HESI Comprehensive RN Exam

HESI Comprehensive RN Exam

VERSION 13

• A nurse at an

urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina Floating dark spots

• infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to

report to provider 1 / 2

Irritability when being held. signifies increased ICP

• Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first?

A 10-year old child who is awaiting surgery for an appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a ruptured appendix.

• Community health nurse providing teaching on home safety for older adults

Have grab bars installed around your bathtub and toilet.

• School age child with scald burns on both hands and wrists suspected abuse

Contact child protective services.

• Client who has acute blood loss following trauma refuses potentially life saving blood transfusion

Explore the client's reasons fro refusing the treatment

• Discussing common prenatal discomfort 20 weeks gestational

I will wear a supportive bra overnight

• Discharge instructions to client to received home oxygen therapy

Wear clothing made with cotton fabrics while oxygen is in use.

• Preparing an educational session about advocacy to a group of nurses

Advocacy is a leadership role that helps others to self actualize

• Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and

decreased urinary output Irrigate the catheter with 0.9% sodium chloride irrigation

• Child with sickle cell anemia and is having a vaso-occlusive crisis

Infuse IV fluids

• Client teaching about the basal body temp method for birth control

Your body temperature might decrease slightly just prior to ovulation

• Caring for a client who is unconscious and requires emergency medical procedures. Unable to locate

family to obtain consent Proceed with provision of medical care

• Client who has fluid volume overload. Which tasks can nurse delegate to UAP
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