1ST HESI EXIT EXAM BSN. 100% VERIFIED DOCUMENT.

1ST HESI EXIT EXAM BSN. 100% VERIFIED DOCUMENT. 2 The nurse has completed the diet teachingof a client who is being discharge protein diet is encouraged to promotewound healing. Which lunch choice by the client effective? a. A peanut butter sandwich with soda and cookies. b. A tuna fish sandwich with chips and ice cream. c. Vegetable soup, crackers, and milk. d. A salad with three kinds of lettuce and fruit. 3 The nurse implements a primary prevention programfor sexually transmitted diseases in Which outcome indicates that the program was effective? A. Average client scores improved on specific risk factor knowledge test. B. More than half of at-risk client were diagnosed early in their process. C. New screening protocols were developed, validated, and implemented. D. Clients who incurred disease complications promptly received rehabilitation. 4 A young adult client is admitted to the emergency room following a dashboard. Admission assessments include blood pressure85/45 mm Hg, oral temperature beats/minute, and respirations 22 breaths/minute. Based on these data, the nurse formulat nursing problem as "Risk for injury". What term best expresses the "related to" portion a. head injury. b. infection. c. increased intracranial pressure. d. shock. 5 A nurse working on an endocrine unit should see which client first. a. An adolescent male with diabetes who is arguing about his insulin dose. b. An older client with Addison’s disease whose current blood sugar level is 62mg/dl c. An adult with a blood sugar of 384mg/dl (21.31mmol/l) and urine output d. A client taking corticosteroids who has become disoriented in the last two 6 Following a gunshot wound, an adult client has a hemoglobin level of 4 administer a unit of blood for an emergency transfusion. The client has a unit of Type A Rh negative, reporting that there is no Type should the nurse implement? a. Transfuse Type A negative blood until Type AB negative is available. b. Recheck the clienfs hemoglobin, blood type, and Rh factor. c. Obtain additional consent for administration of Type A negative blood. d. Administer normal saline solution until Type AB negative is available. 7 An older client who lives alone in a two-story home is admitted after hip. With no immediate family in the area, the client is concerned about nurse implement? (Select au that apply.) A- Evaluate pain using a standard pain scale B- Alert social worker of client's concerns. C- Support left leg with two pillows. D- Palpate and mark pedal pulses. E- Assess ability to bear weight when standing 8 Which laboratory finding for an adult client is most critical for the nurse to the correct location on the chart. To change, click on a new location.) § Serum Sodio 142 mEq/L (142 mmol/L) § Postassium 3.9 mEq/L (3.9 mmol'/L) § Serum glucose 62 mg/dl (3.4 mmdl/L) § Blood urea nitrogen 18 mg/dl (6.4 mmol/L) O 9 An older adult client with heart failure (HF) develops cardiac tamponade. The client and is anxious and restless. After initiating oxygen therapy and IV hydration, which the nurse to implement? a. Observe neck for jugular vein distention b. Notify healthcare provider to prepare for pericardiocentesis c. Asses for paradoxical blood pressure d. Monitor oxygen saturation (Sp02) via continuous pulse oximetry 10 The parent of a child born with a cleft lip asks the nurse to explain did something wrong that caused this to occur. Which response is most helpful? a. "You didn't do anythingwrong." b. "This must be a very difficult time for you." c. "With surgery, your baby should have a full recovery. d. "Is there any particular reason why you think this is your fault? 11 After diagnosis and initial treatment of a 3-year-old with Cystic fibrosis, the mother, which statement by the child's mother indicates that she understands home pulmonary functions? a. Chest physiotherapy should be performed twice a day before a meal. b. Administer a cough suppressant every 8 hours." c. Energy should be conserved by scheduling minimally strenuous activities." d. Maintain supplemental oxygen at 4 to 6 Uminute." 12 A client with deep vein thrombosis (DVT) is receiving a continuous intraveno black diarrhea and reports abdominal pain. Which actions should the nurse implement? (Select a. Auscultate bowel sounds in all quadrants. b. Review last partial thromboplastin time results. c. Assess characteristics of pain. d. Prepare to administer warfarin. e. Monitor stools for presence of blood. 13 The nurse is developing a teachingprogramfor the community. What population choosing strategies for implementing a teaching plan? a. Literacy level. b. Median age. c. Prevalent learning style. d. Percent with Internet access. 14 The nurse is conducting a visual screening of a group of older adults. healthcare provider immediately? a. Gradual onset of continuous eye pain and blurred vision. b. Recent change in the ability to read and drive after dark. c. Gray-white circle around the iris of both eyes. d. Cloudy opacity of the crystalline lens. 15 While the nurse is assessing an older client's fall risk, the client reports living action should the nurse take? a. Inform the client that falls occur more often in the hospital than at home. b. Continue to obtain client data needed to complete the fall risk survey. c. Record a minimal risk for falls, documenting the client's statement. d. Place the client on a high fall risk protocol because of advanced age. 16 A client with gestational diabetes is being induced for labor. Which assessment is perform prior to increasing the oxytocinrate? a. Contraction pattern. b. Blood pressure. c. Fingerstick glucose. d. Vaginal exam. O 17 A client is receiving continuous ambulatory peritoneal dialysis since the arteriove longer available to use for hemodialysis. The client has lost weight, has increasin albumin level of 1.5 g/dl (15 g/L). Which intervention is the priority for the a. Ensure the client receives frequentsmall meals containing complete proteins. b. Recommend the use of support stockings to enhance venous return. c. Evaluate patency of the AV graft for resumption of hemodialysis. d. Instruct the client to continueto follow the prescribed rigid fluid restriction 18 Following a motor vehicle collision (MVC), an unrestrained client is admitted to status. The client has multiple rib fractures and bruising across the lower abdomen. immediate intervention by the nurse? (Please scroll and view each tab's information selectingthe answer.) a. A large amount of gross hematuria. b. Several apnea episodeslasting ten seconds. c. Delayed peripheral capillary refill. d. Numbness of the left lower extremity. 19 Which client requires careful nursing assessment for signs and symptoms of hypermagnesemi a. A client who developed hyperparathyroidism in late adolescence. b. A female client who is overzealous with her intake of simple carbohydrates. c. A middle-aged male client in renal failure following an unsuccessful kidney d. A young adult client with intractable vomitingfrom food poisoning. 20 An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. managerimplement these interventions to address the UAP's behavior? (Place the actions last on bottom.) a. Note date and time of the behavior b. Discuss the issue privatelywith the UAP. c. Evaluate the UAP for signs of improvement. d. Plan for scheduled break times. 21 The nurse is preparing an older male adult for discharge who does not daughter who lives close to her father tells the nurse that she will stop interventions should the nurse implement? (Select all that apply.) a. Include the family in the discharge teaching. b. Face client when speaking. c. Encourage the client to attend reading classes. d. Speak loudly when teaching. e. Provide the daughter with written instruction