366 EXIT HESI, Bsn366, HESI RN EXIT Exam
Questions and Verified Answers 2024 , EXIT
HESI 6, HESI 7, Exit Hesi RN , HESI
Comprehensive Exit Exam 1 (And Rationale),
366 EXIT HESI PRACTICE, EXIT HESI
Comprehensive B Evolve Practice Questions,
Module 4 E…
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,A newly admitted client complains of Correct Answer:
pain rating a 7 on a scale of 0 to 10. 1.Airway and breathing. 2.Pain management. 3.Sleep
The client has not been sleeping well and rest. 4.Definitive therapy.
lately and is experiencing labored Rationale
breathing. List the client's problems
in order of priority for the nurse. First-level problems are immediate priorities
(Rank in the priority order from (airway, breathing, and circulation). In this scenario,
highest to lowest.) airway and breathing are the first priority, followed
1. by pain management, Maslow's hierarchy of basic
Airway and breathing. needs for rest and sleep, and then definitive drug
2. therapies.
Pain management.
3.
Definitive therapy.
4.
Sleep and rest.
Which biological practices are 3. Blood-borne pathogen standard.
federally regulated for healthcare 5. Resource Conservation and Recovery Act
workers? (Select all that apply.) (RCRA)
Select all that apply
Basic standards for healthcare workers, as
1.Standard precautions. delineated by Occupational Safety and Health
2. N-95 tuberculosis standard. Administration (OSHA), include standard
3. Blood-borne pathogen standard. precautions, droplet precautions using N-95
4. Biological product exposure limit respiratory particulate masks when caring for a
(BPEL). client who is positive for tuberculosis, and required
5. Resource Conservation and annual updates for healthcare workers about
Recovery Act (RCRA). blood-borne pathogen transmission, methods of
6. As Low as Reasonably Allowable minimizing exposure, and employee rights. Other
standard (ALARA). options [BPEL and ALARA ] are not federally
regulated.
,A client with severe depression tells 3. "I have known many clients with depression who
the nurse, "I do not know why you have felt better after several weeks of treatment."
bother with me or give me pills. I am
never going to get well." What is the Stating the observation that others have recovered
most therapeutic response? can give a client hope. Telling a person to stop
1. "You need to stop thinking negtive thinking is ineffective because the client
negative thoughts. They get in the must be taught cognitive strategies to stop
way of your recovery." negative thinking. Stating the person is "no bother"
2. "You are no bother to me or to the is arguing with the client's beliefs and attempting to
staff. We want you to get well and tell him how to feel, both of which are not
not feel sad anymore." therapeutic responses. Bring up pessimistic
3. "I have known many clients with feelings interprets the client's feelings and does not
depression who have felt better after provide the same degree of hope.
several weeks of treatment."
4. "You are feeling very pessimistic,
but that is part of your illness. It
should go away as you recover."
, The nurse is caring for a client with a 3. Assess and document skin condition around the
nursing problem of, "Infection, risk incision and IV site at each shift.
for, related to inadequate primary
defenses as evidenced by surgical Early identification of infection leads to prompt
incision and IV access." What nursing treatment and decreased nosocomial transmission
intervention should the nurse to others, so the condition of any invasive lines or
implement? breaks in the skin should be assessed and
1. Limit visitors to immediate family to documented during each shift.
decrease exposure to infection.
2. Maintain "clean" technique in the
change of wound dressing and IV
site.
3. Assess and document skin
condition around the incision and IV
site at each shift.
4. Require the use of a face mask by
staff when providing care requiring
close contact.
A client with ulcerative colitis is 4. Stool is eventually expelled through the rectum.
scheduled for surgical creation of an
ileoanal reservoir (J pouch). As part
of preoperative teaching, what An ileal pouch-anal anastomosis (also known as the
information should the nurse J pouch) is a surgically created ileoanal reservoir in
provide? the anal canal that preserves the rectal sphincter
1. The transverse loop ostomy is muscle, so that passage of stool through the
permanent. rectum is the eventual result. To promote healing of
2. Easily removable appliances allow the anastomosed parts of the colon, a temporary
independence in self-care. loop ostomy is created, not a permanent one.
3. Daily irrigation is started after the J Although appliances that are easy to use are
pouch heals. advantageous, the ostomy is reversed after healing
4. Stool is eventually expelled takes place. Stool drains into the reservoir, so daily
through the rectum. irrigation is not usually indicated.
