HESI RN Exit Exam 2024

HESI RN Exit Exam 2024 A client is admitted with a diagnosis of leukemia. This condition is manifested by which of the following? A. Fever, elevated white blood count, elevated platelets B. Fatigue, weight loss and anorexia, elevated red blood cells C. Hyperplasia of the gums, elevated white blood count, weakness D. Hypocellular bone marrow aspirate, fever, decreased hemoglobin level - C. Hyperplasia of the gums, elevated white blood count, weakness A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions to the client about the test. Which statement by the client indicates a need for further instruction? A) "The test will take about 30 minutes" B) "I need to fast for 8 hours before the test" C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test." D) "I need to take a laxative after the test is completed, because the liquid that I'll have to drink for the test can be constipating." - C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test." Rationale An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum by means of the use of a contrast medium. It involves swallowing a contrast medium (usually barium), which is administered in a flavored milkshake. Films are taken at intervals during the test, which takes about 30 minutes. No special preparation is necessary before a GI series, except that NPO status must be maintained for 8 hours before the test. After an upper GI series, the client is prescribed a laxative to hasten elimination of the barium. Barium that remains in the colon may become hard and difficult to expel, leading to fecal impaction. A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by the nurse is therapeutic? A. "Tell me more about what you're feeling." B. "That's a normal response after this type of surgery." C. "It will take time, but, I promise you, you will get over this depression." D. "Every client who has this surgery feels the same way for about a month." - A. "Tell me more about what you're feeling." A client with human immunodeficiency virus (HIV) develops a painful blistering skin rash on the right lateral abdominal area. Which drug should the nurse expect to administer to treat this condition? A. Levofloxacin B. Acyclovir sodium C. Fluconazole D. Esomeprazole - B. Acyclovir sodium A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a prescribed medication is higher than the normal dose. The nurse calls the physician's answering service and is told that the physician if off for the night and will be available the next morning. The nurse should: A) call the nursing supervisor B) Ask the answering service to contact the on-call physician C) Withhold the medication until the physician can be reached in the morning D) Administer the medication but consult the physician when he becomes available - B) Ask the answering service to contact the on-call physician A nurse performs an initial admission assessment of a 56-year-old client. Which factor(s) would indicate that the client is at risk for metabolic syndrome? (Select all that apply.) A. Abdominal obesity B. Sedentary lifestyle C. History of hypoglycemia D. Hispanic or Asian ethnicity E. Increased triglycerides - A) abdominal obesity B) sedentary lifestyle D) hispanic or Asian ethnicity E) increased triglycerides