Community health rn v2 exit hesi guaranteed a tb guide all 55 q

CommunityeHealtheRNeV2eExiteHesieGuaranteedeA+eTBeGuidee(Alle160eQ&A)




HESI EXIT V2 e e




160 Questions
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• After receiving IV fluids in the emergency department, ane
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lderly client is admitted to
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the acute care unit with a medical diagnosis of dehydratio
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n. The client is receiving 0.9% normal saline at125 ml/hour
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via saline lock and has a bounding pulse,
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tachycardia, and pedal edema. When contacting the healt
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hcare provider, the nurse anticipates a prescriptionwhat in
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tervention?
A) Remove the saline lock from the client’s arm.
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B) Increase the rate of the normal saline infusion.
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C) Decrease the rate of the normal saline infusion.
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D) Change the IV solution to 0.45% saline solution.
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• A client who is admitted to the care unit with syndromeo
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f inappropriate antidiuretic hormone (SIADH) has develop
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ed osmotic demyelination. Which intervention should the
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nurse implement first?
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A) Patch one eye. e e




B) Evaluate swallow. e




C) Reorient often. e




D) Range of motion. e e




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• The nurse is preparing a client who had a below-the-
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knee (BKA) amputation for discharge to home. Which r
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ecommendations should the nurse provide this client?( e e e e e e e



Select all that apply) e e e



A) Wash the stump with soap and water. e e e e e e




B) Avoid range of motion exercise. e e e e




C) Apply alcohol to the s e e e e



tump after bathing. D) In
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spect skin for redness.
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E) Use a residual limb shrinker.
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• After 2 days treatment for dehydration, a child contin
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ues to vomit and have diarrhea. Normal saline is
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infusing and the child’s urine output is 50ml/hour. During
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morning assessment, the nurse determines that the childi
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s lethargic and difficult to arouse. Which should the nurse
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e implement?
A) Increase the IV fluid flow rate. e e e e e




B) Review 24-hour intake and output. e e e e




C) Obtain arterial blood gases. e e e




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D) Perform a finger stick glucose test.
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• A client with bleeding esophageal varices receives vaso
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pressin IV. What should the nurse monitor for duringthe IV
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infusion of this medication?
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A) Vasodilatation of the
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extremities. B) Chest p e e e



ain and dysrhythmia.
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C) Hypotension and tachycardia. e e




D) Decreasing GI cramping and nausea. e e e e




• A male client with an antisocial personality disorder isa
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dmitted to an inpatient mental health unit for multiple
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