SPRING 2023 HESI EXIT questions and answers latest top score.

SPRING 2023 HESI EXIT questions and answers latest top score. The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which statement by the client indicates understanding? A Using salt, herbs, and spices will improve the flavor of foods. B Get an eye examination with an ophthalmologist annually. C Arrange diet schedule around three regular meals a day. D Inspect feet every month for ingrown nails, cuts, and calluses. - correct answers.B Get an eye examination with an ophthalmologist annually. The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching? A Center attention on positive upbeat music. B Find outlets for more social interaction. C Practice using muscle relaxation techniques. D Think about reasons the episodes occur. - correct answers.C Practice using muscle relaxation techniques. The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN) on the team. Which client should the charge nurse assign to the RN? A A 75-year-old client with renal calculi who requires urine straining. B A 64-year-old client who had a total hip replacement the previous day. C A 30-year-old depressed client who admits to suicide ideation. D An adolescent with multiple contusions due to a fall that occurred 2 days ago. - correct answers.C A 30-year-old depressed client who admits to suicide ideation. A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement? A Raise head of bed until to a 90 degree angle. B Position bedside table so the client can lean across it. C Place bed in a reverse trendelenburg position. D Encourage rest until the analgesic becomes effective. - correct answers.B Position bedside table so the client can lean across it. The nurse is caring for a client who arrives to the emergency department with reports of experiencing dizziness and difficulty walking to the bathroom. The nurse observes right-sided weakness and sluggish enunciation of speech. The nurse should immediately take which action? A Maintain elevated positioning of the dependent joints on affected side. B Keep the bed in the lowest position and initiate seizure and fall precautions. C Place an indwelling urinary catheter and measure strict intake and output. D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. - correct answers.D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission procedure, the client has a tonic-clonic seizure that lasts 50 seconds. Following the seizure, the client is lethargic and confused and his wife tells the nurse that her husband has never had a seizure before and has always been alert and communicative. Which action should the nurse take? A Ask the wife to wait outside the room until the nurse can talk with her. B Keep orienting the client to time and space until he is less confused. C Notify the emergency response team of the client's seizure. D Explain the postictal state that usually follows seizures. - correct answers.D Explain the postictal state that usually follows seizures. The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statement(s)made by the client should the nurse recognize as needing additional education? (Select all that apply.) A Keep a food diary. B Eat more canned vegetables. C Consume foods with saturated fats. D Walk 30 minutes per day. E Include oatmeal for breakfast. F Use a salt substitute. - correct answers.B Eat more canned vegetables. C Consume foods with saturated fats. While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement? A Use a water soluble lubricant on affected oral and nasal mucosa. B Use a topical lidocaine analgesic for cracked lips. C Ask the mother what she usually uses on the child's lips and nose. D Apply a petroleum jelly to the child's nose and lips. - correct answers.A Use a water soluble lubricant on affected oral and nasal mucosa. When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action should the nurse implement first? A Increase intravenous infusion. B Massage the uterus to decrease atony. C Review the hemoglobin to determine hemorrhage. D Check for a distended bladder. - correct answers.D Check for a distended bladder. The nurse is caring for a client on the first day postoperative for a descending aortic aneurysm repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider? Reference Range Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)] A Serum potassium 4.8 mEg/L (4.8 mmol/L). B Electrocardiogram ST segment elevation. C Urine output 30 mL/hour. D Blood pressure 130/80. - correct answers.B Electrocardiogram ST segment elevation. The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis. Which food selection indicate to the nurse that the client understand the prescribed diet? A Roast pork, fresh strawberries. B Baked potato with skin, raw carrots. C Roasted turkey, canned vegetables. D Pancakes, whole-grain cereals. - correct answers.C Roasted turkey, canned vegetables. The psychiatric nurse is caring for clients in an adolescent unit. Which client requires the nurse's immediate attention? A An 18-year-old client with antisocial behavior who is being yelled at by other clients. B A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby. C A 16-year-old client diagnosed with major depression who refuses to participate in a group. D A 14-year-old client with anorexia nervosa who is refusing to eat the evening snack. - correct answers.A An 18-year-old client with antisocial behavior who is being yelled at by other clients. A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD) and peripheral vascular disease (PVD) is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement? A Explain exercise daily regimen. B Demonstrate specific strengthening exercises. C Provide typed instructions