HESI COMPREHENSIVE > EXAM > HESI-RN COMPREHENSIVE EXAM A STUDY QUESTIONS WITH CORRECT ANSWERS 2024 GUARANTEED PASS | RATED A+ (All)

HESI-RN COMPREHENSIVE EXAM A STUDY QUESTIONS WITH CORRECT ANSWERS 2024 GUARANTEED PASS | RATED A+

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HESI-RN COMPREHENSIVE EXAM A STUDY QUESTIONS WITH CORRECT ANSWERS 2024 GUARANTEED PASS | RATED A+ The nurse is providing care to an 86-year-old admitted with generalized weakness. Dietary modificat... ions and levothyroxine are prescribed. Which physiologic finding in an older adult could precipitate an adverse reaction to the medication? A. Reduced renal excretion B. Reduced gastrointestinal motility C. Increased hepatic metabolism D. Increased risk of autoimmune disorders - Answer>>> A Rationale: During the aging process, reduced renal function is common and contributes to drug accumulation that contributes to adverse reactions. Reduced hepatic function, not option C, predisposes an older adult to an increase in adverse drug reactions. Option B may occur frequently in an older client but does not impact the bioavailability of drugs. Although an older adult may have a decreased immune response, the aging client's risk for autoimmune disorders is not increased, nor does it affect drug pharmacotherapeutics The charge nurse of a 16-bed medical unit is making 0700 to 1900 shift assignments. The team consists of two RNs, two PN/VNs, and two UAP. Which assignment is the most effective use of the available team members? A. Assign the PNs to perform am care and assist with feeding the clients. B. Assign the UAPs to take vital signs and obtain daily weights. C. Assign the RNs to answer the call lights and administer all medications. D. Assign the PN/VNs to assist health care providers on rounds and perform glucometer checks. - Answer>>> B Rationale: A UAP can take vital signs and daily weights on stable clients. UAPs can perform am care and feed clients, which is a better use of personnel than assigning the task to the PN. All team members can answer call lights, and PNs can administer some of the medications, so assigning the RN these tasks is not an effective use of the available personnel. The RN is the best team member to assist on rounds, and the UAP can perform glucometer checks, so assigning the PN these tasks is not an effective use of available personnel. A client is admitted to the mental health unit with a chief complaint of crying, depressed mood, and sleeping difficulties. While talking about the death of a friend, the client states, "I can't believe this happened." Which statement by the nurse is most therapeutic? A. "It sounds like you're feeling very sad." B. "Tell me more about how you're feeling." C. "How often do you have crying spells?" D. "Do you want to talk about these feelings?" - Answer>>> B Rationale: It is most therapeutic to ask an open-ended question and encourage the client to explore his or her feelings. Option A is a leading response, and the client may not be feeling sad. Options C and D are closed-ended questions that do not facilitate communication. [Show More]

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