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STUDOC HESI EXIT RN V3 QUESTIONS WITH ACTUAL SOLUTIONS.
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STUDOC HESI EXIT RN V3 QUESTIONS WITH ACTUAL SOLUTIONS.
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STUDOC HESI EXIT RN V3 QUESTIONSWITH ACTUAL SOLUTIONS
A kkmale kkclient kkwith kkstomach kkcancer kkreturns kkto kkthe kkunit kkfollowing kka kktotal
kkgastrectomy. kkHe kkhas kka
nasogastric kktube kkto kksuction kkand kkis kkreceiving kkLactated kkRinger's kksolution kkat
kk75 kkmL/hour kkIV. kkOne
hour kkafter kkadmission kkto kkthe kkunit, kkthe kknurse kknotes kk300 kkmL kkof kkblood kkin
kkthe kksuction kkcanister, kkthe
client's kkheart kkrate kkis kk155 kkbeats/minute, kkand kkhis kkblood kkpressure kkis kk78/48
kkmmHg. kkIn kkaddition kkto
reporting kkthe kkfinding kkto kkthe kksurgeon. kkWhich kkaction kkshould kkthe kknurse
kkimplement kkfirst?
a. kkMeasure kkand kkdocument kkthe kkclient's kkurinary kkoutput.
b. kkRequest kkthe kkclient's kkreserved kkunit kkif kkpacked kkred kkblood kkcells.
c. kkPrepare kkthe kkplacement kkof kka kkcentral kkvenous kkcatheter.
d. kkIncrease kkthe kkinfusion kkrate kkof kkLactated kkRinger's kksolution kk- kkAnswer kkd.
kkIncrease kkthe kkinfusion kkrate kkof kkLactated kkRinger's kksolution
an kkadult kkmale kkwho kkfell kk20 kkfeet kkfrom kkthe kkroof kkof kkthis kkhome kkhas kkmultiple
kkinjuries, kkincluding kka kkright
pneumothorax. kkChest kktubes kkwere kkinserted kkin kkthe kkemergency kkdepartment
kkprior kkto kkhis kktransfer kkto
the kkintensive kkcare kkunit kk(ICU). kkthe kknurse kknotes kkthat kkthe kksuction kkcontrol
kkchamber kkis kkbubbling kkat kkthe
- kk10 kkcm kkH2O kkmark, kkwith kkfluctuation kkin kkthe kkwater kkseal, kkand kkover kkthe
kkpast kkhour kk75 kkml kkof kkbright kkred
blood kkis kkmeasured kkin kkthe kkcollection kkchamber. kkWhich kkintervention kkshould kkthe
kknurse kkimplement?
a. kkAdd kksterile kkwater kkto kkthe kksuction kkcontrol kkchamber.
b. kkGive kkblood kkfrom kkthe kkcollection kkchamber kkas kkautotransfusion
c. kkManipulate kkblood kkin kktubing kkto kkdrain kkinto kkchamber.
d. kkIncrease kkwall kksuction kkto kkeliminate kkfluctuation kkin kkwater kkseal kk- kkAnswer kka.
kkAdd kksterile kkwater kkto kkthe kksuction kkcontrol kkchamber.
A kkclient kkwho kkreceived kkhemodialysis kkyesterday kkis kkexperiencing kka kkblood
kkpressure kkof kk200/100
mmHg, kkheart kkrate kk110 kkbeats/minute, kkand kkrespiratory kkrate kk36 kkbreaths/minute.
kkThe kkclient kkis
manifesting kkshortness kkof kkbreath, kkbilateral kk2+ kkpedal kkedema, kkand kkan kkoxygen
kksaturation kkon kkroom kkair
,of kk89%. kkWhich kkaction kkshould kkthe kknurse kktake kkfirst?
a. kkElevate kkthe kkfoot kkof kkthe kkbed.
b. kkRestrict kkthe kkclient's kkfluid.
c. kkBegin kksupplemental kkoxygen.
d. kkPrepare kkthe kkclient kkfor kkhemodialysis. kk- kkAnswer kkc. kkBegin kksupplemental
kkoxygen.
A kkclient kkwith kkAddison's kkcrisis kkis kkadmitted kkfor kktreatment kkwith kkadrenal kkcortical
kksupplementation.
Based kkon kkthe kkclient's kkadmitting kkdiagnosis, kkwhich kkfindings kkrequire kkimmediate
kkaction kkby kkthe kknurse?
