RN HESI EXIT EXAM (V1) | 160 Questions With Correct Answers | Latest Updated 2023/2024 (100% VERIFIED)

The nurse is teaching a group of parents about the expected growth and development of three-year-old children. The nurse should include that a three-year-oldshould (a)discriminate between fantasy and reality (b)ride a tricycle independently (c)have a vocabulary of 7,000 words (d)play in a group of two or three with one being the leader  The nurse and the nursing assistant are caring for a group of clients. Which of the following client care activities should the nurse assign to the nursing assistant? Select all that apply. (a) reinforcing the dressing of a client who has a decubitus ulcer 1 1 (b) monitoring the vital signs of a client who had a myocardial infarction 12 hours ago and is being transferred from the coronary care unit (c) administering a prescribed Fleet‘s enema to a client who will undergo a colonoscopy in two hours (d) placing a client who had an above the knee amputation 24 hours ago in a prone position (e) assisting a client who had a colon resection 36 hours ago to ambulate (f) showing a client who had a vaginal hysterectomy 36 hours ago how to perform perineal care  The nurse is caring for a client with Acquired immunodefi ciency syndrome (AIDS) who was started on Zidovidine (AZT). It would be important for the nurse toassess & As Included - Guaranteed Pass A+!!! (All Brand New Q&A Pics Included) 9 (a)blood ammonia serum (b)serum potassium (c)complete blood count (CBC) (d)serum uric acid  The nurse is performing an abdominal assessment. Indicate the correct sequence the nurse should use to perform this assessment. (a)percussion (b)palpation (c)auscultation (d)inspection Answer  The nurse has become aware of the following client situations. The nurse should fi rst assess the client who* (a)had received a unit of packed red blood cells four hours ago and is requesting a bedpan (b)had an abdominal hysterectomy yesterday and is reporting calf pain (c)has history of multiple sclerosis and is reporting diplopia (d)had a tonsillectomy three hours ago and is reporting a sore throat  The nurse is caring for a client who has been prescribed 1,000 ml of Ringer‘s Lactate to infuse over 8 hours. The available intravenous set delivers 10 drops per milliliter. How many drops per minute should the nurse set the intravenous controller to administer? 10 Answer  The primary health care provider has prescribed an oral solution of Potassium Chloride (KCL) 20 mEq PO, QD. The drug available is Potassium Chloride 10 mEq/15ml. How many ml should the nurse administer? Answer & As Included - Guaranteed Pass A+!!! (All Brand New Q&A Pics Included) 1 1  The primary health care provider has prescribed Heparin 5000 units SC. The drug available is heparin sodium 7500units/ml. Choose all of the correct answers for nursing considerations for the administration of heparin sodium. (a) administer the heparin in the abdomen (b) administer 0.5ml of heparin sodium (c) aspirate after inserting the needle (d) use a 1 inch 21 gauge needle (e) refrain from massaging the site after administer heparin (f) remember that protamine sulfate is the antidote for heparin  The nurse has attended a staff development conference on cultural considerations for clients receiving hospice care. Which of the following statements if made by the nurse would require follow-up? (a)The family of a client of the Buddhist faith may ask for a priest to be present at the time of death (b)The family of a client of the Jewish faith may request to have mirrors covered after the death of the client (c)The family of a client of the Muslim faith may request that the body of the client be turned to face the East at the time of the client‘s death (d)The family of a client of the Hindu faith may request that the client body be bathed after the client‘s death  The nurse is caring for a client with bipolar disorder who has Lithium (Lithotabs) prescribed. The nurse should suggest that the client have which of the following snacks? (a)A fresh fruit cup 12 (b)Coffee and oatmeal cookies (c)Tuna fi sh salad on saltine crackers (d)Raw vegetables  The nurse has provided discharge instructions for a client who has been prescribed Digoxin (Lanoxin). It would require follow up by the nurse if the client says (a)―I will consult my primary health care provider before taking medications that contain aspirin.