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HESI RN EXIT EXAM VERSION 3 RETAKE ALL 160 REAL EXAM QUESTIONS AND WELL ELABORATED ANSWERS (A NEW UPDATED VERSION) LATEST 2024 GUARANTEED PASS NEW!!$20.49
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HESI RN EXIT EXAM VERSION 3 RETAKE 2023 -2024 ALL 160 REAL EXAM QUESTIONS AND WELL ELABORATED ANSWERS (A NEW UPDATED VERSION) LATEST 2024 GUARANTEED PASS NEW!! While the nurse is assessing an older client's fall risk, the client reports living at home alone and never falling. Which action should the nurse take? A. Inform the client that falls occur more often in the hospital than at home B. Record a minimal risk for falls, documenting the client's statement C. Continue to obtain client data needed to complete the fall risk survey D. Place the client on a high fall risk protocol because of advanced age - answer -C. Continue to obtain client data needed to complete the fall risk survey The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching? A. Find outlets for more social interaction B. Practice using muscle relaxation techniques C. Center attention on positive upbeat music D. Think about reasons the episodes occur - answer -B. Practice using muscle relaxati on techniques A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. What teac hing should the nurse provide? A. Plans to move into the dormitory need to be postponed for at least a semester B. These are common side effects of the vaccines and will resolve in a few days C. Immunizations can trigger a relapse of the disease, so get pl enty of extra rest D. these early signs of an infection may require medical treatment with antibiotics - answer -C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest The nurse is caring for a preterm newborn with nasal flaring , grunting, and sternal retractions. After administering surfactant, which assessment is most important for the nurse to monitor? A. Arterial blood gasses B. Breath sounds C. Oxygen saturation D. Respiratory rate - answer -A. Arterial blood gasses An S3 he art sound is auscultated in a client in her third trimester of pregnancy. What intervention should the nurse take? A. Prepare the client for an echocardiogram B. Document in the client's record C. Notify the healthcare provider D. Limit the client's fluids - answer -B. Document in the client's record A young male client is admitted to rehabilitation following a right above -knee amputation (AKA) for a severe traumatic injury. He is in the commons room and anxiously calls out to th e nurse, stating that his "right foot is aching". The nurse offers reassurance and support. Which additional intervention is most important for the nurse to implement? A. Encourage discussion of feelings about the loss of his limb B. Administer a prescript ion for gabapentin, a neuroleptic agent C. Tech the client how to wrap the stump with an elastic bandage D. Offer to assist the client to a quieter location so he can relax - answer -A. Encourage discussion of feelings about the loss of his limb A combinat ion multi -drug cocktail is being considered for an asymptomatic HIV -
infected client with a CD4 cell count of 500. Which nursing assessment of the client is most crucial in determining whether therapy should be initiated? A. Willing to comply with complex d rug schedules B. Maintains an adequate social support system C. Qualifies for a prescription assistance program D. States various side effects of retroviral agents - answer -A. Willing to comply with complex drug schedules The nurse is caring for a seated client who is experiencing a tonic -clonic seizure. Which actions should the nurse implement? (Select all that apply) A. Loosen restrictive clothing B. Insert a bite block C. Ease the client to the floor D. Note the duration of the seizure E. Restrain the client - answer -A. Loosen restrictive clothing C. Ease the client to the floor D. Note the duration of the seizure The nurse is completing the admission assessment of a 3 -year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Tachycardia and tachypnea B. Sluggish and unequal pupillary responses C. Increased head circumference and bulging fontanels D. Blood pressure fluctuations and syncope - answer -B. Sluggish and unequal pupillary responses A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional information is the client most likely to report to the nurse? A. Abdominal pain decreases when lying supine B. Pain lasts an hour and leaves the abdomen tende r C. Right upper quadrant pain refers to right scapula D. Drinks alcohol until intoxicated at least twice weekly. - answer -A. Abdominal pain decreases when lying supine A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge? A. Instructions about how much fluid the child should drink daily. B. Signs of addiction to opioid pain medications C. Information about non -pharmaceutical pain relief measures D. Referral for social services for the child and family - answer -A. Instructions about how much fluid the child should drink daily
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