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HESI EXIT 5 - 160 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HESI EXIT 5 - 160 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HESI EXIT 5 - 160 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
SuicideUprecautionsUareUinitiatedUforUaUchildUadmittedUtoUtheUmentalUhealthUunitUfollowingUanUintentional
UnarcoticUoverdose.UAfterUaUvisitorUleaves,UtheUnurseUfindsUaUpackageUofUcigarettesUinUtheUclient'sUroom.U
WhichUinterventionUisUmostUimportantUforUtheUnurseUtoUimplement?U-
UANSWERURemoveUcigarettesUforUtheUclient'sUroom
AUfamilyUmemberUofUaUfrailUelderlyUadultUasksUtheUnurseUaboutUeligibilityUrequirementsUforUhospiceUcare.U
WhatUinformationUshouldUtheUnurseUprovide?U(SelectUallUthatUapply.)
A.)AUclientUmustUbeUwillingUtoUacceptUpalliativeUcare,UnotUcurativeUcare.
B.)TheUhealthcareUproviderUmustUprojectUthatUtheUclientUhasU6UmonthsUorUlessUtoUlive.
C.)TheUclientUmustUbeUdiagnosedUwithUclinicalUdepressionU
D.)TheUclientUmustUbeUofUsoundUmindU-UANSWERUA,B
AUclientUwithUatrialUfibrillationUreceivesUaUnewUprescriptionUforUdabigatran.UWhatUinstructionUshouldUtheU
nurseUincludeUinUthisUclient'sUteachingUplan?U-UANSWERUAvoidUuseUofUnonsteroidalUant-
inflammatoryUdrugsU(NSAID).
AnUinfantUwhoUisUadmittedUforUsurgicalUrepairUofUaUventricularUseptalUdefectU(VSD)UisUirritableUandUdiapho
reticUwithUjugularUveinUdistention.UWhichUprescriptionUshouldUtheUnurseUadministerUfirst?U-
UANSWERUDigoxin
TheUnursingUstaffUonUaUmedicalUunitUincludesUaUregisteredUnurseU(RN),UpracticalUnurseU(PN),UandUanUunlice
nsedUassistiveUpersonnelU(UAP).UWhichUtaskUshouldUtheUchargeUnurseUassignUtoUtheURN?U-
UANSWERUSuperviseUaUnewlyUhiredUgraduateUnurseUduringUanUadmissionUassessment.
WhileUteachingUaUyoungUmaleUadultUtoUuseUanUinhalerUforUhisUnewlyUdiagnosedUasthma,UtheUclientUstaresU
intoUtheUdistanceUandUappearsUtoUbeUconcentratingUonUsomethingUotherUthanUtheUlessonUtheUnurseUisUpre
,senting.UWhatUactionUshouldUtheUnurseUtake?U-
UANSWERUAskUtheUclientUwhatUheUisUthinkingUaboutUatUhisUtime.
AfterUseveralUhoursUofUnon-
productiveUcoughing,UaUclientUpresentsUtoUtheUemergencyUroomUcomplainingUofUchestUtightnessUandUshor
tnessUofUbreath.UHistoryUincludesUendUstageUchronicUobstructiveUpulmonaryUdiseaseU(COPD)UandUdiabetes
Umellitus.UWhileUcompletingUtheUpulmonaryUassessment,UtheUnurseUhearsUwheezingUandUpoorUairUmovem
entUbilaterally.UWhichUactionsUshouldUtheUnurseUimplement?U(SelectUallUthatUapply.)
A.)AdministerUPRNUnebulizerUtreatment.
B.)ObtainU12UleadUelectrocardiogram.
C.)MonitorUcontinuousUoxygenUsaturation.
D.)ULayUtheUclientUinUtheUproneUpositionU-UANSWERUA,B,C
TheUnurseUcaringUforUaU3-month-
oldUboyUoneUdayUafterUaUpylorotomyUnoticesUthatUtheUinfantUisUrestless,UisUexhibitingUfacialUgrimaces,UandU
isUdrawingUhisUkneesUtoUhisUchest.UWhatUactionUshouldUtheUnurseUtake?U-
UANSWERUAdministerUaUprescribedUanalgesiaUforUpain.
AU4-year-
oldUwithUacuteUlymphocyticUleukemiaU(ALL)UisUreceivingUaUchemotherapyU(CT)UprotocolUthatUincludesUmet
hotrexateU(Mexate,UTrexal,UMIX),UanUantimetabolite.UWhichUinformationUshouldUtheUnurseUprovideUtheUpa
rentsUaboutUcaringUforUtheirUchild?U-UANSWERUUseUsunblockUorUprotectiveUclothingUwhenUoutdoors.
TwoUdaysUafterUadmissionUaUmaleUclientUremembersUthatUheUisUallergicUtoUeggs,UandUinformsUtheUnurseUof
UtheUallergy.UWhichUactionsUshouldUtheUnurseUimplement?USATA
A.)UTellUtheUclientUthatUitsUaUmildUreactionU
B.)NotifyUtheUfoodUservicesUdepartmentUofUtheUallergy.
