HESI Exit Exam 9 Graded A+ 2023

1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four-month-old infant and her 4-year-old child? "I have the 4-year-old hold and help feed the four-month-old a bottle in the kitchen while I make supper." 2. 154. A nurse is providing care to a 17-year-old client in the post-operative care unit (PACU) after an emergency appendectomy. Which finding is an early indication that the client is experiencing poor oxygenation? Increasing pulse rate. 3. A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair. The mother states," This is not my baby, and I do not want it." The nurse's best response is: "You seem upset; tell me what the pregnancy and birth were like for you." 4. Which of the following times is a depressed client at highest risk for attempting suicide? 7 to 14 days after initiation of antidepressant medication and psychotherapy. 5. A man diagnosed with epididymitis 2 days ago calls the nurse at a health clinic to discuss the problem. What information is most important for the nurse to ask about at this time? What does the skin on the testicles look and feel like? 6. A client has had heart failure. Which intervention is most important for the nurse to implement prior to the initial administration of Digoxin to this client? Assess the apical pulse, counting for a full 60 seconds. 7. A client is admitted with a tentative diagnosis of congestive heart failure. Which of the following assessments would the nurse expect to be consistent with this problem? Inspiratory crackles. 8. A client who was medicated with meperidine hydrochloride (Demerol) 100 mg and hydroxyzine hydrochloride (Vistaril Intramuscular) 50 mg IM for pain related to a fractured lower right leg 1 hour ago reports that the pain is getting worse. The nurse should recognize that the client may be developing which complication? A) Acute compartment syndrome. 9. Which order can be associated with the prevention of atelectasis and pneumonia in a client with amyotrophic lateral sclerosis? Chest physiotherapy twice a day. 10. The nurse is assessing an 8-month-old child with atonic cerebral palsy. Which statement from the mother supports the presence of this problem? When I put the baby in a back lying position that's how I find the baby. 11. Which statements by the client would indicate to the nurse an understanding of the issues with end stage renal disease? I have to go at intervals for epoetin (Procrit) injections at the health department. 12. The nurse is caring for a client with uncontrolled hypertension. Which findings require priority nursing action? Weakness in left arm. 13. What assessment data should the nurse obtain next? Status of the eyes and the tongue. 14. Upon completing the admission documents, the nurse learns that the 87-year-old client does not have an advance directive. What action should the nurse take? Give information about advance directives. 15. The nurse is caring for a 17-month-old with acetaminophen poisoning. Which of the following lab reports should the nurse review first? Liver enzymes (AST and ALT). 16. A client has returned to the unit following a renal biopsy. Which of the following nursing interventions is appropriate? Monitor vital signs. 17. During the checkup of a 2-month-old infant at a well-baby clinic, the mother expresses concern to the nurse because a flat pink birthmark on the baby's forehead and eyelid has not gone away. What is an appropriate response by the nurse? "Telangiectatic nevi are normal and will disappear as the baby grows." 18. A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse 19. Recognizes this assessment finding as what? Tardive dyskinesia. 20. The nurse admits a 7-year-old to the emergency room after a leg injury. The x-rays show a femur fracture near the epiphysis. The parents ask what the outcome of will be this injury. The appropriate response by the nurse should be which of these statements? "In some instances, the result is a retarded bone growth."