Hesi Exit Exam All Questions and answers, 2022/2023 update, graded A+

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Hesi Exit Exam All Questions and answers, 2022/2023 update, graded A+ A client with Gout experiences an acute attack. The client reports he has been trying to loose weight. Which information is t... he most important for the nurse to obtain? A. Serum cholesterol level B. Capillary glucose level C. Daily caloric intake D. Daily calcium intake - ✔✔C A male client with a c-6 spinal cord injury is in rehabilitation. in the middle of the night he reports a severe, pounding headache, an observed goose bumps. The nurse should asses for what trigger? A. loud hallway noise B. Fever C. Full bladder D. Frequent cough - ✔✔C After learning that she has terminal pancreatic cancer, a female client becomes very angry and says to the nurse. "God has abandoned me. What did I do to deserve this?" Based on this response, the nurse decides to include which nursing problem in the client's plan of care? A. Acute pain B. spiritual distress C.ineffective coping D. Complicated grieving - ✔✔B A nurse working on an endocrine unit should see which client first? A. An adolescent male with type 1 diabetes who is arguing about his insulin dose. B. A older client with Addison's disease whose current blood sugar level is 62 mg/dl C. An adult with a blood sugar of 384 mg/dl and a urine output of 350 ml in the last hour. D. A client taking Corticosteroids who has become disoriented in the last hour. - ✔✔D A young boy who is in a chronic vegetative state and living at home is readmitted to the hospital with pneumonia and pressure ulcers. The mother insists that she is capable of caring for her son and that she is going to take him home when he is discharged. Which action should the nurse implement next? A. Report the incident to the local child protective services. B. Find a home health agency that specializes in brain injuries. C. Determine the mother's basic level in providing care. D. consult the ethics committee to determine how to proceed. - ✔✔C A male client with persistent low back pain has received a prescription for an electronic stimulator (TENS) unit. After the nurse applies the electrodes and turns on the power, the client reports a tingling sensation. How should the nurse respond? A. Determine if the sensation feels uncomfortable. B. Decrease the strength of the electrical signals. C. Remove electrodes and observe for skin redness. D. Check the amount of gel coating on the electrodes. - ✔✔A A male client returns to the mental health clinic for assistance with his anxiety reaction that is manifested by rapid heartbeat, sweating, shaking and nausea while driving over the bay bridge. What action in the treatment plan should the nurse implement? A. Tell client to drive over the bridge until fear is manageable. B. Teach the client to listen to music or audio books while driving. C. Encourage client to have spouses drive in stressful places. D. Recommend that the client avoid driving over the bridge. - ✔✔B The nurse preparing to administer 1.6 ML of medication IM to a 4-month-old infant. Which action should the nurse include? A. Select a 22 gauge 1 1/2 inch (3,8cm) needle for the intramuscular injection B. Administer into the deltoid muscle while the parent holds the infant securely C. divide the medication into two injections with volumes under 1ml D. use a quick dart-like motion to inject into the dorsogluteal site. - ✔✔C Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse? A. Diarrhea and flatulence B. Abdominal pain C. muscle pain D. Altered taste - ✔✔C The nurse is triaging victims of a tornado at an emergency shelter. an adult woman who has been wondering and crying comes to the nurse. What action should the nurse take? A. Check the client's temperature, blood sugar and urine output. B. Transport the client for laboratory test and electrocardiogram (EKG). C. Delegate the care of the crying client to an unlicensed assistant. D. send the client to the shelter's nutrient center to obtain water and food. - ✔✔C The nurse is collecting a sterile sample for culture and sensitivity from a disposable three chamber water-seal drainage system connected to a pleural chest tube. the nurse should obtain the sample from which site on the drainage system? A. Tubing located on the top of the suction chamber. B. Plastic tubing located at the chest insertion site. C. stopper port located above the water-seal level. D. Rubberized port at the bottom of collection chamber. - ✔✔D The healthcare provider prescribes a low fiber diet for a client with ulcerative colitis Selection of which food items indicated to the nurse that the client understands the prescribed diet? A. Roasted turkey, canned vegetables. B. Baked potato with skin, raw carrots C. Pancakes, whole-grain cereals. D. Roast pork, freash strawberries. - ✔✔A A client exposed to tuberculosis is scheduled to begin prophylactic treatment with Isoniazid. Which information is most important for the nurse to note before administering the initial dose? A. Conversion of the client's PPD test from negative to positive. B. Length of time of the exposure to tuberculosis C. Current diagnosis of Hepatitis B D. History of intravenous drug abuse - ✔✔C After placing a client at 26-weeks gestation in the lithotomy position, the client complains of dizziness and becomes pale and diaphoretic. What action should the nurse implement? A. Place the client in the Trendelenburg position. B. Instruct the client to take deep breaths C. Place a wedge under the client's hip D. Remove the client's legs from the stirrups - ✔✔C A gravida 2 para 1, at 38 weeks gestation , scheduled for a repeat cesarean section in one week, is brought to the labor and delivery unit complaining of contractions every 10 minutes. While assessing the client, the client's mother enters the labor suite and says in a loud voice "I've had 8 children and I know she is in labor. I want her to have her cesarean section right now" What action should the nurse take? A. Request the mother to leave the room B. tell the mother to stop speaking for the client C. request security to remove her from the room D. Notify the charge nurse of the situation - ✔✔A A client with a chronic health problem has difficulty ambulating short distances due to generalized weakness, but is able to bear weight on both legs. To assist with ambulation and provide the greatest stability, what assistive device is best for this client? A. A quad cane B. Crutches with 2-point gait C. Crutches with 3-point gait D. Crutches with 4-point gait - ✔✔D A female nurse who took drugs from the unit for personal use was temporarily released from duty. after completion of mandatory counseling, the nurse asked administration to allow her to return to work. when the nurse