NURS 4470 HESI RN EXIT EXAM 3 LATEST VERSIONS (V1,
V2 AND V3) 2024 ACTUAL EXAM EACH VERSION
CONTAINS 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
After administering a proton pump inhibitor (PPI), which action should the
nurse take to evaluate the effectiveness of the medication?
A. Auscultate for bowel sounds in all quadrants
B. Ask the client about gastrointestinal pain
C. Monitor the client's serum electrolyte levels
D. Measure the client's fluid intake and output - ANSWER-B. Ask the client
about gastrointestinal pain
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 - ANSWER-D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and
medication administration, the client complains of tenderness when the arm
is touched above the site. Which additional assessment finding warrants
immediate intervention by the nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site - ANSWER-B. Red streaks tracking
the vein
An older adult male reporting abdominal pain is admitted to the hospital
from a long-term care facility. It has been 7 days since his last bowel
movement, his abdomen is distended, and he just vomited 150mL of dark
brown emesis. In what order should the nurse implement these
interventions? (Highest to lowest priority) - ANSWER-1. Send emesis
sample to the lab
2. Elevate the head of the bed
3. Complete focused assessment
,NURS 4470 HESI RN EXIT EXAM 3 LATEST VERSIONS (V1,
V2 AND V3) 2024 ACTUAL EXAM EACH VERSION
CONTAINS 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
4. Offer PRN pain medication
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) - ANSWER-A.
History of intermittent claudication
The nurse is providing discharge teaching to the parents of a 13 month old
child who underwent repair for an atrial septal defect. The healthcare
provider prescribes aspirin and an antibiotic for the first 6 months
postoperatively to prevent infective endocarditis (IE). What information is
most important for the nurse discuss with the parents about the child's
recovery and prevention of IE?
A. Refer the mother to the healthcare provider to discuss infective
endocarditis
B. Brush the child's teeth every day and ensure the child receives regular
dental followup
C. Give the child acetaminophen for pain or fever and visit the surgeon for
follow-up
D. Monitor the child for regular bowel movements and urine output that
exceeds intake - ANSWER-B. Brush the child's teeth every day and ensure
the child receives regular dental followup
An unlicensed assistive personnel (UAP) is assigned to ambulate a client
with influenza who has droplet precautions implemented. The UAP
requests a change in assignment, stating the reason of having not been
fitted yet for a N95 respirator mask. Which action should the nurse take?
A. send the UAP to be fitted for a particulate filter mask immediately so she
can provide care to this client.
B. Instruct the UAP that a standard face mask is sufficient for the provision
of care for the assigned client
,NURS 4470 HESI RN EXIT EXAM 3 LATEST VERSIONS (V1,
V2 AND V3) 2024 ACTUAL EXAM EACH VERSION
CONTAINS 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
C. Before changing assignments, determine which staff members have
fitted particulate filter masks
D. Advise the UAP to wear a standard face mask to take vital signs, and
then get fitted for a filter mask before providing personal care - ANSWER-
B. Instruct the UAP that a standard face mask is sufficient for the provision
of care for the assigned client
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 -
ANSWER-C. Clients who developed disease complications promptly
received rehabilitation
Then nurse identifies several nursing problems for client who is immobile
and who has been experiencing fecal incontinence and diarrhea for several
days. The client's spouse is the primary caregiver. In planning care, which
problem has the highest priority?
A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence - ANSWER-D. Bowel incontinence
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The client is weak and begins coughing while attempting to
drink through a straw. Which intervention should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids - ANSWER-A. Teach
coughing and deep breathing exercises
, NURS 4470 HESI RN EXIT EXAM 3 LATEST VERSIONS (V1,
V2 AND V3) 2024 ACTUAL EXAM EACH VERSION
CONTAINS 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
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 - ANSWER-B. Explain
the reason for using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary
disease (COPD) and chest pain related to a recent fall. What nursing
intervention requires the greatest caution when caring for a client with
COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake - ANSWER-C. Administering narcotics
for pain relief
The nurse is providing care for a client with schizophrenia who receives
haloperidol decanoate 75mg IM every 4 weeks. The client begins
developing a puckering and smacking of the lips and facial grimacing.
Which intervention should the nurse implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately - ANSWER-C. Complete
abnormal involuntary movement scale (AIMS)
Prolonged exposure to high concentrations of supplemental oxygen over
several days can cause which pathophysiological effect?
A. Disrupted surfactant production
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller erickarimi. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $26.39. You're not tied to anything after your purchase.
