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HESI EXIT CAT 4 QUESTIONS AND ANSWERS
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HESI EXIT CAT 4 QUESTIONS AND ANSWERS
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HESI EXIT CAT 4 QUESTIONS AND ANSWERS1- A 59-year-old male client is brought to the emergency room where he is
assessed to have a Glasgow Coma Scale of 3. Based on this assessment, how
should the nurse characterize the client's condition? - Answers-He is in a coma, and has
a very poor prognosis
2- At a community health fair, a 50-year-old woman tells the nurse that she has an
annual physical exam that includes a clinical breast exam and an annual
mammogram. How should the nurse respond? - Answers-Ask the woman if she also
performs monthly breast self- exams.
Which assessment finding should indicate to the nurse that a client with arterial
hypertension is experiencing a cardiac complication? - Answers-Complaints of
shortness of breath on exertion
A college student who is diagnosed with a vaginal infection and vulva irritation
describes the vaginal discharge as having a "cottage cheese" appearance.
Which prescription should the nurse implement first? - Answers-b. Instill the first dose of
nystatin (Mycostatin) vaginally per applicator
A client in acute renal failure has serum potassium of 7.5 mEq/L. Based on this
finding, the nurse should anticipate implementing which action? - Answers-b. Administer
a retention enema of Kayexalate
A client who had an intraosseous (IO) cannula placed by the healthcare
provider for an emergent fluid resuscitation is complaining of severe pain and
numbness below the IO sit. The skin around the site is pale and edematous. What
action should the nurse takes first? - Answers-a. Discontinue the IO infusion
The nurse-manager of a perinatal unit is notified that one client from the
medical-surgical unit needs to be transferred to male room for new
,admissions. Which client should the nurse recommend for transfer to the
antepartal unit? - Answers-b. A 35-year-old with lupus erythematous
A nurse is teaching a client postoperative breathing techniques using an
incentive spirometer (IS). What should the nurse encourage this client to do
to maintain sustained maximal inspiration? - Answers-c. Inspire deeply and slowly over
3 to 5 seconds
The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which statement
should the nurse provide? - Answers-The medication will help you think more clearly"
A male client with diabetes mellitus takes Novolin 70/30 insulin before meals
and azithromycin (Zithromax) PO daily, using medication he brought from home.
When the nurse delivers hisbreakfast tray, the client tells the nurse that he took his
insulin but forgot to take his daily dose of the Zithromax an hour before breakfast as
instructed. What action should the nurse implement? - Answers-Instruct the client to eat
his breakfast and take the Zithromax two
hours after eating
11-What instruction is most important for the nurse to provide a female client who
has just been diagnosed with trichomoniasis? - Answers-Treat sexual partner (s)
concurrently
A primigravida at term comes to the prenatal clinic and tells the nurse that she
is having contractions every 5 min. The nurse monitors the client for one hour,
using an external fetal monitor, and determines that the client's contractions every 5
minutes. The nurse monitors the client for one hour, using an external fetal monitor,
and determines that the client's contractions are 7 to 15 minutes apart, lasting 20 to
, 30 seconds, with mild intensity by palpation. What action should the nurse take? -
Answers-Send the client home and instruct her to call the clinic when her contractions
occur 5 minutes apart for one hour
Which instruction should the nurse provide to an elderly client who is taking an
ACE inhibitor and a calcium channel blocker? - Answers-Change the position slowly
14- Assessment finding of a 3-hour-old newborn include: axillary temperature of
97.7 F, heart rate of 140 beats/minute with a soft murmur, and irregular respiratory
rate at 42 breaths/min. Based on these findings, what action should the nurse
implement? - Answers-Record the findings on the flow sheet
15- A client admitted to the hospital for depression is escorted to a private room.
Prior to leaving the room, what intervention is most important for the nurse to
implement? - Answers-Search all personal belongings
An experienced nurse tells the nurse-manager that working with a new
graduate is impossible because the new graduate will not listen to suggestions. The
new graduate comes to the nurse-manager describing the senior nurse's attitude as
challenging and offensive. What action is best for the nurse manager to take? -
Answers-Ask the nurses to meet with the nurse-manager to identify ways of working
together
22- A client receiving amlodipine (Norvasc), a calcium channel blocker, develops 1+
pitting edema around the ankles. It is most important for the nurse to obtain what
additional client data? - Answers-d. Breath sounds
A male adult client is transferred to a psychiatric facility following release from
the hospital for treatment of a self-inflicted gunshot wound. In attempting to develop
a therapeutic relationship with this client, which information is most important for the
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