administrator approaches the charge nurse with the impaired nurse's request, what action is best for the charge nurse to take? A. Since treatment is completed, assign the nurse to routine RN responsibilities B. ask to meet with the impaired nurse's therapist before allowing her back on the unit C. allow the impaired nurse to return to work and monitor medication administration D. Meet with staff to assess their feeling about the impaired nurse's return to the unit - ✔✔C A client had a subtotal parathyroidectomy two days ago, and is now preparing for discharge. Which assessment finding is most important for the nurse to provide to the healthcare provider prior to client discharge? A. No bowl movement since surgery B. Afebrile with a normal pulse C. no appetite for breakfast D. A positve Chvostek's sign - ✔✔D A client with cirrhosis is receiving a low protein diet. The nurse should explain to the family that this diet restriction is implemented to reduce the risk of which complication of cirrhosis? A. delirium B. abdominal ascites C. Hepatic encephalopathy D Esophageal varices - ✔✔C While completing an admission assessment for a client with unstable angina, which closed ended questions should the nurse ask about the client's chest pain? A. tell me about the activities that cause your pain? B. When did you first notice the pain in your chest? C. Does your pain occur when walking short distances? D. How do you feel when the pain becomes noticeable> - ✔✔C A 59-year-old female reports his concern over a lump that, "just popped up on my neck a week ago." in preforming an examination of the lump, the nurse palpates a large, nontender , hardened left subclavian lymph node. There is no overlying tissue inflammation. What do these findings suggest ? A. Lymphangitis B. Malignancy C. bacterial infection D. Viral infection - ✔✔B An older client with atrial fibrillation receives a new a new prescription for dabigatran to reduce risk of blood clot formation, What information should the nurse include in this client's medication teaching plan? (SATA) A. Medication injections are self-administered daily B. plan to monitor and record the pulse rate daily. C. Contact healthcare provider if bruising occurs D. Report bleeding in the urine of stool right away E. Inform dentist of the medication usage before procedures. - ✔✔C,D,E A morbidly obese woman is scheduled for bypass surgery, she complete the required post-operative nutritional counseling and signs the operative permit. to promote effective discharge planning, which intervention is the most important for the nurse to implement? A. Discuss small, low fat, low sugar meal preparation techniques B. Encourage the client to keep a daily dietary diary for two weeks C. Suggest that the client's husband do the family grocery shopping. D Advise the client to arrange for dietary counseling after discharge - ✔✔A After reviewing the Braden scale findings of residents as a long-term facility, the charge nurse should tell the UAP to prioritize care for which client? A. An older adult who is unable to communicate elimination needs B. A older man whose sheets are damp each time he is turned C. A woman with osteoporosis who is unable to bear weight D. A poorly nourished client who requires liquid supplements - ✔✔B The husband of an older woman, diagnosed with pernicious anemia, calls the clinic to report that his wife still has memory loss and some confusion since she received the first dose of nasal cyanocobalamin two days ago. He tells the nurse that he is worried that she may be getting Alzheimer's disease. What action should the nurse take? A. Explain that memory loss and confusion are common with vitamin B12 deficiency B. Ask if the client is experiencing any change in bowl habits C. determine if the client is taking iron and folic acid supplements D. Encourage the husband to bring the client to the clinic for a complete blood count - ✔✔A A male client who sustained a head injury following an automobile collision is admitted to the hospital. The nurse includes the client's risk for developing ICP in the plan of care. Which signs indicate to the nurse that ICP has increased ? A. Increased Glascow coma scale score B. Nuchal rigidity and dystonia C. Confusion and papilledema D. periorbital ecchymosis - ✔✔C At 0715, after receiving report on four medical clients, the nurse is preparing a prioritized "to do" list. Which action should the nurse plan to do first? (based on charts) A. administer metformin to client D B. insert the IV in a new location for client C C. Complete a focused assessment for client A D. Validate the blood pressure for client B - ✔✔C The nurse is preparing to send a client to the cardiac catheterization lab for a angioplasty. Which client report is most important for the nurse to explore further prior to the start if the procedure? A. Drank a glass of water in the past 2 hours B. Experiences facial swelling after eating crab C. Reports left chest wall pain prior to admission D. verbalizes a fear of being in a confined space - ✔✔B A client who had a below-the-knee amputation is experiencing severe phantom limb pain and asks the nurse if mirror therapy will make the pain stop. Which response by the nurse is likely to be most helpful. A. Research indicated that mirror therapy is effective in reducing phantom limb pain B. you can try mirror therapy, but do not expect complete elimination of the pain C. Transcutaneous electrical nerve stimulation (TENS) has been found to be more effective D. Where did you learn about the used of mirror therapy in treating phantom limb pain? - ✔✔A One hour ago, while walking on the treadmill in the cardiac rehabilitation unit, a client began to exhibit signs of a cerebrovascular accident (CVA). The client is transported to the emergency department. Which behavior is indicative of ICP and deteriorating condition? A. Calls out for family members who are outside the room B. Falls asleep while answering health history questions C. Becomes agitated when blood specimen is collected D. Cries and grasps the nurse's hand during vital signs - ✔✔B During change of shift report, the oncoming nurse learns that soft restraints were applied to a combative client at 0600 after multiple alternatives were attempted and the client's healthcare provider was notified. The nurse and UAP initially enter the client's room at 0800. In what order should the nurse implement these interventions. arrange from first action on top to last on the bottom A. assess the client's skin and circulation for impairment related to the restraints B. Assign the UAP to follow restraint protocol unit a new prescription is obtained C. Contact the client's healthcare provider to confirm continued use of restraints [Show More]

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