6/20/26 NUMBER 2 MEEEEEE HESI EXIT EXAM 2P
1. A client with leukemia who is receiving a myelosuppressive chemotherapy
has a platelet count of 25,000/mm3 (25 x 109/L). Which intervention is most
important for the nurse to include in this client's plan of care?
Reference Range
Platelet count [150,000 to 400,000/mm3 (150 to 400 x 109/L)]
A. Monitor for signs of activity intolerance.
B. Require visitors to wear respiratory masks.
C. Assess urine and stool for occult blood.
D. Obtain client's temperature every 4 hours.
*Answer√√ C
2. A client reports that the 30 mg extended release form of cyclobenzaprine
,has been the only medication that provided relief from lower back pain in the
past. The client asks the nurse if the medication for chronic back pain could
be prescribed on a monthly basis. Which is the best response from the nurse?
A. The medication has been recalled by the FDA and can no longer be pre-
scribed.
B. You will have to have labs drawn monthly to renew your prescription.
C. You may build up a tolerance to that dose so it may have to be increased.
D. This medication is usually prescribed for a maximum use of 3 weeks.
*Answer√√ D
3. Following a total knee arthroplasty, the client is discharged from the hospital
with a prescription for warfarin. In reviewing discharge teaching, the client
recounts to the nurse the need to avoid eating foods high in potassium, such
,as bananas and melon. How should the nurse respond?
A. Discuss necessary fluid restrictions as well as food restrictions.
B. Review teaching about the effects of foods rich in Vitamin K.
C. Explain that no dietary restrictions are needed with warfarin.
D. Provide a written list of additional foods high in potassium.
*Answer√√ B
4. The nurse is caring for a client who is receiving continuous ambulatory
peritoneal dialysis (CAPD) and notes that the output flow is 100 mL less than
the input flow. Which actions should the nurse implement first?
A. Irrigate the dialysis catheter.
B. Check the client's blood pressure and serum bicarbonate.
, C. Continue to monitor intake and output with next exchange.
D. Change the client's position.
*Answer√√ D
5. The licensed nurse is unable to complete medication administration with-
in the accepted time limits. The licensed nurse reviews time management
strategies with the lead nurse and reports difficulty with interruptions and
call-lights. Which strategy should the lead nurse recommend to improve
on-time medication administration?
A. Avoid procrastination.
B. Decrease distractions.
C. Set boundaries.
D. Set goals.
1. A client with leukemia who is receiving a myelosuppressive chemotherapy
has a platelet count of 25,000/mm3 (25 x 109/L). Which intervention is most
important for the nurse to include in this client's plan of care?
Reference Range
Platelet count [150,000 to 400,000/mm3 (150 to 400 x 109/L)]
A. Monitor for signs of activity intolerance.
B. Require visitors to wear respiratory masks.
C. Assess urine and stool for occult blood.
D. Obtain client's temperature every 4 hours.
*Answer√√ C
2. A client reports that the 30 mg extended release form of cyclobenzaprine
,has been the only medication that provided relief from lower back pain in the
past. The client asks the nurse if the medication for chronic back pain could
be prescribed on a monthly basis. Which is the best response from the nurse?
A. The medication has been recalled by the FDA and can no longer be pre-
scribed.
B. You will have to have labs drawn monthly to renew your prescription.
C. You may build up a tolerance to that dose so it may have to be increased.
D. This medication is usually prescribed for a maximum use of 3 weeks.
*Answer√√ D
3. Following a total knee arthroplasty, the client is discharged from the hospital
with a prescription for warfarin. In reviewing discharge teaching, the client
recounts to the nurse the need to avoid eating foods high in potassium, such
,as bananas and melon. How should the nurse respond?
A. Discuss necessary fluid restrictions as well as food restrictions.
B. Review teaching about the effects of foods rich in Vitamin K.
C. Explain that no dietary restrictions are needed with warfarin.
D. Provide a written list of additional foods high in potassium.
*Answer√√ B
4. The nurse is caring for a client who is receiving continuous ambulatory
peritoneal dialysis (CAPD) and notes that the output flow is 100 mL less than
the input flow. Which actions should the nurse implement first?
A. Irrigate the dialysis catheter.
B. Check the client's blood pressure and serum bicarbonate.
, C. Continue to monitor intake and output with next exchange.
D. Change the client's position.
*Answer√√ D
5. The licensed nurse is unable to complete medication administration with-
in the accepted time limits. The licensed nurse reviews time management
strategies with the lead nurse and reports difficulty with interruptions and
call-lights. Which strategy should the lead nurse recommend to improve
on-time medication administration?
A. Avoid procrastination.
B. Decrease distractions.
C. Set boundaries.
D. Set goals.
