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HESI EXIT 2021Study online at
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1. An adolescent male client is admitted to the hospital. Based on
Erikson's theory of psychosocial development, which nursing intervention
best as- sists the adolescent's adjustment to his hospital stay?: Invite him
to partic- ipate in the evening group activity
2. A client is receiving Lidocaine IV at 3 mg/min. The pharmacy dispences a
500 mL IV solution if normal saline (NS) with 2 grams of Lidocaine. The
nurse should regulate the infusion pump to deliver how many mL/hour?:
45ml/hr
3. In caring for the body of a client who just died, which tasks can be
delegate to the unlicensed assistive personnel (UAP)? (Select all that
apply.): a. Attach identifying name tags on the body
b. Place personal religious artifacts on the body
c. Follow cultural believes in preparing the body
4. A client who is taking Fluoxetine for major depression calls the
psychiatric clinic reporting being more agitated, irritable, and anxious than
usual. Which intervention should the nurse implement?: Instruct the
client to seek medical attention immediately
5. The healthcare provider explains through an interpreter the risks and
benefits of a scheduled surgical procedure to a non-English speaking
female client. The client gives verbal consent, and the healthcare provider
leaves, instructing the nurse to witness the signature on the consent form.
The client and the interpreter then speak together in the foreign language
for an additional 2 minutes until the interpreter concludes, "She says it is
OK." What action should the nurse take next?: Ask for a full explanation
from the interpreter of the witnessed discussion
6.While caring for a client with a full thickness burn covering 40% of the
body surface area (BSA) , the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider, the nurse
should review which of the client's laboratory values?: Neutrophil Count
7. A young adult female college student visits the health clinic in early
winter to obtain birth control pills. The clinic nurse asks if the student has
received an influenza vaccination. The student stated she did not receive
vaccination because she has asthma. How should the nurse respond?:
Offer to provide influenza vaccination to the student while she is at the
clinic
8. preschool teacher notifies the school nurse that a child A has bitten
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childB on the arm. Child B'sskin is broken, but not bleeding. What action
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should the school nurse take first?: Wash Child B's arm thoroughly with
soap and water
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9.The nurse is preparing discharge teaching for a client with osteoarthritis
of the right knee who is experiencing chronic pain. Which instructions
should the nurse include to assist the client in the management of the
pain? (select all that apply): a. Place a pillow under the knee when
sitting with the feet elevated
c. Apply ice to the area for a maximum of 20 minutes with each
application d. Take acetaminophen as prescribed, up to 3000 mg per
day
10.A client with a history of chronic alcoholism is admitted with
pneumonia. Intravenous fluids are infusing at 75 mL/hour, and oxygen is
being delivered at 60% by non-rebreather mask. Which finding requires
immediate interven- tion by the nurse?: Magnesium 1.0
11.Assessment by the home health nurse of an older client who lives
alone indicates that client has chronic constipations. Daily medications
include furosemide for hypertension and heart failure and laxatives. To
manage the client's constipation, which suggestions should the nurse
provide? (Select all that apply): b. Recommend seeking help with regular
shopping and meal preparation
d. Increase fluid intake by keeping water glass next to recliner
d. Include oatmeal with stewed prunes for breakfast as often as
possible
12.A client who is 32 weeks gestation is seen in the emergency
department reporting vision changes. The nurse observes the client has
also experi- enced rapid weight gain over six weeks. Which action should
the nurse implement first?: Obtain a blood pressure
13.A lethargic one-hour-old infant is brought to the nursery for further
assessment. In which order should the nurse assess this infant?: a.
Heart Rate
b.Respirations
c.Temperature
d. Heel stick
14.A young couple who has been unsuccessful in conceiving a child for
over a year is seen in the family planning clinic. During an initial visit,
which intervention is most important for the nurse to implement?:
Determine current sexual practices
15.A female client is extremely anxious after being informed that her
mam- mogram was abnormal and needs to be repeated. Client is tearful
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and tells the nurse her mother
died of breast cancer. What action should
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the nurse take?: Encourage the client to continue expressing her fears
and concerns
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