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ALL Nursing_knowledge_Assessment_Practice_Exam EXIT Questions and Answers Test Bank; A+ Rated Guide (2022)

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ALL HESI EXIT Questions and Answers Test Bank; A+ Rated Guide (2022) 1. A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take? Adm... inister the medication as prescribed with a glass of water 2. Which client should the nurse assess frequently because of the risk for overflow incontinence? A client ● Who is confused and frequently forgets to go to the bathroom 3. While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply) ● Move obstacle away from client ● Monitor physical movements ● Observe for a patent airway ● Record the duration of the seizure 4. A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stoppedsmoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurses to include in the client’s plan of care? ● Determine client’s level current blood alcohol level. ● Observe for changes in level of consciousness. ● Involve the client’s family in healthcare decisions. ● Provide grief counseling for client and his family. ● Rationale: Based on the client’s history of drinking, he may be exhibiting sing of hepatic involvement and encephalopathy. Changes in the client’s level of consciousness should be monitored to determine if he able to maintain consciousness, so neurological assessment has the highest priority. 5. An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratoryrate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the client’s ABG finding, which action is required? ● Report the results to the healthcare provider. ● Increase ventilator rate. ● Administer a dose of sodium carbonate. ● Decrease the flow rate of oxygen. ALL HESI EXIT QUESTIONS AND ANSWERS TEST BANK (2022/2023): A+ RATED STUDY GUIDE HESI EXIT STUDY RESOURCE / ATI EXAMS ● Rationale: This client is experience respiratory acidosis. Increasing the ventilator rate depletes CO2 a, which returns the PH toward normal. Report findings is important but only after increasing ventilator rate. 6. The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day, and has also experiences a loss of appetite. What instruction should the nurse provide? ● Perform CPT after meals to increase appetite and improve food intake. ● CPT should be performed more frequently, but at least an hour before meals. ● Stop using CPT during the daytime until the child has regained an appetite. ● Perform CPT only in the morning, but increase frequency when appetite improves. ● Rationale: CPY with inhalation therapy should be performed several times a day to loosen the secretions and m [Show More]

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