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HESI EXIT EXAM NEWEST 2024 TEST BANK UPDATED WITH VERIFIED QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (GRADED A+) $19.99   Add to cart

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HESI EXIT EXAM NEWEST 2024 TEST BANK UPDATED WITH VERIFIED QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (GRADED A+)

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HESI EXIT EXAM NEWEST 2024 TEST BANK UPDATED WITH VERIFIED QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (GRADED A+) While caring for a toddler receiving oxygen (02) via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurs...

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  • August 15, 2024
  • 76
  • 2024/2025
  • Exam (elaborations)
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HESI EXIT EXAM NEWEST 2024 TEST BANK

UPDATED WITH VERIFIED QUESTIONS AND

DETAILED ANSWERS WITH RATIONALES

(GRADED A+)



While caring for a toddler receiving oxygen (02) via face mask, the nurse

observes that the child's lips and nares are dry and cracked. Which

intervention should the nurse implement

A.)Ask the mother what she usually uses on the child's lips and nose

B.)Apply a petroleum jelly (Vaseline) to the child's nose and lips

C.)Use a topical lidocaine (Zylocaine viscous) analgesic for cracked lips

D.)Use a water soluble lubricant on affected oral and nasal mucosa -

ANSWER-D).Use a water soluble lubricant on affected oral and nasal

mucosa



The nurse is collecting sterile sample for culture and sensitivity from a

disposable three chamber water-seal drainage system connected to a pleural

chest tube. The nurse should obtain the sample from which site on the

drainage system?

Stopper port located above the water-seal level

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Plastic tubing located at the chest insertion site

Rubberized port at the bottom of collection chamber

Tubbing located on the top of the suction chamber - ANSWER-B. Plastic

tubing located at the chest insertion site



A client is admitted to the surgical unit with symptoms of a possible intestinal

obstruction. When preparing to insert a nasogastric (NG) tube, which

intervention should the nurse implement?

Elevate the head of the bed 60 to 90 degrees

Measure from corner of mouth to angle of jaw

Administer a PRN analgesic

Assess for a gag reflex - ANSWER-A. Elevate the head of the bed 60 to 90

degrees



The charge nurse observes a new nurse preparing to insert an intravenous

(IV) catheter. The new nurse has gathered supplies, including intravenous

catheters, an intravenous insertion kit, and a 4x4 sterile gauze dressing to

cover and secure the insertion site. What action should the charge nurse

take?

Plan to observe the secured IV site after the insertion procedure

Confirm that the nurse has gathered the necessary supplies

Remind the nurse to tape the gauze dressing securely in place

,3|Page


Instruct the nurse to use a transparent dressing over the site - ANSWER-D.

Instruct the nurse to use a transparent dressing over the site



An adult male who fell from a roof and fractures his left femur is admitted for

surgical stabilization after having a soft cast applied in the emergency

department. Which assessment finding warrants immediate intervention by

the nurse?

Onset of mild confusion

Pain score 8 out of 10

Pale, diaphoretic skin

Weak palpable distal pulses - ANSWER-D. Weak palpable distal pulses

The nurse is caring for a client who had gastric bypass surgery yesterday.

Which intervention is most important for the nurse to implement during the

first 24 postoperative hours?

Insert an indwelling urinary catheter

Monitor for the appearance of an incisional hernia

Instruct the client to eat small frequent meals

Measure hourly urinary output. - ANSWER-d. Measure hourly urinary output.



A client was admitted to the cardiac observation unit 2 hours ago

complaining of chest pain. On admission, the client's EKG showed

bradycardia, ST depression, but no ventricular ectopy. The client suddenly

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reports a sharp increase in pain, telling the nurse, "I feel like an elephant just

stepped on my chest" The EKG now shows Q waves and ST segment

elevations in the anterior leads. What intervention should the nurse perform?

Increase the peripheral IV flow rate to 175 ml/hr to prevent hypotension and

shock

Administer prescribed morphine sulfate IV and provide oxygen at 2 L/min per

nasal cannula.

Obtain a stat 12 lead EKG and perform a venipuncture to check cardiac

enzymes levels.

Notify the healthcare provider of the client's increase chest pain a call for the

defibrillator crash cart. - ANSWER-b. Administer prescribed morphine sulfate

IV and provide oxygen at 2 L/min per nasal cannula.



Based on the information provided in this client's medical record during labor,

which should the nurse implement? (Click on each chart tab for additional

information. Please be sure to scroll to the bottom right corner of each tab to

view all information contained in the client's medical record.)

Apply oxygen 10 l/mask

Stop the oxytocin infusion

Turn the client to the right lateral position.

Continue to monitor the progress of labor. - ANSWER-d. Continue to monitor

the progress of labor.

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