HESI EXIT EXAM 1 LATEST 2025 WITH
QUESTIONS AND CORRECT ANSWERS |
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A nurse manager is preparing the curricula for a class for charge nurses. A staffing formula based on what data ensures quality client care and is most cost-effective? - ANSWER- Skills of staff and client, acuity
When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease (COPD), which approach should the nurse use? - ANSWER- Explain that the client may be placed in five positions
A client presents in the emergency room with right-sided facial asymmetry. The nurse asks the client to perform a series of movements that require the use of the facial muscles. What symptoms suggest that the client has most likely experienced a Bell's palsy rather than a stroke? - ANSWER- Inability to close the affected eye, raise brow, or smile
The nurse is teaching a client how to perform colostomy irrigations. When observing the client's return demonstration, which action indicated that the client understood the teaching? - ANSWER- Keep the irrigating container less than 18 inches above the stoma
The nurse should teach the client to observe which precautions while taking dronedarone. - ANSWER- Avoid grapefruits and its juice 1 / 4
A client who sustained a head injury following an automobile collision is admitted to the hospital. The nurse includes the client's risk for developing increased intracranial pressure (ICP) in the plan of care. Which signs indicate to the nurse that ICP has increased? - ANSWER- Increased Glasgow coma scale score.Nuchal rigidity and papilledema.Confusion and papilledema Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usually the first sign of increased ICP. Other options do not necessarily reflect increased ICP.
The nurse is caring for a client receiving continuous IV fluids through a single- lumen central venous catheter (CVC). Based on the CVC care bundle, which action should be completed daily to reduce the risk of infection? - ANSWER- Confirm the necessity for continued use of the CVC.
During an annual physical examination, an older woman's fasting blood sugar (FBS) is determined to be 140 mg/dl or 7.8 mmol/L (SI). Which additional finding obtained during a follow-up visit 2 weeks later is most indicative that the client has diabetes mellitus (DM)? - ANSWER- Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI).
A client who was admitted yesterday with severe dehydration is complaining of pain a 24 gauge IV with normal saline is infusing at a rate of 150 ml/hour. Which intervention should the nurse implement first? - ANSWER- Stop the normal saline infusion.
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An elderly female is admitted because of a change in her level of sensorium.During the evening shift, the client attempts to get out of bed and falls, breaking her left hip. Buck's skin traction is applied to the left leg while waiting for surgery.Which intervention is most important for the nurse to include in this client's plan of care? - ANSWER- Ensure proper alignment of the leg in traction.
A client who had a right hip replacement 3 days ago is pale and has diminished breath sound over the left lower lung fields, a temperature of 100.2 F, and an oxygen saturation rate of 90%. The client is scheduled to be transferred to a skilled nursing facility (SNF) tomorrow for the rehabilitative critical pathway. Based on the client's symptoms, what recommendation should the nurse give the healthcare provider? - ANSWER- Reassess readiness for SNF transfer.
While assessing a radial artery catheter, the client complains of numbness and pain distal to the insertion site. What interventions should the nurse implement? - ANSWER- Promptly remove the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor? - ANSWER- Rapid onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy and a urinary diversion to treat bladder cancer, which instruction is most important for the nurse to include in the client's discharge teaching plan? - ANSWER- Report any signs of cloudy urine output.
A male client who was diagnosed with viral hepatitis A 4 weeks ago returns to the clinic complaining of weakness and fatigue. Which finding is most important for the nurse to report to the healthcare provider? - ANSWER- New onset of purple skin lesions. 3 / 4
In assessing a client twelve hours following transurethral resection of the prostate (TURP), the nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the continuous bladder irrigation is infusing slowly. What action should the nurse implement? - ANSWER- Ensure that no dependent loops are present in the tubing.
The healthcare provider prescribes the antibiotic Cefdinir (cephalosporin) 300mg PO every 12 h for a client with postoperative wound infections. Which feeds should the nurse encourage this client to eat? - ANSWER- Yogurt and/or buttermilk.Avocados and cheese Green leafy vegetables Fresh fruits
The charge nurse is making assignments on a psychiatric unit for a practical nurse (PN) and newly licensed registered nurse (RN). Which client should be assigned to the RN? - ANSWER- An adult female who has been depressed for the past several months and denies suicidal ideations.A middle-aged male who is in a depressive phase of bipolar disease and is receiving Lithium.A young male with schizophrenia who said voices are telling him to kill his psychiatrist.An elderly male tell the staff and another client that he is Superman and he can fly.
Rationale: The RN should deal with the client with command hallucinations and
these can be very dangerous if the client acts on the commands, especially if the command is homicidal in nature.Other clients present low safety risks.
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