2023 PN HESI EXIT Version1 Test Bank GRADED A LATEST VERSION

2023 PN HESI EXIT Version1 Test Bank GRADED A LATEST VERSION The correct answer is B: Pale mucosa of the eyelids and lips 1. The nurse is caring for a client in hypertensive crisis in anintensive care unit. The priority assessment in the first hour of care is A) Heart rate B) Pedal pulses C) Lung sounds D) Pupil responses The correct answer is D: Pupil responses 2. Which of these clients who are all in the terminal stage of canceris least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump? A) A young adult with a history of Down's syndrome B) A teenager who reads at a 4th grade level C) An elderly client with numerous arthritic nodules on thehands D) A preschooler with intermittent episodes of alertness The correct answer is D: A preschooler with intermittent episodesof alertness 3. The nurse is about to assess a 6 month-old child withnonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be A) Irritable and "colicky" with no attempts to pull to standing B) Alert, laughing and playing with a rattle, sitting with support C) Skin color dusky with poor skin turgor over abdomen D) Pale, thin arms and legs, uninterested insurroundings The correct answer is D: Pale, thin arms and legs, uninterested in surroundings 4. As the nurse is speaking with a group of teens which of theseside effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion? A) Mouth sores B) Fatigue C) Diarrhea D) Hair loss The correct answer is D: Hair loss 5. While caring for a client who was admitted with myocardialinfarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees