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EXIT HESI 700 + BANK 401 – 500 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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EXIT HESI 700 + BANK 401 – 500 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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EXIT HESI 700 + BANK 401 – 500QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
401.KTheKnurseKisKassessingKaKpostpartumKclientKwhoKisK36KhoursKpost-
delivery.KWhichKfindingKshouldKtheKnurseKreportKtoKtheKhealthcareKprovider?
a-KWhiteKbloodKcountKofK19,000Kmm3K
b-KOralKtemperatureKofK100.6KF
c-KFundusKdeviatedKtoKtheKrightKsideK
d-KBreastsKareKfirmKwhenKpalpatedK-KANSWERKb-KOralKtemperatureKofK100.6KF
Rationale:KAKtemperatureKgreaterKthanK100.4KFK(38KC)K(B),KwhichKisKindicativeKofKendometriosisK(infectionK
ofKtheKliningKofKtheKuterus),KshouldKbeKreportedKtoKtheKhealthKcareKprovider.K(AKandKD)KareKfindingsKthatKar
eKwithinKnormalKlimitsKinKtheKpostpartumKperiod.KFundalKdeviationKtoKoneKsideK(C)KisKanKexpectedKfindingKr
elatedKtoKaKfullKbladder,KsoKtheKnurseKshouldKencourageKtheKclientKtoKvoid.
402.KAKnurseKwhoKisKworkingKinKtheKemergencyKdepartmentKtriageKareaKisKpresentedKwithKfourKclientsKatKt
heKsameKtime.KTheKclientKpresentedKwithKwhichKsymptomsKrequiresKtheKmostKimmediateKinterventionKbyKt
heKnurse?
a-KLow-gradeKfever,Kheadache,KandKmalaiseKforKtheKpastK72Khours
b-KUnableKtoKbearKweightKonKtheKleftKfoot,KwithKtheKswellingKandKbruising
c-KChestKdiscomfortKoneKhourKafterKconsumingKaKlarge,KspicyKmeal
d-KOne-inchKbleedingKlacerationKonKtheKchainKofKtheKcryingKfive-Kyear-oldK-KANSWERKc-
KChestKdiscomfortKoneKhourKafterKconsumingKaKlarge,KspicyKmeal
,Rationale:KEmergencyKtriageKinvolvesKquickKassessmentKtoKprioritizeKtheKneedKforKfurtherKevaluationKandKc
are.KThoseKwithKtrauma,KchestKpain,KrespiratoryKdistress,KorKacuteKneurologicalKchangesKareKpriority.KInKthi
sKexample,KwhileKclientsKwithKotherKconditionsKrequireKattention,KtheKclientKwithKchestKdiscomfortKisKatKgre
atestKriskKandKisKaKpriority.
403.KTheKnurseKisKplanningKtoKassessKaKclient'sKoxygenKsaturationKtoKdetermineKifKadditionalKoxygenKisKnee
dedKviaKnasalKcannula.KTheKclientKhasKaKbilateralKbelow-the-
kneeKamputationKandKpedalKpulsesKthatKareKweakKandKthreaty.KWhatKactionKshouldKtheKnurseKtake?
a-KDocumentKthatKanKaccurateKoxygenKsaturationKreadingKcannotKbeKobtained
b-KElevateKtoKclient'sKhandsKforKfiveKminutesKpriorKtoKobtainingKaKreadingKfromKtheKfinger
c-KIncreaseKtheKoxygenKbasedKonKtheKclientsKbreathingKpatternsKandKlungKsounds
d-KPlaceKtheKoximeterKclipKonKtheKearKlobeKtoKobtainKtheKoxygenKsaturationKreadingK-KANSWERKd-
KPlaceKtheKoximeterKclipKonKtheKearKlobeKtoKobtainKtheKoxygenKsaturationKreading
Rationale:KPulseKoximeterKclipsKcanKbeKattachedKtoKtheKearlobeKtoKobtainKanKaccurateKmeasurementKofKox
ygenKsaturation.KOtherKoptionsKwillKnotKprovideKtheKneededKassessment.
