HESI EXIT EXAM WITH THE BEST SOLUTIONS WITH VERRIFFIED RATIONALES( A+ GRADED)
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Course
HESI EXIT
Institution
HESI EXIT
HESI EXIT EXAM WITH THE BEST SOLUTIONS WITH VERRIFFIED RATIONALES( A+ GRADED)1) A client is admitted to the mental health unit for feelings of depression secondary to a positive HIV report. To provide a safe milieu for this client, which action should the nurse take? - CORRECT ANSWERS--Remove soft...
HESI EXIT EXAM WITH THE BEST
SOLUTIONS 2025-2024 WITH
VERRIFFIED RATIONALES( A+
GRADED)
,When conducting diet teaching for a client who was diagnosed with hypertension, which
food(s) should the nurse encourage the client to eat? Select all that apply. - CORRECT
ANSWERS-Fruits without sauce.
Fresh or frozen vegetables without sauce.
While preparing to administer a scheduled IV medication, the client tells the nurse that
the IV site hurts and refuses to allow the nurse to administer a flush to assess the site.
Which intervention should the nurse implement? - CORRECT ANSWERS-- Discontinue
the IV site after inserting a new access
The nurse on the medical-surgical unit is receiving a transfer report from the
postanesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy.
The PACU nurse provides the following information: "1,000 mL 0.9% sodium chloride is
infusing at 125 mL/hr into the left wrist with 600 mL remaining. Ondansetron 4 mg IV
every 8 hours is prescribed for nausea. The last dose was administered at 0700. The
client is currently describing pain at a level 2 on a 0 to 10 pain scale. - CORRECT
ANSWERS-Soft abdomen, absent bowel sounds, no bleeding on dressing.
An older adult client who fell at the store is admitted with a possible fracture of the right
hip. Which assessment finding should the nurse report to the healthcare provider? -
CORRECT ANSWERS--right leg externally rotated and shorter than left
, 1) A client is admitted to the mental health unit for feelings of depression secondary to a
positive HIV report. To provide a safe milieu for this client, which action should the
nurse take? - CORRECT ANSWERS--Remove soft drink cans from the nurse's desk
and patient lounge.
While caring for a client after a small bowel resection, the nurse is informed that the
client has a history of methicillin-resistant Staphylococcus aureus (MRSA). To reduce
the risk of recurrence of the MRSA in the postoperative wound, which intervention is
most important for the nurse to implement? - CORRECT ANSWERS-- Change the
surgical dressing readily when soiled.
The nurse is working on an infectious disease unit. Which client should be assigned to a
room with negative airflow, while requiring personnel to use a particulate respirator
mask, and requiring staff to observe airborne, as well as standard precautions? -
CORRECT ANSWERS--A client with a positive Mantoux and sputum cultures results
positive for acid-fast bacillus (AFB).
A client who is receiving radiation treatment for laryngeal cancer has developed
xerostomia and mucositis. The nurse determines the client has an imbalanced
nutritional intake and is consuming less than body requirements. Which factor is the
most likely cause for this problem? - CORRECT ANSWERS--Pain when eating.
A client who is obese reports severe pain and is unable to bear weight in the right ankle
after making dietary changes 3 weeks ago for weight loss. The client's medical history
includes hypertension, gouty arthritis, and cholecystitis. Which instruction should the
nurse include in the discharge teaching? - CORRECT ANSWERS--Avoid the
consumption of wine, beer, and coffee.
A client is admitted with bipolar disorder, manic psychosis. The client is placed in
seclusion after unsuccessful attempts by staff at deescalating the client during a sudden
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