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2023-2024 RN HESI Exit Exam Version 3 with Answers (53 Solved Questions)

2023-2024 RN HESI Exit Exam Version 3 with Answers is a proven way to improve exam performance with real test questions.

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about:blank1/382023/2024RNHESIEXITEXAM-Version3(V3)All160Qs&AsIncluded-GuaranteedPassA+!!!

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about:blank2/381.A male client with stomach cancer returns to the unit following a total gastrectomy. He has anasogastrictubetosuctionandisreceivingLactatedRinger’ssolutionat75mL/hourIV.Onehourafter admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client’sheart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reportingthe finding to thesurgeon.Which action should thenurse implement first?a.Measureanddocumenttheclient’surinaryoutput.b.Request theclient’sreservedunitifpackedredbloodcells.c.Preparetheplacementofacentralvenouscatheter.d.Increase theinfusionrateofLactatedRinger’s solution.2.an adult male who fell 20 feet from the roof of this home has multiple injuries, including a rightpneumothorax. Chest tubes were inserted in the emergency department prior to his transfer totheintensivecareunit(ICU).thenursenotesthatthesuctioncontrolchamberisbubblingatthe-10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright redbloodismeasuredinthecollectionchamber.Whichinterventionshouldthenurseimplement?a.Addsterilewatertothesuctioncontrolchamber.b.Givebloodfromthecollectionchamberasautotransfusionc.Manipulatebloodintubingtodrainintochamber.d.Increasewallsuctiontoeliminatefluctuationinwaterseal.3.A client who receivedhemodialysis yesterday is experiencinga blood pressure of 200/100mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client ismanifestingshortnessofbreath,bilateral2+pedal edema,and anoxygensaturationonroomairof 89%. Which actionshould the nurse take first?a.Elevate thefootofthebed.b.Restricttheclient’sfluid.c.Beginsupplementaloxygen.d.Preparetheclientforhemodialysis.4.AclientwithAddison’scrisisisadmittedfortreatmentwithadrenalcorticalsupplementation.Basedontheclient’sadmittingdiagnosis,whichfindingsrequireimmediateactionbythenurse?(Select all that apply)a.Headacheandtremors

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about:blank3/38b.Irregularheartratec.Skinhyperpigmentationd.Posturalhypotensione.Palloranddiaphoresis5.An olderclientisadmittedwithfluidvolumedeficitanddehydration.Whichassessmentfindingisthebestindicatorofhydrationthatthenurseshouldreporttothehealthcareprovider?a.Urine specific gravityis 1.040b.Systolicbloodpressuredecreases10pointswhenstanding.c.Theclientdeniesbeingthirsty.d.Skintentingoccurswhentheclient’sforearmispinched.6.Afteraninserviceaboutelectronichealthrecord(EHR)securityandsafeguardingclientinformation,thenurseobservesacolleaguegoinghomewithprintedcopiesofclientinformationin a uniform pocket. Which action should the nurse take?a.File adetailedincidentreportwiththespecifichiringfacility.b.Warn thecolleaguethattheiractionsareunprofessional.c.Comment anonymouslyaboutthe actionofa staffdiscussionboard.d.Communicatethecolleague’sactionstotheunitchargenurse.7.Thenurseisevaluatingatertiarypreventionprogramforclientswithcardiovasculardiseaseimplemented ina ruralhealthclinic.Which outcomeindicate theprogramiseffective?a.At-risk clientsreceivedanincreasednumber ofroutinehealthscreenings.b.Clientsreportedhavingnewconfidenceinmakinghealthyfoodchoices.c.Clientswhoincurreddiseasecomplicationspromptlyreceivedrehabilitation.d.Clientrelapserateof30%ina5-yearcommunity-wideanti-smokingcampaign.
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