HESI RN
HESI RN Exit Exam 2023 Questions
Question 1 of 5
A client who has just returned from surgery is shivering uncontrollably. What is the best action for the nurse to take?
Correct Answer: B
Rationale: Applying warm blankets and monitoring the client's temperature is the best action to manage postoperative shivering. Shivering after surgery can be a common response due to factors like exposure to cold, pain, or anesthesia effects. Providing warmth through blankets can help regulate the client's body temperature and alleviate shivering. Monitoring the client's temperature is essential to ensure it returns to a normal range. Option A is not as comprehensive as option B, which includes both providing warmth and monitoring the client. Option C is incorrect as it focuses on preparing the bed rather than addressing the client's immediate need for warmth. Option D is not appropriate without further assessment or prescription for a muscle relaxant to address shivering.
Question 2 of 5
A male client reports the onset of numbness and tingling in his fingers and around his mouth. Which lab test is important for the nurse to review before contacting the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C: Serum calcium. Numbness and tingling in the fingers and around the mouth are indicative of hypocalcemia. Serum calcium levels should be reviewed as they play a crucial role in diagnosing and managing hypocalcemia. Option A, capillary glucose, is not relevant to the symptoms described. Option B, urine specific gravity, is not typically used to assess numbness and tingling. Option D, white blood cell count, is unrelated to the symptoms presented by the client.
Question 3 of 5
A woman with an anxiety disorder calls her obstetrician's office and tells the nurse of increased anxiety since the normal vaginal delivery of her son three weeks ago. Since she is breastfeeding, she stopped taking her antianxiety medications, but thinks she may need to start taking them again because of her increased anxiety. What response is best for the nurse to provide this woman?
Correct Answer: C
Rationale: The correct response, option C, is the most appropriate in this scenario because it provides the woman with accurate and helpful information. When a breastfeeding mother is considering restarting her antianxiety medication, it is crucial to inform her that there are medications that are safe to take while breastfeeding. This response promotes the well-being of both the mother and the infant by addressing the woman's mental health needs without compromising the safety of her breastfeeding child. Option A is incorrect because solely discussing the transmission of drugs to the infant does not address the woman's immediate concern of managing her anxiety effectively. Option B, while promoting stress-relieving techniques, may not be sufficient for managing clinical anxiety in this situation. Option D is incorrect as it dismisses the woman's legitimate concerns and fails to offer any practical solutions to address her anxiety. In an educational context, this question highlights the importance of understanding pharmacological considerations in special populations, such as breastfeeding mothers. It emphasizes the need for healthcare providers to be knowledgeable about safe medication use during breastfeeding to support maternal mental health while ensuring infant safety. Encouraging open communication and providing evidence-based information are essential in guiding women through such complex decisions.
Question 4 of 5
The healthcare provider prescribes ceftazidime (Fortaz) 35 mg every 8 hours IM for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a concentration of 100 mg/ml. How many ml should the nurse administer for each dose?
Correct Answer: B
Rationale: To calculate the volume to be administered for 35 mg of ceftazidime, divide the prescribed dose by the concentration: 35 mg / 100 mg/ml = 0.35 ml. Rounding off, the nurse should administer 0.4 ml for each dose. Choice A is incorrect as it doesn't consider rounding off. Choice C is incorrect because it's not the correct calculation. Choice D is incorrect as it doesn't reflect the accurate volume needed.
Question 5 of 5
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline?
Correct Answer: D
Rationale: The correct answer is D: Toasted wheat bread and jelly. Dairy products decrease the effect of tetracycline, so the nurse should instruct the client to avoid them. Toast, which contains no dairy products, may help decrease gastrointestinal symptoms. Choices A, B, and C contain dairy products, which should be avoided when taking tetracycline.