HESI RN EXIT EXAM V1-V7 (LATEST / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7|A GRADED GUARANTEE PASS

HESI RN EXIT EXAM V1-V7 (LATEST / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7|A GRADED GUARANTEE PASS 59. Which instruction should the nurse provide a pregnant client who is complaining of heartburn? • Eat small meal throughout the day to avoid a full stomach. 60. A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tumor. Which potential complication should the nurse monitor closely? • Hypokalemia • Ketonuria. • Peripheral edema • Elevated blood pressure • Rational: pituitary tumors that suppress antidiuretic hormone (ADH) result in diabetes insipidus, which causes massive polyuria and serum electrolyte imbalances, including hypokalemia, which can lead to lethal arrhythmias. 61. A female client reports she has not had a bowel movement for 3 days, but now is defecating frequent small amount of liquid stool. Which action should the nurse implement? • Digitally check the client for a fecal impaction 62. After changing to a new brand of laundry detergent, an adult male reports that he has a fine itchy rash. Which assessment finding warrants immediate intervention by the nurse? • Bilateral Wheezing. 63. The nurse should teach the parents of a 6 year-old recently diagnosed with asthma that the symptom of acute episode of asthma are due to which physiological response? • Inflammation of the mucous membrane & bronchospasm 64. A 10 year old who has terminal brain cancer asks the nurse, "What will happen to my body when I die?" How should the nurse respond? • "The heart will stop beating & you will stop breathing." 65. The nurse is assessing a 3-month-old infant who had a pylorotomy yesterday. This child should be medicated for pain based on which findings? Select all that apply: • Restlessness • Clenched Fist • Increased pulse rate • Increased respiratory rate. • Increased temperature • Peripheral pallor of the skin 66. The nurse is preparing to administer an oral antibiotic to a client with unilateral weakness, ptosis, mouth drooping and, aspiration pneumonia. What is the priority nursing assessment that should be done before administering this medication? • Determine which side of the body is weak. The 67. nurse who is working on a surgical unit receives change of shift report on a group of clients for the upcoming shift. A client with which condition requires the most immediate attention by the nurse? • Gunshot wound three hours ago with dark drainage of 2 cm noted on the dressing. • Mastectomy 2 days ago with 50 ml bloody drainage noted in the Jackson-pratt drain. • Collapsed lung after a fall 8h ago with 100 ml blood in the chest tube collection container • Abdominal-perineal resection 2 days ago with no drainage on dressing who has fever and chills. • Rationale: the client with an abdominal- perineal resection is at risk for peritonitis and needs to be immediately assessed for other signs and symptoms for sepsis