HESI Exit Exam 2022 (FULL AND REVISED) Test Bank

HESI Exit Exam 2022 (FULL REVISED) Test Bank 124. A client with atrial fibrillation receives a new prescription for dabigatran. What instruction should the nurse include in this client’s teaching plan? A. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID). 125. A nurse with 10 years experience working in the emergency room is reassigned to the perinatal unit to work an 8 hour shift. Which client is best to assign to this nurse? A. A mother with an infected episiotomy 126. An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is irritable and diaphoretic with jugular vein distention. Which prescription should the nurse administer first? A. Digoxin. 127. The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN? A. Supervise a newly hired graduate nurse during an admission assessment. 128. While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client stares into the distance and appears to be concentrating on something other than the lesson the nurse is presenting. What action should the nurse take? A. Ask the client what he is thinking about at his time. 129. After several hours of non-productive coughing, a client presents to the emergency room complaining of chest tightness and shortness of breath. History includes end stage chronic obstructive pulmonary disease (COPD) and diabetes mellitus. While completing the pulmonary assessment, the nurse hears wheezing and poor air movement bilaterally. Which actions should the nurse implement? (Select all that apply.) A. Administer PRN nebulizer treatment. B. Obtain 12 lead electrocardiogram. C. Monitor continuous oxygen saturation. 130. The nurse caring for a 3-month-old boy one day after a pylorotomy notices that the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest. What action should the nurse take? A. Administer a prescribed analgesia for pain. 131. A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a chemotherapy (CT) protocol that includes methotrexate (Mexate, Trexal, MIX), an antimetabolite. Which information should the nurse provide the parents about caring for their child? A. Use sunblock or protective clothing when outdoors. 132. Two days after admission a male client remembers that he is allergic to eggs, and informs the nurse of the allergy. Which actions should the nurse implement? (Select all that apply) A. Notify the food services department of the allergy. B. Enter the allergy information in the client’s record. C. Add egg allergy to the client’s allergy arm band.