HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
In preparing to administer a scheduled dose of intravenous furosemide (Lasix) to a client with heart failure, the nurse notes that the client's B-Type Naturetic peptide (BNP) is elevated. What action should the nurse take?
Correct Answer: C
Rationale: The correct action is to administer the dose of furosemide as scheduled. Furosemide is a diuretic commonly used in heart failure to reduce fluid overload and relieve symptoms. An elevated BNP level indicates worsening heart failure, so administering furosemide can help reduce fluid retention and improve heart function. Holding the dose (choice D) can worsen the client's condition. Checking oxygen saturation (choice A) is not directly related to furosemide administration. Administering nitroglycerin (choice B) is not indicated for elevated BNP levels.
Question 2 of 5
A client with type 2 diabetes mellitus is admitted for antibiotic treatment of a leg ulcer. Which signs and symptoms, indicative of hyperosmolar hyperglycemic nonketotic syndrome (HHNS), should the nurse report to the healthcare provider? (Select one that doesn't apply.)
Correct Answer: C
Rationale: The correct answer is C: Presence of uremic frost. In hyperosmolar hyperglycemic nonketotic syndrome (HHNS), there is severe hyperglycemia leading to osmotic diuresis, dehydration, and hyperosmolality. Uremic frost is not a symptom of HHNS but is associated with severe chronic kidney disease. Increased heart rate, visual disturbances, and decreased mentation are common signs of HHNS due to the effects of hyperglycemia on the body's organs and nervous system.
Question 3 of 5
The client diagnosed with a right fractured femur has skeletal traction applied to the right femur. Which interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D. Maintaining skeletal pin sites and assessing for signs of infection is crucial to prevent complications like osteomyelitis. Regular assessment helps identify infection early. Passive range of motion (A) can dislodge the traction, removing weights (B) may lead to further complications, and turning frequently (C) can disrupt the traction alignment.
Question 4 of 5
An angry client screams at the emergency department triage nurse, 'I've been waiting here for two hours! You and the staff are incompetent.' What is the best response for the nurse to make?
Correct Answer: D
Rationale: The correct answer is D: "I understand you are frustrated with the wait time." This response demonstrates empathy, validates the client's feelings, and shows understanding without admitting fault. It acknowledges the client's emotions while maintaining professionalism. A: "The emergency department is very busy at this time." This response does not address the client's feelings of frustration and may come off as dismissive. B: "I'll let you see the doctor next because you've waited so long." Giving special treatment based on complaining sets a poor precedent and is unfair to other patients. C: "I'm doing the best I can for the sickest clients first." While this response emphasizes prioritization based on medical need, it does not address the client's feelings of frustration and may escalate the situation.
Question 5 of 5
The nurse is caring for a laboring 22-year-old primigravida following administration of regional anesthesia. In planning care for this client, what nursing intervention has the highest priority?
Correct Answer: A
Rationale: The correct answer is A. The highest priority is ensuring the safety of the client. By raising the side rails and placing the call bell within reach, the nurse can prevent falls and easily attend to any urgent needs. This intervention promotes the client's physical safety and ensures immediate assistance if necessary. Choice B is incorrect because pushing effectively is important but not the highest priority. Choice C is incorrect as timing and recording contractions are important but not as critical as ensuring immediate safety. Choice D is incorrect as positioning for anesthesia distribution is important but ensuring safety takes precedence.