2023 HESI Exit Exam Test Bank Comprehensive Exam With Best Solutions

2023 HESI Exit Exam Test Bank Comprehensive Exam With Best Solutions 1. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is 14 breaths / minute. What action should the nurse implement? A. Document the assessment data B. Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory rate is within normal limits. 2. During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate firs? A. Respiratory apnea of 30 seconds 3. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? A. Describes life without purpose 4. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client’s teaching plan? A. Further evaluation involving surgery may be needed 5. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? A. Teach tracheal suctioning techniques 6. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first? A. Check the client for lacerations or fractures 7. At 0600 while admitting a woman for a schedule repeat cesarean section (CSection), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? A. Medicare A. Toasted wheat bread and jelly A. Inform the anesthesia care provider 8. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart sound is present, what action should the nurse take first? A. Listen with the bell at the same location 9. A 66-year-old woman is retiring and will no longer have a health insurance through her place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs? 10. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline? 11. Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse that the client is experiencing a complication? A. “I have a headache that gets worse when I sit up” B. “I am having pain in my lower back when I move my legs” C. “My throat hurts when I swallow” D. “I feel sick to my stomach and am going to throw up”