(Select kkall kkthat kkapply)
a. kkHeadache kkand kktremors
b. kkIrregular kkheart kkrate
c. kkSkin kkhyperpigmentation
d. kkPostural kkhypotension
e. kkPallor kkand kkdiaphoresis kk- kkAnswer kka. kkHeadache kkand kktremors
b. kkIrregular kkheart kkrate
e. kkPallor kkand kkdiaphoresis
An kkolder kkclient kkis kkadmitted kkwith kkfluid kkvolume kkdeficit kkand kkdehydration.
kkWhich kkassessment kkfinding
is kkthe kkbest kkindicator kkof kkhydration kkthat kkthe kknurse kkshould kkreport kkto kkthe
kkhealthcare kkprovider?
a. kkUrine kkspecific kkgravity kkis kk1.040
b. kkSystolic kkblood kkpressure kkdecreases kk10 kkpoints kkwhen kkstanding.
c. kkThe kkclient kkdenies kkbeing kkthirsty.
d. kkSkin kktenting kkoccurs kkwhen kkthe kkclient's kkforearm kkis kkpinched. kk- kkAnswer kkd.
kkSkin kktenting kkoccurs kkwhen kkthe kkclient's kkforearm kkis kkpinched.
After kkan kkinservice kkabout kkelectronic kkhealth kkrecord kk(EHR) kksecurity kkand
kksafeguarding kkclient
information, kkthe kknurse kkobserves kka kkcolleague kkgoing kkhome kkwith kkprinted
kkcopies kkof kkclient
information kkin kka kkuniform kkpocket. kkWhich kkaction kkshould kkthe kknurse kktake?
a. kkFile kka kkdetailed kkincident kkreport kkwith kkthe kkspecific kkhiring kkfacility.
b. kkWarn kkthe kkcolleague kkthat kktheir kkactions kkare kkunprofessional.
c. kkComment kkanonymously kkabout kkthe kkaction kkof kka kkstaff kkdiscussion kkboard.
d. kkCommunicate kkthe kkcolleague's kkactions kkto kkthe kkunit kkcharge kknurse kk-
kkAnswer kka. kkFile kka kkdetailed kkincident kkreport kkwith kkthe kkspecific kkhiring kkfacility.
The kknurse kkis kkevaluating kka kktertiary kkprevention kkprogram kkfor kkclients kkwith
kkcardiovascular kkdisease
implemented kkin kka kkrural kkhealth kkclinic. kkWhich kkoutcome kkindicate kkthe kkprogram
kkis kkeffective?
,a. kkAt-risk kkclients kkreceived kkan kkincreased kknumber kkof kkroutine kkhealth
kkscreenings.
b. kkClients kkreported kkhaving kknew kkconfidence kkin kkmaking kkhealthy kkfood kkchoices.
c. kkClients kkwho kkincurred kkdisease kkcomplications kkpromptly kkreceived
kkrehabilitation.
d. kkClient kkrelapse kkrate kkof kk30% kkin kka kk5-year kkcommunity-wide kkanti-smoking
kkcampaign. kk- kkAnswer kkc. kkClients kkwho kkincurred kkdisease kkcomplications
kkpromptly kkreceived kkrehabilitation.
The kknurse kkis kkcaring kkfor kka kkclient kkwith kkchronic kkobstructive kkpulmonary
kkdisease kk(COPD) kkwho kkuses
oxygen kkat kk2 kkL/minute kkper kknasal kkcannula kkcontinuously. kkThe kknurse kkobserves
kkthat kkthe kkclient kkis
having kkincreased kkshortness kkof kkbreath kkwith kkrespirations kkat kk23 kkbreaths/minute.
kkWhich kkaction
should kkthe kknurse kkimplement kkfirst?
a. kkDetermine kkif kkthe kkclient kkis kkexperiencing kkany kkanxiety.
b. kkAuscultate kkthe kkclient's kkbilateral kklung kksounds kkand kkoxygen kksaturation.
c. kkNotify kkthe kkhealthcare kkprovider kkabout kkthe kkclient's kkdistress.
d. kkAssess kkthe kkdelivery kkmechanism kkof kkthe kkoxygen kktank, kktubing, kkand
kkcannula. kk- kkAnswer kkd. kkAssess kkthe kkdelivery kkmechanism kkof kkthe kkoxygen
kktank, kktubing, kkand kkcannula.
Which kkstatement kkby kka kkclient kkwho kkis kk24 kkhours kkpost-subtotal kkthyroidectomy
kkrequires kkan
immediate kkinvestigation kkby kkthe kknurse?
a. kk"When kkI kkget kkout kkof kkbed kkquickly, kkI kkfeel kka kklittle kkdizzy."
b. kk"The kkdressing kkover kkmy kkincision kkfeels kklike kkit kkis kktoo kktight."
c. kk"I'm kkmost kkcomfortable kkwhen kkthe kkhead kkof kkthe kkbed kkis kkraised."
d. kk"This kkIV kkinfusion kkmakes kkme kkurinate kkmore kkoften kkthan kkusual. kk- kkAnswer
kka. kk"When kkI kkget kkout kkof kkbed kkquickly, kkI kkfeel kka kklittle kkdizzy."