for healthy diet selection D Reinforce need for adequate hydration. - correct answers.C Provide typed instructions for healthy diet selection A 6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy. Which pre-operative nursing action has the highest priority? A Instruct parents regarding care of the incisional area. B Mark an outline of the "olive-Shaped" mass in the right epigastric area. C Initiate a continuous infusion of IV fluids per prescription. D Monitor amount of intake and infant's response to feedings. - correct answers.C Initiate a continuous infusion of IV fluids per prescription. NGN: The client is a 26 yr old female who was in a car accident 6 months ago that killed her mother, husband, and 2 yr old son. She and her father were the only survivors of the crash. She is seeking care for depression. Choose the most likely options for the information missing from the statement by selecting from the list of options provided. The client is exhibiting symptoms of _________ relating to ___________ and __________. - correct answers.The client is exhibiting symptoms of PTSD relating to EXPERIENCING A LIFE-THREATENING EVENT and LOSING A LOVE ONE. NGN: After the examination by the physician, the client was diagnosed with depression and PSTD. The physician wrote orders for medication that need to be filled. The nurse speaks with the client again to educate her about her diagnose and medication. How can the nurse build a therapeutic relationship with the client? Select all that apply. A The nurse can establish a meaningful connection B The nurse can be open, honest, and sincere C The nurse can communicate acceptance of the client as she is D The nurse can talk as much as needed to get the client talking E The nurse can focus energy on the client F The nurse can show no emotion when talking to the client - correct answers.A The nurse can establish a meaningful connection B The nurse can be open, honest, and sincere C The nurse can communicate acceptance of the client as she is NGN: During the conversation with the client, the nurse documents a statement by the client about wishing she had died in the crash. Choose the most likely options for the information missing from the statement by selecting the list of options provided. The statement by the client represents _______ and should be followed up with __________. - correct answers.The statement by the client represents SUICIDAL IDEATION and should be followed up with AN ASSESSMENT OF RISK FACTORS FOR SUICIDE. NGN: What would be some effective strategies that the nurse could use to decrease the client's risk of suicide in the future? Select all that apply. A Have the client sign a no-suicide contract B Refer the client for cognitive behavioral therapy C Make the client feel too guilty to commit suicide D Place the client in a locked unit E Have the client remove any sharp objects from the home F Help the client enlist the help of friends and family - correct answers.A Have the client sign a no-suicide contract F Help the client enlist the help of friends and family Dopamine 5 mcg/kg/minute IV is prescribed for a client who weighs 132 pounds. The pharmacy dispenses a 500 mL IV solution of 0.9% normal saline with dopamine 1600 mg. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest tenth.) - correct answers. An adult client who is admitted to the mental health unit for treatment of bipolar disorder has a slightly slurred speech pattern and an unsteady gait. Which assessment finding is most important for the nurse to report to the healthcare provider? Reference Range: Blood alcohol level [Reference Range: 0 to 10.9 mmol/L (0% to 0.05%)] Lithium (Reference Range: 0.8 to 1.2 mEq/L or 0.8 to 1.2 mmol/L] A Blood alcohol level of 0.09% (90 mmol/L) B Serum lithium level of 1.6 mEq/L (1.6 mmol/L) C Six hours of sleep in the past three days. D Weight loss of 10 pounds (4.5 kg) in past month. - correct answers.B Serum lithium level of 1.6 mEq/L (1.6 mmol/L) A male client reports to the on-call clinic nurse that he took tadalafil 10mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina, but denies experiencing any current or recent chest pain. What action should the nurse take? A Tell the client to have someone bring him to an emergency department immediately. B Instruct the client to increase his intake of oral fluids until the skin flushing is relieved. C Reassure the client that skin flushing is a common side effect of the medication. D Advise the client to place one nitroglycerin tablet under his tongue as a precaution. - correct answers.C Reassure the client that skin flushing is a common side effect of the medication. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. Which percentage of body surface area should the nurse document in the electronic medical record (EMR)? A 9%. B 36%. C 18%. D 45 %. - correct answers.B 36%. An unlicensed assistive personnel (UP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UP's behavior? (Place the actions in order from first on top to last on bottom.) - correct answers.1 Note date and time of the behavior. 2 Discuss the issue privately with the UAP. 3 Plan for scheduled break times. 4 Evaluate the UP for signs of improvement. What nursing intervention is particularly indicated for the second stage of labor? A Assessing the fetal heart rate and pattern for signs of fetal distress. B Monitoring effects gf oxytocin administration to help achieve cervical dilation. C Providing pain medication to increase the client's tolerance of labor pains. D Assisting the client to push effectively so that expulsion of the fetus can be achieved. - correct answers.D Assisting the client to push effectively so that expulsion of the fetus can be achieved.