HESI RN COMPREHENSIVE EXIT EXAM

HESI RN COMPREHENSIVE EXIT EXAM

VERSION 13

• A nurse in a LTC facility notices a client who has Alzheimer’s disease standing at the

exit door at the end of the hallway. The client appears to be anxious & agitated.What action should the nurse take?

• A nurse is assisting with the plan of care for a client who has a continent urinary

diversion. Which intervention should the nurse plan to implement to facilitate urinary elimination?

• A nurse is assisting with an education program about car restraint safety for a group of

parents. Which statement by the parent indicates an understanding of the instructions?

• A nurse is reinforcing teaching about strategies to promote eating with a client who

has COPD. Which instructions should the nurse include in the teaching?

• When removing PPE after direct care for a client who requires airborne & contact

precautions, which PPE is removed first?

• A nurse is inspecting the skin of a newborn. Which finding should the nurse report to

the PCP?

• A nurse is contributing to a teaching plan for a group of male adolescents about the

A/E of anabolic steroid use. Which manifestations should the nurse include?

• A nurse is reinforcing teaching with an older adult client who has severe L-sided HF.

Which statement should the nurse make?

• A nurse in a LTC facility is documenting the care of an older adult client. Which

information should be included in weekly nursing care summary?

• A nurse is caring for a client who has a head injury. Using the Glasgow Coma Scale to

collect data, the nurse should obtain which information?

• A home health nurse is reinforcing teaching with a client about the use of elastic

stockings to decrease peripheral edema. Which instruction should the nurse include?

• A nurse is obtaining health hx from a client who is scheduled to undergo cardiac

catheterization in 2 days. Which questions is the priority for the nurse to ask?

• A nurse is planning to administer nystatin oral suspension to a client who has oral

candidiasis. Which instructions should the nurse give?

• A nurse is preparing to care for the assigned clients on her upcoming shift. Which time

management strategies should the nurse plan to use?

• After witnessing the consent, what action should the nurse take next?
• Which task should the nurse assign to an AP for a pt 2 days post-op ff Total knee

arthroplasty?

• A nurse is reinforcing teaching with a client who is receiving radiation therapy for

cancer of the larynx. Which statement made by the client indicates understanding of the teaching?

• A nurse is using FLACC scale to determine the level of pain for an 11-months-old infant 1 / 3

who sis port-op. Which factor should the nurse consider when using this pain scale?

• A nurse is collecting data from a 5YO child at a well-child visit. Parent reports that the

child is having frequent nightmares. Which statements by the parents indicates to the nurse that the child Is experiencing sleep terrors rather than nightmares?

• A nurse is assisting with the care of a school-age child immediately ff surgery. The

child weighs 21.8 kg (48 lb) & has a chest tube applied to suction. Which finding should the nurse report to PCP?

• A nurse is reinforcing teaching with an older adult client who has osteoarthritis. Which

instructions should the nurse include?

• A nurse is reinforcing teaching about managing manifestation of anxiety with a client

who has generalized anxiety disorder. Which information should the nurse include?

• A nurse in a LTC facility is collecting data form a client who has been receiving

betaxolol to treat glaucoma. Which findings is an A/E if this medication?

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• A nurse in an outpatient surgery center is reinforcing discharge teaching with a client

ff a lithotripsy for uric acid stones. Which instructions should the nurse plan to include?

• A nurse in a provider’s office is reinforcing teaching with a client who is to follow a

2,000 mg sodium-restricted diet. Which client food selections indicates understanding of the teaching?

• A nurse is preparing to perform a bladder scan for a client. Which action should the

nurse take?

• A nurse is contributing to the plan of care for a client who has a prescription for ROM

exercises of the shoulder. Which exercise should the nurse recommend promoting shoulder hyperextension?

• A nurse is collecting data from an older adult client who has a gastric ulcer. Which

finding should the nurse identify as a complication to report to the provider?

• A nurse is discussing the use of epidural analgesia with a newly licensed nurse. Which

statement by the newly licensed nurse indicates understanding of this method of pain control?

• A nurse is contributing to the plan of care for a client who is receiving continuous

bladder irrigation immediately ff a transurethral resection of the prostate (TURP).Which of the ff interventions should the nurse include?

• A nurse is caring for a client who is scheduled for a mastectomy the ff day. The client is

tearful & tells the nurse that she is not ready to have this procedure done at this time.What response should the nurse give?

• A nurse is collecting data from a school-age child who has hypoglycemia. What is the

manifestation to expect?

• A nurse is assisting with a community education program for parents of preschoolers

about recommended activities to promote physical development. Which of the ff statement should the nurse make? 2 / 3

• A nurse is collecting data from a client who has chronic pancreatitis and is receiving

pancrelipase. Which findings indicates the client is experiencing a therapeutic response to this medication?

• A nurse is caring for a client who is 12-hour post-op ff total knee arthroplasty. What

action should the nurse take?

• A nurse is reinforcing teaching regarding puberty with a group of prepubescent female

clients. Which information should the nurse include in the teaching?

• NO ORAL CONTARCEPTIVES for CAD
• A nurse is caring for a client who is at 34 weeks gestation and has mild preeclampsia.

Which finding indicates a progression from mild to severe preeclampsia?

• A nurse is reinforcing teaching with a client who has asthma & has a prescription of

theophylline. What statement should the nurse make?

40. A/E of metronidazole:

• A home health nurse is collecting data from an older adult client who has generalized

anxiety disorder. The client lives at home with her partner & sibling. Which responses by the client’s partner is the priority for the nurse to address?

• Patienthaving difficulty using eating utensils. Refer patient to OT.
• Child who have ingested full bottle of acetaminophen, instruct parents to take the child to the

ER

• A client requesting information from a nurse about creating a health care proxy.

Which statement should the nurse make?

• Venipuncture = antecubital fossa
• The nurse should stop the infusion if the patient is having edema above the catheter insertion

site.

• A nurse is contributing to the plan of care for a client who has pneumonia. Which

entries should the nurse include in the plan?

• Strategies to teach parents about pediculosis capitis (Head lice) management:
• Caring for a client who has GTube. What actions should the nurse take?
• Caring for client who is 4 hr post-op ff GI surgery & NG is placed for decompression.

Which action should the nurse take?

• Reinforcing teaching with a client who is scheduled for an exercise

electrocardiography (ECG) stress test. What instruction to give?

• A client who is Orthodox Judaism with terminal illness. The nurse should assure the client family

member will stay with his body after death.

• A client who has pneumonia and is currently receiving oral antibiotic may be discharged to have

more rooms for new admission patient.

• Avoid Ibuprofen when taking “PRIL” medications.
• A nurse observes a client in labor. What interventions should the nurse recommend?

ANS: Squatting using a birth ball, Counter pressure to the sacral area, & leaning forward while kneeling.

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