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A nurse is caring for a client who is postoperative following administration of general anesthesia. Exhibits Select from the choices below to specify what condition the client is most likely experienc
HESI RN Exit Proctored ExamHESI RN Exit Proctored Exam
127 questions · Page 1 of 6
HESI RN Exit Proctored Exam is a nursing-school practice exam with 127 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
Topics covered on this page: HESI RN Exit Proctored Exam.
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Start Practice ExamQuestions 1–25 of 127
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Patient Data Exhibits Select the 4 assessment findings that require immediate follow up.
A. Severe abdominal pain in right lower quadrantB. Blood pressure 115/76 mm HgC. Capillary refill 2 secondsD. Radial and pedal pulses 2+1
HESI RN Exit Proctored Exam3
Exhibits The healthcare provider places orders to determine the cause of client symptoms. Use the chart to indicate if the listed symptom or finding is consistent with gastroenteritis, appendicitis, o
A. FeverB. TachycardiaC. NauseaD. Vomiting
HESI RN Exit Proctored Exam4
Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that the client has dropdownas evidenced
A. B. C.
HESI RN Exit Proctored Exam5
Exhibits The nurse is stabilizing the client and preparing her for surgery. What goal(s) should the nurse prioritize in the care plan for the client while in the emergency department? Select all that
A. Effective coping with illness related anxietyB. Infection prevention related to illnessC. Relief of acute painD. A review of diet progression postoperatively
HESI RN Exit Proctored Exam6
Exhibits The nurse is caring for the client the morning after her surgery. Click to select the 5 most important nursing interventions for postoperative client care.
A. Encourage sitting up and ambulationB. Monitor for bleeding once dailyC. Use Incentive spirometer every 1 hourD. Promote adequate hydration
HESI RN Exit Proctored Exam7
Exhibits The client has recovered from surgery and is ready to be discharged. Highlight findings that indicate the client is stable and ready to be discharged. The client returned from appendectomy su
A. The incision dressing is dry and intact, and no blB. The client tolerated clear liquids post recovery aC. The client ambulated around the unit this morning D. Bowel sounds are present in all 4 quadrants, and p
HESI RN Exit Proctored Exam8
When providing client care, the nurse identifies a problem and develops a related clinical question. Next, the nurse intends to gather evidence so that the decision-making process in response to the p
A. Frequency that the problem occurs.B. Relevance to the situation.C. Past experience with similar problems.D. Related personal values.
HESI RN Exit Proctored Exam9
The nurse is caring for a client who reports sudden right-sided numbness and weakness of the arm and leg. The nurse also observes a distinct right-sided facial droop. After reporting the findings to t
A. Obtain a focused history to determine recent bleedB. Raise the head of the bed to 30 degrees keeping heC. Initiate bilateral intermittent sequential pneumatD. Maintain elevated positioning of the dependent joi
HESI RN Exit Proctored Exam10
A client with a permanent pacemaker has no pulse or spontaneous respirations and the monitor is displaying a ventricular fibrillation rhythm. Resuscitation is in progress and the nurse is preparing to
A. Obtain 12-lead electrocardiogram to evaluate returB. Ensure permanent pacemaker interrogated if return C. Place self-adhesive defibrillator pads at least 1 D. Apply a doughnut magnet over the pacemaker if pace
HESI RN Exit Proctored Exam11
The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to yo
A. Encourage him to go to the nurse's station and talB. Put his behavior on extinction (do not acknowledgeC. Inform him that the nurse is busy admitting a new D. Introduce him to the newly admitted client and ask
HESI RN Exit Proctored Exam12
The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?
A. Holding hands below elbows when rinsing.B. Washing for a total of 20 seconds.C. Turning the water off using bare hands.D. Lathering using a circular movement.
