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Summary HESI Exit Exam V1 Questions and Answers with complete solution(Graded A+)

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HESI Exit Exam V1 Questions and Answers with complete solution(Graded A+)

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HESI Exit Exam V1 Questions and
Answers with complete solution(Graded
A+)
Which conditions are most likely to respond to treatment with antihistamines?
Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - CORRECT ANSWERS b. Allergic rhinitis
d. Contact dermatitis


A mother runs into the emergency department with a toddler in her arms and tells
the nurse that her child got into some cleaning products. the child smells of
chemicals on the hands, face, and on the front of the child's clothes. after ensuring
the airway is patent, what action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number - CORRECT ANSWERS b. Determine
type of chemical exposure


An older client's daughter calls the home health nurse and reports that her mother
has become forgetful and is very confused at night. The daughter states that her
mother's behavior changed suddenly a few days ago and is now getting worse.
Which action should the nurse take? Select all that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall - CORRECT ANSWERS
a. Ask if the mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature

,HESI Exit Exam V1 Questions and
Answers with complete solution(Graded
A+)
e. Determine if the mother has recently experienced a fall


The nurse is assessing a male with a history of Addison's disease. The client has flu-
like symptoms and nausea with vomiting over the past week. The client's spouse
reports that he acted confused and was extremely weak when he awoke this
morning. The client is febrile and has tachycardia. The health care provider
diagnoses acute adrenal insufficiency. Which medication will most likely be
prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110 mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55 mmol/L) -
CORRECT ANSWERS b. Hydrocortisone 100 mg IV every six hours until systolic
BP reaches 110 mmHg


A client with a history of mitral valve prolapse is admitted because of fever and
dyspnea on exertion, and is diagnosed with acute infective endocarditis. During the
admission assessment, the nurse observes multiple areas of petechiae on the
client's skin. Which intervention should the nurse include in the client's plan of care?
Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions - CORRECT ANSWERS a. Monitor
cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
e. Initiate contact transmission precautions


The nurse is planning an educational session for new parents on ways to prevent
sudden infant death syndrome (SIDS). Which information is most important to
provide parents of newborns and infants?

,HESI Exit Exam V1 Questions and
Answers with complete solution(Graded
A+)
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime - CORRECT ANSWERS
c. Position the infant in a supine position while sleeping


The healthcare provider prescribes methylergonovine maleate for a postpartum
client with uterine atony. What findings should indicate to the nurse to withhold the
next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia - CORRECT ANSWERS a. Hypertension


The nurse notes that an older adult client has a moist cough that increases in
severity during and after meals. Based on this finding, which action should the
nurse take?
a. Collect a sputum specimen immediately
b. Request a consultation to confirm dysphasia
c. Offer the client additional clear liquids frequently
d. Encourage the client to do deep breathing exercises daily - CORRECT ANSWERS
b. Request a consultation to confirm dysphasia


A multiparous client who delivered her infant 3 hours ago asks the nurse if she can
take a warm sitz bath because it helped reduce perennial pain after her last
delivery. What action should the nurse implement?
a. Using analgesic spray to the perennial area to reduce pain
b. Apply an ice pack to the perineum for the first 24 hours
c. Teach the client how to practice kegel exercises

, HESI Exit Exam V1 Questions and
Answers with complete solution(Graded
A+)
d. Review the use of sitz bath equipment with the client - CORRECT ANSWERS
d. Review the use of sitz bath equipment with the client


When the parents of a 6-year-old boy with a brain tumor are told that his condition
is terminal, the mother shouts at the father, "This is your fault! It never would have
happened if we sought treatment sooner!" Which intervention is best for the nurse
to implement?
a. Refer the parents to the chaplain to provide grief counseling
b. Assure the parents that a terminal diagnosis was inevitable
c. Tell the parents that blame each other will not change the situation
d. Explain to the parents that anger is a common response to grief - CORRECT
ANSWERS b. Assure the parents that a terminal diagnosis was inevitable


but I think d???


The wife of a newly diagnosed client with Parkinson's disease asks the nurse if
alternative or complementary medical therapies might cure the disease. Which
response should the nurse provide?
a. Complete a list of alternative medications that are effective in curing parksinson's
disease
b. Explain there are no known conventional, alternative, or complementary
therapies that cure Parkinson's disease
c. Encourage the wife to ventilate her feelings about having a husband with
Parkinson's disease
d. Tell the wife that her husband's neurologist just would know more about
alternative treatments to cure Parkinson's - CORRECT ANSWERS d. Tell the wife
that her husband's neurologist just would know more about alternative treatments
to cure Parkinson's


An IV antibiotic is prescribed for a client with a post operative infection. The
medication is to be administered in 4 divided doses. What schedule is best for
administering this prescription?
a. 1000, 1600, 2200, 0400
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