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HESI EXIT Exams (Latest Update 2021) (A Graded) Latest Questions and Complete Solutions

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HESI EXIT Exams (Latest Update 2021) (A Graded) Latest Questions and Complete Solutions When a client is having a general tonic clonic seizure, the nurse should A) Hold the client's arms at their side B) Place the client on their side C) Insert a padded tongue blade in client's mouth D) Elevate the head of the bed The correct answer is B: Place the client on their side After talking with her partner, a client voluntarily admitted herself to the substance abuse unit. After the second day on the unit the client states to the nurse, "My husband told me to get treatment or he would divorce me. I don’t believe I really need treatment but I don’t want my husband to leave me." Which response by the nurse would assist the client? A) "In early recovery, it's quite common to have mixed feelings, but unmotivated people can’t get well." B) "In early recovery, it’s quite common to have mixed feelings, but I didn’t know you had been pressured to come." C) "In early recovery it’s quite common to have mixed feelings, perhaps it would be best to seek treatment on an out client bases." D) "In early recovery, it’s quite common to have mixed feelings. Let’s discuss the benefits of sobriety for you." The correct answer is D: "In early recovery, it’s quite common to have mixed feelings. Let’s discuss the benefits of sobriety for you." A neonate born 12 hours ago to a methadone maintained woman is exhibiting a hyperactive MORO reflex and slight tremors. The newborn passes loose, watery stool. Which of these is a nursing priority? A) Hold the infant at frequent intervals. B) Assess for neonatal withdrawal syndrome C) Offer fluids to prevent dehydration D) Administer paregoric to stop diarrhea The correct answer is B: Assess for neonatal withdrawal syndrome The nurse is caring for a post myocardial infarction client in an intensive care unit. It is noted that urinary output has dropped from 60 -70 ml per hour to 30 ml per hour. This change is most likely due to A) Dehydration B) Diminished blood volume C) Decreased cardiac output D) Renal failure The correct answer is C: Decreased cardiac output The primary nursing diagnosis for a client with congestive heart failure with pulmonary edema is A) Pain B) Impaired gas exchange C) Cardiac output altered: decreased D) Fluid volume excess The correct answer is C: Cardiac output altered decreased The nurse is performing a developmental assessment on an 8 month-old. Which finding should be reported to the health care provider? A) Lifts head from the prone position B) Rolls from abdomen to back C) Responds to parents' voices D) Falls forward when sitting The correct answer is D: Falls forward when sitting. Sitting without support is expected at this age.

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