Exam (elaborations)

HESI RN EXIT EXAM 2023 LATEST VERSIONS V1-V6 COMPLETE TEST BANK (WELL ORGANISED)/RN HESI EXIT TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+(SCORE 1200)

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HESI RN EXIT

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Chamberlain College Of Nursing

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Uploaded on December 28, 2024
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HESI RN EXIT EXAM 2023 LATEST VE
’ ’ ’ ’ ’ ’

RSIONS V1- ’

V6 COMPLETE TEST BANK (WELL O
’ ’ ’ ’ ’

RGANISED)/RN HESI EXIT TEST BAN ’ ’ ’ ’

K QUESTIONS AND CORRECT DETAI
’ ’ ’ ’

LED ANSWERS WITH RATIONALES (
’ ’ ’ ’

VERIFIED ANSWERS) |ALREADY GR
’ ’ ’

ADED A+(SCORE 1200) ’ ’

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, VERSION’1
1. Which’information’is’most’concerning’to’the’nurse’when’caring’for’an’older’client’with’bil
ateral’cataracts?
a. States’ having’ difficulty’ with’ color’ perception
b. Presents’ with’opacity’ of’the’lens’ upon’assessment
c. Complains’ of’seeing’ a’ cobweb-type’ structure’ in’ the’ visual’ field
d. Reports’the’need’ to’ use’a’ magnifying’ glass’ to’ see’small’ print

Rationale:
Visualization’of’a’cobweb-’or’hairnet-
type’structure’is’a’sign’of’a’retinal’detachment,’which’constitutes’a’medical’emergency.’Clients’wi
th’cataracts’are’at’increased’risk’for’retinal’detachment.’Distorted’color’perception,’opacity’of’the’l
ens,’and’gradual’vision’loss’are’expected’signs’and’symptoms’of’cataracts’but’do’not’need’immedi
ate’attention.

2. When’caring’for’a’client’hospitalized’with’Guillain-
Barré’syndrome,’which’information’ is’most’important’for’the’nurse’to’report’to’the’primary’health’ca
re’provider?
a.’ Decrease’in’ cognitive’status’ of’the’ client

Rationale:
A’decline’in’cognitive’status’in’a’client’is’indicative’of’symptoms’of’hypoxia’and’a’possible’need’ t
o’assist’the’client’with’mechanical’ventilation.’A’primary’health’care’provider’will’need’to’be’cont
acted’immediately.’Options’A,’C,’and’D’are’findings’associated’with’Guillain-
Barré’ syndrome’that’should’also’be’reported’ but’are’not’as’critical’as’the’client's’hypoxic’status.

3. A’client’is’admitted’with’a’diagnosis’of’leukemia.’This’condition’is’manifested’by’w
hich’of’the’following?
a.’ Hyperplasia’of’the’ gums,’ elevated’ white’ blood’ count,’ weakness

Rationale:
Hyperplastic’gums,’weakness,’and’elevated’white’blood’count’are’classic’signs’of’leukemia.’Optio
ns’A,’B,’and’D’state’incorrect’information’for’symptoms’of’leukemia.

4. The’nurse’enters’the’examination’room’of’a’client’who’has’been’told’by’her’health’care’pr
ovider’that’she’has’advanced’ovarian’cancer.’Which’response’by’the’nurse’is’likely’to’be’most’suppo
rtive’for’the’client?

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, a.’ "Tell’me’about’what’ you’are’feeling’ right’now."

Rationale:
The’most’therapeutic’action’for’the’nurse’is’to’be’an’active’listener’and’to’encourage’the’client’to’explo
re’her’feelings.’Giving’false’reassurance’or’personal’suggestions’are’not’therapeutic’communication’fo
r’the’client.

5. A’nurse’working’in’the’emergency’department’admits’a’client’with’full’thickness’burns’to’
50%’of’the’body.’Assessment’findings’indicate’high-
pitched’wheezing,’heart’rate’of’120’beats/min,’and’disorientation.’Which’action’should’the’nurse’tak
e’first?
a.’ Prepare’to’ assist’with’ maintaining’the’airway.

Rationale:
High-
pitched’ wheezing’ indicates’ laryngeal’ stridor,’ a’ sign’ of’ laryngeal’ edema’ associated’ with’lung’i
njury.’Airway’management’is’the’first’priority’of’care.’Options’A,’C,’and’D’are’all’appropriate’inte
rventions’in’managing’the’client’with’a’burn’but’are’not’as’critical’as’establishing’an’airway.

6. The’nurse’walks’into’the’room’and’observes’the’client’experiencing’a’tonic-
’clonic’seizure.’Which’intervention’should’the’nurse’implement’first?

a.’ Turn’the’ client’on’the’ side’to’ aid’ventilation.

