NURSING 270-Hesi-exit-comprehensive-exam-answers provided. Complete Guide

A nurse is reviewing the medical record of an infant in whom hypertrophic pyloric stenosis (HPS) is suspected. Which characteristics associated with the disorder does the nurse expects see documented in the infant’s me ...

A nurse is reviewing the medical record of an infant in whom hypertrophic pyloric stenosis (HPS) is suspected. Which characteristics associated with the disorder does the nurse expects see documented in the infant’s medical record? Select all that apply. A. Weight loss Correct B. Facial edema C. Metabolic acidosis D. Projectile vomiting Correct E. Distended upper abdomen Correct 158.ID: 383703641 A client with a history of angina pectoris tells the nurse that the chest pain usually occurs with moderate to prolonged exertion and is generally relieved by nitroglycerin or rest. Which type of angina does the nurse recognize in the client’s description? A. Stable Correct B. Variant C. Unstable D. Crescendo 159.ID: 383706082 Methylergonovine (Methergine) is prescribed for a client to control postpartum bleeding. Which action does the nurse take before administering the medication? A. Checking the episiotomy site B. Palpating the client's bladder C. Checking the client's blood pressure Correct D. Ensuring that the uterus is contracted 160.ID: 383706068 A nurse is teaching a client with angina pectoris who is being discharged from the hospital about managing chest pain at home. Which statement by the client indicates a need for further teaching? A. "I need to keep fresh nitroglycerin available in case I need it." B. "I need to check the expiration date on the nitroglycerin bottle." C. "If I have any chest pain, I need to stop what I am doing and sit or lie down." D. "If I get chest pain, I should put 3 nitroglycerin tablets under my tongue and then go to the emergency department if that doesn’t work." Correct 161.ID: 383707949 A nurse develops a list of home care instructions for a client who is wearing a halo fixation device after sustaining a cervical fracture. Which instructions should the nurse include? Select all that apply. A. Use a straw to drink. Correct B. Avoid sexual activity while the vest is in place. C. Apply powder under the vest to prevent irritation. D. Use caution when leaning forward or backward. Correct E. Wear snug clothing to prevent the device from shifting. F. Do not drive, because full range of vision is impaired with the device. Correct 162.ID: 383710057 A nurse is assessing a client who is experiencing chest pain. Which of the following observations indicates to the nurse that the pain is most likely a result of angina? A. The pain is relieved by rest and nitroglycerin. Correct B. The pain is relieved by the administration of an antacid. C. The pain is relieved by the administration of an antiinflammatory medication. D. The pain is relieved with an upright sitting position and the administration of an analgesic. 163.ID: 383706640 A nurse has provided nutrition instructions to a mother of an infant. Which statement by the mother indicates to the nurse that the mother requires further instruction? A. "It’s best to use cow's milk, as long as it’s whole milk and not skim." Correct B. "When I start feeding solid foods, I might need to add water to the food." C. "When the baby starts to take juices, I shouldn’t warm the juice, because that will destroy the vitamin C." D. "The baby will get the right nutrition if I feed breast milk or store-bought formula that’s been fortified with iron.” 164.ID: 383703671 A pediatric nurse is caring for a hospitalized toddler. Which of the following activities does the nurse deem the most appropriate for the toddler? A. Singing games B. Watching videos C. Simple board games D. Large building blocks Correct 165.ID: 383709206 A nurse in a physician's office is reviewing the medical record of a child with a diagnosis of lactose intolerance. Which of the following findings does the nurse expect to see documented in the child's record? A. Fatty stools B. Episodes of foul-smelling ribbonlike stools C. Episodes of profuse watery diarrhea and vomiting D. Episodes of cramping abdominal pain and excessive flatus Correct 166.ID: 383712470 A nurse is providing dietary instructions to the mother of a child with celiac disease. The nurse tells the mother that it is acceptable to give the child: A. Boiled rice Correct B. Cooked pasta C. Warm oatmeal D. Baked macaroni and cheese 167.ID: 383713110 A nurse admitting a newborn to the nursery notes that the physician has documented that the newborn has a gastroschisis. The nurse performs an assessment, expecting to note that the viscera are: A. Inside the abdominal cavity and under the skin B. Inside the abdominal cavity and under the dermis C. Outside the abdominal cavity, not covered with a sac Correct D. Outside the abdominal cavity but inside a translucent sac covered with peritoneum and amniotic membrane 168.ID: 383707998 A nurse is monitoring a child with intussusception for signs of peritonitis. For which of the following findings, indicative of this complication, does the nurse notify the physician? A. Increased alertness B. Increased heart rate Correct C. A sausage-shaped abdominal mass D. Diarrhea and the passage of bloody mucous stool 169.ID: 383713179 The nurse, auscultating the breath sounds of a client, hears these sounds. What are they? A. Rhonchi B. Crackles C. Wheezes Correct D. Vesicular 170.ID: 383703631 A registered nurse is planning client assisgnments for the day. There is a licensed practical nurse and a nursing assistant on the team. Which client is the appropriate choice for the nursing assistant? A. A client with hemophilia who needs assistance with shaving B. A client with pneumonia who requires frequent oropharyngeal suctioning C. A client with rheumatoid arthritis who needs assistance with feeding and ambulation Correct D. A client with heart failure who needs daily weights and monitoring of intake and output 171.ID: 383706623 A nurse is monitoring a client with bronchogenic carcinoma for signs of superior vena cava syndrome. For which early sign of this oncological emergency does the nurse assess the client? A. Dyspnea B. Cyanosis C. Hypotension D. Stokes sign Correct 172.ID: 383704500 A nurse is caring for a client who has undergone transsphenoidal hypophysectomy to remove a microadenoma of the pituitary gland. Which of these findings would be of greatest concern to the nurse? A. Urinary specific gravity is low Correct B. Blood pressure is 138/80 mm Hg. C. The client complains of a dry mouth. D. The client frequently performs deep-breathing exercises. 173.ID: 383703683 The nurse notes the presence of drainage on the mustache dressing of a client who has undergone transsphenoidal hypophysectomy. The initial nursing action is to: A. Contact the surgeon B. Change the dressing C. Document the findings D. Check the drainage for glucose Correct 174.ID: 383706676 A nurse is monitoring a client who has undergone subtotal thyroidectomy for signs of postoperative complications. Which of the following findings would be a matter of concern for the nurse as an indication of hypocalcemia? A. The client's temperature is 100.6˚ F. B. The client's voice is hoarse and weak. C. The client's heart rate is 92 beats/min. D. The client complains of a tingling sensation around the mouth. Correct