HESI RN EXIT EXAM V3 2022
REAL EXAM SCREENSHOTS(INEF)
UPDATED 2024
REAL PROCTORED EXAM
100% VERIFIED 160 QUESTIONS AND ANSWERS
GURENTEED A+
... [Show More] SOLUTIONS
1. 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/hour IV. One hour after admission to
the unit, the nurse notes 300 mL 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 finding to the surgeon. Which action
should the nurse implement first?
Increase the infusion rate of Lactated Ringer's
solution.
2. an adult male who fell 20 feet from the roof of this home has multiple
injuries, including a right pneumothorax. Chest tubes were inserted in the
emergency department prior to his transfer to the intensive care unit
(ICU). the nurse notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with 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?
Add sterile water to the suction control chamber.
3. A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory
rate 36 breaths/minute. The client is manifesting shortness of breath,
bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%.
Which action should the nurse take first?
Begin supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal
cortical supplementation. Based on the client's admitting diagnosis, which
findings require immediate action by the nurse? (Select all that apply) -
Headache and tremors
Irregular heart rate
pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration.
Which assessment finding is the best indicator of hydration that the nurse
should report to the healthcare provider?
Skin tenting occurs when the client's forearm is
pinched.
6. After an inservice about electronic health record (EHR) security and
safeguarding client information, the nurse observes a colleague going
home with printed copies of client information in a uniform pocket. Which
action should the nurse take?
File a detailed incident report with the specific
hiring facility.
7. The nurse is evaluating a tertiary prevention program for clients with
cardiovascular disease implemented in a rural health clinic. Which
outcome indicate the program is effective?
Clients who incurred disease complications
promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive pulmonary
disease (COPD) who uses oxygen at 2 L/minute per nasal cannula
continuously. The nurse observes that the client is having increased
shortness of breath with respirations at 23 breaths/minute. Which action
should the nurse implement first?
Assess the delivery mechanism of the oxygen tank,
tubing, and cannula. [Show Less]