Exam (elaborations)

HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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Contains Questions & answers

hesi rn critical care exam latest 2024critical ca

Institution HESI RN
Course HESI RN

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HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL
CARE HESI RN EXIT EXAM ALL 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES

A 56-year-old female client is receiving intracavitary radiation via a radium implant.

Which

nurse should be assigned to care for this client?

A. The nurse who is caring for another client receiving intracavitary radiation.

B. A nurse with Marfan's syndrome who is postmenopausal.

C. A nurse with oncology experience who may be pregnant.

D. The nurse who is caring for another client who has Clostridium difficile. -

ANSWER✔✔-B. A nurse with Marfan's syndrome who is postmenopausal.

RATIONALE:

A client receiving intracavity radiation poses a radiation hazard as long as the

intracavity

radiation source is in place. A nurse's ability to care of this client is not affected by

Marfan's

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,syndrome (B), which is a hereditary disorder of connective tissues, bones, muscles,

ligaments

and skeletal structures. The goal is to limit any one staff member's exposure to the

calculated

time span based on the half-life of radium, such as the number of minutes at the bedside

per day,

so (A) should not be assigned. (C) should not be exposed to the radiation due to the

possible

effect on the fetus. A radiation exposure decreases the immune response in the client

who should

not be exposed to the potential inadvertent transmission of an infectious organism (D).

1.A client who has active tuberculosis (TB) is admitted to the medical unit. What action

is most

important for the nurse to implement?

A. Fit the client with a respirator mask.

B. Assign the client to a negative air-flow room.

C. Don a clean gown for client care.

D. Place an isolation cart in the hallway - ANSWER✔✔-Assign the client to a negative

air-flow room
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Page 2/124

,RATIONALE:

Active tuberculosis requires implementation of airborne precautions, so the client

should be

assigned to a negative pressure air-flow room (D). Although (A and C) should be

implemented

for clients in isolation with contact precautions, it is most important that air flow from

the room

is minimized when the client has TB. (B) should be implemented when the client leaves

the

isolation environment.

2.A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The

nurse

determines the client's apical pulse is 65 beats per minute. What action should the nurse

implement

next?

A. Measure the blood pressure.

B. Reassess the apical pulse.

C. Notify the healthcare provider.

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Page 3/124

, D. Administer the medication. - ANSWER✔✔-Administer the medication

RATIONALE:

Atenolol, a beta-blocker, blocks the beta receptors of the sinoatrial node to reduce the

heart rate,

so the medication should be administered (C) because the client's apical pulse is greater

than 60.

(A, B, and D) are not indicated at this time.

3.The nurse is assessing a client and identifies a bruit over the thyroid. This finding is

consistent

with which interpretation?

A. Hypothyroidism.

B. Thyroid cyst.

C. Thyroid cancer.

D. Hyperthyroidism - ANSWER✔✔-Hyperthyroidism

Rationale:Hyperthyroidism (D) is an enlargement of the thyroid gland, often referred to

as a goiter, and a

bruit may be auscultated over the goiter due to an increase in glandular vascularity

which

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