HESI_Exit_Exam_3 2011.

HESI_Exit_Exam_3 2011.Multiple Choice Identify the letter of the choice that best completes the statement or answers the question. 1. A vegetarian client is being discharged with a prescription for warfarin (Coumadin). What instruction is essential for the nurse to include in the client's discharge teaching? a. Avoid excessive intake of green leafy vegetables. b. Eliminate the intake of highly-processed food items. c. Include a protein-rich fluid supplement in your diet daily. d. Incorporate herbal teas to ensure adequate micro-nutrient intake. 2. A male client with Parkinson's disease is newly diagnosed with benign prostatic hypertrophy. When reviewing the client's medication history, which antiparkinsonian medication is most likely to exacerbate his urologic symptoms? a. Benztropine (Cogentin), an anticholinergic. b. Levodopa (L-dopa), an antiparkinsonian agent. c. Amantadine (Symmetrel), an antiparkinsonian agent. d. Bromocriptine (Parlodel), a dopamine receptor agonist. 3. To prevent the transmission of Hepatitis A, the nurse should wear gloves during which procedure? a. Starting an intravenous (IV) catheter. b. Administering a rectal suppository. c. Emptying a Foley catheter. d. Giving an intramuscular (IM) injection. 4. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. The baseline fetal heart rate (FHR) is 144 beats/minute. The client is instructed to mark the fetal monitor paper by pressing a button attached to the fetal monitor each time the baby moves. After 20 minutes, the nurse evaluates the fetal monitor strip. Which outcome indicates a reactive NST? a. The mother perceives and marks at least four fetal movements. b. Fetal movements must be elicited with a vibroacoustic stimulator. c. Two FHR accelerations of 15 bpm X 15 seconds are recorded. d. No FHR late decelerations occur in response to fetal movement. 5. A 2-year-old with sickle cell anemia has an axillary temperature of 102° F. In planning care for this child, which nursing diagnosis has the highest priority? a. Potential activity intolerance related to anemia. b. High risk for infection related to low platelet count. c. High risk for fluid volume deficit related to temperature elevation. d. Alteration in urinary elimination related to renal damage from disease.