HESI RN EXIT, HESI NURSING EXAM, RN
EXIT EXAM QUESTIONS, NCLEX PREP,
CLINICAL JUDGMENT TE ST, HESI
ANSWERS, NURSING EXIT EXAM
Question: The nurse assumes care of a postoperative adult
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?
Correct Answer: A. Assess for signs of fluid volume deficit
Question: 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?
Correct Answer: A. Encourage the client to obtain a
complete physical exam, since these symptoms are consistent with an ulcer
Question: 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?
Correct Answer: D. Increase the infusion rate of Lactated
Ringer’s solution
Question: 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 solution as 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: 18 mL/hr
Question: An adult male who fell 20 feet from the roof of his
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 - 10cm 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?
Correct Answer: A. Add sterile water to the suction control
chamber
Question: 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 imminent because their two adult children want to be there when he dies. Which is the best response by the nurse?
Correct Answer: B. Explain that the client will start to lose
consciousness and the body systems will slow down
Question: The charge nurse of a critical care unit is informed
at the beginning of the shift that less than 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)?
Correct Answer: D. An 82-year-old client with Alzheimer’s
disease and a newly-fractured femur who has a Foley catheter and soft wrist restraints applied
Question: The nurse is preparing a dose of 60 mcg of
teriparatide. The medication is labeled “750 mcg/2.4mL”.How many mL should the nurse administer? Round to nearest tenth.
Correct Answer: 0.2 mL
Question: In caring for a client with Cushing’s Syndrome,
which serum laboratory value is most important for the nurse to monitor?
Correct Answer: C. Glucose
Question: 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?
Correct Answer: C. Begin supplemental oxygen
Question: When caring for a client with full thickness burns
to both lower extremities, which assessment findings warrant immediate intervention? Select all that apply
Correct Answer: B. Complaint of increased pain and
pressure, C. Change in the quality of the peripheral pulses, D.Loss of sensation to the left lower extremity
Question: 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?
Correct Answer: D. Skin tenting occurs when the client’s
forearm is pinched
Question: The healthcare provider prescribes
methylergonovine maleate for a postpartum client with