HESI RN exit EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution uy




BSN 366 HESI RN Exit Exam Questions and Answers 202
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6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VER
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IFIED ANSWERS (0CCA4) uy uy




QUESTION 1 uy




The nurse is performing preoperative care of a client for an open reduction and interna
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l fixation (ORIF) of a fractured right tibia before the procedure, which action should the
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nurse prioritize?
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ANSWER

Verify clients signed consent.
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QUESTION 2 uy




A client receives a prescription for acetaminophen 1,000 mg by mouth every 8 hours as
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needed for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg
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per 15 mL." How many tablespoons should the nurse instruct the client to take with eac
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h dose? (Enter numerical value only.)
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ANSWER

2



QUESTION 3 uy




Which information is more important for the nurse to obtain when determining a client
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's risk for (OSAS)?
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a. Body mass index
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b. Level of consciousness
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c. Self-description of pain
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d. Breath sounds
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ANSWER

a. Body mass index
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,QUESTION 4 uy




The nurse is preparing an adult with Addison's disease for self-
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management. Which information should the nurse include in the client's instructions?
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a. events requiring steroid dose adjustments
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b. need to check temperature daily
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c. importance of recording daily weights
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d. adherence to a high fiber, low fat diet
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ANSWER

a. events requiring steroid dose adjustments
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QUESTION 5 uy




While completing an admission assessment for a client with unstable angina, which clos
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ed questions should the nurse ask about the client's pain?
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a. tell me about the activities that cause your pain
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b. does your pain occur when walking short distances?
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c. when did you first notice the pain in your chest
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d. how did you feel when the pain becomes noticeable
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ANSWER

B. does your pain occur when walking short distances?
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QUESTION 6 uy




A new nurse preparing to irrigate an intravenous cath is attaching a 24-
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gauge action should the charge nurse implement
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a. Suggest the nurse use a 20-gauge
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b. Direct the nurse to change IV tubing
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c. Instruct the nurse to remove the needle
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d. Prompt the nurse to apply pressure to the site
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ANSWER

c. Instruct the nurse to remove the needle
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QUESTION 7 uy




A client is undergoing peritoneal dialysis. After several fluid exchanges, the abdomen is
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distended, blood pressure is elevated, and 6500 mL were infused while 5,500 mL were
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drained. In response to this finding, what action should the nurse take?
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a. Instruct the client to cough
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b. turn the client from side to side
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, c. irrigate the drainage tube with normal Saline
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d. lower the head of the bed
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ANSWER

b. turn the client from side to side
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QUESTION 8 uy




A client is admitted for medical management of a bowel obstruction. The drainage volu
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me from the nasogastric tube over the last 12 hours is 300milliliters. Which assessment
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finding provides the earliest indication that the client is experiencing gastrointestinal
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motility?
a. normalized electrolytes
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b. decreased nausea
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c. passing of flatus
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d. return appetite
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ANSWER

c. passing of flatus
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QUESTION 9 uy




A client who weighs 65kg receives a prescription for lorazepam 44mcg/kg IV to be admi
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nistered 20 minutes before scheduled procedure. The medication is available as " loraz
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epam 2mg/ml vial". How many ml should the nurse administer. ( enter numerical value
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only. If rounding is required, round to the nearest tenth).
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ANSWER

1.4mL



QUESTION 10 uy




A client with leukemia who is receiving myelosuppressive chemotherapy has a platelet
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count of 25,000/mm3. Which intervention is most important for the nurse to include in
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this patient's plan of care
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a. Assess urine and stool for occult blood
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b. Monitor for signs of activity intolerance
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c. Require visitors to wear respiratory masks
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d. Obtain client's temperature q4 hours
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ANSWER

A. Assess urine and stool for occult blood.
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