HESI RN Exit Exam IV Proctored Exam

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Question 1 of 21Single-Select Multiple Choice

While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

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Question 2 of 21Single-Select Multiple Choice

The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which response by the client indicates understanding?

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Question 3 of 21Single-Select Multiple Choice

When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?

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Question 4 of 21Single-Select Multiple Choice

The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

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Question 5 of 21Single-Select Multiple Choice

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

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Question 6 of 21Single-Select Multiple Choice

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

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Question 7 of 21Single-Select Multiple Choice

A client who received an open reduction and internal fixation (ORIF) of the right femur after experiencing a fall at home experiences a sudden onset of increasing confusion and agitation. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

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Question 8 of 21Single-Select Multiple Choice

A client is recovering in the critical care unit following a cardiac catheterization. IV nitroglycerin and heparin are infusing. The client is sedated but responds to verbal instructions. After changing positions, the client reports pain at the right groin insertion site. Which action should the nurse implement?

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Question 9 of 21Single-Select Multiple Choice

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

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Question 10 of 21Single-Select Multiple Choice

After years of struggling with weight management, a middle-aged adult client is evaluated for gastroplasty. The client has experienced difficulty with managing diabetes mellitus and hypertension, but is approved for surgery. Which intervention is most important for the nurse to include in this client's plan of care?

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Question 11 of 21Single-Select Multiple Choice

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

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Question 12 of 21Single-Select Multiple Choice

A client who is obese reports severe pain and is unable to bear weight in the right ankle after making dietary changes 3 weeks ago for weight loss. The client's medical history includes hypertension, gouty arthritis, and cholecystitis. Which instruction should the nurse include in the discharge teaching?

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Question 13 of 21Single-Select Multiple Choice

The nurse is preparing a client for an outpatient thoracentesis. Which statement made by the client should the nurse recognize as needing additional education?

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Question 14 of 21Single-Select Multiple Choice

A parent brings their 2-month-old infant to the clinic to receive the recommended primary vaccines. Which instruction should the nurse provide the parent about care of the infant after the injections?

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Question 15 of 21Single-Select Multiple Choice

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

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Question 16 of 21Single-Select Multiple Choice

A client with coronary artery disease (CAD) is admitted to the medical unit for testing. The client describes having had frequent episodes of angina over the last few days prior to admission. The client is now experiencing shortness of breath, nausea, and chest pressure. After obtaining the client's vital signs, which action should the nurse take next?

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Question 17 of 21Single-Select Multiple Choice

A client with metastatic cancer who was taking hydromorphone PO at home is now receiving the medication IV while in the hospital. To evaluate if the client is receiving an equianalgesic dose of the hydromorphone, which assessment should the nurse complete?

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Question 18 of 21Calculation / Fill-in-the-Blank (Numeric)

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion?
(Enter numerical value only. If rounding is required, round to the nearest whole number.)

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gtt/min

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Question 19 of 21Single-Select Multiple Choice

An older adult client is admitted with the medical diagnosis of possible cerebral vascular accident (CVA). The client has facial paralysis and cannot move the left side of the body. When entering the room, the nurse finds the client's spouse tearful and trying unsuccessfully to give the client a drink of water. Which action should the nurse take?

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Question 20 of 21Single-Select Multiple Choice

The charge nurse observes a new nurse preparing to irrigate an intravenous catheter. The new nurse brought a luer-lock tipped syringe. Which action should the charge nurse take?

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Question 21 of 21Multiple-Select / Select All That Apply (SATA)

When conducting diet teaching for a client who was diagnosed with hypertension, which food(s) should the nurse encourage the client to eat? Select all that apply.

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HESI RN Exit Exam IV Proctored Exam

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