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  • March 17, 2024
  • 10
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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Study for exit
HESI /ATI Exam
�LL HESI EXIT Questions and Answers
iTest Bank; A+ Rated Guide {2022}
271. A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at
bedtime. What action should the nurse take?

(correct Answer-Administer the medication as prescribed with a glass of water

272. Which client should the nurse assess frequently because of the risk for
overflow incontinence?

client Who is confused and fr

273. While monitoring a client during a seizure, which interventions should the
nurse implement? (Select all that apply)

correct Answer-
ove obstacle away from clien
onitor physical movement
bserve for a patent airwa ..___
ecord the duration of the seizur

274. A male client with a long history of alcoholism is admitted because of mild
confusion and fine motor tremors. He reports that he quit drinking alcohol and
stopped smoking cigarettes one month ago after his brother died of lung cancer.




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, 22 of 174

inservice presentation about the care of clients with hypertension? (correct
Answer- Frequent blood pressure checks, including readings taken by automated
machines, are recommended.

A client is admitted to the hospital for alcohol dependency. What is the priority
nursing intervention during the first 48 hours following admission? (correct
Answer- Monitor for increased blood pressure and pulse.

A male client diagnosed with antisocial personality disorder is morbidly obese and
is placed on a low fat, low calorie diet. At dinner the nurse notes that he is trying to
get other clients on the unit to give him part of their meals. What intervention
should the nurse implement? (correct Answer- Confront the client about the
consequences of the behavior.

In planning the care of a 3-year-old child with diabetes insipidus, it is most
important for the nurse to caution the parents to be alert for which condition?
(correct Answer- Increased thirst.

(A) is a primary factor in monitoring effectiveness of treatment for diabetes
insipidus. A child with diabetes insipidus does not want to eat, and only wants to
drink; in fact he or she may even drink water from toilets and vases. The anterior
fontanel usually closes at about 18 months of age; therefore, (B) is not an
appropriate measure of dehydration for a 3-year-old. The skin of a child with
diabetes insipidus is usually warm and dry, not (C). (D) is not characteristic of
diabetes insipidus, but is characteristic of hypothyroidism, Cushing syndrome, or
nephrotic syndrome.

A client assigned to a female practical nurse (PN) needs total morning care and
sterile wound packing with a wet to dry dressing. The PN tells the nurse that she
has never performed a wound packing. Which intervention should the charge nurse
implement? (correct Answer- Demonstrate the wound care procedure to the PN
while the PN assists

A child with Tetrology of Fallot suffers a hypercyanotic episode. Which immediate
action by the nurse can lessen the symptoms of this "TET spell?" (correct Answer-
The child should be placed on his or her back in the knee-to-chest position (B) to
increase blood vessel resistance. The increased pressure reduces the rush of blood
through the septal hole and improves blood circulation.




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