HESI EXIT EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

HESI EXIT EXAM REVIEW QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
TheUnurseUisUpresentingUdischargeUinstructionsUtoUaUclientUNewlyUdiagnosedUwithUCushing'sUdiseaseUtheUn
urseUknowsUthatUtheUteachingUhasUbeenUsuccessfulUwhenUtheUclientUchoosesUwhichUselections



AUBroiledUcod,UbakedUpotatoUandUsteamedUbroccoli

BUSlicedUhamUwithUmashedUpotatoesUandUgravy

CUBeefUtacoUwithUrefinedUbeansUandUguacamole

DUleanUcheeseburgerUwithUfriesUandUfruitUcocktail

EUbraiseUchickenUwithUkaleUandUnavyUbeanUsaladU-UANSWERUAUandUEUareUcorrectU



Cushing'sUdiseaseUoccursUwhenUtheUadrenalUcortexUproducesUexcessiveUamountsUofUmineralUcorticoid's,Ug
lucocorticoidsUandUsexUhormones.UClientsUbenefitUgreatlyUfromUaUdietUlowUinUfatUandUsodiumUbutUhigherUi
nUcalciumUsinceUosteoporosisUisUaUcommonUproblemUinUthisUdisease.UFishUisUlowUinUfatUwhileUbroccoliUisUhi
ghUinUcalciumUprovidingUaUwell-
balancedUmeal.UChickenUthatUisUbraisedUallowsUexcessUfatUtoUbeUremovedUduringUcookingUkaleUandUnavyUb
eansUareUaUgreatUsourceUofUcalcium



AUclientUwithUaUhistoryUofUmyastheniaUgravisU(UMGU)U

IsUdischargeUfromUtheUhospitalUfollowingUaUthymectomy.UWhenUteachingUtheUclientUhowUtoUpreventUcomp
licationsUtheUhomeUcareUnurseUemphasizesUwhatUdailyUactionsUareUmostUimportant



AUincludeUdailyUweightUliftingUexercises

BUpracticeUstressUreductionUtechniquesU

CUcompleteUchoresUearlyUinUtheUdayU

DUtakeUmedicationUonUtimeUandUpriorUtoUmealsU

EUeatUthreeUlargeUmealsUaUdayU-UANSWERUBUCUandUEUareUcorrectU

MGUisUaUchronicUautoimmuneUdisorderUcharacterizedUbyUprogressiveUmuscleUweaknessUandUchronicUfatig
ue.UClientsUbecomeUweakerUthroughoutUtheUdayUcontributingUtoUtheUpotentialUforUcomplications.UStressUr
eductionUtechniquesUareUimportanceUandUstressUcanUcontributeUtoUaUmyasthenicUcrisis,UAUsevereUrespirat
oryUemergency.UDailyUtasksUincludingUADLsUshouldUbeUcompletedUearlyUinUtheUdayUwhenUtheUclientUhasUth
eUmostUenergy.UMedication'sUforUMGUincludeUNEOSTIGMINEUandUPYRIDOSTIGMINEUandUmustUbeUtakenUo
nUtimeUinUpriorUtoUmeals

,TheseUpatientsUareUinstructedUtoUincludeUgentleUexerciseUcombinedUwithUperiodsUofUrestUthroughoutUtheU
dayUliftingUweightsUwouldUbeUtooUstrenuousUleadingUtoUcrisis



BecauseUtheUdifficultyUofUchewingUandUswallowingUmultipleUmealsUthroughoutUtheUdayUorUsaferUandUmor
eUbeneficialUtoUtheUclient



ImmediatelyUfollowingUtheUbirthUofUanUinfantUwhatUisUtheUnursesUpriorityUactionUwhenUcaringUforUtheUnew
born



AUexamineUtheUinfantUandUtakeUsetUofUvitalUsigns

BUconfirmUidentificationUandUapplyUarmband

CUinstillUsilverUnitrateUsolutionUinUbothUeyesU

DUdryUandUsitUinUplaceUinUwarmUenvironmentsU-UANSWERUDUisUcorrect

OneUofUtheUleadingUcausesUofUnewbornUmortalityUisUhypothermia.UTheUinfantUhasUbeenUremovedUfromUen
vironmentUovenUaboutU98.6°UplusUandUplacedUintoUaUroomUenvironmentUofUanywhereUfromU65UtoU70°.UAd
dUtheUfactUthatUtheUinfantUisUwetUandUunableUtoUyetUcontrolUbodyUtemperature,UrapidlyUleadingUtoUhypoth
ermia.UDryingUandUwarmingUtheUbabyUinUanUinfantUwarmerUtakesUpriorityUatUbirth



