HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
The nurse-manager of a perinatal unit is notified that one client from the medical-surgical unit needs to be transferred to make room for new admissions. Which client should the nurse recommend for transfer to the antepartal unit?
Correct Answer: B
Rationale: The correct answer is B, a 35-year-old with lupus erythematosus, because the antepartal unit specializes in caring for pregnant women. Clients with chronic hepatitis B, rubella, and herpes lesions of the vulva do not require transfer to the antepartal unit as their conditions are not directly related to pregnancy. Lupus erythematosus, however, is a systemic autoimmune disease that can have implications for pregnancy outcomes, such as increased risk of preterm birth and preeclampsia. Therefore, transferring the client with lupus to the antepartal unit ensures specialized care and monitoring during pregnancy.
Question 2 of 5
Which instruction should the nurse provide to an elderly client who is taking an ACE inhibitor and a calcium channel blocker?
Correct Answer: D
Rationale: The correct answer is D: Change the position slowly. This instruction is important because both ACE inhibitors and calcium channel blockers can cause orthostatic hypotension, leading to dizziness or fainting upon sudden position changes. By advising the client to change positions slowly, the nurse helps prevent falls and complications. A: Wearing long-sleeved clothing when outdoors is unrelated to the medications mentioned. B: Reporting the onset of a sore throat is important but not specific to the medications in question. C: Eating plenty of potassium-rich foods is important for those taking ACE inhibitors but not necessarily for those on calcium channel blockers.
Question 3 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 4 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 5 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.