2023 Hesi Rn Exit V1,V2 &

2023 HESI RN EXIT V1,v2 & Hesi exit v1,v2&v3 HESI RN EXIT V1 2023 HESI EXIT V1 1. The nurse assesses a 72 year-old client who was admitted for right sided congestive heart failure. Which of the following would the nurse anticipate finding 6 A) Decreased urinary output B) Jugular vein distention C) Pleural effusion D) Bibasilar crackles The correct answer is B: Jugular vein distention 2. A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication A) Can predispose to dysrhythmias B) May lead to oliguria C) May cause irritability and anxiety D) Sometimes alters consciousness The correct answer is A: Can predispose to dysrhythmias 3. A nurse assesses a young adult in the emergency room following a motor vehicle accident. Which of the following neurological signs is of most concern? A) Flaccid paralysis B) Pupils fixed and dilated C) Diminished spinal reflexes D) Reduced sensory responses The correct answer is B: Pupils fixed and dilated 4. A 14 year-old with a history of sickle cell disease is admitted to the hospital with a diagnosis of vaso-occlusive crisis. Which statements by the client would be most indicative of the etiology of this crisis? A) ”I knew this would happen. I've been eating too much red meat lately." B) ”I really enjoyed my fishing trip yesterday. I caught 2 fish." C) ”I have really been working hard practicing with the debate team at school." D) ”I went to the health care provider last week for a cold and I have gotten worse."