HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
A male client with diabetes mellitus takes Novolin 70/30 insulin before meals and azithromycin (Zithromax) PO daily, using medication he brought from home. When the nurse delivers his breakfast tray, the client tells the nurse that he took his insulin but forgot to take his daily dose of the Zithromax an hour before breakfast as instructed. What action should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B because it is important for the client to maintain the appropriate timing of taking the Zithromax for optimal effectiveness. By instructing the client to eat breakfast and then take the Zithromax two hours after eating, the nurse ensures that the medication is still absorbed effectively without causing any potential GI upset. Option A is incorrect because waiting for a new breakfast tray is unnecessary and delays medication administration. Option C is incorrect as skipping a dose may lead to suboptimal treatment outcomes. Option D is incorrect as providing an antacid is not indicated in this situation and may not address the issue of timing the Zithromax correctly.
Question 2 of 5
An experienced nurse tells the nurse-manager that working with a new graduate is impossible because the new graduate will not listen to suggestions. The new graduate comes to the nurse-manager describing the senior nurse's attitude as challenging and offensive. What action is best for the nurse manager to take?
Correct Answer: D
Rationale: The correct answer is D. The nurse manager should facilitate a meeting between both nurses to identify ways of working together. This approach promotes open communication, allows both nurses to express their perspectives, and fosters collaboration to address the conflict. By involving both nurses in finding solutions, the nurse manager promotes accountability and empowers them to take ownership of resolving their differences. This approach also promotes teamwork and mutual understanding, leading to a more positive work environment. Other Choices: A: Having both nurses meet separately with a mental health consultant may not address the root cause of the conflict and could potentially escalate the situation. B: While listening actively is important, simply offering suggestions may not fully address the underlying issues causing the conflict. C: Asking the senior nurse to examine mentoring strategies may be beneficial, but it does not directly address the need for both nurses to communicate and collaborate effectively.
Question 3 of 5
The nurse offers diet teaching to a female college student who was diagnosed with iron-deficiency anemia following her voluntary adoption of a lacto-vegetarian diet. What nutrients should the nurse suggest this client eat to best meet her nutritional needs while allowing her to adhere to a lacto-vegetarian diet?
Correct Answer: D
Rationale: The correct answer is D. Legumes and grains such as beans and rice should be combined to form complete proteins. Legumes are rich in essential amino acids that are lacking in grains, and vice versa. By combining them, the client can ensure she is getting all essential amino acids needed for protein synthesis. This is crucial for red blood cell production and overall health. A: Drinking whole milk instead of skim milk will not enhance amino acid production. Skim milk is a good source of protein, but it is not essential for enhancing amino acid production. B: Taking vitamin K will not directly enhance the production of red blood cells. Iron is the key nutrient needed for red blood cell production in cases of iron-deficiency anemia. C: Dark yellow vegetables such as carrots are not the best source of iron. While they are nutritious, they do not provide the heme iron needed to address iron-deficiency anemia effectively.
Question 4 of 5
A client receiving amlodipine (Norvasc), a calcium channel blocker, develops 1+ pitting edema around the ankles. It is most important for the nurse to obtain what additional client data?
Correct Answer: D
Rationale: The correct answer is D: Breath sounds. Pitting edema can be a sign of heart failure, a potential side effect of amlodipine. Assessing breath sounds can help determine if the edema is due to heart failure. Bladder distention (A) is not directly related to edema caused by amlodipine. Serum albumin level (B) is important for assessing protein status but not the immediate concern in this scenario. Abdominal girth (C) is more relevant for assessing liver function or ascites, not the primary concern with pitting edema.
Question 5 of 5
While assessing a client who is experiencing Cheyne-Stokes respirations, the nurse observes periods of apnea. What action should the nurse implement?
Correct Answer: C
Rationale: The correct action is to measure the length of the apneic periods. By measuring the length, the nurse can gather crucial information about the severity and frequency of the Cheyne-Stokes respirations. This data can help in determining the appropriate interventions and monitoring the client's condition. Elevating the head of the bed may help with breathing, but it does not directly address the apneic periods. Auscultating breath sounds and suctioning the oropharynx are not the priority actions in this situation.