HESI RN Exit Proctored Exam13
The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff
A. An older client with scabies who is admitted from B. A client with a positive Mantoux and sputum culturC. A female adolescent admitted with multiple genitalD. Twin siblings admitted with scarlet fever that is
HESI RN Exit Proctored Exam14
The nurse is caring for a client who reports running out of aspirin 1 week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?
A. Amount of pain control.B. Presence of gastric pain.C. Reason for taking the aspirin,D. Dosage of ibuprofen taken.
HESI RN Exit Proctored Exam15
A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic Ten minutes later, the client insists on sitting up and leaning forward. Which inter
A. Position bedside table so the client can lean acroB. Raise head of bed until to a 90 degree angle.C. Encourage rest until the analgesic becomes effectiD. Place bed in a reverse trendelenburg position.
HESI RN Exit Proctored Exam16
Patient Data Exhibits Which should the nurse immediately do? Select all that apply.
A. Notify the surgeonB. Place the client in low-Fowler's with knees raisedC. Start a peripheral IV (PIV)D. Cover the wound with moistened sterile gauze
HESI RN Exit Proctored Exam17
Review H and P and nurses’ notes. Exhibits Click to highlight which assessment findings should the nurse attend to right away? Admitted client. Vital signs: heart rate 128 beats/minute, rhythm sinus t
A. heart rate 128 beats/minuteB. rhythm sinus tachycardiaC. respiratory rate 14 breaths/minuteD. oxygen saturation 100% on 40% fraction of inspired
HESI RN Exit Proctored Exam18
A client with osteomyelitis from a compound fracture of the left tibia has an open draining wound and is admitted with possible methicillin- resistant Staphylococcus aureus (MRSA) infection. Which int
A. Monitor the client's white blood cell count.B. Institute contact precautions for staff and visitoC. Send wound drainage for culture and sensitivity.D. Explain the purpose of a low bacteria diet.
HESI RN Exit Proctored Exam19
The nurse is preparing to administer a formula feeding by nasogastric tube (NGT) to a 2-month-old. Which intervention should the nurse implement?
A. Measure and discard residual gastric contents befoB. Use the syringe plunger to push formula at a rate C. Hold the infant with head and shoulders slightly eD. Microwave refrigerated formula to room temperature
HESI RN Exit Proctored Exam20
While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure readings are taken so often. Which response by the nurse is most accurate?
A. Sodium intake with meals and snacks affects the blB. Elevated blood pressure must be anticipated and idC. Blood pressure fluctuations means that the conditiD. Hypotension leading to sudden shock can develop at
HESI RN Exit Proctored Exam21
The nurse knows that a medication has the side effect of orthostatic hypotension. Which assessment should the nurse make before administering the medication?
A. Blood pressure.B. Apical heart Fate.C. Pulse pressure.D. Level of consciousness.
HESI RN Exit Proctored Exam22
Following a gunshot wound, an adult client has a hemoglobin level of 4 g/dL (40 g/L). The nurse prepares to administer a unit of blood for an emergency transfusion. The client has AB negative blood ty
A. Obtain additional consent for administration of TyB. Recheck the client's hemoglobin, blood type, and RC. Transfuse Type A negative blood until Type AB negaD. Administer normal saline solution until Type AB ne
HESI RN Exit Proctored Exam23
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Vital signs include a heart rate of 122 beats/minute, a respiratory rate of 28 breaths/minute, and a
A. Yellow expectorated sputumB. Shortness of breath on exertion.C. Oral temperature of 100.5 F (38.1°C).D. Bilateral diffuse wheezing.
HESI RN Exit Proctored Exam24
Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?
A. Lay prone for 24 hours after the procedure.B. Report any painful urination, blood in urine, or fC. Avoid strenuous activity and sports for at least 2D. Report any allergies to shellfish or iodine.
HESI RN Exit Proctored Exam25
After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?
A. Reinflate the cuff to a higher number.B. Note the presence of an auscultatory gap.C. Reposition the stethoscope over the brachial arterD. Continue with the blood pressure assessment.
HESI RN Exit Proctored Exam