HESI PN EXIT EXAM V3 LATEST VERSION ALL 110 QUESTIONS AND VERIFIED ANSWERS

HEALTHY SCI COH 315 HESIP k k k k k



N EXIT EXAM V3 110 QUESTIO
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NS AND ANSWERS BEST EXA
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M SOLUTION GUAR
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Nursing
VirginiakStatekUniversityk(VSU)
83k pag.




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,• An adult client experiences a gasoline tank fire when riding a motorcycle andis
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admitted to the emergency department (ED) with full thickness burns to all
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surfaces of both lower extremities. What percentage of body surface areashould t
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he nurse document in the electronic medical record (EMR)?
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• 9k%

• 18k%

• 36 % k




• 45k%

• Rational:kaccordingktokthekrulekofknines,kthekanteriorkandkposteriorksurfa

ces of one lower extremity is designated as 18 %of total body surface a
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rea (TBSA), so both extremities equals 36% TBSA, other options are i
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ncorrect.

• The nurse is preparing a 4-day-
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old I infant with a serum bilirubin level of 19 mg/dl (325 micromol/L) for dis
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charge from the hospital. When teaching
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the parents about home phototherapy, which instruction should the nursei
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nclude in the discharge teaching plan?
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• Reposition the infant every 2 hours. k k k k k




• Performkdiaperkchangeskunderktheklight.

• Feedkthekinfantkeveryk4khours.

• Coverkwithkakreceivingkblanket.

• Rational:kAnkinfant,kwhokiskreceivingkphototherapykforkhyperbilirubi
nemia, should be repositioned every two hours. The position change
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s ensure that the phototherapy lights reach all of thebody surface area
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s. Bathing, feedings, and diaper changes are ways
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, for the parents to bond with the infant, and can occur away from the tre
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atment. Feedings need to occur more frequently than every 4 hoursto pr
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event dehydration. The infant should wear only a diaper so that the ski
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n is exposed to the phototherapy.
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• A 13 years-old client with non-
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union of a comminuted fracture of the tibia isadmitted with osteomyelitis. The
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healthcare provider collects home aspirate
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specimens for culture and sensitivity and applies a cast to the adolescent’slower l
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eg. What action should the nurse implement next?
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• Administerkantiemetickagents

• Bivalvekthekcastkforkdistalkcompromise

• Providekhigh-kcalorie,khigh-proteinkdiet

• Begin parenteral antibiotic therapy k k k




• Rationale:kThekstandardkofktreatmentkforkosteomyelitiskiskantibiotickt

herapy and immobilization. After bond and blood aspirate specimen
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s are obtained for culture and sensitivity, the nurse shouldinitiate par
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enteral antibiotics as prescribed. k k k




• The nurse is preparing a community education program on osteoporosis. Whichi
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nstruction is helpful in preventing bone loss and promoting bone formation?
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• Recommend weigh bearing physical activity k k k k




• A client with a history of chronic pain requests a nonopioid analgesic. The clie
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nt is alert but has difficulty describing the exact nature and location of thepain t
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o the nurse. What action should the nurse implement next?
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• Administer the analgesic as requested k k k k




• A male client receives a thrombolytic medication following a myocardial i
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nfarction. When the client has a bowel movement, what action should thenu
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rse implement?
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, • Send stool sample to the lab for a guaiac test
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• Observekstoolkforkakday-coloredkappearance.

• Obtainkspecimenkforkculturekandksensitivitykanalysis

• Asseskforkfattykyellowkstreakskinkthekclient’skstool.




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