HESI RN EXIT EXAM 2023 QUESTIONS AND well detailed ANSWERS ALREADY GRADED A. LATEST UPDATE 2024..
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HESI RN EXIT EXAM 2023 QUESTIONS
AND ANSWERS ALREADY GRADED A. LATEST UPDATE 2024.. The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intr...
hesi rn exit exam 2023 questions and answers alrea
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HESI RN EXIT EXAM 2023 QUESTIONS
AND ANSWERS ALREADY GRADED A.
LATEST UPDATE 2024..
The nurse is completing the admission assessment of a 3-year old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intracranial
pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
Rationale. A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase.
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
- correct answers-I placed the red dot on the base of the neck on the right side
A client with dyspnea is being admitted to the medical unit. To best
prepare for the client's arrival, the nurse should ensure that the client's bed
is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near-drowning incident. While providing care to the
child, the nurse begins talking with his preadolescent brother who rescued
the child from the swimming pool and initiated resuscitation. The nurse
notices the older boy becomes withdrawn when asked about what happened.
Which action should the nurse take?
A. Develop a water safety teaching plan for the family
B. Ask the older brother how he felt during the incident
C. Tell the older brother that he seems depressed
D. Commend the older brother for his heroic actions
Which intervention should the nurse include in the plan of care for a child
with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light
, Which self care measure is most important for the nurse to include in the
plan of care of a client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan
A client asks the nurse for information about how to reduce risk factors for
benign prostatic hyperplasia (BPH). Which information should the nurse
provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test
A client fell in the bathroom when left unattended by the unlicensed
assistive personnel (UAP). Which information should the nurse include in
the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip
A nurse receives report on a client who is four hours post-total abdominal
hysterectomy. The previous nurse reports that it was necessary to change
the client's perineal pad hourly and that it is again saturated. The previous
nurse also reports that the client's urinary output has decreased. Which
action should the nurse implement first?
A. Evaluate the skin turgor
B. Assess for weakness or dizziness
C. Change the perineal pad
D. Measure the urinary output
A client with type 2 diabetes mellitus arrives to the clinic reporting episodes
of weakness and palpitations. Which finding should the nurse identify may
indicate an emerging situation?
A. Potassium 3.5 mEq/L
B. Fingertips feel numb
C. Sodium 135 mEq/L
D. Cervical spine stiffness
The nurse is caring for a group of clients with the help of a practical nurse
(PN). Which nursing actions should the nurse assign to the PN? (Select all
that apply)
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
B. Start the second blood transfusion for a client 12 hours following a BKA
B. Initiate patient controlled analgesia (PCA) pumps for two clients
immediately postoperatively
C. Perform daily surgical dressing change for a client who had an abdominal
hysterectomy
,D. E. Obtain postoperative vital signs for a client one day following unilateral
knee arthroplasty
A client with type 2 diabetes mellitus is admitted for frequent
hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%.
Insulin glargine 10 units subcutaneously once a day at bedtime and a
sliding scale of insulin aspart every 6h are prescribed. What actions should
the nurse include in this client's plan of care? (Select all that apply)
A. Do not contaminate the insulin aspart so that it is available for IV use
B. Review with the client proper foot care and prevention of injury
C. Teach subcutaneous injection technique, site rotation, and insulin
management
D. Coordinate carbohydrate controlled meals at consistent times and intervals.
E. Mix bedtime dose of insulin glargine with insulin aspart sliding scale dose
E. Fingerstick glucose assessments every 6h with meals
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In
developing a teaching plan, the nurse should teach the parents to report
which sign of overdose?
A. Bradycardia
B. Tachypnea
C. Hypertension
D. Coughing
The nurse is managing the care of a client with Cushing's syndrome. Which
interventions should the nurse delegate to the unlicensed assistive
personnel (UAP)? (Select all that apply)
A. Report any client complaint of pain or discomfort
B. Evaluate the client for sleep disturbances
C. Assess the client for weakness and fatigue
D. Weigh the client and report any weight gain
E. Note and report the client's food and liquid intake during meals and snacks
When assessing a recently delivered, multigravida client, the nurse finds
that her vaginal bleeding is more than expected. Which factor in this
client's history is related to this finding?
A. The second stage of labor lasted 10 minutes
B. She received butorphanol 2mg IVP during labor
C. She is over 35 years of age
D. She is a gravida 6, para 5
When taking a health history, which information collected by the nurse
correlates most directly to a diagnosis of chronic peripheral arterial
insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L)
, The nurse implements a tertiary prevention program for type 2 diabetes in
a rural health clinic. Which outcome indicates that the program was
effective?
A. Only 30% of clients did not attend self-management education sessions.
B. More than 50% of at-risk clients were diagnosed early in their disease
process
C. Clients who developed disease complications promptly received
rehabilitation
D. Average client scores improved on specific risk factor knowledge tests
An adult client is admitted to the emergency department after falling from
the ladder. While waiting to have a computed tomography (CT) scan, the
client requests something for a severe headache. When the nurse offers a
prescribed dose of acetaminophen, the client asks for something stronger.
Which intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately
A client who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the drug.
Which side effect should the nurse report to the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism
The nurse is developing an educational program for older clients who are
being discharged with new antihypertensive medications. The nurse
should ensure that the education materials include which characteristics?
(Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
E. Written at a twelfth-grade reading level
A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion
rate for the heparin solution at 18 units/kg/hr. The available solution is
Heparin Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse
should program the infusion pump to deliver how many mL/hour?
- correct answers-18
A client with urge incontinence was treated with onabotuilinumtoxinA
injections and is now experiencing urinary retention. Which action should
the nurse include in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
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