Exam (elaborations)
HESI EXIT EXAM ALL VERSIONS
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HESI EXIT EXAM ALL VERSIONS. ALL CORRECT QUESTIONS AND ANSWERS.
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POSSIBLE RETAKE EXAM:1-When preparing to administer a prescribed medica4on to a homeless client at a community
psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the dose
the nurse is giving. Which ac4on should the nurse take?
A) Inform the client that he may refuse the medica4on and document whether or not the client
takes it.
B) Withhold the medica4on un4l the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medica4on then verify the dosage at the next healthcare team
mee4ng.
2-The charge nurse is making assignments for one prac4cal nurse and three registered nurses
who are caring for neurologically compromised clients. Which client with which change in status
is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningi4s whose temperature change from 101 S to 102F.
C) Diabe4c keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
3-The nurse is caring for a client with pneumonia who now develops ini4al signs of sep4c shock
and mul4 organ failure. The healthcare provider prescribes a sepsis protocol. Which
interven4on is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremi4es.
D) Monitor blood glucose level.
4- An adolescent client is admi\ed to the hospital because of wri4ng a suicide note to a teacher
at school. On the second day of hospitaliza4on, the nurse asked the client to meet with the
treatment team. A_er the team mee4ng, the client leaves in tears and goes to their room.
Which nursing interven4on is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the client’s room and ask what happened.
5-The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a
day for a client who weighs 154 pounds. The medica4on is available and 25,000 units per
milliliter vial. How many milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.)
0.6
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