WhenUisUincorrectUtheUinfantUmustUbeUcompletelyUexaminedUbyUbothUnurseUinUprimaryUhealthcareUprovid
erUafterU^



SilverUnitrateUorUerythromycinUdropsUmustUbeUinstilledUinUtoUtheUnewbornsUeyesUtoUprotectUagainstUundet
ectedUSTDsUinUtheUmotherUsuchUasUgonorrheaUthisUpreventsUblindnessUinUtheUinfantUhoweverUtheUnurseUh
asUmoreUvitalUactionUtoUperformUfirst



WhichUmealUisUmostUappropriateUforUaUclientUduringUanUacuteUmanicUepisode



AUSteak,Usalad,UbananaU

BUbeefUandUvegetableUstew,Ubread,UvanillaUpuddingU

CUchickenUleg,UcornUonUtheUcob,UappleU

DUfishUfillet,UcubedUavocado,UcakeU-UANSWERUSheUisUcorrect

, TheyUcanUholdUtheseUitemsUinUtheirUhandUandUeatUwhileUwalkingUaround



SteakUrequiresUcuttingUwithUaUknifeUandUisUtimeUconsumingUnoUknifeUswapUclientUisUmanic



BUisUincorrectUit'sUhardUtoUwalkUaroundUandUeatUbeefUstewUandUpuddingUandUdUincorrectUforUtheUsameUrea
son



TheUnurseUisUcaringUforUaUclientUhasUbeenUintubatedUandUplacedUonUaUventilatorUtheUnurseUhearsUtheUvent
ilatorUalarmUandUentersUtheUclientsUroomUtoUfindUtheUhighUpressureUalarmUsounding.UTheUclientUisUveryUag
itatedUwithUrespiratoryUrateUofU40,UarterialUlineUbloodUpressureU98/44,UoxygenUsaturationU82%,UcardiacUm
onitorUsinusUtachycardiaUatU138

WhichUactionUshouldUtheUnurseUtakeUfirst



AUTurnUoffUalarm,UthenUcheckUventilatorUsettingsU

BUincreaseUFiO2UtoUsettingUtoU100%U

CUhyperventilateUclient,UthenUsuctionUETUtubeU

DUauscultatingUlungUsoundsU-UANSWERUDUisUcorrect

OneUalarmUsoundsUtheUfirstUactionUbyUtheUnurseUshouldUbeUtoUassessUtheUclient.UInUtheUsituationUassessm
entUofUtheUlungs,UchestUmovement,UandUrespiratoryUeffortUshouldUindicateUwhichUrespiratoryUcomplicatio
nUtheUclientUmayUbeUexperiencing.UDependingUuponUtheUassessmentUfindingsUtheUotherUactionsUmayUbeUn
ecessary.UExcessiveUpositionUpressureUcanUresultUinUlongUcomplicationsUincludingUpneumothorax.UThisUco
uldUquicklyUprogressedUtoUaUtensionUpneumothorax.UThereforeUtheUnurseUshouldUconsiderUanyUsuddenUch
angesUanUauctionUsaturationUandUsignsUofUrespiratoryUdistressUasUlife-
threatening.UImmediateUassessmentUofUtheUclientUisUwarrantedUwithUactionsUtakenUbasedUonUtheUfindings



AUclientUisUtransportedUtoUtheUemergencyUdepartmentUfollowingUaU20UfootUfallUfromUaUskiUlift.UTheUnurseUr
ecordsUinitialUassessmentUfindingsUonUtheUchartUbasedUonUthatUdataUwhichUactionUshouldUtheUnurseUimple
mentUimmediately

BPU90/40,UheartUrateU125,UrespiratoryUrateU30UandUlaboredUjugularUvenousUdistentionUwithUsubcutaneous
UemphysemaUnoticedUonUtheUrightUshoulder




AUApplyUocclusiveUdressingUtoUtheUchest

BUinitiateUlargeUgaugeUIVUlineU