HESI Exit Exam 13 Graded A+ 2023

1. To avoid a false positive result for fecal occult blood in stool specimen, the nurse should instruct client to avoid ingestion of which substances prior to collecting a sample? Fish, beef, vit c, ibuprofen. 2. The nurse manager is developing a plan to increase the local population's utilization of a new community-based public clinic. Which approach should the nurse utilize to obtain the most impact on developing a collaborative partnership with the community? Conduct a focus group in community to gather data on culturally significant needs 3. The nurse instills an atropine ophthalmic solution into both eyes for a client who is having a routine eye exam. Which side effects should the nurse tell the client to anticipate? Blurred vision. 4. A client is using an otic solution, hydrocortisone and polymyxin b (otobiotic otic), for external otitis media. Which therapeutic response should the nurse tell the client to expect? Decreases inflammation and pain. 5. The nurse is providing tracheostomy care for a client who has encrusted secretions inside the inner cannula. Which solution should the nurse use to remove the debris? Hydrogen peroxide. 6. The nurse is reviewing the lab results of an older client who is admitted to a medical unit, which serum chemistry values should the nurse recognize as most commonly affected by the aging process? Calcium, potassium, sodium. 7. An 11-year-old boy with oppositional defiant disorder becomes angry and defiant over the rules of the day treatment mental health program. Which response by the nurse is the most effective way to defuse the situation? Tell the child to go to the gym to play basketball. 8. A male client with degenerative arthritis of the knees and hips takes an otc nsaid for pain. During a routine clinic visit, the client tells the nurse, "for the past month i've been having a lot of trouble sleeping. I can't seem to fall asleep, and when i finally do get sleep, i find that i wake up a number of times during the night." which info should the nurse obtain first? How intense does the client rate his pain on a scale of 1-10?9. An adolescent who lost fifty pounds during the past 3 mo is hospitalized. During the admission assessment, the client complains of dry skin, poor skin turgor, hair breakage, brittle nails, and a history of menstrual cycle problems. Which finding is most important for the nurse to obtain additional assessment info? Amenorrhea. 10. Which interventions should the nurse use when interacting with a client with alzheimer's disease? -encourage verbal and nonverbal communication. -maintain a clam demeanor during all interactions. 11. An older chinese client refuses to perform the range-of-motion and breathing exercises after a surgical procedure and is hesitant to complete hygienic care and grooming. What cultural factor should the nurse consider that is related to this client's behavior. Reliance on family members to assist with care. 12. Which intervention demonstrates the nurse's accountability in a specific decision-making process. Evaluating a client's outcomes after implementation of care. 13. A male client gives a copy of his living will to the nurse upon admission to the hospital. What action should the nurse implement if the client is unable to express his desire about lifeprolonging measures? Allow the client to die with dignity and without life-prolonging techniques. 14. An adolescent client is admitted to the mental health unit for impulsivity and acting-out behavior at scchool. What intervention should the nurse implement that is most beneficial for this client? Explain the consequences for breaking the unit rules. 15. Which action should the hospice nurse implement to assist a client maintain self-worth during the end-of-life process. Plan regular visits with the client throughout the day.16. The nurse is providing comfort and palliative care for a terminally ill client who is experiencing nausea and vomiting. Which action is best for the nurse to take to promote the client's comfort? Offer high-protein foods. 17. Which information is most accurate for the nurse to use when calculating safe drug dosages for a child? Body surface area. 18. What assessment finding should the nurse identify in a client with fluid volume excess. Elevated blood pressure. 19. The nurse is developing the plan of care for an older client who is immobile and at risk for pressure ulcers. Which contributing factor should the nurse include in the nursing diagnosis, "risk for altered skin integrity?" Tissue ischemia. 20. The nurse is obtaining a client's consent for a paracentesis. Which info should the nurse provide to ensure the client understands the purpose of the procedure? A needle is inserted to remove excessive fluid from the abdominal peritoneal cavity.