HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
The nurse is evaluating the health status of an older client. Which finding is most important for the nurse to report to the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C because pain in the lower back in an older client can be indicative of a serious underlying issue such as a kidney infection, kidney stones, or spinal issues. The nurse should report this finding to the healthcare provider promptly for further evaluation and intervention to prevent potential complications. Choice A is not as urgent as it may indicate dehydration or renal issues, but it is not as critical as the potential issues related to back pain. Choice B, loss of appetite, is important but may not be as urgent as potential kidney or spinal issues. Choice D, a persistent cough, is also important but may not be as immediately concerning as the possibility of a serious condition related to lower back pain in an older client.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client. Which action is most important for the nurse to take?
Correct Answer: A
Rationale: Step 1: Verify the client's blood type is crucial to ensure compatibility and prevent adverse reactions such as hemolytic transfusion reactions. Step 2: Ensuring PRBCs are warm is important but not the most critical as they can be warmed before administration. Step 3: Checking vital signs is important but not the priority compared to verifying blood type for safe transfusion. Step 4: Obtaining consent is essential but does not address the immediate safety concern of blood type compatibility.