Exam (elaborations)
HESI EXIT CAT 4 QUESTIONS AND ANSWERS
- Course
- Institution
HESI EXIT CAT 4 QUESTIONS AND ANSWERS
[Show more]
Content preview
HESI EXIT CAT 4 QUESTIONS AND ANSWERS1- A 59-year-old male client is brought to the emergency room where he is
assessed to have a Glasgow Coma Scale of 3. Based on this assessment, how
should the nurse characterize the client's condition? - Answers-He is in a coma, and has
a very poor prognosis
2- At a community health fair, a 50-year-old woman tells the nurse that she has an
annual physical exam that includes a clinical breast exam and an annual
mammogram. How should the nurse respond? - Answers-Ask the woman if she also
performs monthly breast self- exams.
Which assessment finding should indicate to the nurse that a client with arterial
hypertension is experiencing a cardiac complication? - Answers-Complaints of
shortness of breath on exertion
A college student who is diagnosed with a vaginal infection and vulva irritation
describes the vaginal discharge as having a "cottage cheese" appearance.
Which prescription should the nurse implement first? - Answers-b. Instill the first dose of
nystatin (Mycostatin) vaginally per applicator
A client in acute renal failure has serum potassium of 7.5 mEq/L. Based on this
finding, the nurse should anticipate implementing which action? - Answers-b. Administer
a retention enema of Kayexalate
A client who had an intraosseous (IO) cannula placed by the healthcare
provider for an emergent fluid resuscitation is complaining of severe pain and
numbness below the IO sit. The skin around the site is pale and edematous. What
action should the nurse takes first? - Answers-a. Discontinue the IO infusion
The nurse-manager of a perinatal unit is notified that one client from the
medical-surgical unit needs to be transferred to male room for new
,admissions. Which client should the nurse recommend for transfer to the
antepartal unit? - Answers-b. A 35-year-old with lupus erythematous
A nurse is teaching a client postoperative breathing techniques using an
incentive spirometer (IS). What should the nurse encourage this client to do
to maintain sustained maximal inspiration? - Answers-c. Inspire deeply and slowly over
3 to 5 seconds
The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which statement
should the nurse provide? - Answers-The medication will help you think more clearly"
A male client with diabetes mellitus takes Novolin 70/30 insulin before meals
and azithromycin (Zithromax) PO daily, using medication he brought from home.
When the nurse delivers hisbreakfast tray, the client tells the nurse that he took his
insulin but forgot to take his daily dose of the Zithromax an hour before breakfast as
instructed. What action should the nurse implement? - Answers-Instruct the client to eat
his breakfast and take the Zithromax two
hours after eating
11-What instruction is most important for the nurse to provide a female client who
has just been diagnosed with trichomoniasis? - Answers-Treat sexual partner (s)
concurrently
A primigravida at term comes to the prenatal clinic and tells the nurse that she
is having contractions every 5 min. The nurse monitors the client for one hour,
using an external fetal monitor, and determines that the client's contractions every 5
minutes. The nurse monitors the client for one hour, using an external fetal monitor,
and determines that the client's contractions are 7 to 15 minutes apart, lasting 20 to
, 30 seconds, with mild intensity by palpation. What action should the nurse take? -
Answers-Send the client home and instruct her to call the clinic when her contractions
occur 5 minutes apart for one hour
Which instruction should the nurse provide to an elderly client who is taking an
ACE inhibitor and a calcium channel blocker? - Answers-Change the position slowly
14- Assessment finding of a 3-hour-old newborn include: axillary temperature of
97.7 F, heart rate of 140 beats/minute with a soft murmur, and irregular respiratory
rate at 42 breaths/min. Based on these findings, what action should the nurse
implement? - Answers-Record the findings on the flow sheet
15- A client admitted to the hospital for depression is escorted to a private room.
Prior to leaving the room, what intervention is most important for the nurse to
implement? - Answers-Search all personal belongings
An experienced nurse tells the nurse-manager that working with a new
graduate is impossible because the new graduate will not listen to suggestions. The
new graduate comes to the nurse-manager describing the senior nurse's attitude as
challenging and offensive. What action is best for the nurse manager to take? -
Answers-Ask the nurses to meet with the nurse-manager to identify ways of working
together
22- A client receiving amlodipine (Norvasc), a calcium channel blocker, develops 1+
pitting edema around the ankles. It is most important for the nurse to obtain what
additional client data? - Answers-d. Breath sounds
A male adult client is transferred to a psychiatric facility following release from
the hospital for treatment of a self-inflicted gunshot wound. In attempting to develop
a therapeutic relationship with this client, which information is most important for the
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80467 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now