Rationale:
Maintaining’the’airway’during’a’seizure’is’the’priority’for’safety.’Options’A,’B,’and’C’are’contraindica
ted’during’a’seizure’and’may’cause’further’injury’to’the’client.

7. Which’intervention’should’be’included’in’the’plan’of’care’for’a’client’admitted’to’the’ho
spital’with’ulcerative’colitis?
a.’ Provide’ a’low-residue’ diet.

Rationale:
A’low-
residue’diet’will’help’decrease’symptoms’of’diarrhea,’which’are’clinical’manifestations’of’ulcerative’c
olitis.

8. A’nurse’implements’an’education’program’to’reduce’hospital’readmissions’for’clients’w
ith’heart’failure.’Which’statement’by’the’client’indicates’that’teaching’has’been’effective?
a. "I’will’not’take’my’ digoxin’ if’my’ heart’rate’is’ higher’than’ 100’beats/min."
b. "I’should’ weigh’ myself’ once’ a’ week’ and’report’ any’ increases."
c. "It’ is’important’to’ increase’my’ fluid’ intake’ whenever’ possible."
d. "I’should’ report’an’increase’of’ swelling’ in’ my’ feet’or’ ankles."

Rationale:
An’increase’in’edema’indicates’worsening’right-
sided’heart’failure’and’should’be’reported’to’the’primary’health’care’provider.’Digitalis’should’be’he
ld’when’the’heart’rate’is’lower’than’60’beats/min.’The’client’ with’ heart’ failure’should’ weigh’himsel
f’or’herself’ daily’ and’report’a’gain’of’ 2’to’3’lb.’An’increase’in’fluid’can’worsen’heart’failure.

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, 9. After’assessing’a’26-year-
old’client’with’type’1’diabetes’mellitus,’which’data’may’indicate’that’the’client’is’experiencing’
chronic’complications’of’diabetes?
a.’ Blood’ pressure,’ 159/98’mm’ Hg

Rationale:
A’blood’pressure’of’159/98’mm’Hg’is’hypertensive’and’increases’the’client's’risk’for’acute’coronar
y’syndrome’and/or’stroke.

10. When’caring’for’a’client’with’a’tracheostomy,’which’intervention’should’the’nurse’de
legate’to’the’unlicensed’assistive’personnel’(UAP)?
a.’ Take’the’vital’signs’ and’obtain’an’ O2’saturation’level.

Rationale:
The’nurse’may’delegate’obtaining’vital’signs’and’O2’saturation;’however,’the’nurse’is’responsibl
e’for’following’up’on’any’reported’data.

11. The’charge’nurse’is’making’assignments’for’the’upcoming’shift.’Which’client’is’most’ap
propriate’to’assign’to’the’practical’nurse’(PN)?
a. A’client’ with’ nausea’ who’needs’ a’ nasogastric’ tube’ inserted
b. A’client’in’ hypertensive’crisis’ who’ needs’ titration’ of’ IV’nitroglycerin
c. A’newly’ admitted’ client’who’ needs’to’ have’a’ plan’ of’ care’established
d. A’client’ who’is’ ready’ for’discharge’ who’ needs’ discharge’ teaching

Rationale:
The’client’mentioned’in’option’A’has’a’need’for’a’skill’that’is’within’the’scope’of’practice’for’the’PN
.’Titration’of’an’ IV’drip,’establishing’care’plans,’and’discharge’teaching’are’within’the’scope’ of’pra
ctice’of’a’registered’nurse’(RN)’and’are’not’delegated.

12. A’nurse’performs’an’initial’admission’assessment’of’a’56-year-
old’client.’Which’factor(s)’would’ indicate’that’the’client’is’at’risk’for’metabolic’syndrome?’(Select’
all’ that’apply.)
a. Abdominal’ obesity
b. Sedentary’ lifestyle
c. Hispanic’or’Asian’ ethnicity
d. Increased’ triglycerides

Rationale:
Metabolic’syndrome’is’a’name’for’a’group’of’risk’factors’that’increase’the’risk’for’coronary’artery
’disease,’type’2’diabetes,’and’stroke’(A,’B,’D,’and’E).

13. Which’clinical’manifestation’in’the’client’with’hyperthyroidism’is’most’The’apical’hear
t’rate’of’130’beats/min’is’a’critical’finding’that’could’lead’to’heart’failure’or’other’cardiac’disorders.
’Options’A,’B,’and’D’are’all’expected’findings’that’should’also’be’reported’but’are’not’as’critical.

a.’ Apical’heart’ rate’ of’ 130’beats/min

Rationale:

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Exam (elaborations)

HESI RN EXIT EXAM 2023 LATEST VERSIONS V1-V6 COMPLETE TEST BANK (WELL ORGANISED)/RN HESI EXIT TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+(SCORE 1200)

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