HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
When administering an intramuscular injection containing 3 ml of a painful medication, which intervention should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Select a large, deep muscle mass. This is important because using a large, deep muscle mass helps distribute the medication effectively and reduces the risk of tissue irritation and nerve damage. It also allows for better absorption of the medication. Option A is incorrect because instilling the medication quickly can cause pain and tissue damage. Option B is incorrect as inserting the needle slowly does not necessarily impact the effectiveness of the injection. Option D is incorrect as using a short, small gauge needle may not reach the desired muscle depth for optimal medication absorption. Therefore, selecting a large, deep muscle mass is the best intervention for administering an intramuscular injection containing a painful medication.
Question 2 of 5
Oxygen at liters/min per nasal cannula PRN difficult breathing is prescribed for a client with pneumonia. Which nursing intervention is effective in preventing oxygen toxicity?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Oxygen toxicity can occur with prolonged exposure to high levels of oxygen. 2. Administering high levels of oxygen for extended periods increases the risk of oxygen toxicity. 3. Therefore, avoiding the administration of high levels of oxygen for extended periods is effective in preventing oxygen toxicity. Summary: - Choice A is correct because it addresses the root cause of oxygen toxicity by avoiding prolonged exposure to high levels of oxygen. - Choices B, C, and D are incorrect as they do not directly address the prevention of oxygen toxicity and may even pose risks to the client's respiratory status.
Question 3 of 5
A 2-year-old boy with short bowel syndrome has progressed to receiving enteral feedings only. Today his stools are occurring more frequently and have a more liquid consistency. His temperature is 102.2°F and he has vomited twice in the past four hours. Which assessment finding indicates that the child is becoming dehydrated?
Correct Answer: C
Rationale: The correct answer is C: Elevated urine specific gravity. In a dehydrated child, the kidneys conserve water, leading to concentrated urine with an elevated specific gravity. This indicates the body's attempt to retain fluid. The other choices are incorrect because: A: Occult blood in the stool indicates a possible gastrointestinal bleed, not dehydration. B: Abdominal distention can be caused by various factors, including gas or fecal impaction, but is not a specific sign of dehydration. D: Hyperactive bowel sounds can be present in various gastrointestinal conditions but are not specific to dehydration.
Question 4 of 5
A child with Leukemia is admitted for chemotherapy, and the nursing diagnosis, altered nutrition, less than body requirements related to anorexia, nausea, vomiting is identified. Which intervention should the nurse include in this child's plan of care?
Correct Answer: A
Rationale: Step 1: The child is experiencing altered nutrition due to anorexia, nausea, and vomiting from chemotherapy. Step 2: Allowing the child to eat foods desired and tolerated promotes intake and prevents further nutritional deficits. Step 3: Restricting foods from fast food restaurants may limit the child's choices and lead to decreased intake. Step 4: Recommending eating the same foods as siblings may not consider the child's specific needs and preferences. Step 5: Encouraging large portions at every meal may overwhelm the child and worsen symptoms.
Question 5 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.