‖ (b)―I will not take any antacids within two hours of taking the digoxin.‖ (c)―I will avoid fruits such as avocados, grapefruit and cantaloupe.‖ & As Included - Guaranteed Pass A+!!! (All Brand New Q&A Pics Included) 11 (d)―I will remember that any visual disturbance can be a sign of digitalis toxicity.‖  The nurse is caring for a client who has bumetanide (Bumex) prescribed. The nurse should suggest that the client include which of the following foods in the diet? (a)Apricots (b)Organ meats (c)Sardines (d)Apples  The nurse is providing teaching for a client with ulcerative colitis. Select all of the following that the nurse should include in the teaching (a) steatorrhea commonly occurs or excessive secretion of fecal lipids is common (b) ulcerative colitis occurs most frequently in Jewish males 30- 50 years of age (c) a diet high in residue and low in complex carbohydrates is helpful in controlling symptoms (d) Corticosteroids may be prescribed during an exacerbation (e) metronidazole (Flagyl) and ciprofl oxacin (Cipro) are antibiotics commonly used during acute exacerbations (f) eating small frequent meals and lying down after eating promotes absorption of nutrients  The nurse is precepting a newly-hired nurse who is caring for a client 12 receiving a prescribed continuous nasogastric feeding. The nurse should intervene immediately if the newly-hired nurse (a)instills 30cc of normal saline into the feeding tube while auscultating over the stomach for bowel sounds (b)checks the pH of the 60ml gastric aspirate removed from the feeding tube (c)maintains the client with the head of the bed elevated at 45 degrees (d)hangs four hours worth of prescribed feeding formula in an open delivery system  The nurse is observing a staff member caring for clients. It would require immediate intervention if the nurse observes the staff member (a)placing a client who had an above-the-knee amputation (AKA) 24 hours ago in a prone position & As Included - Guaranteed Pass A+!!! (All Brand New Q&A Pics Included) 13 (b)keeping the head of the bed elevated for the client who had an supratentorial craniotomy 12 hours ago (c)giving orange juice to a client who has a clear liquid diet prescribed (d)removing all liquids from the tray before giving the tray to a client who has dumping syndrome  The primary health care provider has prescribed ampicillin (Omnipen) 0.5 GM PO Q6H to a 15 month old toddler who weighs 22 pounds. The drug available is ampicillin suspension 250 mg/5 ml. The recommended dosage is 50 mg/kg/ day every 6 to 8 hours. The nurse should (a)call the primary health care provider to report that the prescription exceeds the recommended dosage (b)determine if the toddler has previously had a penicillin or a cephalosporin prescribed (c)give the toddler the ampicillin mixed with applesauce (d)wait until the result of the throat culture obtained one hour ago is reported  The nurse is instructing a class for parents of children diagnosed with sickle cell anemia. The nurse should instruct the parents to have the children avoid (a)exposure to hot water (b)other children with infections (c)medications containing aspirin (d)non - contact sports  The nurse is assessing a 5-month-old infant. The nurse should expect the 14 infant to (a)roll from abdomen to back (b)sit without support (c)say ‗mama‘ and ‗dada‘ (d)prefer use of one hand over the other  The home health care nurse is assigned to see four clients who all live within three miles of each other. The nurse should fi rst see the client who has (a)gastroesophageal refl ux disease (GERD) and is reporting a burning abdominal pain that is relieved by walking (b)cancer of the esophagus who has given away a favorite shirt since the last visit & As Included - Guaranteed Pass A+!!! (All Brand New Q&A Pics Included) 13 (c)regional enteritis (Crohn‘s disease) who has an elevated temperature and is vomiting (d)a gastrostomy tube who will begin self-feeding for the fi rst time  A student nurse is administering magnesium hydroxide/aluminum hydrate (Maalox) prescribed as an antacid to a client. The nursing instructor should intervene if the student plans to administer the antacid (a) two hours after the client has eaten a meal (b) at the same time as a prescribed iron preparation (c) after briskly shaking the bottle of Maalox (d) when assessing the client for the presence of gastric pain  The nurse