HESI Pn Exit Exam V3 - Questions and Answers

1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)?  9 %  18 %  36 %  45 %  Rational: according to the rule of nines, the anterior and posterior surfaces of one lower extremity is designated as 18 %of total body surface area (TBSA), so both extremities equals 36% TBSA, other options are incorrect. 2. A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates that the medication is having the desired effect?  Decrease in serum T4 levels  Increase in blood pressure  Decrease in pulse rate  Goiter no longer palpable 3. An older male client with type 2 diabetes mellitus reports that has experiences legs pain when walking short distances, and that the pain is relieved by rest. Which client behavior indicates an understanding of healthcare teaching to promote more effective arterial circulation?  Consistently applies TED hose before getting dressed in the morning.  Frequently elevated legs thorough the day.  Inspect the leg frequently for any irritation or skin breakdown  Completely stop cigarette/ cigar smoking.  Rationale: Stopping cigarette smoking helps to decrease vasoconstriction and improve arterial circulation to the extremity.