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EXIT HESI COMPREHENSIVE B EVOLVE PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 $12.49   Add to cart

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EXIT HESI COMPREHENSIVE B EVOLVE PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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EXIT HESI COMPREHENSIVE B EVOLVE PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 12, 2024
  • 38
  • 2024/2025
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EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
TheJnurseJisJcaringJforJaJclientJwithJaJcerebrovascularJaccidentJ(CVA)JwhoJisJreceivingJenteralJtubeJfeedings.J
WhichJtaskJperformedJbyJtheJUAPJrequiresJimmediateJinterventionJbyJtheJnurse?

A.SuctionsJoralJsecretionsJfromJmouth

B.PositionsJheadJofJbedJflatJwhenJchangingJsheets

C.TakesJtemperatureJusingJtheJaxillaryJmethod

D.KeepsJheadJofJbedJelevatedJatJ30JdegreesJ-JANSWERJB

Rationale:

PositioningJtheJheadJofJtheJbedJflatJwhenJenteralJfeedingsJareJinJprogressJputsJtheJclientJatJriskJforJaspiratio
nJ(B).JTheJothersJareJallJacceptableJtasksJperformedJbyJtheJUAPJ(A,JC,JandJD).



WhenJcaringJforJaJpostsurgicalJclientJwhoJhasJundergoneJmultipleJbloodJtransfusions,JwhichJserumJlaborato
ryJfindingJisJofJmostJconcernJtoJtheJnurse?

A.SodiumJlevel,J137JmEq/L

B.PotassiumJlevel,J5.5JmEq/L

C.BloodJureaJnitrogenJ(BUN)Jlevel,J18Jmg/dL

D.CalciumJlevel,J10JmEq/LJ-JANSWERJB

Rationale:

MultipleJbloodJtransfusionsJareJaJriskJfactorJforJhyperkalemia.JAJserumJpotassiumJlevelJhigherJthanJ5.0JmEq
/LJindicatesJhyperkalemiaJ(B).JTheJothersJareJnormalJfindingsJ(A,JC,JandJD).



WhichJvaccinationJshouldJtheJnurseJadministerJtoJaJnewborn?

A.HepatitisJB

B.HumanJpapillomaJvirusJ(HPV)

C.Varicella

D.MeningococcalJvaccineJ-JANSWERJA

Rationale:

,TheJhepatitisJBJvaccinationJshouldJbeJgivenJtoJallJnewbornsJbeforeJhospitalJdischargeJ(A).JHPVJisJnotJrecom
mendedJuntilJadolescenceJ(B).JVaricellaJimmunizationJbeginsJatJ12JmonthsJ(C).JMeningococcalJvaccineJisJad
ministeredJbeginningJatJ2JyearsJ(D).



TheJnurseJisJcaringJforJaJclientJonJtheJmedicalJunit.JWhichJtaskJcanJbeJdelegatedJtoJunlicensedJassistiveJperso
nnelJ(UAP)?

A.AssessJtheJneedJtoJchangeJaJcentralJlineJdressing.

B.ObtainJaJfingerstickJbloodJglucoseJlevel.

C.AnswerJaJfamilyJmember'sJquestionsJaboutJtheJclient'sJplanJofJcare.

D.TeachJtheJclientJsideJeffectsJtoJreportJrelatedJtoJtheJcurrentJmedicationJregimen.J-JANSWERJB

Rationale:

ObtainingJaJfingerstickJbloodJglucoseJlevelJisJaJsimpleJtreatmentJandJisJanJappropriateJskillJforJUAPJtoJperfor
mJ(B).J(A,JC,JandJD)JareJskillsJthatJcannotJbeJdelegatedJtoJUAP.



TheJnurseJisJcaringJforJaJclientJwithJanJischemicJstrokeJwhoJhasJaJprescriptionJforJtissueJplasminogenJactivat
orJ(t-PA)JIV.JWhichJaction(s)JshouldJtheJnurseJexpectJtoJimplement?J(SelectJallJthatJapply.)

A.AdministerJaspirinJwithJtissueJplasminogenJactivatorJ(t-PA).

B.CompleteJtheJNationalJInstituteJofJHealthJStrokeJScaleJ(NIHSS).

C.AssessJtheJclientJforJsignsJofJbleedingJduringJandJafterJtheJinfusion.

D.StartJt-PAJwithinJ6JhoursJafterJtheJonsetJofJstrokeJsymptoms.

E.InitiateJmultidisciplinaryJconsultJforJpotentialJrehabilitation.J-JANSWERJB,C,E

Rationale:

NeurologicJassessment,JincludingJtheJNIHSS,JisJindicatedJforJtheJclientJreceivingJt-
PA.JThisJincludesJcloseJmonitoringJforJbleedingJduringJandJafterJtheJinfusion;JifJbleedingJorJotherJsignsJofJne
urologicJimpairmentJoccur,JtheJinfusionJshouldJbeJstoppedJ(B,JC,JandJE).JAspirinJisJcontraindicatedJwithJt-
PAJbecauseJitJincreasesJtheJriskJforJbleedingJ(A).JTheJadministrationJofJt-
PAJwithinJ6JhoursJofJsymptomsJisJconcurrentJwithJaJdiagnosisJofJaJmyocardialJinfarctionJandJwithinJ4.5Jhours
JofJsymptomsJisJconcurrentJforJaJstrokeJ(D).




WhenJcaringJforJaJclientJinJlabor,JwhichJfindingJisJmostJimportantJtoJreportJtoJtheJprimaryJhealthJcareJprovid
er?

A.MaternalJheartJrate,J90Jbeats/min.