,C.)EnterUtheUallergyUinformationUinUtheUclient'sUrecord.
D.)AddUeggUallergyUtoUtheUclient'sUallergyUarmUband.U-UANSWERUB,C,D
TheUrapidUresponseUteam'sUdetectsUreturnUofUspontaneousUcirculationU(ROSC)UafterU2UminUofUcontinuousU
chestUcompressions.UTheUclientUhasUaUweak,UfastUpulseUandUnoUrespiratoryUeffort,UsoUtheUhealthcareUprovi
derUperformsUaUsuccessfulUoral,Uintubation.UWhatUactionUshouldUtheUnurseUimplement?U-
UANSWERUPerformUbilateralUchestUauscultation.
AfterUadministeringUanUantipyreticUmedication.UWhichUinterventionUshouldUtheUnurseUimplement?U-
UANSWERUEncouragingUliberalUfluidUintake
AUclientUwithUhyperthyroidismUisUbeingUtreatedUwithUradioactiveUiodineU(I-
131).UWhichUexplanationUshouldUbeUincludedUinUpreparingUthisUclientUforUthisUtreatment?U-
UANSWERUDescribeUradioactiveUiodineUasUaUtasteless,UcolorlessUmedicationUadministeredUbyUtheUhealthca
reUprovider
AfterUaUcolonUresectionUforUcolonUcancer,UaUmaleUclientUisUmoaningUwhileUbeingUtransferredUtoUtheUPostan
esthesiaUCareUUnitU(PACU).UWhichUinterventionUshouldUtheUnurseUimplementUfirst?U-
UANSWERUDetermineUclient'sUpulse,UbloodUpressure,UandUrespirations
TheUnurseUisUcaringUforUaUgroupUofUclientsUwithUtheUhelpUofUaUlicensedUpracticalUnurseU(LPN)UandUanUexper
iencedUunlicensedUassistiveUpersonnelU(UAP).UWhichUproceduresUcanUtheUnurseUdelegateUtoUtheUUAP?U(Se
lectUallUthatUapply)
A.)TakeUpostoperativeUvitalUsignsUforUaUclientUwhoUhasUanUepidualUfollowingUkneeUarthroplasty
B.)CollectUaUsputumUspecimenUforUaUclientUwithUaUfeverUofUunknownUorigin
C.)AmbulateUaUclientUwhoUhadUaUfemoral-poplitealUbypassUgraftUyesterdayU-UANSWERUA,B,C
, AUmaleUclientUwithUcirrhosisUhasUascitesUandUreportsUfeelingUshortUofUbreath.UTheUclientUisUinUsemiUFowler
UpositionUwithUhisUarmsUatUhisUside.UWhatUactionUshouldUtheUnurseUimplement?U-
UANSWERURaiseUtheUheadUofUtheUbedUtoUaUFowler'sUpositionUandUsupportUhisUarmsUwithUaUpillow
AUclientUwithUaUhistoryUofUchronicUpainUrequestsUaUnonopioidUanalgesic.UTheUclientUisUalertUbutUhasUdifficu
ltyUdescribingUtheUexactUnatureUandUlocationUofUtheUpainUtoUtheUnurse.UWhichUactionUshouldUtheUnurseUi
mplementUnext?U-UANSWERUAdministerUtheUanalgesicUasUrequested
TheUnurseUusesUtheUparklandUformulaU(4mlUxUkgUxUtotalUbodyUsurfaceUareaU=U24UhoursUfluidUreplacement)
UtoUcalculateUtheU24-
hoursUIVUfluidUreplacementUforUaUclientUwithU40%UburnsUwhoUweighsU76kg.UHowUmanyUmlUshouldUtheUclie
ntUreceive?U(EnterUnumericUvalueUonly.)U-UANSWERU12160
AUclientUwithUleukemiaUundergoesUaUboneUmarrowUbiopsy.UTheUclient'sUlaboratoryUvaluesUindicateUtheUcli
entUhasUthrombocytopenia.UBasedUonUthisUdata,UwhichUnursingUassessmentUisUmostUimportantUfollowingU
theUprocedure?
A.)ObserveUaspirationUsite.
B.)AssessUbodyUtemperatureU
C.)MonitorUskinUelasticity
D.)MeasureUurinaryUoutputU-UANSWERUA
AnU18-year-
oldUfemaleUclientUisUseenUatUtheUhealthUdepartmentUforUtreatmentUofUcondylomataUacuminateU(perinealU
warts)UcausedUbyUtheUhumanUpapillomavirusU(HPV).UWhichUinterventionUshouldUtheUnurseUimplement?U-
UANSWERUReinforceUtheUimportanceUofUannualUpapanicolaouU(Pap)Usmears.
AUclientUadmittedUtoUtheUpsychiatricUunitUdiagnosedUwithUmajorUdepressionUwantsUtoUsleepUduringUtheUda
y,UrefusesUtoUtakeUaUbath,UandUrefusesUtoUeat.UWhichUnursingUinterventionUshouldUtheUnurseUimplementUfi
rst?U-UANSWERUEstablishUaUstructuredUroutineUforUtheUclientUtoUfollow.
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