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DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
The charge nurse in the Intensive Care Unit (ICU) needs to transfer a client to
the medical unit so that a client from the Emergency Room can be admitted to
ICU. Which client is best to consider?
A. A 38-year-old with a myocardial infarction who is having multifocal
premature ventricular contractions.
B. A 66-year-old with congestive heart failure who has 2+ pitting edema and is
short of breath on exertion. <answer
C. A 58-year-old diagnosed with Guillain-Barre syndrome who is having
difficulty breathing.
D. An 80-year-old with a bleeding peptic ulcer who has a Hgb of 7 g/dl
and coffee ground drainage from NG.
The nurse stops to render aid at the scene of a motor vehicle collision and finds a
child about 6 months of age strapped into a car seat in the back seat of the car.
After calming the infant with a pacifier, what action should the nurse take?
A. Remove the infant from the car seat while stabilizing the neck.
B. Assess the infant’s ability to move arms and legs.
C. Determine if pupils constrict when exposed to light.
D. Lift the car seat out of the car with the infant strapped in it. <answer
An unresponsive female victim of a motor vehicle collision is brought to the
emergency department where it is determined that immediate surgery is
required to save her life. The client is accompanied by a close friend, but no
family members are available. Which intervention should the nurse implement?
A. Obtain an emergency court order for life-saving surgery for the client.
B. Prepare the client for surgery without a signed informed consent. <answer
C. Ask the woman’s friend if the client has an advanced directive.
DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
,DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
D. Monitor the client until a family member can be located.
A confused and combative male client was placed in bilateral wrist restraints to
keep him from pulling out a nasogastric tube. The client developed severe
abrasions on both wrists. On the morning that the abrasions were found, the
client’s record contained nursing documentation stating that skin and
circulation checks were conducted every 6 to 8 hours. How should the nurse-
manager respond to this situation?
A. Meet with the client’s nurse to determine why adequate assessment was
not performed. <answer
B. Reassure the staff that skin damage can occur even when the standard of
care is met.
C. Provide an in-service on the documentation needed for clients with altered
skin integrity.
D. Instruct the staff about the correct protocol for the application of
bilateral wrist restraints.
When the nurse auscultates the anterior chest just above the right nipple, moderate
pitched breath sounds are heard that are equal on inspiration and expiration.
Which statement best describes this finding?
A. Bronchial breath sounds that are normal in that location.
B. Bronchovesicular breath sounds that are abnormal in that location.
C. Bronchial breath sounds that are abnormal in that location.
D. Bronchovesicular breath sounds that are normal in that location. <answer
A client is seen in the clinic with an acute episode of acute gastritis. Which
nursing diagnosis has the highest priority?
A. Acute pain related to inflammation. <answer
DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
,DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
B. Nausea related to gastric irritation.
C. Knowledge deficit related to diet.
D. Potential for injury related to bleeding.
The nurse should encourage males over the age of 45 to obtain which test to
screen for prostatic cancer?
A. Prostate-specific antigen (PSA). <answer
B. Serum testosterone level.
C. Alpha-fetoprotein radioimmunoassay (AFP).
D. Ultrasound of the scrotum.
A male client tells the nurse that he does not want to receive a blood transfusion
that was prescribed to treat internal hemorrhaging. What action should the
nurse implement?
A. Notify the prescribing healthcare provider of the client’s refusal to receive
the blood transfusion. <answer
B. Notify the hospital’s attorney of the client’s wishes and the need to
exercise life-saving measures.
C. Check the client’s medical record to see if he signed a legal informed
consent form.
D. Explain the treatment options available to him if he refuses the prescribed
blood transfusion.
The nurse is caring for a laboring client whose membranes ruptured 24 hours
prior to admission. Based on the laboring client’s record and the current fetal
monitor reading, which action should the nurse implement? (Click on each chart
for additional information. Please be sure to scroll to the bottom right corner of
DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
, DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
each tab to view all information contained in the client’s medical record.)
A. Stop the oxytocin infusion.
B. Prepare for Cesarean delivery. <answer
C. Assess the vital signs.
D. Apply oxygen 10 L/mask.
Which nursing intervention has the highest priority when completing
discharge teaching for a client with Helicobacter pylori (H. pylori) induced
peptic ulcer diseases (PUD)?
A. Refer the client to a counselor for information on stress reduction and
relaxation.
B. Encourage the client to eat regularly scheduled meals to help prevent the pain.
C. Instruct the client to take all the antibiotics, proton pump inhibitors, and
Pepto-Bismol. <answer
D. Teach the importance of taking the Carafate medication immediately
before meals.
A client had a total hip replacement two days ago. She has never been in the
hospital before. She has just called for the bedpan. How should the nurse place the
pan under this client?
A. Ask her to roll to the unoperated side and slide the bedpan under her, then
roll back onto the pan. <answer
B. Ask her to roll to the operated side and slide the bedpan under her, then
roll her back onto the pan.
C. Ask her to flex her knees, spread her legs, and lift her buttocks with the flat
part of her feet, then push the bedpan under her from the front.
D. Ask her to grab her over bed trapeze, push both heels into the mattress, and
raise her buttocks off the bed so the bedpan can be slipped under her.
DANC 2325 HESI VERSION 4 Exam Questions
And Answers Latest Update 2022/2023 Assured
Success Rated A+
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