Hesi Exit Exam

Hesi Exit Exam with correct answers well elaborated guaranteed A+ score. A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter numeric value only.) - correct answers200ml . 25 ml of full strength feeding mixed with 25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? - correct answersApply an external condom catheter 3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to enter his body once he is cleansed for prayer. What action should the nurse implement? - correct answersReschedule administration of the antibiotic until after he completes his prayers UAP using a hand sanitzers that is alcohol for 2 minutes - correct answerstell that hand sanitizer use is less > 2min 5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer - correct answersAnswer: 800 Rationale: First, convert the child's weight to kg: 44 pounds divided by 2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg 6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take next? - correct answersCompare current vital signs with previous vital signs A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take? - correct answersHave the parent take the child for emergency help Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought processes, secondary to" what condition? - correct answersPostpartum psychosis The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual cramps" for a 25-year-old female client. Which self-care activity should the nurse emphasize in the client's teaching plan? - correct answersRegular aerobic exercise. Psych/Alcohol/Tylenol overdose antidote - correct answersGive Mucomyst Medical Surgical/Laxative abuses - correct answersPatient -taking Milk of Magnesium Spiritual/Documentation - correct answersNative American - Allow pt's family to stay in the room Leadership- Interpreter informed consent - correct answersPt should sign the consent Geriatrics/Emergency Rib fractures fall - correct answersPulmonary embolism A client diagnosed with major depression is being allowed a weekend pass from the psychiatric unit. Which instruction should the nurse provide to the client's family? - correct answersInvolve the client in usual at home activities Upon assessment, the nurse discovers that a postpartum client has persistent red lochia. Which of the following does this assessment finding suggest to the nurse? - correct answersCoagulation disorders The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of fluid is drained. What action should the nurse complete first? - correct answersAssess vital signs. After administering a medication through a nasogastric tube connected to suction, what action should the nurse take first? - correct answersClamp the tube The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of 8.; Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell count of 15,000. What should the nurse implement? - correct answersDetermine if Client B has two units of packed cells available in the blood bank. Triage question with a train wreck The psychiatric nurse is called to a train derailment that was likely caused by a terrorist bomb. In triaging those in need of immediate care, what is the priority ranking for these cases?