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V1,V2 & V3 EACH VERSION CONTAINS
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160 QUESTIONS AND CORRECT
ANSWERS/HESI RN EXIT V1,V2 & V3
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1 of 303
Term
While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the
nasogastric tube in the last hour. Which action should the nurse take
first?
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, measure vital signs auscultate lung and heart sounds
observe aspiration site take vital signs
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2 of 303
Term
A client who is admitted for primary hypothyroidism has early signs of
myxedema coma and associating the client at which sequence should
the nurse complete these actions rank the first action at the top with
the remaining in their descending order
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teach care of ostomy to care
Muscle weakness is an elderly sign of
provider -provide pain medication
crisis and means that you need more
instructions -assess the client for self
rest
care ability
1. Observe breathing patterns.
2. Assess blood pressure. 3. Takes metformin hydrochloride for
Measure body temperature. 4. type 2 diabetes mellitus
Palpate for pedal edema.
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, 3 of 303
Term
After three days of persistent epigastric pain, a female client presents
to the clinic. She has been taking oral antacids without relief. Her vital
signs are heart rate 122 beats/min, respirations 16 breaths/minute,
oxygen saturation 96%, and blood pressure 116/70mmHg. The nurse
obtains a 12-lead electrocardiogram (ECG). Which assessment finding is
most critical?
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Bile colored emesis ST elevation in three leads
Capillary refill of 5 seconds Complaint of radiating jaw pain
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, 4 of 303
Term
A client who is admitted with diabetic ketoacidosis (DKA) is
demonstrating Kussmaul breathing and has a severe headache along
with nausea. Her arterial blood gases (ABG) are: pH 7.50; PaCO2 30
mmHg; HCO3 24 mEq/L (24mmol/L). Which assessment finding
warrants immediate intervention by the nurse?
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Mental stupor Fruity breath
Bleeding gums The skin
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5 of 303
Term
A client who is hypotensive is recieving dopamine, an adrenergic
agonist, IV at the rate of 5mcg/kg/min. Which intervention should the
nurse implement while administering this medication?
Monitor serum potassium frequently. Assess pupillary response to light
hourly Measure urinary output every hour. Initiate seizure precautions
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