HESI RN EXIT EXAM 20 23 ACTUAL QUESTIONS & ANSWERS COMPILATION WITH NGN 100% Verified Q&A Best for 2024 Follow https://www.facebook.com/groups/772671407426795 HESI RN EXIT Which age-related change should the nurse consider when formulating a plan of care for an older adult? Increased sensitivity to glare & diminished sensation of pain A nurse is caring fo r a client on bed rest. How can the nurse help prevent a pulmonary embolus? Teach the client how to exercise the legs. What are the clinical indicators that a nurse expects when an intravenous (IV) line has infiltrated? Pallor, edema, decreased flow rate A client with hemiplegia is staring blankly at the wall and reports feeling like half a person. What is the most appropriate initial nursing action? Offer to spend more time with the client. A nurse is preparing to administer an ophthalmic medication to a client. What techniques should the nurse use for this procedure? Clean the eyelid and eyelashes, apply clean gloves before beginning of procedure, Press on the nasolacrimal duct after instilling the solution A nurse must establish and maintain an airway in a client who has experienced a near -drowning in the ocean. For which potential danger should the nurse assess the client? Pulmonary edema What are the best ways for a nurse to be protected legally? Provide care within the par ameters of the state's nurse practice act, document consistently and objectively, clearly document a client's non -
adherence to the medical regimen A nurse is explaining the nursing process to a nursing assistant. Which step of the nursing process shou ld include interpretation of data collected about the client? Evaluation A client has received instructions to take 650 mg aspirin (ASA) every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Take the aspirin with meals or a snack, Do not chew enteric -coated tablets, Report persistent abdominal pain When reviewing a drug to be administered, the nurse identifies that the package insert indicates that the Z-track injection technique should be used. Under what circumstance does the nurse expect that this technique will be necessary? Medication is irritating to subcutaneous tissue and skin. Which drug requires the nurse to monitor the client for signs of hyperkalemia? Spironolactone (Alda ctone) A nurse is caring for a client admitted with cardiovascular disease. During the assessment of the client's lower extremities, the nurse notes that the client has thin, shiny skin, decreased hair growth, and thickened toenails. The nurse unders tands that this may indicate: Arterial Insufficiency What should the nurse include in dietary teaching for a client with a colostomy? The diet should be adjusted to include foods that result in manageable stools A nurse is reviewing a plan of c are for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which prescription should the nurse question? Parenteral albumin (Albuminar) A hospitalized client experiences a fall after climbing over the bed's side rail s. Upon reviewing the client's medical record, the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. What information should the nurse include in the follow -up incident report? A listing of facts related to the incident as witnessed by the nurse The nurse recognizes that what is the reason the faucets on the sinks in a client's room are considered contaminated? They are touched by dirty hands when turning the water on.
adherence to the medical regimen A nurse is explaining the nursing process to a nursing assistant. Which step of the nursing process shou ld include interpretation of data collected about the client? Evaluation A client has received instructions to take 650 mg aspirin (ASA) every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Take the aspirin with meals or a snack, Do not chew enteric -coated tablets, Report persistent abdominal pain When reviewing a drug to be administered, the nurse identifies that the package insert indicates that the Z-track injection technique should be used. Under what circumstance does the nurse expect that this technique will be necessary? Medication is irritating to subcutaneous tissue and skin. Which drug requires the nurse to monitor the client for signs of hyperkalemia? Spironolactone (Alda ctone) A nurse is caring for a client admitted with cardiovascular disease. During the assessment of the client's lower extremities, the nurse notes that the client has thin, shiny skin, decreased hair growth, and thickened toenails. The nurse unders tands that this may indicate: Arterial Insufficiency What should the nurse include in dietary teaching for a client with a colostomy? The diet should be adjusted to include foods that result in manageable stools A nurse is reviewing a plan of c are for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which prescription should the nurse question? Parenteral albumin (Albuminar) A hospitalized client experiences a fall after climbing over the bed's side rail s. Upon reviewing the client's medical record, the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. What information should the nurse include in the follow -up incident report? A listing of facts related to the incident as witnessed by the nurse The nurse recognizes that what is the reason the faucets on the sinks in a client's room are considered contaminated? They are touched by dirty hands when turning the water on.
