HESI EXIT RN EXAM LATEST VERSION 2022/RN EXIT HESI EXIT
EXAM REAL EXAM QUESTIONS AND ANSWERS
| BRAND NEW SIMPLIFIED VERSION
The nurse assumes care of
... [Show More] a postoperative adult client with type 2 diabetes mellitus andl earns 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 characteristicsC.
Measure the level of acute pain
D. Determine when the client last ate –
CORRECT ANSWER-A. Assess for signs of fluidvolume 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 changesin 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 completephysical 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/hrIV. 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
D. Increase the infusion rate of Lactated Ringer's solution -
CORRECT ANSWER-D.Increase the infusion rate of Lactated
Ringer's solution
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus
dose of 80 units/kg, the nurse calculates the infusion rate for the heparin solutionas 18
units/kg/hour. The available solution is Heparin Sodium 25,000 Units in 5% Dextrose Injection
250 mL. The nurse should program the infusion pump to deliver how many mL/hour?
- CORRECT ANSWER--1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/h
An adult male who fell 20 feet from the roof of his home has multiple injuries, including aright
pneumothorax. Chest tubes were inserted in the emergency department prior to histransfer to the intensive
care unit (ICU). The nurse notes that the suction control chamber is bubbling at the -10cm H2O mark, which
fluctuation in the water seal, and over the past hour 75 mL of bright red blood is measured in the collection
chamber.
Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusionC.
Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal
- CORRECT ANSWER-A.Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife approaches the
nurse and asks how she will know that her husband's death is imminentbecause their two adult
children want to be there when he dies. Which is the best response by the nurse?
A. Gather information regarding how long it will take for the children to arrive
B. Explain that the client will start to lose consciousness and the body systems will slowdown
C. Reassure the spouse that the healthcare provider will notify when to call the childrenD. Offer
to discuss the client's health status with each of the adult children
- CORRECTANSWER-B. Explain that the client will start to lose consciousness and the body
systems will slow down
The charge nurse of a critical care unit is informed at the beginning of the shift that lessthan the
optimal number of registered nurses will be working that shift. In planning assignments, which
client should receive the most care hours by a registered nurse (RN)?
A. A 48-year-old marathon runner with a central venous catheter who is experiencingnausea
and vomiting due to electrolyte disturbance following a race
B. A 34-year-old admitted today after an emergency appendectomy who has a
peripheral intravenous catheter and a Foley catheter
C. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving oxygenvia
nasal cannula and has a saline-locked peripheral intravenous catheter
D. An 82-year-old client with Alzheimer's disease and a newly-fractured femur who hasa Foley
catheter and soft wrist restraints applied
- CORRECT ANSWER-D. An 82-year-old client with Alzheimer's disease and a newlyfractured femur who has a Foley catheter and soft wrist restraints applied [Show Less]