RN HESI EXIT EXAM - VERSION 2 V2 ALL 250 Qs As 2024

RN HESI EXIT EXAM - VERSION 2 (V2) ALL 250 Qs &As 2024

GRADED A+

RATED

• The nurse assumes care of a postoperative adult client with type 2

diabetes mellitus and learns that the client has a current blood glucose

level of 750 mg/dL. When assessing the client, what is the priority?: A)

Assess for signs of fluid volume deficit

• A male client tells the nurse that he is concerned that he may have a

stomach ulcer, because he is experiencing heartburn and a dull growing pain that is relieved when he eats. What is the best response by the

nurse?: A) Encourage the client to obtain a complete physical exam, since

these symptoms are consistent with an ulcer

• A male client with stomach cancer returns to the unit following a total

gastrectomy. He has a NG tube to suction and is receiving lactated ringer's solution at 75 mL/hr IV. One hr after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's HR is 155 bpm, and his blood pressure is 78/48 mmHg in addition to reporting the findings to the surgeon, which action should the nurse implement first?: 1 / 4

• Increase the infusion rate of Lactated Ringer's solution 2 / 4

• An adult male who fell 20 ft from the roof of his home has multiple injuries,

including a right pneumothorax. Chest tubes were inserted in the ER prior to his transfer to the ICU. The nurse notes that the suction control chamber is bubbling at the -10 cm H20 mark, with fluctuation in the water seal, and over the past HR 75 mL of bright red blood is measured in the

collection chamber. Which intervention should the nurse implement?: A)

Add sterile water to the suction control chamber

• An adult male was diagnosed with stage IV lung cancer 3 weeks ago. His

wife approaches the nurse and asks how will she know that her husband's death is imminent because their 2 children want to be there

when he dies. Which is the best response by the nurse?: B) Explain that

the PT will start to lose consciousness and the body systems will slow down

• The charge nurse of a critical care unit is informed at the beginning of the

shift that less that less than the optimal number of registered nurses will be working that shift. In planning assignments, which client should

receive the most care hours by a RN?: D) An 82 year oid Patient with

Alzheimer's disease and a newly-fractured femur who has a foley catheter and soft wrist restraints applied

• In caring for a Patient with Cushing's syndrome, which serum lab value

is most important for the nurse to monitor?: C) Glucose

• A PT who received hemodialysis yesterday is experiencing a BP of

200/100 mmHg, HR 110 bpm, and RR 36 breaths/min. The PT manifesting SOB, bilateral 2+ pedal edema, and an O2 sat of 89%. Which action should 3 / 4

the nurse take first?: C) Begin supplemental O2

• When caring for a PT w/ full-thickness burns to both lower extremities,

which assessment findings warrant immediate intervention? SATA: B)

Com- plaint of increased pain and pressure

• Change in the quality of the peripheral pulses
• Loss of sensation to the left lower extremity
• An older PT is admitted w/ fluid volume deficit and dehydration.

Which assessment finding is the best indicator of hydration that the

nurse should report to the healthcare provider?: D) Skin tenting occurs

when the PT's forearm is pinched

• The healthcare provider prescribes methylergonovine maleate for a

post- partum PT w/ uterine atony. What finding should indicate to the nurse to withhold the next dose of the medication?: D) HTN

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