HESI EXAM V6 2022 (Answered) Verified Solution

HESI EXAM V6 2022 (Answered) Verified Solution 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 b. Determine type of chemical exposure 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 b. Allergic rhinitis d. Contact dermatitis 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 a. Ask if the mother is experiencing any pain with urination c. Instruct the daughter to check her mother's temperature 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) 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 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? 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 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 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 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 d. Review the use of sitz bath equipment with the client 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 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 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 b. 0800, 1200, 1600, 2000 c. Administer with meals and a bedtime snack d. Given equally divided doses during waking hours a. 1000, 1600, 2200, 0400 The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation? a. Continued development of the brain lesion determines the child's outcome b. Brain damage with CP is not progressive but it does have variable course c. CP is one of the most common permanent physical disability in children d. Severe motor dysfunction determines the extent of successful habilitation b. Brain damage with CP is not progressive but it does have variable course The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. Which expected outcome has the highest priority for this client? a. Identifies 2 treatments for constipation due to immobility b. Names 3 home safety hazards to be resolved immediately c. States 4 risk factors for the development of osteoporosis d. Lists five calcium rich foods to be added to her daily diet b. Names 3 home safety hazards to be resolved immediately A client is recovering in the outpatient surgical unit after an endoscopic carpal tunnel release. The nurse assesses the client's vital signs, pain level, and dressing. Before discharging the client, which intervention should the nurse implement? a. Administer and non-steroidal anti-inflammatory drug for pain b. Check neurovascular status of the distal digits c. Change the dressing if drainage increases d. Position the arm in a sling for discharge b. Check neurovascular status of the distal digits An older client is admitted in respiratory distress secondary to heart failure (HF), coronary artery disease (CAD), hypertension (HTN), and atrial fibrillation. Which nursing problem should the nurse include in the client's plan of care? Select all that apply. a. Fluid volume excess b. Decreased cardiac output c. Altered peripheral tissue perfusion d. Fluid volume deficit e. Fatigue a. Fluid volume excess b. Decreased cardiac output c. Altered peripheral tissue perfusion e. Fatigue The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft graft to promote burn healing. Which information should the nurse provide this client? a. As the burn heels, the graft permanently attaches b. Graphs are later removed by a debriding procedure c. Grafting increases the risk for bacterial infections d. The xenograft is taken from non-human sources d. The xenograft is taken from non-human sources A client is admitted with a severe asthma attack. For the last three hours the client has experienced increasing shortness of breath. Arterial blood gas results are: ph 7.22; paco2 55mmhg; HCO3 25 meq/L (25 mmol/L). Which intervention should the nurse implement? a. Space care to provide periods of rest b. Instruct client to purse lip breathe c. Position client for maximum comfort d. Administer PRN dose of albuterol d. Administer PRN dose of albuterol After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which interventions should the nurse take to prepare the body before the family enters the room? Select all that apply. a. Take out dentures and place in a labeled cup b. Apply a body shroud c. Place a small pillow under the head d. Remove resuscitation equipment from the room e. Gently close the eyes c. Place a small pillow under the head d. Remove resuscitation equipment from the room e. Gently close the eyes The nurse is preparing a client with an acoustic neuroma for a magnetic resonance image (MRI). Which client complaint is life-threatening and should be reported to the healthcare provider immediately? a. Facial numbness b. Right ear hearing loss c. Difficulty with balance d. Intensifying headache d. Intensifying headache When caring for a client with full thickness burns to both lower extremities, which assessment findings warrant immediate intervention by the nurse? Select all that apply. a. Weeping serosanguinous fluid from wounds b. Sloughing tissue around wound edges c. Change in the quality of peripheral pulses d. Loss of sensation to the left lower extremity e. Complaint of increased pain and pressure c. Change in the quality of peripheral pulses d. Loss of sensation to the left lower extremity e. Complaint of increased pain and pressure The nurse is providing teaching to a client who has been recently diagnosed with gestational diabetes mellitus. Which complication poses the greatest risk to the fetus if euglycemia is not maintained? a. Cleft palate b. Preterm birth c. Low birth weight d. Macrosomic newborn b. Preterm birth A female client who has borderline personality disorder is being discharged today. When the nurse makes morning rounds, the client begins the interaction by complaining about the aloofness of the night shift nurse and expresses joy to see that, "My favorite nurses on duty now." Which response is best for the nurse to provide to this clients dichotomous tendency? a. Tomorrow I will talk to that nurse about how you were treated last night b. I am happy that you are getting better and will be able to go home c. I am glad you like me. Which nurse was acting aloof to you? d. What did the night nurse do that makes you think she is aloof? b. I am happy that you are getting better and will be able to go home The nurse is caring for a client who has been diagnosed with malnutrition. Which finding supports the medical diagnosis? a. Decrease in the appetite b. Weight of 227 pounds (103 kg) c. Dry mucosal membranes d. Body mass index (BMI) of 17