HESI RN · HESI RN Exit · HESI 799 RN Exit Exam
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
Sublingual nitroglycerin is administered to a male client with unstable angina who complains of crushing chest pain. Five minutes later, the client becomes nauseated, and his blood pressure drops to 60/40 mm Hg. Which intervention should the nurse implement?
Expert Explanatory Rationale
Correct Answer: Infuse a rapid IV normal saline bolus.
A client with a history of chronic heart failure is admitted with shortness of breath and crackles in the lungs. Which diagnostic test should the nurse anticipate preparing the client for first?
Expert Explanatory Rationale
Correct Answer: Echocardiogram
A male client with impaired renal function who takes ibuprofen daily for chronic arthritis is admitted with gastrointestinal (GI) bleeding. After administering IV fluids and a blood transfusion, his blood pressure is 100/70, and his renal output is 20 ml/hour. Which intervention should the nurse include in care?
Expert Explanatory Rationale
Correct Answer: Evaluate daily serial renal laboratory studies for progressive elevations.
Following an open reduction of the tibia, the nurse notes bleeding on the client's cast. Which action should the nurse implement?
Expert Explanatory Rationale
Correct Answer: Outline the area with ink and check it every 15 minutes to see if the area has increased
A client with heart failure is receiving digoxin (Lanoxin) and furosemide (Lasix). Which assessment finding requires immediate intervention?
Expert Explanatory Rationale
Correct Answer: Presence of a new murmur