1. When ambulating a client with hemiplegia, which side do you stand on?
The side with weakness.
2. The parents of a child with hemophilia want to know the cause of the disease. Which of the
following will be the best response by the nurse?
The mother passed the gene to her son.
3. The six-mon...
HESI Exit Exam 12 Graded A+ 2023 1. When ambulating a client with hemiplegia, which side do you stand on? The side with weakness. 2. The parents of a child with hemophilia want to know the cause of the disease. Which of the following will be the best response by the nurse? The mother passed the gene to her son. 3. The six -month old is brought to the clinic for a well baby checkup. During the exam, the nurse should expect to assess which of the following? Sitting with support. 4. A 40 -year-old man with an endotracheal tube needs suc tioning. Which of the following statement is an accurate description of how the nurse should perform the procedure? Insert the suction catheter until resistance is met, then withdraw slightly. 5. A 47 -year-old woman comes to the outpatient psychiatric clinic for treatment of a fear of heights. The nurse knows that phobias involve. Projection and displacement. 6. The Prenatal client at eight weeks gestation has a positive VDRL. In preparing the teach ing plan, which of the following will be most appropriate for the nurse to include? Instruct client to take penicillin on time. 7. While assessing a 6-year-old, the nurse notices several elevated 1 to 3 mm white spots on the child's buccal mucosa. What other signs should the nurse expect this child to exhibit? Red blotchy macular rash on face and neck. 8. An elderly client who has been recently immobilized is ordered to begin passive range of motion (ROM) exercises. What should the Norse understand about our ROM before initiating this order? Sufficient range of motion helps elderly carry out adls. 9. The Outpatient clinic nurse is caring for a 66-year-old woman with insulin -dependent diabetes mellitus. Because the client is a unwilling to perform blood glucose monitoring, she tests her urine for sugar and acetone. The nurse knows the blood glucose monitoring is preferred over urine testing for glucose because? The renal threshold for glucose is elevated in the elderly. 10. After two weeks gestation, a client has an order for an ultrasound. The client indicates an understanding of this procedure if she makes which of the following statements to the nurse? The results will inform us of the gestational age. 11. A child has pedicu losis (head lice) and is being treated with 1% got my benzene hexachloride shampoo. Treatment should be continued every other day for one week. 12. The nurse is preparing to administer a liter of IV solution to a toddler with gastroenteritis who is dehydrated. Which action should the nurse implement to prevent fluid overload? Attach a volume control device below the primary infusion. 13. A client has been receiving chlorpromazine hydrochloride. When the nurse checks on the patient, the patient is restless, unable to sit still, and complains of insomnia and fine tremors of her hands. The nurse knows that these symptoms are. Extrapyramidal symptoms resulting from the medication. 14. A client's arterial blood gases are: PH 7.5, pao2 94, paco2 30, HCO2 24. What action should the nurse take based on these findings? Assess the client for causes of hyperventilation. 15. The Nurse is caring for a client with tracheotomy. An appropriate nursing diagnosis for this client is? Ineffective airways clearance related to increased tracheobronchial secretions. 16. Which of the following types of foods should the nurse encourage in the diet of a client with a hypoparathyroidism? Low in sodium. 17. A 20 -year-old woman arrives at the hospital in active labor. The admitting nurse attaches an internal federal monitor. The nurse knows the most important reason for the fiddle monitor is. To evaluate the progress of the client's labor. 18. A mentally retarded client is to be discharged home on warfarin sodium, 5 mg each day. To maintain client safety, which of the following would be an appropriate first nursing action? Evaluate client's comprehension of the medication administration. 19. The nurse is caring for clients in the drug rehabilitation facility. Which of the following complications of IV drug abuse is the nurse most likely to observe? Cellulitis. 20. The nurse is monitoring an infant with pulmonic stenosis. Which finding is most Important for the nurse to report to the healthcare provider? Systemic cyanosis. 21. The client is administered with cerebrovascular accident and has facial paralysis. Nursing care should be planned to prevention which of the following complications? Corneal abrasion. 22. A client is ordered to take aspirin GR.X, PO. The drug labels aspirin 325 mg per tablet. Which of the following actions should the nurse to take? Give two tablets. 23. In evaluating teaching of a client about wearing a Holter monitor, which statement made by the client would indicate to the nurse that the client understands the procedure? "I must record any symptoms occurring with my activity" 24. A new mother is taking home her infant. The client asks the nurse when she should start giving her child solid foods. The nurse’s response should be based on which of the following statement? Solid foods are usually not started until the infant is around 6 months old. 25. A female client diagnosed with major depression was admitted to the psychiatric unit yesterday. Today she refuses to take a bath, dress, or eat, and wants to sleep during the day. Which intervention has the highest priority for this client? Provide and maintain a safe, structured daily routine. 26. The emergency department notifies the charge nurse at 3:00 a.m. Of the transfer of a client who is being admitted because of multiple lacerations that are a result of self -destructive behavior. Agency policy states that this client should be admitted to a safe room with window locks, but the only safe room on the unit is currently occupied by a p ostoperative client. What action should the nurse take? Move the postoperative client to another room. 27. A client with chronic controlled atrial fibrillation develops symptoms of a pulmonary embolus. What intervention has the highest priority? Monitor O2 sat via pulse oximeter. 28. The client has an order for IV fluid of D5 0.45% normal Saline 1000 cc to run 9 AM to 9 PM. The drip factor on the delivery tubing is 15 G TTS/Min. The nurse should Adjust the IV to infuse at? 21 gtts/min. 29. The nurse understands that the primary reason Elderly adults have problems with constipation is that they? Have less activity and decreased muscle tone. 30. The nurses is discussing growth and development with the parents of a four year old child. The nurse should identify which of the following as the type of Play characteristics of this age group? Associative play. 31. Which of the following should be charted by the nurse to reflect a clients emotional adjustment to being hospitalized in the intensive care unit? The client constantly calls for the nurses, pleads for them to stay at the bedside and cries uncontrollably. 32. A school -aged child with otitis media receives a prescription for azithromycin (Zithromax) 300 mg once, then 150 mg daily for 4 days. The medication is available in a solution containing 200 mg/5 ml. How many ml should the nurse administer on the first day of the treatment regimen? (Round to nearest tenth)
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