Exam (elaborations)
EXIT HESI 700-799 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
EXIT HESI 700-799 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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EXIT HESI 700-799 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
DuringUtheUinfusionUofUaUsecondUunitUofUpackedUredUbloodUcells,UtheUclient'sUtemperature
increasesUfromU99UtoU101.6Uf.UwhichUinterventionUshouldUtheUnurseUimplement?U-
UANSWERUStopUtheUtransfusionUstartUaUsaline
AnUelderlyUfemaleUclientUwithUosteoarthritisUreportsUincreasingUpainUandUstiffnessUinUher
rightUkneeUandUasksUhowUtoUreduceUtheseUsymptoms.UInUrespondingUtoUtheUclient,UtheUnurse
recognizesUwhatUpathologyUasUtheUcauseUofUherUsymptoms?U-UANSWERUDestructionUofUjointUcartilage.
WhenUcaringUforUaUclientUwithUtraumaticUbrainUinjuryU(TBI)UwhoUhadUaUcraniotomyUfor
increasedUintracranialUpressureU(ICP),UtheUnurseUassessesUtheUclientUusingUtheUGlasgowUcoma
scaleU(GCS)UeveryUtwoUhours.UForUtheUpastU8UhoursUtheUclient'sUGCSUscoreUhasUbeenU14.UWhatUdoes
thisUGCSUfindingUindicate?U-UANSWERUNeurologicallyUstableUwithoutUindicationsUofUanUincreasedUICP
AU46-year-oldUmaleUclientUwhoUhadUaUmyocardialUinfarctionU24-hoursUagoUcomesUtoUthe
nurse'sUstationUfullyUdressedUandUwantingUtoUgoUhome.UHeUtellsUtheUnurseUthatUheUisUfeelingUmuch
betterUatUthisUtime.UBasedUonUthisUbehavior,UwhichUnursingUproblemUshouldUtheUnurseUformulate?U-
UANSWERUIneffectiveUcopingUrelatedUtoUdenial
InUassessingUaUclientU48UhoursUfollowingUaUfracture,UtheUnurseUobservesUecchymosisUatUthe
fractureUsite,UandUrecognizesUthatUhematomaUformationUatUtheUboneUfragmentUsiteUhasUoccurred.
WhatUactionUshouldUtheUnurseUimplement?U-
UANSWERU•UDocumentUtheUextendUofUtheUbruisingUinUtheUmedicalUrecord
AUclientUisUadmittedUforUcellulitisUsurroundingUanUinsectUbiteUonUtheUlower,UrightUarmUand
intravenousU(IV)UantibioticUtherapyUisUprescribed.UWhichUactionUshouldUtheUnurseUimplement
beforeUperformingUvenipuncture?U-UANSWERU•ULowerUtheUleftUarmUbelowUtheUlevelUofUtheUheart
,WhichUassessmentUfindingUofUaUpostmenopausalUwomanUnecessitatesUaUreferralUbyUthe
nurseUtoUtheUhealthcareUproviderUforUevaluationUofUthyroidUfunctioning?U-UANSWERU•UColdUsensitivity
AUclientUwithUhyperthyroidismUisUadmittedUtoUtheUpostoperativeUafterUsubtotal
thyroidectomy.UWhichUofUtheUclient'sUserumUlaboratoryUvaluesUrequiresUinterventionUby
theUnurse?U-UANSWERU•UTotalUcalciumU5.0Umg/dl
AUfemaleUclientUonUtheUmentalUhealthUunitUfrequentlyUasksUtheUnurseUwhenUsheUcan
beUdischarged.UThen,UbecomingUmoreUanxious,UsheUbeginsUtoUpaceUtheUhallway.UWhat
interventionUisUimplementedUfirst?U-
UANSWERU•UExploreUtheUclient'sUreasonsUforUwantingUtoUbeUdischarged.
TheUnurseUisUassessingUaUprimigravidaUaU39-weeksUgestationUduringUaUweeklyUprenatalUvisit.
