HESI RN EXIT Comprehensive V3 Exam Questions and Verified Rationalized Answers, 100% Guarantee Pass

HESI RN EXIT Comprehensive V3 Exam
Questions and Verified Rationalized Answers, 100%
Guarantee Pass

1. A 38-year- l




old female client is admitted to the mental health unit after a recent manic episode of spending larg
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e amounts of money on new furniture,making excessive long-
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distance phone calls,and not sleeping forthree days.Duringtheadmissionprocess,theclientisweari
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ng agreenbathingsuit.Whatintervention should the nurse implement
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l ANS Assess the client's needs for food, liquids, and rest.
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2. During a group therapy session,a clientwith hypomania threatens to strikeanother client. What in
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tervention is best for the nurse to implement
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l ANS Firmly inform the client that acting out anger is not acceptable.
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3. A client who is a laboratory technician and has a history of allergic rhinitis,asthma, and multiple fo
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od allergies is scheduled for surgery. Which action should the nurse implement
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l ANSDocument a possibleType I latex allergy.
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4. In reviewing the medical record, the nurse notes that a client's last eye examination revealed an I
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,OP of 28 mmHg.What information should the nurseask the client
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l ANSUse of prescribed eye drops since last exam by ophthalmologist.
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5. Which action should the nurse implement to assess forJVD in a client withHF
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l ANS Observe the vertical distention of the veins as the client is gradually elevatedto an upright pos
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ition.


6. The nurse identifies a client's laboratory results and identifies an elevatedserum ammonia level.
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Which pathophysiological process contributes to this finding
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l ANSFailure of the liver to convert ammonia absorbed from the bowel to urea.
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7. A client with GERD is unconscious and unresponsive to stimuli.The nurseplacestheclientina side-
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lying position.The nurse shouldmonitor forthe riskof which complication
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l ANSAspiration pneumonia.
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8. A client returns to the unit after abdominal Nissen fundoplication for treat-
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ment ofGERD.After 4 hours,the nurse determines the client has no drainagefrom the NGT and has a
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bsent bowel sounds. What action should the nurse implement
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l ANSIrrigate the NGT with normal saline.
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, 9. Amaleclientwhoisadmittedwithableedingpepticulcerdevelopssudden,severe upper abdomi
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nal pain.The client becomes diaphoretic and draws
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his knees over his abdomen.Which finding should the nurse report to thehealthcare provider
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l ANSA rigid, boardlike abdomen.
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10. A client returns to the postoperative unit after a gastroduodenostomy (Billroth I) for treatment o
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f a perforated ulcer. The healthcare provider's pre- scriptions include morphine with a patient-
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controlled analgesia (PCA), na- l l l




l sogastric tube (NGT) to low intermittent nasogastric suction, and IV fluids and antibiotics. The client
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complains of increasing abdominal pain 12 hours after returning to the surgical unit. The nurse deter
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mines the client has no bowel sounds,and 200 ml of bright red nasogastric drainage is inthe suction
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