HESI Exit Exam 10 Graded A+ 2023

1. Male client admitted the morning of scheduled surgery told nurse he drank water last night. Amount of water and what time was taken. 2. Why would nurse apply pressure to lacrimal duct after optic meds. Reduce systemic effects. 3. Comatose patient mouth care. Side lying position. 4. morning care client have seizure. Protect Pt head. 5. Charge nurse assign PN. Insulin injections. 6. 2 doses missing. Complete report. 7. Pt on suicide ask about discharge. Increases suicide precautions. 8. Photo of chest and locating apical HR. Just below left nipple. 9. At the end of 12hr shift the nurse observes the urine in a client’s drainage. Most recent white blood count. 10. Male client diagnosed with schizophrenia is withdrawn, isolates himself, with one- or two- word responses. Measure appropriate vital signs. 11. 8-year-old on 90-90 traction for a fractured femur. Weights are touching the foot of the bed. 12. Nurse reviewing diet instructions with female client who has hyper and increased her intakes of protein and calories. Continue dietary changes she has made. 13. Discontinue IV therapy infusing at 150ml per hour at 1200 the PN notes that there are 750ml of solution remaining. 1700. 14. The PN is caring for a client who had a total laryngectomy, left radical neck dissection... Client is receiving nasogastric tube feedings via an internal pump. Today the rate of the feeding was increased...ml/hr. What parameter should the PN use to evaluate the clients tolerate to the rate of the feeding? Gastric residual volumes. 15. A new mother is breastfeeding her newborn for the first time after delivery and complains of nipple pain...Based on the client complaint, what action should the PN take? Ensure that all the areolar tissue of the nipple is in the infants mouth. 16. Which site should the PN use when administering an injection of Rho (D) Immune negative postpartum client? Deltoid. 17. A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most effectively deal with breast engorgement and discomfort? Wear a supportive bra at all times. 18. A female Native American client who is receiving chemotherapy places a native artifact...the health care provider removes the medicine wheel and tells the client “This type of hospital" what intervention should the PN implement. Act as the clients advocate when discussing the issue with the HCP. 19. A client on bed rest refuses to wear the prescribed pneumatic compression device after surgery, what action should the PN implement in response to the clients refusal. Emphasize the importance of active foot flexion. 20. A client recovering from a stroke is learning how to use a cane. How should it be placed. On the stronger side of the body. 21. A client with small bowel obstruction is experiencing frequent vomiting which instructions are most important for the PN to provide to the UAP who is completing morning care for this client. Measure all emesis accurately.