HESI RN COMPREHENSIVE EXIT V2 EXAM
ON MED SURG REAL EXIT EXAM WITH NGN
300 QUESTIONS AND CORRECT ANSWERS
REAL EXAM QUESTIONS AND ANSWERS
(BRAND NEW!!)
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?
- Elevate the foot of the bed
- Restrict the client's fluids
- Begin supplemental oxygen
- Prepare client for hemodialysis - ANSWER✔✔C. Begin supplemental oxygen
- Sloughing tissue around wound edges
- Complaint of increased pain and pressure
- Change in the quality of the peripheral pulses
- Loss of sensation to the left lower extremity
- Weeping serosanguineous fluid from wounds - ANSWER✔✔B. Complaint of increased pain and
- Change in the quality of the peripheral pulses 1 / 4
When caring for a client with full thickness burns to both lower extremities, which assessment findings warrant immediate intervention? Select all that apply
pressure
- Loss of sensation to the left lower extremity
- Urine specific gravity is 1.040
- Systolic blood pressure decreases 10 points when standing
- The client denies being thirsty
- Skin tenting occurs when the client's forearm is pinched - ANSWER✔✔D. Skin tenting occurs when the
- Difficulty locating the uterine fundus
- Excessive lochia
- Saturation of more than one pad per hour
- Hypertension - ANSWER✔✔D. Hypertension
- File a detailed incident report with the specific hiring facility
- Warn the colleague that their actions are unprofessional
- Comment anonymously about the action on a staff discussion board
- Communicate the colleague's actions to the unit charge nurse - ANSWER✔✔A. File a detailed incident
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?
client's forearm is pinched The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine atony. What finding should indicate to the nurse to withhold the next dose of the medication?
After an inservice about electronic health record (EHR) security and safeguarding client information, the nurse observes a colleague going home with printed copies of client information in a uniform pocket.Which action should the nurse take?
report with the specific hiring facility 2 / 4
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicates the program is effective?
- At-risk clients received an increased number of routine health screenings
- Clients reported having new confidence in making healthy food choices
- Clients who incurred disease complications promptly received rehabilitation
- Client relapse of 30% in a 5-year community-wide anti-smoking campaign - ANSWER✔✔C. Clients who
- Culture for sensitive organisms
- Serum blood glucose (BG) level
- Creatinine level
- Serum albumin - ANSWER✔✔A. Culture for sensitive organisms
- Anorexia and abdominal distention
- Abdominal pain and vomiting
- Confusion and tremors
- Yellowing and itching of skin - ANSWER✔✔C. Confusion and tremors
incurred disease complications promptly received rehabilitation While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound.Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?
A client is admitted with acute pancreatitis. The client admits to drinking a pint of bourbon daily. The nurse medicates the client for pain and monitors vital signs every 2 hours. Which finding should the nurse report immediately to the healthcare provider?
A client with leukemia who is receiving a myleosuppressive chemotherapy has a platelet count of 25,000/mm3. Which intervention is most important for the nurse to include in this client's plan of care? 3 / 4
- Assess urine and stool for occult blood
- Monitor for signs of activity intolerance
- Require visitors to wear respiratory masks
- Obtain client's temperature q4 hours - ANSWER✔✔A. Assess urine and stool for occult blood
- Crying
- Sitting upright
- Vomiting
- Straining on stool - ANSWER✔✔B. Sitting upright
- Patch one eye
- Evaluate swallow
- Reorient often
- Range of motion - ANSWER✔✔B. Evaluate swallow
- Determine if the client is experiencing any anxiety
- Auscultate the client's bilateral lung sounds and oxygen saturation
- Notify the healthcare provider about the client's distress
- / 4
When assessing a 6-month-old infant, the nurse determines that the anterior fontanel is bulging. In which situation would this findings be most significant?
A client who is admitted to the intensive care unit with syndrome of inappropriate antidiuretic hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse implement first?
The nurse is caring for a client with chronic obstructive disease (COPD) who uses oxygen at 2L/minute per nasal cannula continuously. The nurse observes that the client is having increased shortness of breath with respirations at 23 breaths/minute. Which action should the nurse implement first?