WhichUfindingUisUmostUimportantUforUtheUnurseUtoUreportUtoUtheUhealthcareUprovider?U-
UANSWERU•UFetalUheartUrateUofU200Ubeats/minute
AUfemaleUclientUreceivesUaUprescriptionUforUalendronateUsodiumU(Fosamax)UtoUtreatUher
newlyUdiagnoseUosteoporosis.UWhatUinstructionUshouldUtheUnurseUincludeUinUtheUclient's
teachingUplan?U-UANSWERU•UTakeUonUanUemptyUstomachUwithUaUfullUglassUofUwater
TheUnurseUisUassessingUaUfemaleUclient'sUBPUb/cUsheUreportedUfeelingUdizzy.UTheUblood
pressureUcuffUisUinflatedUtoU140UmmUhgUandUasUsoonUasUtheUcuffUisUdeflated,UaUknockoff
soundUisUheard.UBestUintervention?U-
UANSWERU•UWaitU1UminuteUandUpalpateUtheUsystolicUpressureUbeforeUauscultatingUagain.
AfterUadministeringUaUprotonUpumpUinhibitorU(PPI),UwhichUactionUshouldUtheUnurseUtakeUto
evaluateUtheUeffectivenessUofUtheUmedication?U-UANSWERU•UAskUtheUclientUaboutUgastrointestinalUpain
ToUreduceUstaffUnurseUroleUambiguity,UwhichUstrategyUshouldUtheUnurse-manager
, implement?U-
UANSWERU•UReviewUtheUstaffUnurseUjobUdescriptionUtoUensureUthatUitUisUclear,Uaccurate,UandUcurrent
AUclientUwithUpneumoniaUhasUarterialUbloodUgasesUlevelsUat:UPHU7.33;UPaCO2U49Umm/hg;
HCO3U25UmEq/L;UPaO2U95.UWhatUinterventionUshouldUtheUnurseUimplementUbasedUon
theseUresults?U-UANSWERU•UInstituteUcoughingUandUdeepUbreathingUprotocols
TheUhealthcareUproviderUexplainsUthroughUanUinterpreterUtheUrisksUandUbenefitsUofUa
scheduledUsurgicalUprocedureUtoUaUnon-EnglishUspeakingUfemaleUclient.UTheUclientUgivesUverbal
consentUandUtheUhealthcareUproviderUleaves,UinstructingUtheUnurseUtoUwitnessUtheUsignatureUon
theUconsentUform.UTheUclientUandUtheUinterpreterUthenUspeakUtogetherUinUtheUforeignUlanguage
forUanUadditionalU2UminutesUuntilUtheUinterpreterUconcludes,U"SheUsaysUitUisUOK."UWhatUaction
shouldUtheUnurseUtakeUnext?U-
UANSWERU•UAskUforUaUfullUexplanationUfromUtheUinterpreterUofUtheUwitnessedUdiscussion
WhileUassistingUaUmaleUclientUwhoUhasUmuscularUdystrophyU(MD)UtoUtheUbathroom,UtheUnurseUobservesUt
hatUheUisUawkwardUandUclumsy.UWhenUheUexpressesUhisUfrustrationUandUcomplainsUofUhipUdiscomfort,Uwh
ichUinterventionUshouldUtheUnurseUimplement?U-UANSWERU•UPlaceUaUportableUtoiletUnextUtoUtheUbed
AUclientUwithUhyperthyroidismUwhoUhasUnotUbeenUresponsiveUtoUmedicationsUisUadmitted
forUevaluation.UWhatUactionUshouldUtheUnurseUimplement?U-UANSWERU•NotifyUtheUhealthcareUprovider
WhileUtakingUvitalUsigns,UaUcriticallyUillUmaleUclientUgrabsUtheUnurse'sUhandUandUaskUtheUnurse
notUtoUleave.UWhatUactionUisUbestUforUtheUnurseUtoUtake?U-
UANSWERU•UPullUupUaUchairUandUsitUbesideUtheUclient'sUbed
TheUpracticalUnurseU(PN)UisUassignedUtoUworkUwithUthreeUregisteredUnursesU(RN)UwhoUare
caringUforUneurologicallyUcompromisedUclients.UTheUclientUwithUwhichUchangeUinUstatusUisUbest
toUassignUtoUtheUPN?U-UANSWERU•UViralUmeningitisUwhoseUtemperatureUchangedUfromU101UFUtoU102UF.