EXIT HESI RN QUESTIONS AND ANSWERS LATEST UPDATE
An older male client with a history of type 1 diabetes has not felt well the past few days and arrives at the clinic with abdominal cramping and vomiting. He is lethargic, moderately confuses, and cannot remember when he took his last dose of ...
An older male client with a history of type 1 diabetes has not felt well the past few
days and arrives at the clinic with abdominal cramping and vomiting. He is
lethargic, moderately confuses, and cannot remember when he took his last dose
of insulin or ate last. What action should the nurse implement first?
Start an intravenous infusion of normal saline
A client with a history of heart failure and type 1 diabetes mellitus is admitted
with unstable angina. Which problem requires the most immediate intervention
by the nurse?A. Fatigue B. Fluid volume excess C.Activity intolerance D. Acute
anginal pain
Acute anginal pain
Several employees who have a 10 year or longer smoking history ask the
occupational health nurse for assistance with smoking cessation the nurse
develops a 2 month program that includes weekly group sessions on lifestyle
changes and use of over-the-counter (OTC) nicotine substitute products which
measurement provides the best indication of the program's effectiveness
Survey employees to determine how many are smoking
A female client is hospitalized for treatment of a myasthenic crisis and is
concerned about what might cause this illness. She states "i just had a little case
of the sniffles and a bit of a sore throat and wham! Suddenly i couldn't get out of
bed or do anything " which response is best for the nurse to provide this client?
Muscle weakness is an early sign of crisis and means that you need more rest
The nurse notes that the influenza immunization rates are much lower for certain
demographic groups than for others. Which intervention is likely to be most
useful in increasing the rates of immunization in these lower immunization group
Designation of clinics conveniently located in target neighborhood
The nursing staff expresses concern about a new policy that increases the
nurses to patient ratio by 25% on all shift. Which action is best for the nurse
manager take?
Encourage the nursing staff to organize a group meeting to voice their complaints
An experienced female practical nurse is hired to work on the surgical unit of a
tertiary hospital the first day she is working on the unit the PN tells the charge
nurse that she has excellent wound care skills. it is a busy day and a
postoperative client needs to have a sterile dressing change. what action is best
,for the charge nurse to take. A- Review the PN skill checklist to assess for wound
care competency B- Tell the PN experience does not indicate ability to perform
skills C- Watch the PN perform sterile wound care to validate her skill level D- Ask
the PN to change the sterile dressing while the nurse is busy
Watch the PN perform sterile wound care to validate her skill level
The home health nurse is reviewing the personal care needs of an elderly client
who lives alone. Which assessment findings indicate the need to assign an
unlicensed assistive personnel (UAP) to provide routine foot care and file the
client's toenails? (Select all that apply) A- Hand tremors B- Syncope when
bending C- Urinary incontinence D- Diminished visual acuity E- Shuffling gait
Hand tremors Syncope when bending & Diminished visual acuity
A nurse is assessing a 6- month -old infant. Which response requires further
evaluation by the nurse? A- Play peek-a boo B- Has doubled birth weight C- Turn
heads to locate sound D- Demonstrates startle reflex
Demonstrates startle reflex
The charge nurse is making assignment on an in-patient psychiatric unit. The
staff consists of two psychiatric technicians and one practical nurse (PN). Which
team assignment is best to assign to the PN? A- Administration of routine
medication B- Routine morning vital signs and weights C- Detoxification
precaution check lists D- One -on-one observation of a suicidal client
One -on-one observation of a suicidal client
An older client with cirrhosis of the liver and hepatic failure is placed on a low
sodium diet and is receiving periodic albumin infusions. Which assessment
finding indicates progression toward the desired effect of this treatment plan? A-
Improved level of consciousness B- Clear, dark amber colored urine C-
Prothrombin time within normal limits D- Decreased abdominal girth
Decreased abdominal girth
The home health nurse observes an older female client with unilateral weakness
place the walker in front of the chair for support while rising to a standing
position. What action should the nurse take? A- Instruct the client to use the arms
of the chair for support B- Apply a gait belt to assist the client as she rises out of
the chair C- Hold the walker securely to prevent slipping when the client rises D-
Encourage client to use the weaker leg with the walker when rising
Hold the walker securely to prevent slipping when the client rises
A client tumor measures 2 cm before and after receiving a course of radiotherapy.
What physiological mechanism renders this response to radiation therapy of
cancer? A- Reduction of contact inhibition results in cell death by phagocytosis.
B- Production of ionizing energy damages DNA, hence stop replication C- Cellular
anchorage that is necessary for cancer cell growth is removed D- Cell growth is
disrupted during the resting phase of the cell cycle
Production of ionizing energy damages DNA, hence stop replication
, The nurse prepares a teaching plan for an adult male with metabolic syndrome.
Which findings should the nurse address to help the client reduce his risk for
diabetes mellitus and vascular disease? (Select all that apply) A- Abdominal
obesity B- Hyperglycemia C- Hypothyroidism D- Elevated high density
lipoproteins E- Increased triglyceride levels F- Blood pressure of 150/96
Abdominal obesity, Hyperglycemia, Increased triglyceride levels, & Blood pressure of
150/96
Recognizing the role of the kidney in the production of erythropoietin, the nurse
assesses a client with chronic kidney disease (CKD) for what manifestation? A-
Pruritus B- Jaundice C- Petechiae D- Pallor
Pallor
A client with C-7 spinal cord injury is experiencing autonomic dysreflexia. The
nurse should first assess the client for which precipitating factor? A- An acutely
distended bladder B- Profuse forehead diaphoresis C- A severe pounding
headache D- Skeletal traction misalignment.
An acutely distended bladder
A successful businessman presents to the community mental health center
complaining of sleeplessness and anxiety over his financial status. Which action
should the nurse take to assist this client in diminishing his anxiety? A- Teach
him to limit sugar and caffeine intake B- Reinforce the reality of his financial
situation C- Direct him to drink a glass of red wine at bedtime D- Encourage him
to initiate daily rituals
Teach him to limit sugar and caffeine intake
The nurse is evaluating teaching about drug therapy to treat gout. Which
statement by the client demonstrates an understanding of the use of allopurinol
(Zyloprim) to treat gout? A- "I need to take the prescribed amount of the drug to
get rid of my gout" B- "I need to take this drug every day to keep from having any
flare-up" C- "The pain and swelling can be controlled by taking this drug every
day" D- "I should take this drug when i have gout attacks to reduce symptoms"
I need to take this drug every day to keep from having any flare-up
When assessing an infant with severe diarrhea, the nurse should observe for
which potential change in breathing pattern? A- Kussmaul respirations B-
Expiratory wheezing C- Audible rhonchi D- Cheyne-Stokes respirations
Kussmaul respiration
The nurse plans to administer a low dose prescription for dopamine (Intropin) to
a client who is in septic shock. Which physiologic parameter should the nurse
use to evaluate a therapeutic response to dopamine? A- Heart sounds. B- Urinary
output C- Temperature D- Pupil respond
Urinary output
The nurse applies an automatic external defibrillator (AED) to a client who
collapsed in an exam room at a community client. What action should the nurse
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