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HERZING HESI comp exam 1 Questions With Complete Solutions
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- Hesi
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- Herzing University
HERZING HESI comp exam 1 Questions With Complete Solutions
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HESI comp exam 1 Questions With Complete SolutionsA 16-year-old male client is admitted to the hospital after falling
off a bike and sustaining a fractured bone. The HCP explains the
surgery needed to immobilize the fracture. Which action should
be implemented to obtain a valid informed consent? Correct
Answers Obtain the permission of the custodial parent for the
surgery.
Pt is a minor and cannot legally sign his own consent unless he
is an emancipated minor. Consent should be obtained from the
guardian, custodial parent.
A 56-year-old female client is receiving intracavitary radiation
via a radium implant. Which nurse should be assigned to care
for this client? Correct Answers A nurse with Marfan's
syndrome who is postmenopausal
Poses a radiation hazard while source is in place. Marfan's is not
effected. Goal is to limit any one staff member's exposure to the
calculated time span based on the half-life of radium, such as the
number of minutes at the bedside per day
A 6-year-old child is alert by quiet when brought the the ER
with periorbital ecchymosis and ecchymosis behind the ears.
The nurse suspects potential child abuse and continues to assess
the child for additional manifestations of a basilar skull fracture.
What assessment finding would be consistent with a basilar
skull fracture? Correct Answers Rhinorrhoea or otorrhoea with
Halo sign
,Raccoon eyes (periorbital ecchymosis) and Battle's sign
(ecchymosis behind the ears over mastoid process) are both
signs of a basilar skill fracture. Nurse should assess possible
meningeal tear that manifest as a Halo sign with CSF leakage
from ears or nose.
A 63-year-old female client whose husband died one month ago
is seen in the psychiatric clinic. Her daughter tells the nurse that
her mother is eating poorly, sleeps very little at night, and
continues to set the table for her deceased husband. What
nursing problem best describes this problem? Correct Answers
Denial related to the loss of a loved one
Exhibits symptoms of anxiety and the pain is too great for her to
acknowledge, so is denying the situation. Using it as a defense
mechanism
A 9-year-old is hospitalized for neutropenia and is placed in
reverse isolation. The child asks the nurse, "Why do you have to
wear a gown and mask when you are in my room?" How should
the nurse respond? Correct Answers "To protect you because
you can get an infection very easily"
Reverse isolation precaution implement measures to protect the
client from exposure to microorganism from others.
A child is receiving maintainance intravenous (IV) fluids at the
rate of 1000 mL for the first 10 kg of body weight, plus 50
mL/kg per day for each kg between 10 and 20. How many
mL/hour should the nurse program the infusion pump for a child
who weights 19.5 kg? Correct Answers 61
,1-10 kg, 100 ml/kg/day; or 10-20 kg, 1000 ml for the first 10 kg
plus's 50ml/kg/day for each kg between 10 and 20. To determine
hourly, divide mL/day by 24. 19.5 kg x 50 mg/kg = 475 ml +
1000 ml = 1475 ml / 24 hours = 61 ml/hour
A child with bacterial conjunctivitis receives a prescription for
erythromycin eye drops. Which information is most important
for the nurse to include in the teaching plan? Correct Answers
Avoid sharing towels and washcloths with siblings
avoids the spread of bacterial infection. Should also stay home
from school for first 24 hours after antibiotics start; take Tylenol
for pain, sunglasses, warm compresses all true but not most
important
A child with Tetralogy of Fallot suffers a hypercyanotic episode.
Which immediate action by the nurse can lessen the symptoms
of this " TET" spell? Correct Answers Place child in knee-chest
compression
on back in knee-chest position to increase blood vessel
resistance. It reduces the rush of blood through the septal hole
and improves blood circulation
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 Answers Demonstrate the wound care
procedure to the PN while the PN assists.
, Within scope of practice; bets learning is through demonstration
and return demo; allows best opportunity to learn
A client is admitted to the hospital for alcohol dependency.
What is the priority nursing intervention during the first 48
hours following admission? Correct Answers Monitor for
increased blood pressure and pulse
will experience withdrawal symptoms (elevated BP, pulse,
temp). thiamine (B1) to prevent korsakoff's is secondary
A client is admitted to the hospital with a diagnosis of Type 2
diabetes mellitus and influenza. Which categories of illness
should the nurse develop goals for the client's plan of care?
Correct Answers One chronic and one acute illness
Adult onset DM is life-long chronic disease. Influenza is acute
illness with short term duration.
A client is admitted with a medical diagnosis of Addisonian
crisis. When completing the admission assessment, the nurse
expects this client to exhibit which clinical manifestations?
Correct Answers Hypotension, rapid weak pulse, and rapid
respiratory rate.
often the manifestations of shock and at risk of circulatory
collapse and shock.
A client is being admitted to the medical unit from the
emergency department after having a chest tube inserted. What
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