Questions and Verified Answers 2024 , EXIT
HESI 6, HESI 7, Exit Hesi RN , HESI
Comprehensive Exit Exam 1 (And Rationale),
366 EXIT HESI PRACTICE, EXIT HESI
Comprehensive B Evolve Practice Questions,
Module 4 E…
Leave the first rating
Save
Terms in this set (1138) Hide definitions
,A newly admitted client complains of Correct Answer:
pain rating a 7 on a scale of 0 to 10. 1.Airway and breathing. 2.Pain management. 3.Sleep
The client has not been sleeping well and rest. 4.Definitive therapy.
lately and is experiencing labored Rationale
breathing. List the client's problems
in order of priority for the nurse. First-level problems are immediate priorities
(Rank in the priority order from (airway, breathing, and circulation). In this scenario,
highest to lowest.) airway and breathing are the first priority, followed
1. by pain management, Maslow's hierarchy of basic
Airway and breathing. needs for rest and sleep, and then definitive drug
2. therapies.
Pain management.
3.
Definitive therapy.
4.
Sleep and rest.
Which biological practices are 3. Blood-borne pathogen standard.
federally regulated for healthcare 5. Resource Conservation and Recovery Act
workers? (Select all that apply.) (RCRA)
Select all that apply
Basic standards for healthcare workers, as
1.Standard precautions. delineated by Occupational Safety and Health
2. N-95 tuberculosis standard. Administration (OSHA), include standard
3. Blood-borne pathogen standard. precautions, droplet precautions using N-95
4. Biological product exposure limit respiratory particulate masks when caring for a
(BPEL). client who is positive for tuberculosis, and required
5. Resource Conservation and annual updates for healthcare workers about
Recovery Act (RCRA). blood-borne pathogen transmission, methods of
6. As Low as Reasonably Allowable minimizing exposure, and employee rights. Other
standard (ALARA). options [BPEL and ALARA ] are not federally
regulated.
,A client with severe depression tells 3. "I have known many clients with depression who
the nurse, "I do not know why you have felt better after several weeks of treatment."
bother with me or give me pills. I am
never going to get well." What is the Stating the observation that others have recovered
most therapeutic response? can give a client hope. Telling a person to stop
1. "You need to stop thinking negtive thinking is ineffective because the client
negative thoughts. They get in the must be taught cognitive strategies to stop
way of your recovery." negative thinking. Stating the person is "no bother"
2. "You are no bother to me or to the is arguing with the client's beliefs and attempting to
staff. We want you to get well and tell him how to feel, both of which are not
not feel sad anymore." therapeutic responses. Bring up pessimistic
3. "I have known many clients with feelings interprets the client's feelings and does not
depression who have felt better after provide the same degree of hope.
several weeks of treatment."
4. "You are feeling very pessimistic,
but that is part of your illness. It
should go away as you recover."
, The nurse is caring for a client with a 3. Assess and document skin condition around the
nursing problem of, "Infection, risk incision and IV site at each shift.
for, related to inadequate primary
defenses as evidenced by surgical Early identification of infection leads to prompt
incision and IV access." What nursing treatment and decreased nosocomial transmission
intervention should the nurse to others, so the condition of any invasive lines or
implement? breaks in the skin should be assessed and
1. Limit visitors to immediate family to documented during each shift.
decrease exposure to infection.
2. Maintain "clean" technique in the
change of wound dressing and IV
site.
3. Assess and document skin
condition around the incision and IV
site at each shift.
4. Require the use of a face mask by
staff when providing care requiring
close contact.
A client with ulcerative colitis is 4. Stool is eventually expelled through the rectum.
scheduled for surgical creation of an
ileoanal reservoir (J pouch). As part
of preoperative teaching, what An ileal pouch-anal anastomosis (also known as the
information should the nurse J pouch) is a surgically created ileoanal reservoir in
provide? the anal canal that preserves the rectal sphincter
1. The transverse loop ostomy is muscle, so that passage of stool through the
permanent. rectum is the eventual result. To promote healing of
2. Easily removable appliances allow the anastomosed parts of the colon, a temporary
independence in self-care. loop ostomy is created, not a permanent one.
3. Daily irrigation is started after the J Although appliances that are easy to use are
pouch heals. advantageous, the ostomy is reversed after healing
4. Stool is eventually expelled takes place. Stool drains into the reservoir, so daily
through the rectum. irrigation is not usually indicated.
