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2024 EXIT HESI - Comprehensive PN Exam A Practice Questions with correct answers GRADED A+
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2024 EXIT HESI - Comprehensive PN Exam A Practice Questions with correct answers GRADED A+
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2024 EXIT HESI -Comprehensive PN Exam A
Practice Questions with
correct answers GRADED A+
A 2-day postpartum mother who is breastfeeding asks, "Why do I feel this tingling
in my breasts after the baby sucks for a few minutes?" Which information should
the nurse provide?
A.This feeling occurs during feeding with a breast infection.
B.This sensation occurs as breast milk moves to the nipple.
C.The baby does not have good latch-on.
D.The infant is not positioned correctly. - ✔✔✔ANSWER-B
,When the mother's milk comes in, usually 2 to 3 days after delivery, women often
report they feel a tingling sensation in their nipples (B) when let-down occurs. (A,
C, and D) provide inaccurate information.
A 40-year-old office worker who is at 36 weeks' gestation presents to the
occupational health clinic complaining of a pounding headache, blurry vision, and
swollen ankles. Which intervention should the nurse implement first? -
✔✔✔ANSWER-Check the client's blood pressure.
A 50-year-old man arrives at the clinic with complaints of pain on ejaculation.
Which action should the nurse implement? - ✔✔✔ANSWER-Ask about scrotal
pain or blood in the semen.
A 77-year-old female client states that she has never been so large around the waist
and that she has frequent periods of constipation. Colon disease has been ruled out
with a flexible sigmoidoscopy. Which information should the nurse provide to this
client? - ✔✔✔ANSWER-With age, more fatty tissue develops in the abdomen and
decreased intestinal movement can cause constipation.
A child is having a generalized tonic-clonic seizure. Which action should the nurse
take?
A.Move objects out of the child's immediate area.
B.Quickly slip soft restraints on the child's wrists.
C.Insert a padded tongue blade between the teeth.
D.Place in the recovery position before going for help. - ✔✔✔ANSWER-A
The first priority during a seizure is to provide a safe environment, so the nurse
should clear the area (A) to reduce the risk of trauma. The child should not be
restrained (B) because this may cause more trauma. Objects should not be placed
in the child's mouth (C) because it may pose a choking hazard. Although (D)
,should be implemented after the seizure, the nurse should not leave the child
during a seizure to get help.
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which
choice of breakfast foods at a fast food restaurant indicates that the mother
understands the dietary guidelines necessary for her child? - ✔✔✔ANSWER-
Toasted oat cereal and low-fat milk
A client has been on a mechanical ventilator for several days. What should the
nurse use to document and record this client's respirations? - ✔✔✔ANSWER-The
ventilator setting for respiratory rate and the client-initiated respirations
A client has been receiving levofloxacin (Levaquin), 500 mg IV piggyback q24h
for 7 days. The UAP reports to the nurse that the client has had three loose foul-
smelling stools this morning. Which intervention is most important for the nurse to
implement? - ✔✔✔ANSWER-Obtain a stool specimen for culture and sensitivity.
A client hospitalized for meningitis is demonstrating nuchal rigidity. Which
symptom is this client likely to be exhibiting?
A.Hyperexcitability of reflexes
B.Hyperextension of the head and back
C.Inability to flex the chin to the chest
D.Lateral facial paralysis - ✔✔✔ANSWER-C
Nuchal rigidity (neck stiffness) is a characteristic of meningeal irritation and is
elicited by attempting to flex the neck and place the chin to the chest (C). Although
(A, B, and D) may occur in meningitis, (A) describes exaggerated spinal nerve
reflex responses, (B) describes opisthotonus, and (D) may be related to cranial
nerve pathology of the trigeminal nerve.
, A client is admitted to the mental health unit with a chief complaint of crying,
depressed mood, and sleeping difficulties. While talking about the death of a
friend, the client states, "I can't believe this happened." Which statement by the
nurse is most therapeutic? - ✔✔✔ANSWER-"Tell me more about how you're
feeling."
A client reports experiencing dysuria and urinary frequency. Which client teaching
should the nurse provide? - ✔✔✔ANSWER-Save the next urine sample.
A client tells the nurse that he is suffering from insomnia. Which information is
most important for the nurse to obtain? - ✔✔✔ANSWER-The client's usual
sleeping pattern
A client who is admitted with emphysema is having difficulty breathing. In which
position should the nurse place the client? - ✔✔✔ANSWER-Sitting upright and
forward with both arms supported on an over the bed table
A client who is on the outpatient surgical unit is preparing for discharge after a
myringotomy with placement of ventilating tubes. Which response by the client
indicates that further teaching is necessary?
A."I will avoid coughing, sneezing, and forceful nose blowing."
B."Swimming can begin on the tenth postoperative day."
C."Any mild discomfort can be managed with acetaminophen."
D."Drainage from my ears is expected after the surgery." - ✔✔✔ANSWER-B
The purpose of the ventilating tubes in the tympanic membrane is to equalize
pressure and drain fluid collection from the middle ear. The tube's patency allows
air and water to enter the middle ear, so the client should be reeducated if the client
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