HESI EXIT V6 EXAM WITH NGN
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near-drowning incident. While providing care to the child, the
nurse begins talking with his preadolescent brother who rescued the child from
the swimming pool and initiated resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what happened. Which action should the
nurse take? - answers-Ask the brother how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he
has been soaking in hot baths at night with no relief. of his discomfort. Which
action should the nurse take? - answers-Encourage the client to use cooler water
and apply calamine lotion after soaking
An older client with a long history of coronary artery disease, hypertension and
heart failure arrives in the emergency department in respiratory distress. The
healthcare provider prescribes Furosemide IV. Which therapeutic response to the
furosemide should the nurse expect in the client with acute heart failure? -
answers-Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus? - answers-Minimize the amount of stimuli in the room
,The nurse is completing the admission assessment of a 3-year-old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment finding
is evidence that the child is experiencing increased ICP? - answers-Sluggish and
unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain
and an elevated serum amylase. Which additional information is the client most
likely to report to the nurse? - answers-Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents
prior to discharge? - answers-Instructions about how much fluid the child should
drink daily
After receiving report on an inpatient acute care unit, which client should the
nurse assess first? - answers-The client with a bowel obstruction due to a
volvulus who is experiencing abdominal rigidity?
A teenager presents to the emergency department with palpitations after vaping
at a party. The client is anxious, fearful, and hyperventilating. The nurse
,anticipates the client developing which acid base imbalance? - answers-
Respiratory Alkalosis
The nurse is taking the blood pressure of a client with Parkinson's disease. Which
information in the client's admission assessment is reverent to the nurse's plan
for taking the blood pressure reading? SATA - answers-Frequent syncope
Flat affect
Blurred vision
While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider,
the nurse should review which of the client's laboratory values? - answers-
Culture for sensitive organisms
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis? - answers-Had a cold and ear infection for the
past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest
signs of impending death. After notifying the family of the client's status, what
, priority action should the nurse implement? - answers-The client's need for pain
medication should be determined
Which self-care measure is most important for the clinic nurse to emphasize
when teaching a client who was recently diagnosed with Type 2 diabetes mellitus?
- answers-Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm and
tender on palpation. Which instruction should the nurse provide? - answers-apply
ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee amputation for
discharge to home. Which recommendations should the nurse provide this client?
SATA - answers-Use a residual limb shrinker
Inspect skin for redness
Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain and vomiting that occurs after injecting of milk products arrives to the clinic
accompanied but the parents. Which type of testing should the nurse provide
education to the toddler's family about? - answers-Serum immunoglubulin IgE
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near-drowning incident. While providing care to the child, the
nurse begins talking with his preadolescent brother who rescued the child from
the swimming pool and initiated resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what happened. Which action should the
nurse take? - answers-Ask the brother how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he
has been soaking in hot baths at night with no relief. of his discomfort. Which
action should the nurse take? - answers-Encourage the client to use cooler water
and apply calamine lotion after soaking
An older client with a long history of coronary artery disease, hypertension and
heart failure arrives in the emergency department in respiratory distress. The
healthcare provider prescribes Furosemide IV. Which therapeutic response to the
furosemide should the nurse expect in the client with acute heart failure? -
answers-Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus? - answers-Minimize the amount of stimuli in the room
,The nurse is completing the admission assessment of a 3-year-old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment finding
is evidence that the child is experiencing increased ICP? - answers-Sluggish and
unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain
and an elevated serum amylase. Which additional information is the client most
likely to report to the nurse? - answers-Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents
prior to discharge? - answers-Instructions about how much fluid the child should
drink daily
After receiving report on an inpatient acute care unit, which client should the
nurse assess first? - answers-The client with a bowel obstruction due to a
volvulus who is experiencing abdominal rigidity?
A teenager presents to the emergency department with palpitations after vaping
at a party. The client is anxious, fearful, and hyperventilating. The nurse
,anticipates the client developing which acid base imbalance? - answers-
Respiratory Alkalosis
The nurse is taking the blood pressure of a client with Parkinson's disease. Which
information in the client's admission assessment is reverent to the nurse's plan
for taking the blood pressure reading? SATA - answers-Frequent syncope
Flat affect
Blurred vision
While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider,
the nurse should review which of the client's laboratory values? - answers-
Culture for sensitive organisms
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis? - answers-Had a cold and ear infection for the
past two days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest
signs of impending death. After notifying the family of the client's status, what
, priority action should the nurse implement? - answers-The client's need for pain
medication should be determined
Which self-care measure is most important for the clinic nurse to emphasize
when teaching a client who was recently diagnosed with Type 2 diabetes mellitus?
- answers-Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm and
tender on palpation. Which instruction should the nurse provide? - answers-apply
ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee amputation for
discharge to home. Which recommendations should the nurse provide this client?
SATA - answers-Use a residual limb shrinker
Inspect skin for redness
Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain and vomiting that occurs after injecting of milk products arrives to the clinic
accompanied but the parents. Which type of testing should the nurse provide
education to the toddler's family about? - answers-Serum immunoglubulin IgE
