Exam (elaborations)
HESI EXIT 2023 TEST QUESTIONS WITH SOLUTIONS
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Exam of 15 pages for the course HESI at HESI (HESI EXIT 2023 EXAM)
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HESI EXIT 2023A morbidly obese client is scheduled for gastric bypass surgery. The client completes
the required preoperative nutritional counseling and signs the operative permit. To
promote effective discharge planning, which intervention is most important for the nurse
to implement? - ANSWERDiscuss small, low fat, low sugar meal preparation
techniques.
A client who was splashed with a chemical has both eyes covered with bandages.
When assisting the client with eating, which intervention should the nurse instruct the
UAP to implement? - ANSWEROrient the client to the location of the food on the plate.
A client is admitted for an exacerbation of heart failure (HF) and is being treated with
diuretics for fluid volume excess. In planning nursing care, which interventions should
the nurse include? (Select all that apply.) - ANSWER• Observe for evidence of
hypokalemia
• Teach the client how to restrict dietary sodium
• Weight the client daily, in the morning
While changing the dressing of a client who is immobile, the nurse observes a red and
swollen wound with a moderate amount of yellow and green drainage and a foul odor.
Given there is a positive methicillin-resistant Staphylococcus aureus (MRSA), which is
the most important action for the nurse to take? - ANSWERAdminister prescribed
antibiotics.
A client who has asthma receives a new prescription for a corticosteroid inhaler. The
client expresses concern about taking steroid medications. What information should the
nurse provide the client about the use of this maintenance inhaler? - ANSWERSystemic
side effects are reduced when taken by inhalation
The healthcare provider prescribes a sedative for a client with severe hypothyroidism.
The nurse plans to contact the provider to review the safety of the prescription for the
client and consults first with the charge nurse. The charge nurse notes that the
prescription is written legally and completely. How should the charge nurse respond? -
ANSWERAssume responsibility for discussing the concern with the provider.
In assessing a client twelve hours following transurethral resection of the prostate
(TURP), the nurse observes that the urinary drainage tubing contains a large amount of
clear pale pink urine and the continuous bladder irrigation is infusing slowly. Which
action should the nurse implement? - ANSWEREnsure that no dependent loops are
present in the tubing.
, Which information should the nurse include in the discharge teaching plan of a client
with low back pain who is taking cyclobenzaprine to control muscle spasms? -
ANSWERUse cold and allergy medications only as directed by a healthcare provider.
A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin
infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which
actions should the nurse implement? (Select all that apply) - ANSWER• Monitor stools
for presence of blood
• Auscultate bowel sounds in all quadrants
• Review last partial thromboplastin time results.
Which laboratory results should the nurse closely monitor in a client who has end-stage
renal disease (ESRD)? - ANSWER• Serum potassium, calcium, and phosphorus.
A mal client who was in a motor vehicle collision yesterday is receiving a unit of packed
red blood cells. When half of the unit is infused, the client reports lower back pain, and
the nurse observes a fine rash over his chest and back. Which intervention should the
nurse implement? - ANSWERReplace the transfusion with normal saline
When developing a teaching plan for a client with newly diagnosed Type 1 diabetes, the
nurse should explain that an increased thirst is an early sign of diabetic ketoacidosis
(DKA). Which action should the nurse instruct the client to implement if this sign of DKA
occurs? - ANSWERGive a dose of regular insulin as prescribed
Which information is most important to include in the teaching plan for a client who is
discharged after a thyroidectomy for Grave's disease? - ANSWERDaily hormone
replacement will be needed for the rest of the client's life.
The nurse is planning discharge instructions for a client with type 2 diabetes who will be
starting exenatide. Which information should be included in the discharge instructions? -
ANSWERNotify your healthcare provider if you start having abdominal pain.
Which breakfast selection should he nurse recommend for a 16-year-old with diarrhea?
- ANSWEROatmeal, banana, and herbal tea.
The nurse is preparing to administer 1.6 mL of medication intramuscularly to a 4-month-
old infant. Which action should the nurse include? - ANSWERDivide the medication into
two injections with volumes under 1 mL.
A school-aged child with chronic renal failure receives a prescription from the healthcare
provider for losartan. Which action should the nurse implement prior to administering
the medication? - ANSWEREvaluate the ability to swallow medication.
An adolescent client on a drug treatment unit becomes angry and pulls the refrigerator
from the wall and then throws the microwave. After the client fails to respond to the
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