An kkolder kkadult kkmale kkwho kkis kkin kkhis kkearly kk70's kkis kkadmitted kkto kkthe
kkemergency kkdepartment kkbecause kkof
a kkCOPD kkexacerbation. kkThis kkclient kkis kkstruggling kkto kkbreathe kkand kkthe
kkhealthcare kkteam kkis kkpreparing
for kkendotracheal kkintubation. kkThe kkspouse's kkwife, kkwho kkis kk30 kkyears kkyounger
kkthan kkthe kkclient, kkasks kkthe
nurse kkto kkstop kkthe kkprocedure kkand kkprovide kkthe kknurse kka kkcopy kkof kkthe kkclient's
kkliving kkwill. kkWhich kkaction
should kkthe kknurse kktake?
a. kkFacilitate kka kkfamily kkmeeting kkwith kkthe kkpalliative kkcare kkteam.
b. kkNotify kkthe kkhealthcare kkprovider kkof kkthe kkclient's kkwishes.
c. kkPlace kka kkcertified kkcopy kkof kkthe kkliving kkwill kkin kkthe kkclient's kkrecord.
d. kkAlert kkthe kknursing kkstaff kkof kkthe kkclient's kkdon't kkresuscitate kkstatus. kk- kkAnswer
kkb. kkNotify kkthe kkhealthcare kkprovider kkof kkthe kkclient's kkwishes.
, An kkunlicensed kkassistive kkpersonnel kk(UAP) kkis kkassigned kkto kkprovide kkpersonal
kkcare kkfor kka kkclient kkwhose
prescribed kkactivity kkis kkbedrest kkwith kkbedside kkcommode kkuse. kkThe kkUAP kkreports
kkto kkthe kknurse kkthat kkthe
client kkis kkso kkobese kkthat kkthe kkUAP kkfeels kkunable kkto kksafely kkassist kkthe kkclient
kkin kktransferring kkfrom kkthe kkbed
to kkthe kkbedside kkcommode. kkHow kkshould kkthe kknurse kkrespond?
a. kkDetermine kkthe kkclient's kklevel kkof kkmobility kkand kkneed kkfor kkassistance.
b. kkInstruct kkthe kkUAP kkthat kkall kkclients kkdeserve kkequal kkcare.
c. kkAdvice kkthe kkclient kkto kkmaintain kkbedrest kkso kkthat kksafety kkcan kkbe kkensured.
d. kkAssign kkanother kkUAP kkto kkcare kkfor kkthe kkclient kk- kkAnswer kkc. kkAdvice kkthe
kkclient kkto kkmaintain kkbedrest kkso kkthat kksafety kkcan kkbe kkensured.
A kknurse kkdetermines kkthat kkmore kkthan kk25% kkof kkthe kkstudents kkat kka kkmiddle
kkschool kkare kkoverweight. kkThe
nurse kkpresents kkthe kkinformation kkat kkthe kkparent-teacher kkmeeting. kkWhat kkaction
kkis kkmost kkimportant
for kkthe kknurse kkto kkinclude kkin kkthe kkmeeting?
a. kkProvide kkinformation kkon kkways kkto kkincrease kkactivity kkfor kkthe kkfamily.
b. kkHave kkseveral kkteachers kktalk kkabout kkhealth kkrisks kkassociated kkwith kkobesity.
c. kkDistribute kka kkshopping kklist kkof kksuggested kkhealthy kksnack kkitems.
d. kkDetermine kkthe kkparents' kkdegree kkof kkconcern kkabout kktheir kkchildren's kkweight.
kk- kkAnswer kkc. kkDistribute kka kkshopping kklist kkof kksuggested kkhealthy kksnack kkitems.
After kkseveral kkmonths kkof kkchronic kkfatigue, kkmorning kkstiffness, kkand kkjoin kkpain, kka
kkyoung kkadult kkis
diagnosed kkwith kkrheumatoid kkarthritis, kkand kkthe kkhealthcare kkprovider kkprescribes
kkprednisone. kkWhich
education kkshould kkthe kknurse kkprovide kkthe kkclient kkwith kkregard kkto kktaking
kkprednisone?
a. kkTake kkprednisone kkdoses kkbefore kkmeals kkon kkan kkempty kkstomach.
b. kkWear kksunglasses kkwhen kkexposed kkto kkbright kksunlight.
c. kkIf kksequential kkdoses kkare kkmissed, kknotify kkthe kkhealthcare kkprovider.
d. kkSchedule kka kkmonthly kklaboratory kkvisit kkfor kka kkcomplete kkblood kkcount. kk-
kkAnswer kkc. kkIf kksequential kkdoses kkare kkmissed, kknotify kkthe kkhealthcare kkprovider.
The kkpsychiatric kknurse kkis kkcaring kkfor kkclients kkon kkan kkadolescent kkunit. kkWhich
kkclient kkrequires kkthe
nurse's kkimmediate kkattention?
a. kkA kk16-year-old kkclient kkdiagnosed kkwith kkmajor kkdepression kkwho kkrefuses kkto
kkparticipate kkin kkgroup.
b. kkA kk14-year-old kkclient kkwith kkanorexia kknervosa kkwho kkis kkrefusing kkto kkeat kkthe
kkevening kksnack.
c. kkAn kk18-year-old kkclient kkwith kkantisocial kkbehavior kkwho kkis kkbeing kkyelled kkat kkby
kkother kkclients
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