HESI 2021 EXIT RN LATEST VERSION 2 1. A client with skin grafts covering in full-thickness burns on both arms and legs is scheduled for a dressing change. The client is nervous and requests that the... dressing change be skipped this time. What action is most important for the nurse at the time? A. Proceed with the scheduled dressing change. B. Encourage the client to express any anxieties. C. Administer an anti-anxiety medication. D. Explain the importance of regular dressing changes. ANS: B 2. A client with angina pectoris is being discharge from the hospital. What instruction should the nurse plan to include in this discharge teaching? A. Engage in physical exercise immediately after eating to help decrease cholesterol levels. B. Walk briskly in cold weather to increase cardiac output C. Keep nitroglycerin in a light-colored plastic bottle and readily available D. Avoid all isometric exercises but walk regularly ANS: D HESI RN 2021 3. A client is admitted to a mental health unit after attempting suicide by taking a handful of medications. In developing a plan of care for this client, which goal has the highest priority? A. Signs a no-self-harm contract. B. Sleep at least 6 hours nightly. C. Attends group therapy every day D. Verbalizes a positive self-image. ANS: A HESI RN 2021 4. A client collapses while showering and is found discovered by the nurse while making rounds. The client is not breathing and does not have a palpable pulse. The nurse obtains the Automated External Defibrillator (AED). What action should the nurse implement next? A. Move the client from the bathroom. B. Apply AED pads to the client’s chest. C. Wipes the client’s chest dry. D. Follow the prompts of the AED. ANS: C 5. A female client with cancer tells the home care nurse that she has a good appetite but experiences nausea whenever she smells food cooking. What action should the nurse implement? A. Encourage family members to cook meals outdoors and bring the cooked foods inside. B. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting. C. Advise the client to replace cooked foods with a variety of different nutritional supplements. D. Assess the client’s mucous membranes and report the findings to the healthcare provider. ANS: A [Show More]
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