HESI Exit Exam 5 Graded A+ 2023

1. An adolescent male with severe acne recently started treatment with isotretinoin, a form of vitamin A. During a follow-up clinic appointment, which assessment is most important for the PN to complete? Ask about occurrence and frequency of nosebleeds. 2. The PN is caring for a client who has silvery scaling plaques bilaterally on elbows, forearms, and palms. When scratched, the skin bleeds over these plaques. What is most important to reinforce in this client plan of care? B. Interventions to decrease emotional stress. 3. An adult client is undergoing weekly external radiation treatments for breast cancer. Upon arrival at the outpatient clinic for a scheduled treatment, the client reports increasing fatigue to the PN, who is taking the client the clients vital signs. What action should the PN implement? Reinforce the needs for extra rest periods and plenty of sleep. 4. The PN is completing a focused assessment of a client with acute hepatitis A. The client reports a constant sense of fatigue. How should the PN respond? Affirm the importance of rest to promote liver healing. 5. When the PN plans daily care for a group of clients, which client should the PN see first due to the risk of complication? An older client with a stroke who is febrile and confused. 6. Which foot care instructions is most important for the PN to reinforce that minimizes a long- term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)? Report any foot injury or sore that does not readily heal. 7. During a clinic visit for a sore throat a client’s basal metabolic panel reveals a serum potassium of 3.0 meq/L. Which action should the PN recommend to the client based on this finding? Increase intake of dried peached and apricots. 8. A client with a fractured left hip fracture is in Bucks's traction. The PN should expect the client to exhibit which outcome? The left foot is warm to touch with a palpable dorsalis pedis pulse. 9. When entering the room of an older female resident of a long-term care facility, the PN finds one of the male residents in bed with her. What action should the PN take? Quietly escort the male client back to his room. 10. Prior to giving digoxin, the PN assesses that a 2-month-old infants heart rate is 120 beats/min. Based on this finding what action should the PN take? Give the medication and document the heart rate. 11. A resident of a long-term care facility who has a drainage stage 2 pressure ulcer receives a prescription for sterile, warm, moist compress q12 hours for 20 minutes to the site. What precautions should the PN take when performing this procedure? Select all that apply. -remove soiled dressings with procedure gloved and don sterile gloves for moist dressing application. -place 4x4 gauze sponges on the pressure ulcer and pour warmed water on the dressed site. -pour warmed sterile solution to an open sterile dressing tray that contained sterile gauze pads. 12. A male client who is diagnosed with schizophrenia is taking an antipsychotic medication and calls the psychiatric clinic. The client tells the PN that he is achy and stiff, has a temperature of 103.4 F and is sweating. How should the PN respond to this client? Direct the client to obtain immediate transportation to the emergency center. 13. The Glasgow coma scale is being used to monitor a client in the critical care unit. The scale is used to evaluate what client status? Level of consciousness. 14. A client is diagnosed with hyperthyroidism. Which symptoms should the PN expect this client to exhibit? Muscle cramping and dry, flushed skin. 15. The PN administers an antibiotic to a client with a respiratory tract infection...evaluate the medications effectiveness, which laboratory values should the PN monitor? Select all that apply -Sputum culture and sensitivity -white blood cell count 16. To obtain an estimate of a client’s systolic blood pressure, what action should the PN take first? Palpate the client's brachial pulse.