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Community Health RN V2 Exit Hesi Guaranteed A+ TB Guide (All 160 Q&A) ++
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Community Health RN V2 Exit Hesi Guaranteed A+ TB Guide (All 160 Q&A)HESI EXIT V2
160 Questions
• After receiving IV fluids in the emergency department, an
elderly client is admitted to
Test Bank Page 1
, Community Health RN V2 Exit Hesi Guaranteed A+ TB Guide (All 160 Q&A)
the acute care unit with a medical diagnosis of
dehydration. The client is receiving 0.9% normal saline at
125 ml/hour via saline lock and has a bounding pulse,
tachycardia, and pedal edema. When contacting the
healthcare provider, the nurse anticipates a prescription
what intervention?
A) Remove the saline lock from the client’s arm.
B) Increase the rate of the normal saline infusion.
C) Decrease the rate of the normal saline infusion.
D) Change the IV solution to 0.45% saline solution.
• A client who is admitted to the care unit with syndrome
of inappropriate antidiuretic hormone (SIADH) has
developed osmotic demyelination. Which intervention
should the nurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
Test Bank Page 2
, Community Health RN V2 Exit Hesi Guaranteed A+ TB Guide (All 160 Q&A)
• The nurse is preparing a client who had a below-the-
knee (BKA) amputation for discharge to home. Which
recommendations should the nurse provide this client?
(Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the
stump after bathing. D)
Inspect skin for redness.
E) Use a residual limb shrinker.
• After 2 days treatment for dehydration, a child
continues to vomit and have diarrhea. Normal saline is
infusing and the child’s urine output is 50ml/hour. During
morning assessment, the nurse determines that the child
is lethargic and difficult to arouse. Which should the
nurse implement?
A) Increase the IV fluid flow rate.
B) Review 24-hour intake and output.
C) Obtain arterial blood gases.
Test Bank Page 3
, Community Health RN V2 Exit Hesi Guaranteed A+ TB Guide (All 160 Q&A)
D) Perform a finger stick glucose test.
• A client with bleeding esophageal varices receives
vasopressin IV. What should the nurse monitor for during
the IV infusion of this medication?
A) Vasodilatation of the
extremities. B) Chest
pain and dysrhythmia.
C) Hypotension and tachycardia.
D) Decreasing GI cramping and nausea.
• A male client with an antisocial personality disorder is
admitted to an inpatient mental health unit for multiple
Test Bank Page 4
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