HESI RN EXIT EXAM QUESTIONS WITH

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HESI RN EXIT EXAM QUESTIONS WITH

ALL CORRECT AND VERIFIED ANSWERS

PASS GUARANTEE SATISFACTION

• A client who is homebound and is receiving continuous feedings through a

gastrostomy tube report experiencing frequent diarrhea. Which instructions should the nurse provide?

• Decrease the rate at which the feeding is given.
• Do not allow the feeding to sit at room temperature.
• Increase the concentration of the feedings.
• Elevate the head of the bed to ninety degrees.

Correct Answer: A. Decrease the rate at which the feeding is given.

• The nurse is preparing a client who had a below-the-knee (BKA) amputation

for discharge to home. Which recommendation(s) should the nurse provide this client? Select all that apply.

• Avoid range of motion exercises
• Wash the residual limb with soap and water
• Use a residual limb shrinker
• Inspect skin for redness.
• Apply alcohol to the residual limb after bathing

Correct Answer:

• Wash the residual limb with soap and water

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• Use a residual limb shrinker
• Inspect skin for redness.
• Following laser trabeculoplasty surgery for open-angle glaucoma, the client

reports acute pain deep within the eye. Which action should the nurse take?• A Report the eye pain to the surgeon.• B Administer an antiemetic to prevent vomiting.• C Apply bilateral eye shields to reduce photosensitivity.• D Begin postoperative prophylactic antibiotics.

Correct Answer: • A Report the eye pain to the surgeon.

• An unlicensed assistive personnel (UAP) leaves the unit without notifying the

staff. In which order should the unit manager Implement these Interventions address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Choices:

Evaluate the UAP for signs of improvement.Discuss the issue privately with the UAP Plan for scheduled break times.Note date and time of the behavior.

Correct Answer (In Order):

• Note date and time of the behavior.
• Discuss the issue privately with the UAP
• Plan for scheduled break times
• Evaluate the UAP for signs of improvement.

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• A female client with a history of heart failure (HF) arrives at the clinic after

what she describes as a very long trip. Following the initial physical assessment and chart review, which priority action should the nurse implement?• A Reteach medication regimen.• B Give a potassium supplement.• C Administer the prescribed diuretic.• D Auscultate lung and heart sounds

Correct Answer: • D Auscultate lung and heart sounds

• A client who is receiving zidovudine reports the appearance of pinpoint, red,

round spots on the skin. Which result should the nurse report to the healthcare provider (HCP)?• A Complete blood count.• B Skin biopsy.• C Electromyography.• D Allergy test.

Correct Answer: • A Complete blood count.

• An older adult client is receiving a second unit of packed red blood cells

(PRBCs) when the nurse enters the room and finds the client sitting up in bed.The client is dyspneic and seems confused. Lung auscultation reveals crackles in the bases of both lungs. Vital sign measurement reveals a rapid, bounding pulse and elevated blood pressure. After discontinuing the transfusion, which intervention should the nurse implement?• A Monitor for hives and pruritus • B Obtain a urine specimen.

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• C Send the PRBC bag and blood tubing to the blood bank • D Keep the IV access line intact for diuretic administration.Correct Answer: • D Keep the IV access line intact for diuretic administration.

• The home care nurse provided self care instructions for a client with chronic

venous insufficiency caused by deep vein thrombosis. Which instruction(s) should the nurse include in the client's discharge teaching plan? Select all that apply.A Use recliner for long periods of sitting.B Continue wearing compression stockings.C Cross legs at knee but not at ankle.D Avoid prolonged standing or sitting.E Maintain the bed flat while sleeping.

Correct Answer:

• Continue wearing compression stockings
• Avoid prolonged standing or sitting.
• A young adult female presents at the emergency department (ED) with acute

lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider (HCP)?• A Reports white, curdy vaginal discharge.• B History of irritable bowel syndrome (IBS).• C Last menstrual period was 7 weeks ago.• D Pain scale rating of a 9 on a 0 to 10 scale.

Correct Answer: • C Last menstrual period was 7 weeks ago.