addition to reporting the findings to the surgeon, which action should the
nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter [Show Less]