HESI EXIT 2024 STUDY QUESTIONS WITH VERIFIED
ANSWERS GUARANTEED PASS | RATED A+
The nurse on the medical-surgical unit is receiving a transfer report from the post-anesthesia
care unit (PACU) nurse for a client who ha
...
HESI EXIT 2024 STUDY QUESTIONS WITH VERIFIED
ANSWERS GUARANTEED PASS | RATED A+
The nurse on the medical-surgical unit is receiving a transfer report from the post-anesthesia
care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides
the following information: "1000 mL normal saline is infusing at 125 mL/hr into the left wrist
with 600 mL remaining. Ondansetron 4 mg intravenously every 8 hours is prescribed for nausea.
The last dose was administered at 0700. The client is currently describing pain at a level 2 on a 0
to 10 pain scale. The client has a prescription for hydromorphone 1 mg intravenously every 2
hours as needed for pain. The last dose was administered at 1000." Which additional information
should the PACU nurse report? - Answer>>> Soft abdomen, absent bowel sounds, no bleeding
on dressing.
AN adult client who is admitted to the mental health unit for treatment of bipolar disorder has
slightly slurred speech pattern and an unsteady gait. Which assessment finding is most important
for the nurse to report to the healthcare provider? - Answer>>> Serum lithium of 1.6 mEq/L or
mmol/L
A male client with heart failure becomes short of breath, anxious, and has audible wheezing with
pink frothy sputum. The nurse sits the client upright and provides oxygen per nasal cannula. The
nurse receives a prescription to administered a one- time dose of morphine sulfate
intravenously. What action should the nurse take? - Answer>>> Administered the dose of
morphine sulfate as prescribed.
A client with pancreatitis complains of severe epigastric pain, so the nurse administers a
prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning
forward. Which intervention should the nurse implement? - Answer>>> Position bedside table so
the client can lean across it.
A client with megaloblastic anemia who takes folate 1 mg by mouth daily reports to the nurse of
feeling increasingly fatigued. Which laboratory value should the nurse review? - Answer>>>
Complete blood count.
The nurse is planning group therapy for clients in a substance abuse program. The focus of the
group is, "Risk factors for hepatitis." What intervention should the nurse plan for the gorup? -
Answer>>> Summarize what the group talked about
At 1130, the nurse assumes care of an adult client with diabetes mellitus who was admitted with
an infected foot ulcer. After reviewing the client's electronic heath record, which priority nursing
action should the nurse implement? - Answer>>> Administer insulin per sliding scale
The nurse is preparing to administer 1.6 mL of medication intramuscularly to a 4-month-old
infant. Which action should the nurse include? - Answer>>> Divide the medication into two
injections with volumes under 1 mL.
A school-aged child with chronic renal failure receives a prescription from the healthcare
provider for losartan. Which action should the nurse implement prior to administering the
medication? - Answer>>> Evaluate the ability to swallow medication.
An adolescent client on a drug treatment unit becomes angry and pulls the refrigerator from the
wall and then throws the microwave. After the client fails to respond to the redirection, the
healthcare provider prescribes restraints. Which assessment should the nurse include in the
client's record while the client is in restraints? - Answer>>> • Range-of-motion and circulation.
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