B.FetalJheartJrate,J100Jbeats/min

,C.MaternalJbloodJpressure,J140/86JmmJHg

D.MaternalJtemperature,J100.0°JFJ-JANSWERJB

Rationale:

AJfetalJheartJrateJ(FHR)JofJ100Jbeats/minJmayJindicateJfetalJdistressJ(B)JbecauseJtheJaverageJFHRJatJtermJisJ1
40Jbeats/minJandJtheJnormalJrangeJisJ110JtoJbeats/minJ160.JTheJothersJ(A,JC,JandJD)JareJnormalJfindingsJforJ
aJwomanJinJlabor.



TheJnurseJisJcaringJforJaJclientJwithJheartJfailureJwhoJdevelopsJrespiratoryJdistressJandJcoughsJupJpinkJfrothy
Jsputum.JWhichJactionJshouldJtheJnurseJtakeJfirst?



A.DrawJarterialJbloodJgases.

B.NotifyJtheJprimaryJhealthJcareJprovider.

C.PositionJinJaJhighJFowler'sJpositionJwithJtheJlegsJdown.

D.ObtainJaJchestJX-ray.J-JANSWERJC

Rationale:

PositioningJtheJpatientJinJaJhighJFowler'sJpositionJwithJdanglingJfeetJwillJdecreaseJfurtherJvenousJreturnJtoJt
heJleftJventricleJ(C).JTheJotherJactionsJshouldJbeJperformedJafterJtheJchangeJinJpositionJ(A,JB,JandJD).



AJclientJwhoJisJprescribedJchlorpromazineJHClJ(Thorazine)JforJschizophreniaJdevelopsJrigidity,JaJshufflingJgai
t,JandJtremors.JWhichJactionJbyJtheJnurseJisJmostJimportant?A.AdministerJaJdoseJofJbenztropineJmesylateJ(
Cogentin)JPRN.

B.DetermineJifJtheJclientJhasJincreasedJphotosensitivity.

C.ProvideJcomfortJmeasuresJforJsoreJmuscles.

D.AssessJtheJclientJforJvisualJandJauditoryJhallucinations.J-JANSWERJA

Rationale:

Rigidity,JshufflingJgait,Jpill-
rollingJhandJmovements,Jtremors,Jdyskinesia,JandJmasklikeJfaceJareJextrapyramidalJsideJeffectsJassociatedJ
withJThorazine.JItJisJmostJimportantJforJtheJnurseJtoJadministerJanJanticholinergicJsuchJasJCogentinJtoJrevers
eJtheseJeffectsJ(A).JTheJothersJ(B,JC,JD)JmayJbeJappropriateJinterventionsJbutJareJnotJasJurgentJasJ(A).



AJnurseJisJinterviewingJaJmotherJduringJaJwell-
childJvisit.JWhichJfindingJwouldJalertJtheJnurseJtoJcontinueJfurtherJassessmentJofJtheJinfant?

A.Two-month-oldJwhoJisJunableJtoJrollJfromJbackJtoJabdomen

, B.Ten-month-oldJwhoJcannotJsitJwithoutJsupport

C.Nine-month-oldJwhoJcriesJwhenJhisJmotherJleavesJtheJroom

D.Eight-month-oldJwhoJhasJnotJyetJbegunJtoJspeakJwordsJ-JANSWERJB

Rationale:

AsJaJdevelopmentalJmilestone,JinfantsJshouldJsitJunsupportedJbyJ8JmonthsJ(B).JTheJmilestoneJofJrollingJover
JisJachievedJatJ5JtoJ6JmonthsJforJmostJinfantsJ(A).JStrangerJanxietyJisJcommonJfromJ7JtoJ9JmonthsJ(C).JSpeaki

ngJaJfewJwordsJisJexpectedJatJaboutJ12JmonthsJ(D).



WhichJinterventionJshouldJbeJincludedJinJtheJplanJofJcareJforJaJclientJadmittedJtoJtheJhospitalJwithJulcerativ
eJcolitis?

A.AdministerJstoolJsofteners.

B.PlaceJtheJclientJonJfluidJrestriction.

C.ProvideJaJlow-residueJdiet.

D.AddJaJmilkJproductJtoJeachJmeal.J-JANSWERJC

Rationale:

AJlow-
residueJdietJ(C)JwillJhelpJdecreaseJsymptomsJofJdiarrhea,JwhichJareJclinicalJmanifestationsJofJulcerativeJcolit
is.J(A,JB,JandJD)JareJcontraindicatedJandJcouldJworsenJtheJcondition.



TheJnurseJisJcaringJforJaJclientJwithJdeepJveinJthrombosisJwhoJisJonJaJcontinuousJIVJheparinJinfusion.JTheJact
ivatedJpartialJprothrombinJtimeJ(aPTT)JisJ120Jseconds.JWhichJactionJshouldJtheJnurseJtake?

A.IncreaseJtheJrateJofJtheJheparinJinfusionJusingJaJnomogram.

B.DecreaseJtheJheparinJinfusionJrateJandJgiveJvitaminJKJIM.

C.ContinueJtheJheparinJinfusionJatJtheJcurrentJprescribedJrate.

D.StopJtheJheparinJdripJandJprepareJtoJadministerJprotamineJsulfate.J-JANSWERJD

Rationale:

AnJaPTTJmoreJthanJ100JsecondsJisJaJcriticallyJhighJvalue;Jtherefore,JtheJheparinJshouldJbeJstopped.JTheJanti
doteJforJheparinJisJprotamineJsulfateJ(D).JIncreasingJtheJrateJwouldJincreaseJtheJriskJforJhemorrhageJ(A).JTh
eJinfusionJshouldJbeJstopped,JandJvitaminJKJisJtheJantidoteJforJwarfarinJ(Coumadin)J(B).JKeepingJtheJinfusio
nJatJtheJcurrentJrateJwouldJincreaseJtheJriskJforJhemorrhageJ(C).

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