HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
The nurse is administering total parenteral nutrition (TPN) via a central line at 75 ml/hour to a client who had a bowel resection 4 days ago. Which laboratory finding requires the most immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Serum calcium of 7.8 mg/dL. This finding indicates hypocalcemia, which can lead to serious complications like tetany or seizures. Hypocalcemia is a common complication after bowel resection due to impaired absorption. Immediate intervention is crucial to prevent further complications. A: Blood glucose of 140 mg/dL is within normal range and does not require immediate intervention. B: White blood cell count of 8000/mm³ is within normal range and does not require immediate intervention. C: Serum potassium of 3.8 mEq/L is within normal range and does not require immediate intervention.
Question 2 of 5
The nurse is planning care for a client who is receiving phenytoin (Dilantin) for seizure control. Which intervention is most important to include in this client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Implement seizure precautions. This is the most important intervention because phenytoin is an antiepileptic medication used for seizure control. Seizure precautions aim to prevent injury during a seizure by ensuring a safe environment for the client. Monitoring serum calcium levels (choice A) is not directly related to phenytoin therapy. Obtaining a baseline electrocardiogram (choice B) is not specifically indicated for clients on phenytoin. Encouraging a low-protein diet (choice D) is not a priority in the care of a client receiving phenytoin for seizure control.
Question 3 of 5
The nurse is planning discharge teaching for a client with chronic kidney disease. Which information is most important for the nurse to provide this client?
Correct Answer: C
Rationale: Step 1: The correct answer is C. Rapid weight gain may indicate fluid retention, a common complication in chronic kidney disease. Step 2: Monitoring daily weights (A) is important, but rapid weight gain is more indicative of fluid overload. Step 3: Limiting fluid intake (B) is crucial, but not the most important as fluid balance can be affected by various factors. Step 4: Increasing protein intake (D) is not recommended in advanced kidney disease due to potential strain on the kidneys.
Question 4 of 5
A client is taught how to collect a 24-hour urine specimen. Which statement indicates understanding of the procedure?
Correct Answer: D
Rationale: The correct answer is D because discarding the first morning specimen is essential to start the 24-hour collection accurately. By discarding the first void, the client ensures that the 24-hour collection will begin accurately. Choice A is incorrect because refrigeration is not necessary for a 24-hour urine collection. Choice B is incorrect because the collection should start after discarding the first morning void. Choice C is incorrect because keeping the urine on ice is not a standard practice for a 24-hour urine collection.
Question 5 of 5
A nurse is planning care for a client who is newly diagnosed with diabetes mellitus. Which instruction should the nurse include in this client¢â‚¬â„¢s teaching plan?
Correct Answer: C
Rationale: The correct answer is C: Rotate insulin injection sites. This is important to prevent lipodystrophy and ensure proper insulin absorption. Option A is incorrect because the client does not need to avoid all forms of sugar, but rather manage their intake. Option B is incorrect as blood glucose levels should be checked frequently, not just once a week. Option D is incorrect as monitoring urine ketone levels is not a primary teaching point for a newly diagnosed diabetic client.