2024 HESI RN Exit V7 Exam

P oonicas3 | PDF =N HESI RN EXIT V6 EXAM WITH NGN & SATA ACTUAL QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION. 60 questions and answers 1. The mother of a child with cerebral palsy asks the nurse if her child's impaired movements will worsen as the child grows which response provides the best explanation? Z\ns»jBrain damage with CP is not progressive but does have a variable course. 2. During shift report the central electrocardiogram monitoring system alarms which client alarm should the nurse investigate first? _Z-\ns»JRespiratory apnea of 30 seconds 3. The nurse is assessing A postpartum client who is 36 hours post-delivery which finding should the nurse report to Ans>> Oral tem- perature of 100.6 Fahrenheit the health care provider? 4. An older woman who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation which intervention is most important for the nurse to implement to help ensure the client's compliance with self-care? Ans>> Have client vocalize the instructions provided 5. A client with diabetic peripheral nephropathy has been taking pregabalin Lyrica for four days which finding indicates to the nurse that the medication is effective? Z\ns» Reduce pain level 6. A client presents to the emergency department with muscle aches headache fever and describes a recent loss of taste and smell the nurse obtains A nasal swab for COVID-19 testing which action is most important for the nurse to take? Ans>> Place the nasal swab specimen for COVID-19 directly into a biohazard bag. 7. A client who experienced a cerebrovascular accident CVA is aphasic and has left-sided paralysis which nurse should be responsible for coordinating the progression of this client's care? Ans>> adult nurse practitioner 8. A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day refuses to take a bath and refuses to eat which nursing intervention should the nurse implement first? Ans>> Establish a structured routine for the client to follow. 9. A 41-week gestation primigravida woman is admitted to labor and delivery for induction of labor which finding should the nurse report to the health care provider before initiating the infusion of oxytocin? Z-\ns»;FetaI heart tones located in upper right quadrant 10. A client with type one diabetes mellitus and a large draining ulcer of the right foot is admitted with a suspected Staphylococcus Aureus infection which intervention should the nurse implement? select all that apply Z-\ns»:Monitor the clients white blood cell count send wound drainage for a culture and sensitivity institute contact precautions for staff and visitors 11. An adult client is admitted to the psychiatric unit because of daily complex hand washing ritual that takes 2 hours or longer to complete the client worries about staying clean and refuses to sit on any of the chairs in the day area the client's hand washing is an example of which clinical behavior? Ans>> Compulsion 12. The nurse observes a client prepare a meal in the kitchen of the rehabilitation facility prior to discharge which behaviors indicates the client understands how to maintain balance safely? Select all that apply Z-\ns»Brings a heavy can close to body before lifting. -Widens stance while working near the sink. 13. The nurse is interviewing a client with schizophrenia which clinical behaviors requires immediate intervention? 'Ans»‘MuscIe spasms of the back and neck 14. The nurse assesses a child in 90 to 90 skeletal tractions where should the nurse assess for signs of compartment syndrome? Ans>> Click spot right on toes on injured foot 15. A male client receives a Thrombolytic medication following a Myocardial infarction when the client has a bowel movement what action should the nurse implement? 'Ans» Send stool sample to the lab for a guaiac test 16. A client is receiving mesalamine 800mg po TID Which assessment is most important for the nurse to perform to assess the effectiveness of the medica- tion? Z\ns»‘BoweI patterns 17. The nurse is assessing a client who reports falling two days ago and has a history of gouty arthritis that is controlled with allopurinol the client states the left knee is swollen and extremely painful to touch which instruction should the nurse include in the discharge teaching? Ans>> Decrease consumption of red meat and seafood 18. Before leaving the room of the confused client the nurse notes that a half bow knot was used to attach the clients wrist restraints to the movable portion of the client's bed frame what action should the nurse take before leaving the room? rAns»,Ensured that the knot can quickly be released. 19. When caring for a client with a traumatic brain injury who had a craniotomy for increased and cranial pressure the nurse assesses the client's using the glaucoma scale every two hours for the past eight hours the client's black oak coma scale score has been 14 what does the glaucoma scale finding indicates about the client? Z-\ns»_NeuroIogicaIIy stable without in dictation of an increased cranial pressure 20. The nurse is managing the care of a client With cushings syndrome which intervention should the nurse delegate to the unlicensed assistance person- nel? SATA _Z-\ns»qReport any client complaints of pain or discomfort weigh the client and report any weight gain note and report that clients food and liquid intake during meals and snacks 21. The nurse identifies an electrolyte imbalance crackles on auscultation and an elevated blood pressure in a client with progressive heart disease which intervention should the nurse include in the plan of care? Z\ns»fiMeasure ankle circumference 22. An older adult male reporting abdominal pain is admitted to the hospital for a long term care facility it has been seven days since last bowel movement his abdominal is distended and he just vomited 150 mils of dark brown emesis in what order should the nurse implement these interventions? Highest priority to low priority Ans>> elevate the head of the bed. complete focused assessment offer PRN pain medication. send an emesis sample to the lab. 23. A male client with persistent low back pain has received a prescriptions for an electronic stimulator 10s unit after the nurse applies the electrodes and turn on the power the client reports a tingling sensation how should the nurse respond? Ans>> Determine if the sensation feels uncomfortable 24. Nurses working on a surgical unit are concerned about the physician's treatment of clients during and invasive procedures such as dressing changes and insertion of IV lines clients are often crying during the procedure and the physician is usually unconcerned or annoyed by the client's response to resolve this problem what action should the nurse take? (Arrange from the first action on the top of the list on the bottom) :Ans>>'a.TaIk to the physician as a group in a non-confrontational manner b. Document the concerns and report them to the charge nurse c. Submit a written report to the director of nursing d. Contact the hospital's chief of medical services e. File a formal complaint with the state medical board 25. While changing a client's postoperative dressing the nurse observe. Let drainage at the site before reporting this finding to the health care provider the nurse should note which of the clients laboratory values? ?-\ns» Neutrophil count 26. An unlicensed assistive personnel reports that a client's right hand and fingers spasms when taking the blood pressure using the same arm after con- firming the presence of spasms what action should the nurse take? rAns»'Review the clients serum calcium levels 27. A client with a lower respiratory tract infection received a prescription for ciprofloxacin 500 milligrams POQ 12 hours when the client requests an afternoon snack which dietary choice should the nurse provide? :Ans>>jCinnamon applesauce 28. The health care provider provides a low fiber diet for a client with ulcerative colitis which food selection would indicate to the nurse that the client understands they prescribed diet? Ans>> Roasted Turkey canned vegetables 29. The nurse is caring for a client with the sexual transmitted infection chlamydia the client reports having sex with someone who had many partners which response should the nurse provide? Z-\ns»ilnform that follow-up may end after the treatment is finished 30. Suicide precautions are initiated for a child admitted to the mental health unit following an intentional narcotic overdose after a visitor leaves the nurse finds a packet of cigarettes in the clients room which intervention is most important for the nurse to implement? :Ans»'Remove cigarettes from the clients room 31. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon.Which action should the nurse implement first? Z-\ns»'lncrease the rate of the infusion rate of lactated Ringers 32. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). the nurse notes that the suction control chamber is bubbling at the- 10 cm H20 mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is measured in the collection chamber. Which intervention should the nurse implement? 'Ans»‘Add sterile water to the suction control chamber 33. A client who received hemodialysis yesterday is experiencing a blood