HESI RN exit exam new for 2024 with updated questions and answers top score for 2024
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Course
Hesi exit
Institution
Hesi Exit
The home care nurse provide self-care instruction for a
client with chronic venous insufficiency caused by deep
vein thrombosis. Which instructions should the nurse
include in the client's discharge teaching plan? Select all
that apply
a. Avoid prolonged standing or sitting
b. Use a recli...
HESI RN exit exam new for 2024 with
updated questions and answers top
score for 2024
The home care nurse provide self-care instruction for a
client with chronic venous insufficiency caused by deep
vein thrombosis. Which instructions should the nurse
include in the client's discharge teaching plan? Select all
that apply
a. Avoid prolonged standing or sitting
b. Use a recliner for long periods of sitting
c. Continue wearing elastic stockings
d. Maintain the bed flat while sleeping
e. Cross legs at knee but not at ankle - CORRECT
ANSWER-a. Avoid prolonged standing or sitting
b. Use a recliner for long periods of sitting
c. Continue wearing elastic stockings
Feet should be elevated when sleeping. Should not cross
legs.
,The nurse is interviewing a client with schizophrenia.
Which client behavior requires immediate intervention?
a. Lip smacking and frequent eye blinking
b. Shuffling gait and stooped posture
c. Rocks back and forth in the chair
d. Muscle spasms of the back and neck - CORRECT
ANSWER-d. Muscle spasms of the back and neck
Some patients report muscle spasms and cramps in the
head and neck area, as well as stiff muscles throughout
their body. Tardive dyskinesia (TD) is a type of EPS that
can occur after months or years of treatment with
antipsychotic medications. The risk of TD increases the
longer antipsychotic medications are taken.
Oral antibiotics are prescribed for an 18-month-old
toddler with severe otitis media. An antipyrine and
benzocaine-otic also prescribed for pain and
inflammation. What instruction should the nurse
,emphasize concerning the installation of the antipyrine/
benzocaine otic solution?
a. Place the dropper on the upper outer ear canal and
instill the medication slowly.
b. Warm the medication in the microwave for 10 seconds
before instilling.
c. Keep the medication refrigerated between
administrations.
d. Have the child lie with the ear up for one to two
minutes after installation. - CORRECT ANSWER-d. Have
the child lie with the ear up for one to two minutes after
installation.
The nurse is demonstrating correct transfer procedures
to the unlicensed assisted personnel (UAP) working on a
rehabilitation unit. The UAPs ask the nurse how to safely
move a physically disabled client from the wheelchair to
a bed. What action should the nurse recommended?
, a. Hold the client at arm's length while transferring to
better distribute the body weight.
b. Apply the gait belt around the client's waits once
standing position has been assumed.
c. Place a client's locked wheelchair on the client's strong
side next to the bed.
d. Pull the client into position by reaching from the
opposite side of the bed. - CORRECT ANSWER-Place a
client's locked wheelchair on the client's strong side next
to the bed.
RATIONALE: Placing the wheelchair on the client's strong
side offers the greatest stability for the transfer. Holding
the client arm's length or pulling from the opposite site
of the bed reflect poor body mechanism. Using a gait belt
offers additional safety for the client but should be done
after the wheelchair has be put into the proper place and
the wheels have been locked and before the client has
assumed a standing position.
The healthcare provider prescribes a low-fiber diet for a
client with ulcerative colitis. Which food selection would
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