NCLEX HESI EXAM 2023 LATEST UPDATE 265
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A.
A nurse in a physician's office is reviewing the medical record of a child with a
diagnosis of lactose intolerance. Which of the following findings does the nurse
expect to see documented in the child's record? - answer-Episodes of cramping
abdominal pain and excessive flatus
A client is found to have posttraumatic stress disorder (PTSD) after witnessing a
terrorist attack that caused the deaths of hundreds of people. The nurse,
developing a plan of care for the client, identifies posttrauma syndrome as a
concern and identifies a client outcome that states, "The client will cope
effectively with thoughts and feelings of the event." Which nursing
interventions will assist the client in achieving this outcome? Select all that
apply. - answer-Being honest, nonjudgmental, and empathetic
Assessing the immediate posttraumatic reaction
Encouraging the client to keep a journal focused on the trauma
Asking the client about the use of alcohol and drugs before and since the event
A client who has been undergoing long-term therapy with an antipsychotic
medication is admitted to the inpatient mental health unit. Which of the
following findings does the nurse, knowing that long-term use of an
antipsychotic medication can cause tardive dyskinesia, monitor in the client? -
answer-Tongue protrusion
,NCLEX HESI EXAM 2023 LATEST UPDATE 265
QUESTIONS AND CORRECT ANSWERS GRADED
A.
Chlorpromazine (Thorazine) has been prescribed to a client with Huntington's
disease for the relief of choreiform movements. Of which common side effect
does the nurse warn the client? - answerDrowsiness
A nurse assigns a nursing assistant to care for a client who is hearing impaired
and provides instructions to the nursing assistant about the effective methods
for communicating with the client. Which statement by the nursing assistant
indicates that further instruction is needed? - answer-"I should raise the volume
of my voice and stand on the client's affected side when I'm talking to him."
A nurse is preparing to care for a client who has undergone abdominal
hysterectomy for the treatment of endometrial cancer. The nurse determines
that the priority in the 24 hours after surgery is: - answer-
Encouraging the client to deep-breathe, cough, and use an incentive spirometer
A client is found to have iron-deficiency anemia, and ferrous sulfate (Feosol) is
prescribed. The nurse tells the client that it is best to take the medication with: -
answer-Orange juice
A nurse is developing a plan of care for a client admitted to the nursing unit with
a diagnosis of paranoid personality disorder. On which characteristic of the
disorder does the nurse base the plan of care? - answer-Projecting blame,
possibly becoming hostile
,NCLEX HESI EXAM 2023 LATEST UPDATE 265
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A.
A nurse has given a client with viral hepatitis instructions about home care.
Which of the following statements by the client indicates to the nurse that the
client needs further teaching? - answer-"I need to eat three meals a day with
foods high in protein, fat, and carbs."
Oral prednisone 5 mg/day has been prescribed for a client with a chronic
respiratory disorder, and the nurse provides instructions to the client about the
medication. The nurse tells the client to: - answer-Call the physician if a fever,
sore throat, or muscle aches develop
The nurse, auscultating the breath sounds of a client, hears these sounds. What
are they? - answerWheezes
Laboratory studies are performed on a client with suspected sickle cell disease,
and electrophoresis reveals a large percentage of hemoglobin S (HbS). Which
additional laboratory finding will the nurse expect to note that is a characteristic
of this disease? - answer-Increased white blood cell (WBC) count
A client is found to have hypoxemic respiratory failure. Which finding does the
nurse expect to note on review of the results of the client's arterial blood gas
analysis? - answer-Pao2 of 49 mm Hg, Paco2 of 32 mm Hg
A nurse is monitoring a client who was brought to the emergency department in
an unresponsive state and is now being treated for hyperglycemic hyperosmolar
nonketotic syndrome (HHNS). Which of the following findings indicates to the
, NCLEX HESI EXAM 2023 LATEST UPDATE 265
QUESTIONS AND CORRECT ANSWERS GRADED
A.
nurse that fluid replacement is inadequate? - answer-Level of consciousness
remains unchanged
A nurse is providing dietary instructions to a client who is taking
tranylcypromine sulfate (Parnate).
Which of the following foods does the nurse tell the client to avoid while she is
taking this medication?
Select all that apply. - answer-Beer
Yogurt
Pickled herring
An emergency department nurse assessing a client with Bell's palsy collects
subjective and objective data. Which of the following findings does the nurse
expect to note? - answer-Complaints of inability to close the eye on the affected
side
A nurse provides information to a client with chronic obstructive pulmonary
disease (COPD) about methods of alleviating shortness of breath while the client
is eating. Which statement by the client indicates a need for further instruction?
- answer-"I should eat three meals a day, and the biggest meal should be at
suppertime."
A nurse is providing morning care to a client in end-stage renal failure. The client
is reluctant to talk and shows little interest in participating in hygiene care.
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