Exam (elaborations)
HESI 700 Exit Practice Test (Latest) Questions Bank With Correct Solutions..
- Course
- Institution
HESI 700 Exit Practice Test (Latest) Questions Bank With Correct Solutions..
[Show more]
Content preview
Name: Score:785 Multiple choice questions
Term 1 of 785
Which intervention should the nurse include in a long-term plan of care for a client with Chronic
Obstructive Pulmonary Disease (COPD)?
Reduce risks factors for infection
Administer high flow oxygen during sleep
Limit fluid intake to reduce secretions
Use diaphragmatic breathing to achieve better exhalation
Term 2 of 785
A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary
catheter in place, and is exhibiting signs of restlessness. Which action should the nurse take first?
Review the heart rhythm on cardiac monitors
Check urinary catheter for obstruction
Auscultated bilateral breath sounds
Give PRN dose of lorazepam (Ativan)
Term 3 of 785
A multigravida, full-term, laboring client complains of "back labor". Vaginal examination reveals
that the client's 3 cm with 50% effacement and the fetal head is at -1 station. What should the
nurse implement?
Turn the client to a lateral position
Apply counter-pressure to the sacral area
Notify the scrub nurse to prepare the OR
Ambulate the client between contractions
,Term 4 of 785
The client with which type of wound is most likely to need immediate intervention by the nurse?
Laceration
Abrasion
Contusion
Ulceration
Term 5 of 785
The nurse delegates to an unlicensed assistive personnel (UAP) denture care for a client
with...daily leaving. When making this assignment, which instruction is most important for the nurse
to do?
a- Do not remove the dentures, but instead brush them within the mouth
b- Place a washcloth in the sink while cleaning the dentures.
c- Use tepid, not hot, water to clean the dentures
d- Avoid damaging the dentures using a soft-bristled toothbrush.
Engage the client in a non-threatening conversation.
Rationale: Consistent attempts to draw the client into conversations which focus on non-
threatening subjects can be an effective means of eliciting a response, thereby decreasing
isolation behaviors. There is not sufficient data to support the effectiveness of A as an
intervention for this client. Although B may be indicated, nursing interventions can also be
used to treat this client. C is too threatening to this client.
Place a washcloth in the sink while cleaning the dentures
An 11-year-old with a headache, nausea, and projectile vomiting
Cloudy dialysate output and rebound abdominal pain
,Term 6 of 785
A client with angina pectoris is being discharge from the hospital. What instruction should the
nurse plan to include in this discharge teaching?
a. Engage in physical exercise immediately after eating to help decrease cholesterol levels.
b. Walk briskly in cold weather to increase cardiac output
c. Keep nitroglycerin in a light-colored plastic bottle and readily available.
d. Avoid all isometric exercises but walk regularly.
-Notify the healthcare provider of the client's change in mental status. -Include q2 hour's
reorientation in the client's plan of care.
Rationale: The client's condition reflects mental changes that could be related to post
procedure stress, sundowner's syndrome, or cerebral complications, the nurses should
inform the healthcare provider of the client's change in mental status for the client's safety,
q2 hour orientation evaluations and reorientation should be included in the plan of care.
Avoid all isometric exercises, but walk regularly
Rationale: Isometric exercise can raise blood pressure for the duration of the exercise,
which may be dangerous for a client with cardiovascular disease, while walking provides
aerobic conditioning that improves ling, blood vessel, and muscle function. Client with
angina should refrain from physical exercise for 2 hours after meals, but exercising does
not decrease cholesterol levels. Cold water cause vasoconstriction that may cause chest
pain. Nitroglycerin should be readily available and stored in a dark-colored glass bottle
not C, to ensure freshness of the medication.
Hydrocortisone
Inability to close the affected eye, raise brow, or smile
Rationale: Because the motor function controlling eye closure, brow movement and smiling
are all carried on the 7th cranial (facial) nerve, the combination of symptoms directly
relating to an impairment of all branches of the facial nerve indicate that Bell's palsy has
occurred.
, Term 7 of 785
The nurse teaches an adolescent male client how to use a metered dose inhaler. Seen in the
picture. What instruction should the nurse provide?
Secure the mouthpiece under the tongue.
Press down on the device after breathing in fully
Move the device one to two inches away from the mouth
Breathe out slowly and deeply while compressing the device
Term 8 of 785
A client with a postoperative wound that eviscerated yesterday has an elevated
temperature...most important for the nurse to implement?
Initiate contact isolation
Obtain a wound swab for culture and sensitivity
Assess temperature q4 hours
Use alcohol-based solutions for hand hygiene.
Term 9 of 785
A newly hired home health care nurse is planning the initial visit to an adult client who has had
multiple sclerosis (MS) for the past 20 years and is currently bed-bound and is lifted by a hoist.
And unlicensed caregiver provides care 8 hours/ daily, 5 days/week. During the initial visit to this
client, which intervention is most important to the nurse to implement?
Determine how the client is cared for when caregiver is not present.
Develop a client needs assessment and review with the caregiver
Evaluate the caregiver's ability to care for the client's needs.
Review with the care giver the interventions provided each day.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stuuviaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now