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Hesi Herzing University -HESI EXIT EXAM FALL 2024 QUESTIONS WITH COMPLETE SOLUTIONS.
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Hesi Herzing University -HESI EXIT EXAM FALL 2024 QUESTIONS WITH COMPLETE SOLUTIONS.
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HESI EXIT EXAM FALL 2024 QUESTIONS WITHCOMPLETE SOLUTIONS
A client has a prescription for a unit of packed red blood cells
(RBCs). Which IV solution should the nurse obtain to hang with
the blood product at the client's bedside?
0.9% sodium chloride
Lactated Ringer's solution (LR)
5% dextrose in 0.9% sodium chloride
5% dextrose in water in 0.45% sodium chloride Correct
Answers 0.9% sodium chloride
A client has a prescription for short-term therapy with
enoxaparin . The nurse explains to the client that this medication
is being prescribed for which purpose?
Prevent pain
Relieve back spasms
Increase the client's energy level
Reduce the risk of deep vein thrombosis Correct Answers
Reduce the risk of deep vein thrombosis
A client has been given a prescription to begin using
nitroglycerin transdermal patches for the management of angina
pectoris. What should the nurse tell the client about the
medication?
Place the patch in the area of a skin fold to promote adherence
Apply the patch at the same time each day and leave it in place
for 12 to 16 hours as directed
If the patch becomes dislodged, do not reapply and wait until the
next day to apply a new patch.
,Alternate daily dose times between the morning and the evening
to prevent the development of tolerance to the medication
Correct Answers Apply the patch at the same time each day and
leave it in place for 12 to 16 hours as directed
A client has been taking metoprolol. Which finding indicates to
the nurse that the medication is effective?
The client's ankles are swollen.
The client's weight has increased.
The client's blood pressure has decreased.
The client has wheezes in the lower lobes of the lungs. Correct
Answers The client's blood pressure has decreased.
A client has just undergone insertion of a central venous catheter
by the health care provider at the bedside. Which result would
the nurse be sure to check before initiating infusion of the IV
solution that the health care provider has prescribed?
Serum osmolality
Serum electrolytes
Portable chest x-ray
Intake and output record Correct Answers Portable chest x-ray
A client is receiving heparin sodium by way of continuous IV
infusion. For which adverse effects of the therapy does the nurse
assess the client? Select all that apply.
Tinnitus
Tarry stools
Slowed pulse
Bleeding from the gums
Increased blood pressure Correct Answers Tarry stools
Bleeding from the gums
,A client is receiving intravenous bleomycin sulfate. During
administration of the chemotherapy, nursing assessment is the
priority?
Heart rate
Lung sounds
Peripheral pulses
Level of consciousness Correct Answers Lung sounds
A client is receiving total parenteral nutrition (TPN) with fat
emulsion (lipids) piggybacked to the TPN solution. For which
signs of an adverse reaction to the fat emulsion should the nurse
monitor the client? Select all that apply.
Chills
Pallor
Headache
Chest and back pain
Nausea and vomiting
Subnormal temperature Correct Answers Chills
Headache
Chest and back pain
Nausea and vomiting
A client is taking a folic acid supplement. Which laboratory
parameter does the nurse use to evaluate the effectiveness of this
therapy? Select all that apply.
Magnesium
Hemoglobin
Blood glucose
Hematocrit
Alkaline phosphatase Correct Answers H&H
, A client receiving total parenteral nutrition (TPN) requires fat
emulsion (lipids), which will be piggybacked to the TPN
solution. On obtaining a bottle of fat emulsion, the nurse notes
that fat globules are floating at the top of the solution. Which
action should the nurse take?
Shake the bottle vigorously
Request a new bottle from the pharmacy
Rotate the bottle gently back and forth to mix the globules
Run the bottle under warm water until the globules disappear
Correct Answers Request a new bottle from the pharmacy
A client taking hydrochlorothiazide reports to the clinic for
follow-up blood tests. For which side/adverse effect of the
medication does the nurse monitor the client's laboratory
results?
Hypokalemia
Hypocalcemia
Hypernatremia
Hypermagnesemia Correct Answers Hypokalemia
A client taking metronidazole for the treatment of
trichomoniasis vaginalis calls the clinic nurse to express concern
because her urine has turned dark in color. The nurse should
provide which information to the client?
To increase her fluid intake
To discontinue the medication
That darkening of the urine is a harmless side effect
To report to the clinic to see the health care provider Correct
Answers That darkening of the urine is a harmless side effect
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