HERZING UNIVERSITY HESI RN EXIT EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+ < LATEST VERSION >

HERZING UNIVERSITY HESI RN EXIT EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+ &lt; LATEST VERSION &gt; 1. The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the client has a current blood glucose level of 720 mg/dl. When assessing the client, what is the priority? a. Assess for signs of fluid volume deficit b. Observe wound drainage characteristics c. Measure the level of acute pain d. Determine when the client last ate - ANSWER A. Assess for signs of fluid volume deficit 2. A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best response by the nurse? a. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer b. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with food c. Instruct the client that these mild symptoms can generally be co - ANSWER A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer 3. An older adult male who is in his early 70s admitted to the emergency department because of a COPD exacerbation. The client is struggling to breath and the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to stop the procedure and provides the nurse a copy of the client's living will. Which action should the nurse take? a. Facilitate a family meeting with the palliative care team b. Notify the healthcare provider - ANSWER B. Notify the healthcare provider of the client's wishes 4. While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement? a. Use a topical lidocaine analgesic for cracked lips b. Use a water soluble lubricant on affected oral and nasal mucosa c. Ask the mother what she usually uses on the child's lips and nose d. Apply a petroleum jelly to the child's lips and nose - ANSWER B. Use a water soluble lubricant on affected oral and nasal mucosa 5. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client who's prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the client is so obese that the UAP feels unable to safely assist the client in transferring from the bed to the bedside commode. How should the nurse respond? a. Determine the client's level of mobility and need for assistance b. Instruct the UAP that all clients deserve equal care c. Advise the client to maint - ANSWER A. Determine the client's level of mobility and need for assistance 6. Which information is most important for the nurse to obtain when determining a client's risk for obstructive sleep apnea syndrome (OSAS)? a. Body mass index b. Breath sounds c. Self-description of pain d. Level of consciousness - ANSWER A. Body mass index 7. The nurse is caring for a client who is entering the second stage of labor. Which action should the nurse implement first? a. Prepare the client for spinal anesthesia b. Empty the client's bladder using a straight catheter c. Convey to the client that birth is imminent d. Prepare the coach to accompany the client to delivery - ANSWER C. Convey to the client that birth is imminent 8. A nurse determines that more than 25% of the students at a middle school are overweight. The nurse presents the information at a parent-teacher meeting. What action is most important for the nurse to include in the meeting? a. Provide information on ways to increase activity for the family b. Have several teachers talk about health risks associated with obesity c. Distribute a shopping list of suggested healthy snack ideas d. Determine the parents' degree of concern - ANSWER A. Provide information on ways to increase activity for the family 9. The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute neuro unit for treatment. The client with which condition should be assigned the only private room available? a. Bacterial meningitis b. Viral encephalitis c. Septic shock d. Brain abscess - ANSWER A. Bacterial meningitis 10. A male client on the psychiatric unit is making sexual advances towards a female nurse. Which action should this nurse implement first? a. Document as specifically as possible the client's behavior in the nurse's notes b. Discuss with the client why he is making sexual advances toward the nurse c. Tell the client in a matter-of-fact manner to stop the sexual advances d. Request an immediate team meeting to discuss the inappropriate behavior - ANSWER C. Tell the client in a matter-of-fact manner to stop the sexual advances 11. After several months of chronic fatigue, morning stiffness, and joint pain, a young adult is diagnosed with rheumatoid arthritis, and the healthcare provider prescribes prednisone. Which education should the nurse provide the client with regard to taking prednisone? a. Take prednisone doses before meals on an empty stomach b. Wear sunglasses when exposed to bring sunlight c. If sequential doses are missed, notify the healthcare provider d. Schedule a monthly laboratory visit for a complete bloo - ANSWER C. If sequential doses are missed, notify the healthcare provider 12. The nurse is caring for four clients. Client A, who has emphysema and whose oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8.2 mg/dl; Client C, newly admitted with a potassium level of 3.8 meq/L; and Client D, scheduled for an appendectomy who has a white blood cell count of 14,000 mm3. Which intervention should the nurse implement? a. Move Client D into an isolation room 24 hours before surgery b. Increase Client A's oxygen to 4 liters a minute per cannula c. Ask the die - ANSWER D. Verify that Client B has two units of packed cells available 13. Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)? a. Leukocytes, neutrophils, and thyroxine b. Serum potassium, calcium, and phosphorus c. Blood pressure, heart rate, and temperatue d. Erythrocytes, hemoglobin, and hematocrit - ANSWER B. Serum potassium, calcium, and phosphorus 14. The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate action? a. A 16-year-old client diagnosed with major depression who refuses to participate in group b. A 14-year-old with anorexia nervosa who is refusing to eat the evening snack c. An 18-year-old client with antisocial behavior who is being yelled at by other clients d. A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby - ANSWER C. An 18-year-old client with antisocial behavior who is being yelled at by other clients 15. An older male was recently admitted to the rehabilitation unit with unilateral neglect syndrome as the result of a cerebrovascular accident (CVA). Which action should the nurse include in the plan of care? a. Use hand and arm gestures to improve communication and comprehension b. Provide additional light in the room to promote sensory stimulation c. Place a clock and calendar in the room to improve orientation d. Teach the client to turn his head from side to side for visual scanning - ANSWER D. Teach the client to turn his head from side to side for visual scanning 16. The nurse observes an unlicensed assistive personnel (UAP) applying an alcohol-based hand rub while leaving a client's room after taking vital signs. What action should the nurse take? a. Instruct the UAP to return to the client's room to perform handwashing b. Supervise the UAP in the next client's room to evaluate hand hygiene c. Remind the UAP to continue rubbing the hands together until they are dry d. Advice the UAP to wear gloves when obtaining vital signs for all clients - ANSWER C. Remind the UAP to continue rubbing the hands together until they are dry