Level 4 HESI Exam Questions & Answers | Latest 2023/24 | Updated & Verified | Guaranteed Success | 35 Pages

A 2 year old child with down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with down syndrome? a. congenital heart disease b. fragile x syndrome c. trisomy 13 d. pyloric stenosis - a. congenital heart disease A female client is receiving an enteral feeding via NG feeding tube. The daughter reports to the charge nurse that her mother is coughing vigorously and sounds congested. Which staff member should the charge nurse ask to check on the client? a. RN who is admitting a new post op client to the unit b. PN who is giving routine medications c. PN talking with anxious family members d. RN entering nursing notes at the computer - d. RN entering nursing notes at the computer A client reports SOB and chest pressure radiating down the left arm. The client is receiving 2L of O2 via NC and has two saline lock IV catheters. The nurse performs a 12 lead ECG that shows ST segment elevation. Which action should the nurse implement first? a. Give 0.3 mg nitro SL b. Administer 4 mg IV morphine sulfate c. measure the ST segment height d. infuse 0.9% NaCl bolus - d. infuse 0.9% NaCl bolus 24 hours after a client returns from surgical gastric bypass, the RN observes large amounts of blood in the NG tube cannister. Which assessment finding should the RN report as early signs of hypovolemic shock?a. faint pedal pulses b. decrease in BP c. lethargy d. slow breathing