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HESI EXIT COMPREHENSIVE PROCTORED EXAM 1.Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type structure in the visual field D. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which ...

1. The school nurse is preparing a presentation for an elementary school teacher to inform them about when a child should be referred to the school clinic for further follow-up. The teachers should be instructed to report which situations to the school nurse? (Select all that apply) a. Refuses to complete written homework assignments b. Thirst and frequent requests for bathroom breaks c. Bruises on both knees after the weekend 2. When preparing a child for discharge from the hospital foll...

HESI RN EXIT EXAM COMPREHENSIVE V1- 2021 ACTUAL EXAM = The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with A. A potassium of 4.5 mEq/L has Kayexalate (sodium polystyrene) prescribed B. Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions C. Sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) D. Sensitivity to Penicillin is pre...

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving on a...

1. An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows that the purpose of this medication is to A. Decrease production of gastric secretions. B. Produce an adherent barrier over the ulcer. C. Correct Maintain a gastric pH of 3.5 or above. D. Decrease gastric motor activity. 2. In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? A. An increase in urine output. B. Correct. Two or th...

1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to the provider? a. Epigastric pain: The nurse should notify the provider of the client's report of epigastric pain because this is a manifestation of preeclampsia. Other findings the nurse should report include severe headache, blurred vision, confusion, nausea and vomiting, and decreased urinary output. b. Leukorrhea: Leukorrhea, or vaginal discharge, is an expected f...

1.A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the manifestation should the nurse expect? Answer: Diaphoresis 2. A nurse in a long-term care center is caring for an adult client who has Alzheimer’s disease and whose partner died several years ago. The client appears upset and aslsthe nurse when his partner will visit again. The nurse states,”It seems like you are feeling lonely. Let’s take a walk outside and talk.’ Which of the following...

Question 1 The nurse is providing care for a patient who is unhappy with the health care provider’s care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient’s medical record or on the AMA form? 1. Documentation that the patient was informed that he or she cannot come back to the hospital 2. Documentation that the patient wasinformed that he orshe wasleav...

1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. Check the hematocrit results. B. Adminis...

HESI LPN Fundamental 1) A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the LPN/LVN implement? A. Give an around-the-clock schedule for administration of analgesics. B. Administer analgesic medication as needed when the pain is severe. C. Provide medication to keep the client sedated and unaware of stimuli. D. Offer a medication-free period so that the client can do dai...

HESI PN Comprehensive Exam What intervention should the practical nurse (PN) implement to meet the physiologic integrity of a client during a manic episode of bipolar disorder? A. Provide the client with finger foods. B. Restrict the client's oral fluid intake. C. Give the client low-protein, low-calorie snacks. D. Interrupt the client's performance of rituals. A. Provide the client with finger foods. During the manic phase of bipolar disorder, a client is often unable to sit still lon...

1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What action should the PN take next? Note the most recent white blood count 2. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate his pain...what action should the PN implement first? Implement complementary pain relief methods 3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus. Which intervention is performed next? Initiate the urine...

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvos...

1. When admitting a client to an inpatient mental health facility, a nurse notices that the client seems withdrawn and appears fearful. To establish a trusting nurse-client relationship, the nurse should first a. Introduce the client to other clients in the day room (working phase) b. Inform the client that her admission will be confidential (orientation phase) c. Assist the client in facilitating behavioral change (working phase) d. Determine coping strategies that the client has used in ...

2022 HESI Med Surg Version 1 (v1) exit exam – Brand New Q&As! Guaranteed Pass w/A+ Actual Screenshots w/Questions & Answers Included!!! (I scored 1026!!!

NCLEX-PN FINAL EXAM 2021/2022 VERIFIED SOLUTION 1. A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. Taking the vital signs B. Obtaining the permit C. Explaining the procedure D. Checking the lab work 2. The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? A. Starting an IV B. Applying oxyg...

NCLEX RN EXAM 2021/2022 LATEST UPDATE 1. Which of the following clients is at a higher risk of developing oral health problems? a. A pregnant client b. A client with diabetes c. A client receiving chemotherapy d. Both b and c 2. Which nursing intervention is most appropriate to reduce environmental stimuli that may cause discomfort for a client? a. Loosen pressure dressings on wounds b. Use assistance to pull a client up in bed c. Check temperature of water used in a sponge bath d....

HESI RN Fundamental 1. A client at an outpatient clinic submits a clean- catch midstream urine specimen for a routine urinalysis. In later review of the client's medical record, which data indicates to the nurse that the specimen collection should be repeated? A. The urine specimen shows multiple organismsin low colony counts. B. The client reported eating a meal before voiding the urine specimen C. There was a total of 30 ml of urine voided into the specimen cup D. The medical record i...

VATI RN GREENLIGHT EXAM A nurse is planning care for a client who has a new diagnosis of HIV. I can’t seem to gain any weight Disaster triage following a natural disaster A client who has agonal respirations Client reports chest pain. Which of the following laboratory findings indicates myocardial damage Troponin I 1.8 ng/mL Child who has pediculosis capitis Store nonwashable items in plastic bags for 14 days Child who is unresponsive and has increased intracranial pressure Pad the ...

Concept 1: Development Test Bank MULTIPLE CHOICE 1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to a. anticipatory guidance. b. low-risk adolescents. c. physical development. d. sexual development. ANS: A The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which assesses home, education, activities...