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Exam (elaborations)

My Final Hesi SATA Tercero.

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My Final Hesi SATA Tercero.

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  • September 27, 2023
  • 30
  • 2023/2024
  • Exam (elaborations)
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1. What area of the body would you expect to hear this sound?

Larynx



2. A client had a cesarean birth 3 days ago. Where should the nurse, while palpating her fundus, expect
to locate the fundus if




C



3. The nurse is assessing four 2 ½-year-old children in a pediatric center. Which child would require
further assessment?



Child 3




4. The nurse is assessing the development of a child and observes family photographs of the child. The
nurse finds that the child participates in play as seen in the image. Which type of play interaction does
the child participate in as depicted in the image? R/ Parallels play

,5.




6. A client is found to have paranoid schizophrenia, and the healthcare provider prescribes a typical
antipsychotic medication. The picture illustrates the client's physical status as observed by the nurse on
the client's first visit to the community mental health clinic. What extrapyramidal side effect has
developed? R/ Akathisia

, 7. A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate an increase in
intracranial pressure? Select all that apply.

Irritability

Bradycardia



8. A nurse assessing a newborn identifies several characteristics of Turner syndrome. Which features did
the nurse observe? Select all that apply.

Webbed neck

Female sex organs

Widely spaced nipples



9. What are the primary nursing interventions when a client is receiving an infusion of magnesium
sulfate for severe preeclampsia? Select all that apply. ***

Restricting visitors

Maintaining a quiet environment



11. A client with Addison's disease is receiving cortisone therapy. The nurse expects what clinical
indicators if the client abruptly stops the medication? Select all that apply.

Tachypnea

Hypotension



12. A client's laboratory report indicates hyperkalemia. Which responses should the nurse expect the
client to exhibit? Select all that apply. ***

Vomiting

Muscle weakness

Irregular heart rate

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