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HESI RN · HESI RN Exit · HESI RN Exit Exam

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is admitted for type 2 diabetes mellitus (DM) and chronic kidney disease (CKD). Which breakfast selection by the client indicates effective learning?

A. Scrambled eggs, bacon, one slice of whole wheat toast with butter and jam.

B. Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces of coffee.

C. Banana pancake with maple syrup, sausage links, half grapefruit, and low-fat milk.

D. Orange juice, yogurt with berries, cold cereal with milk, bran muffin with margarine.

Expert Explanatory Rationale

Correct Answer: Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces of coffee.

Question 2 of 5

A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which laboratory value should the nurse monitor closely?

A. International Normalized Ratio (INR)

B. Prothrombin time (PT)

C. Serum sodium level

D. Hemoglobin level of 12 g/dl

Expert Explanatory Rationale

Correct Answer: International Normalized Ratio (INR)

Question 3 of 5

Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3-minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide?

A. Ask a more experienced nurse to perform that scrub since it is the first time of the day

B. Validate the nurse is implementing the OR policy for surgical hand scrub

C. Inform the nurse that hand scrubs should be 3 minutes between cases.

D. Direct the nurse to continue the surgical hand scrub for a 5-minute duration.

Expert Explanatory Rationale

Correct Answer: Direct the nurse to continue the surgical hand scrub for a 5-minute duration.

Question 4 of 5

The nurse is caring for a client who is postoperative following a thyroidectomy. Which laboratory value should be monitored closely?

A. Serum calcium of 8.5 mg/dL

B. Serum sodium of 136 mEq/L

C. Serum potassium of 3.0 mEq/L

D. Serum chloride of 102 mEq/L

Expert Explanatory Rationale

Correct Answer: Serum potassium of 3.0 mEq/L

Question 5 of 5

The nurse determines that a client's pupils constrict as they change focus from a far object. What documentation should the nurse enter about this finding?

A. Pupils reactive to accommodation.

B. Nystagmus present with pupillary focus.

C. Peripheral vision intact.

D. Consensual pupillary constriction present.

Expert Explanatory Rationale

Correct Answer: Pupils reactive to accommodation.

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