HESI Comprehensive RN Exam

HESI Comprehensive RN Exam

VERSION 10

• A nurse is caring for a client who is in active labor and requests pain management. Which of the

following actions should the nurse take? 1 / 4

• Administer ondansetron.
• Place the client in a warm shower.
• Apply fundal pressure during contractions.
• Assist the client to a supine position.

• a nurse in an emergency department is performing triage for multiple clients following a disaster

in the community. To which of the following types of injuries should the nurse assign the highest priority?

• Below-the knee amputation
• Fractured tibia
• 95% full-thickness body burn
• 10cm (4in) laceration to the forearm

• a nurse manager is updating protocols for the use of belt restraints. Which of the following

guidelines should the nurse include?

• Remove the client’s restraint every 4hr
• Document the client’s condition every 15 min
• Attach the restrain to the bed’s side rails
• Request a PRN restrain prescription for clients who are aggressive

• A nurse is teaching an in-service about nursing leadership. Which of the following information

should the nurse include about an effective leader?

• Acts as an advocate for the nursing unit.
• (Unable to read) for the unit
• Priorities staff request over client needs.
• Provides routine client care and documentation.

• A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports

that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care.

• Serum sodium 144 mEq/
• (Unable to read)
• Hba1c 10 %
• Random serum glucose 190 mg/dl.

• A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The

nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?

• Chlamydia
• Human papillomavirus
• Candidiasis
• Herps simplex virus 2 / 4

• A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a

group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching?

• Share personal opinions to help influence the group’s values
• Measure the accomplishments of the group against a previous group
• Yield in situations of conflicts to maintain group harmony
• Use modeling to help the clients improve their interpersonal skills

• A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that

(Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care?

• Provide chicken with cream sauce.
• Avoid serving fish with fins and scales.
• Provide unleavened bread.
• Avoid serving foods containing lamb.

• A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the

effectiveness of the treatment

• A chest x-ray reveals increased density in all fields.
• The client reports feeling less anxious.
• Diminished breath sounds are auscultated bilaterally
• ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.

• A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam

tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next.

• Monitor the client’s IV site for thrombophlebitis.
• Administer flumazenil to the client.
• Evaluate the client for further suicidal behavior.
• Initiate seizure precautions for the client.

• A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago.

Which of the following findings should the nurse expect?

• Hypotension
• Memory loss
• Slurred speech
• Elevated temperature

• A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the

following manifestations should the nurse expect?

• Loose stools
• Jitteriness
• Hypertonia 3 / 4

• Abdominal distention

• A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which

of the following findings should the nurse report to the provider?

• Hgb 12.5 g/dl
• Platelets 250,000/mm3
• Hct 40%
• WBC 14,000/mm3

• A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy

in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include?

• “The proxy should make health care decisions for the client regardless of the client’s ability

to do so.”

• “The proxy can make financial decisions if the need arises.”
• “The proxy can make treatment decisions if the client is under anesthesia.”
• “The proxy should manage legal issues for the client.”

• A nurse in the PACU is caring for a client who reports nausea. Which of the following actions

should the nurse take first?

• Turn the client on their side.
• Administer an analgesic
• Administer antiemetic
• Monitor the client’s vital signs.

• A nurse is caring for a client who has a history of depression and is experiencing a situational

crisis. Which of the following actions should the nurse take first?

• Confirm the client’s perception of the event
• Notify the client’s support system
• Help the client identify personal strengths
• Teach the client relaxation techniques

• A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The

nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take?

• Request a renewal of the prescription every 8 hr.
• Check the client’s peripheral pulse rate every 30 min
• Obtain a prescription for restraint within 4 hr.
• Document the client’s condition every 15 minutes.

• A
• / 4