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Exam (elaborations)

hesi exit v2 2021

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9.A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurseshouldA)Administer aplaceboB)Encourage increased fluidintakeC)Administer the prescribedanalgesiaD)Recommend relaxation exercises for paincontrol10.While caring for a toddler with croup, which initial sign of croup requires the nurse's immediateattention?A)Respiratory rate of42B)Lethargy for the pasthourC)Apical pulse of54D)Coughing up copioussecretions11.A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment,thenursewouldanticipatewhichofthefollowingassessmentfindings?A)LethargyB)HeatintoleranceC)DiarrheaD)Skineruptions12.The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by thenurse?A)"Do not worry. Epilepsy can be treated withmedications."B)"The seizure may or may not mean your child hasepilepsy."C)"Since this was the first convulsion, it may not happenagain."D)"Long term treatment will prevent futureseizures."13.Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis bestapplies?A)Risk forinjuryB)Risk for knowledgedeficit C)Altered thoughtprocessD)Disturbance inself-esteem14.The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is important for the nurse to maintain patency of which of theseareas?A)MouthB)NasalpassagesC)Back ofthroatD)Bronchials15.The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to theclient?A)"Take at least 2 weeks off from work."B)"You will need another chest x-ray in 6weeks."C)"Take your temperature everyday."D)"Complete all of the antibiotic even if your findingsdecrease."16.When counseling a 6 year old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of thisdisorder?A)Has no clearetiologyB)May be associated with sleepphobiaC)Has a definite geneticlinkD)Is a sign of willfulmisbehavior


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