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MATERNITY HESI PN V1- v3 -2021.pdf

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MATERNITY HESI PN V1- v3 - it is always postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine? 1. The woman should not become pregnant for at least 4 weeks

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SOLUTION MANUAL FOR
MATERNITY HESI
PN V1- v3 -2022/2023

ALL QUESTIONS AND ANSWERS



SUCCESS A+

, 2022/2023 PN Hesi Exit V1

Question 1
A school-age client with diabetes is placed on an
intermediateacting insulin and regular insulin before breakfast
and before dinner. She will receive a snack of milk and cereal at
bedtime. What does the nurse tell the client the snack is intended
to do?
You Selected: • Prevent late night
hypoglycemia. Correct response:

• Prevent late night hypoglycemia.


Question 2
A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official’s electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
You Selected:

• “Assessing the official’s medical record is a breach of
confidentiality.” Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”


Question 3

,A four-year-old child is diagnosed as having acute lymphocytic
leukemia. The white blood cell (WBC) count, especially the
neutrophil count, is low. What is the most important intervention the
nurse should teach the parents?
You Selected:

• Protect your child from infections because his resistance to
infection is decreased Correct response:
• Protect your child from infections because his resistance to
infection is decreased


Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:

• placing the client in isolation.
Correct response:

• washing the hands frequently.


Question 5
A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is the
best way for the nurse to assess blood pressure?
You Selected:

• in the supine, sitting, and standing positions Correct
response:

• in the supine, sitting, and standing positions

, Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
• cool, pale fingers Correct
response:

• cool, pale fingers



Question 7
A nurse is caring for a female client before surgery. The client states
that she is glad that she will not be going through menopause as a
result of her surgery and is only having her uterus removed. The
nurse reviews the consent form and notes that the surgery is for a
total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation?
You Selected:

• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Correct response:

• Contact the surgeon to explain that the client needs further
clarification regarding surgery.



Question 8
A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like to
get out and do things again." What is the best initial response by the
nurse?
You Selected:

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