Hesi RN Mental Health Exit Exam Newest
2025/2026 Complete 350 Questions And Correct
Detailed Answers (Verified Answers) |Brand New
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The nurse is giving preop instructions to a 14 yr old scheduled to correct
a spinal curvature. Which statement best demonstrates that learning has
taken place? - SOLUTION=I understand I will be in a body cast and I
will show you hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the
most accurate results? - SOLUTION=Respiratory rate, heart rate, rectal
temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the
nurse take next? - SOLUTION=Ask the child if he has has a cold, runny
nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -
SOLUTION=elbow
What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis? - SOLUTION=Observe for
projectile vomiting
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A six month old returns from surgery with elbow restraints in place.
What nursing intervention should be included when caring for any
restrained child? - SOLUTION=remove restraints one at a time and
provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with Down Syndrome? - SOLUTION=Congenital Heart
Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during - SOLUTION=inspiration
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it -
SOLUTION=stresses the suture line
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
SOLUTION=Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in
cardiac arrest with CPR in progress. The client is intubated and
receiving 100% O2 per ambu bag. The nurse determines the client is
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cyanotic, cold, and diaphoretic. Which assessment is most important to
obtain? - SOLUTION=deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? -
SOLUTION=Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? - SOLUTION=Has his weight
changed in the last several days
An older adult with a long hx of COPD is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement? - SOLUTION=Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with
SOB, productive cough with thickened tenacious mucous and the
inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the
client about self care? - SOLUTION=Increase the daily intake of oral
fluids to to liquefy secretions
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A cardiac catherization of a client with heart disease indicates the
following blockages 95% LAD 99% proximal circumflex and 95%
proximal RCA. The client later asks the nurse "what does all that mean
for me" - SOLUTION=3 main arteries have major blockages with only 1
to 5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess
which position should the nurse instruct the client to maintain -
SOLUTION=left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without nausea and vomiting. Which
finding should the nurse report to the healthcare provider -
SOLUTION=yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
finding warrants immediate intervention by the nurse? -
SOLUTION=Increasing Anxiety
The nurse is providing preoperative education for a Jewish client
scheduled to receive a xenograft to promote burn healing. Which info
should the nurse provide this client? - SOLUTION=The xenograft is
taken from nonhuman sources