404.K345-
KAKyoungKadultKmaleKwhoKisKbeingKseenKatKtheKemployeeKhealthKcareKclinicKforKanKannualKassessmentKtellKt
heKnurseKthatKhisKmotherKwasKdiagnosedKwithKschizophreniaKwhenKsheKwasKhisKageKandKthatKlifeKwithKaKsc
hizophrenicKmotherKwasKdifficultyKindeed.KWhichKresponseKisKbestKforKtheKnurseKtoKprovide?
a-KAskKtheKclientKifKheKisKworriedKaboutKbecomingKschizophrenicKatKtheKageKhisKmotherKwasKdiagnosed.
b-KEncourageKtheKclientKtoKseekKgeneticKcounselingKtoKdetermineKhisKriskKforKmentalKillness.
c-KInformedKtheKclientKthatKhisKmotherKschizophrenicKhasKaffectedKhisKpsychologicalKdevelopment.
,d-KTellKtheKclientKthatKmentalKillnessKhasKaKfamilialKpredisposition,KsoKheKshouldKseeKaKpsychiatrist.K-
KANSWERKa-
KAskKtheKclientKifKheKisKworriedKaboutKbecomingKschizophrenicKatKtheKageKhisKmotherKwasKdiagnosed.
405.KAKclientKonKaKlong-
termKmentalKhealthKunitKrepeatedlyKtakesKownKpulseKregardlessKofKtheKcircumstance.KWhatKactionKshouldK
theKnurseKimplement?
a-KOverlookKtheKclient‟sKbehavior.
b-KDistractKclientKtoKinterfereKwithKtheKritual.K
c-KAskKwhyKtheKclientKchecksKtheKpulse.
d-KHoldKclient‟sKhandKtoKstopKtheKbehavior.K-KANSWERKa-KOverlookKtheKclient‟sKbehavior.
406.KAKclientKisKdischargedKwithKautomatedKperitonealKdialysisK(PD)KtoKbeKusedKnightly...whichKinstructions
KshouldKtheKnurseKinclude?
a-KWashKhandsKbeforeKcleaningKexitKsiteK
b-KKeepKtheKheadKofKtheKbedKflatKatKnight
c-KFeelKforKaKthrillKandKaKdistalKpulseKnightly
d-KDoKnotKgetKupKifKfluidKisKleftKinKtheKabdomenK-KANSWERKa-KWashKhandsKbeforeKcleaningKexitKsiteK
Rationale:KmeticulousKhandKhygieneKisKessentialKwhenKperformingKcareKforKaKperitonealKdialysis,Kinfections
KisKaKcommonKcomplicationKofKperitonealKdialysis.
, 407.KTheKchargeKnurseKobservesKtheKpracticalKnurseK(PN)KapplyKsterileKglovesKinKpreparationKforKperformin
gKaKsterileKdressingKchange.KWhichKactionKbyKtheKPNKrequiresKcorrectionKbyKtheKchargeKnurse?
a-KOpeningKtheKpackage
b-KPickingKupKtheKsecondKglove
c-KPickingKupKtheKfirstKglove
d-KPositioningKofKtheKtableK-KANSWERKb-KPickingKupKtheKsecondKglove
408.KAKmaleKclientKreportsKtoKtheKclinicKnurseKthatKheKhasKbeenKfeelingKwellKandKisKoftenK"dizzy"KhisKbloodK
pressureKisKelevated.KBasedKonKthisKfinding,KthisKclientKisKatKaKgreatestKriskKforKwhichKpathophysiologicalKco
ndition?
a-KPulmonaryKhypertension
b-KLeftKventricularKhypertrophyK
c-KRenalKfailure
d-KStrokeK-KANSWERKd-KStroke
Rationale:KTheKclientKisKsignificantlyKelevated,KandKcombinedKwithKhisKsymptoms,KplacesKtheKclientKatKriskK
ofKstroke...KBKisKaKcompensatoryKchangeKthatKisKcausedKbyKhypertensionKandKisKnotKrelatedKtoKanKacuteKBPK
elevation.KAKisKaKseparateKdiseaseKprocess,KnotKdirectlyKlinkedKtoKarterialKhypertension.KC...KchronicKconditi
onKthatKisKnotKrelatedKtoKanKacuteKBPKelevation.
409.KTheKnurseKasksKtheKparentKtoKstayKduringKtheKexaminationKofKaKmaleKtoddler‟sKgenitalKarea.KWhichKin
terventionKshouldKtheKnurseKimplement?
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