HESI 2021 EXIT RN LATEST VERSION 4 Verified Questions and Answers 2021 Revised

HESI 2021 EXIT RN LATEST VERSION 4

1. SATA. Older male in ER has become increasingly confused in 3 days; nursing action?

- Determine oxygen saturation rate and breath sounds.

- Evaluate polypharmacy for possible drug interactions.

- Obtain urine and sensitivity for possible UTI.

2. Pt. with bipolar disorder reports not taking his Depakote for 6 mo; nurse assessment?

- Affect

3. Female pt. with pyelonephritis is concerned about dialysis; nurse best initial response?

- Explain the relationship between chronic kidney infection, renal failure, and dialysis.

4. Sickle cell c/o pain in fingers; underlying pathophysiology for pain in sickle cell crisis?

- Sickled red blood cells do not flow through small blood vessels leading to vasocclusion

and ischemia.

5. Pt. at clinical reports new onset of pyrosis and dyspepsia; action has highest priority?

- Instruct the client about the side effects of reflux disease.

6. Pt. bathing with inelastic skin turgor, large pendulous breasts, and a soft, flaccid abdomen.

- Teach the client to dry the skin well between skin folds.

7. Which symptom is characteristic of ureteral colic in the client diagnosed with renal calculi?

- Chills, fever, and dysuria.

8. Suspected GuillianBarre syndrome; which comment is significant to diagnosis?

- “About two weeks ago, I missed a day at work because I had a bad cold.

9. Pt. with burns to posterior neck; which intervention to prevent contractures at injury site?

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- Actively turn head from side to side 90 degrees hourly.

10. Pt. having anxiety reaction when crossing over a bay bridge; action to implement?

- Teach client to listen to music or audio books while driving.

11. Assessing normal development of 9monthold; information to obtain?

- Can the child sit alone?

12. Parkinson’s meds; symptom management requires a balance among neurotransmitters?

- Acetylcholine and dopamine.

13. Pt. with SARS returned from China in isolation; which intervention in plan of care?

- Require use of gown, gloves, and N95 mask.

14. DKA pt. on sliding scale regular insulin; intervention important to implement?

- Confer with the healthcare provider about a continuous IV insulin infusion

15. Teacher thinks she is pregnant (neg test at night) but is on tetracycline for acne; instructions?

- Use first voiding of the day for accurate results of pregnancy test.

16. Child with rheumatoid arthritis has a viral infection and fever/ taking aspirin for arthritis.

- Stop taking aspirin and give different NSAID.

17. Pt. admitted with possible head injury and spinal cord injury; priority assessment?

- Respiratory status

18. Caring for pt. with acute MI; observation warrants immediate intervention?

- The telemetry displays ventricular bigenminy.

19. 2 day posttotal laryngectomy transferred to private room is anxious; intervention?

- Answer the client’s call signal in person quickly after he calls.

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20. Child with HF receiving Lasix with potassium of 3.0 mEq/L; important assessment?

- Cardiac rhythm and heart rate.

21. Child coming to ER with hx of flulike symptoms for past week; equipment to assemble?

- Mechanical Ventilator.

22. What script anticipate for pt. with increased ICP secondary to head injury?

- Mannitol (Osmitrol).

23. Pt. is cigarette smoker and alcohol drinker is postcholecystectomy but tremulous, agitated,

febrile, and disoriented; this is likely the finding of what?

- Impending delirium tremors.

24. Pt. paranoia and homicidal ideation in ER saying daughter lives in TV; thought disorder?

- Easily changes the subject.

25. Infant on Captopril for HF; which finding indicates med effectiveness?

- Blood pressure decreased from 125/85 on admission to 106/60 today.

26. Pt. fell at home and is on labetalol and ranitidine; intervention to include in plan of care?

- Frequent monitoring of blood pressure.

27. Pt. with mitral stenosis at 28weeks gestation; what investigate first?

- Persistent cough.

28. Home care of child with cystic fibrosis; parental action shows understanding?

- Gives pancreatic enzymes before every meal and snack.

29. Child admitted with possible nephrotic syndrome; parent statement goes with diagnosis?

- “I couldn’t get my son’s socks and shoes in this morning.”

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30. Pt. scheduled for laminectomy with back pain r/t intervertebral disk; preop teaching about

numbness and tingling in lower extremities occurs due to?

- Manipulation of nerves and muscles during surgery.

1) A nurse is planning care for a child who has scabies and he keeps itching…

ANS: Keep nails trimmed short and have him wear mittens

2) An acute care hospital has a disaster something about an outage and a generator. The UAP

asks the charge nurse what she can do to help…

ANS: Tell clients to stay in their rooms

3) Discharge teaching to a patient with heart failure what parameter is most important for weight

monitoring…

ANS: Weigh themselves at the same time everyday

4) Patient with metabolic syndrome is going to start exercising what is most important to tell

him…

ANS: Monitor BP as exercise increases

6) Patient c/o pain distal to insertion site, what action should the nurse implement?

ANS: Remove

7) A seriously ill patient that has a DNR is transferred to a medical facility in another state that

does not honor that what should the nurse implement?

ANS: Honor clients wishes

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Version 2021
Category HESI
Pages 50
Language English
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