HESI RN 2024 EXIT preview with rationale

HESI RN 2024 EXIT preview with rationale


When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?

A) Inform the client that he may refuse the medication and document whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting. - B) Withhold the medication until the dosage can be confirmed.

The charge nurse is making assignments for one practical nurse and three registered nurses who are caring for neurologically compromised clients. Which client with which change in status is best to assign to the PN?

A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - B) Viral meningitis whose temperature change from 101 S to 102F.

The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most important for the nurse to include in the plan of care?

A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
.
C) Excess warmth of extremities
D) Monitor blood glucose level. - A) Maintain strict intake and output.

And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at school. On the second day of hospitalization, the nurse asked the client to meet with the treatment team. After the team meeting, the client leaves in tears and goes to their room. Which nursing intervention is best?

A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - D) Go to the clients room and ask what happened.

The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a client who weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest 10th.) - 0.6

NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion for four days. He came to the emergency department last night when he was having more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or surgical history. Which two orders should the nurse complete first?

A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.

NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from the supply room? SATA A) humidifier bottle.
B)Suction canister.