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HESI Exit Exam MOST TESTED QUESTIONS AND ANSWERS (CHECK THE LAST PAGE FOR 15 LATEST VERSIONS OF THE EXAM AND OTHER HESI EXAMS)

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5. A nurse working in the emergency department admits a client with full-thickness burns to 50% of the body. Assessment findings indicate high-pitched wheezing, heart rate of 120 beats/min, and diso... rientation. Which action should the nurse take first? A. Insert a large-bore IV for fluid resuscitation. B. Prepare to assist with maintaining the airway. C. Cleanse the wounds using sterile technique. D. Administer an analgesic for pain. Rationale: High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with lung injury. Airway management is the first priority of care. Options A, C, and D are all appropriate interventions in managing the client with a burn but are not as critical as establishing an airway. 6. The nurse walks into the room and observes the client experiencing a tonicclonic seizure. Which intervention should the nurse implement first? A. Restrain the client to protect from injury. B. Flex the neck to ensure stabilization. C. Use a tongue blade to open the airway. D. Turn client on the side to aid ventilation. Rationale: Maintaining the airway during a seizure is the priority for safety. Options A, B, and C are contraindicated during a seizure and may cause further injury to the client. Copy any one of the below link and open in your browser to download 15 different versions of the HESI EXIT Exam. https://docmerit.com/doc/show/hesi-exit-exam-15-versions-2500-q-a-latest-2021-exit-hesi-examcomplete-document-for-hesi-exam OR https://www.coursemerit.com/solution-details/74750/HESI-Exit-Exam-15-Latest-Versions-2500--Q--A-- Exit-HESI-Exam-Already-Graded-A Check the bundle for other 12 different HESI Exams. Download the HESI exam you need. [Show More]

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