HESI EXIT EXAM V6 - not been doing well since the grandmother died ...

HESI EXIT EXAM V6

2023/2024

A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts ondeath and dying at this age?

• Death is personified as the bogeyman or devil
• Death is perceived as being irreversible
• The child feels guilty for the grandmother's death
• The child is worried that he, too, might die

A A 67 year-old client with non-insulin dependent diabetes should be instructed to contact the out-patient clinic immediately if the following findings are present

• Temperature of 37.5 degrees Celsius with painful urination
• An open wound on their heel
• Insomnia and daytime fatigue 1 / 4

• Nausea with 2 episodes of vomiting

B The nurse admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

• Request a Spanish interpreter
• Speak through the family or co-workers
• Use pictures, letter boards, or monitoring
• Assess the client's ability to speak English

D In assessing a post partum client, the nurse palpates a firm fundus and observes a constant trickle of bright red blood from the vagina. What is the most likely cause of these findings?

• Uterine atony
• Genital lacerations
• Retained placenta
• Clotting disorder

B The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change? 2 / 4

• Anticoagulant
• Liquid antacid
• Antihistamine
• Cardiac glycoside

C The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?

• Instruct the client to wear a high efficiency particulate air mask in public places.
• Ask a family member to supervise daily compliance
• Schedule weekly clinic visits for the client
• Ask the health care provider to change the regimen to fewer medications

B The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime for completion. The nurse manager states that "staff will form a task force to investigate and develop potential solutions to the problem, and report on this at the next staff meeting." The nurse manager's leadership style is best described as

• Laissez-faire
• Autocratic 3 / 4

• Participative
• Group

C A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include

• The escalation of fees with a decreased reimbursement percentage
• High costs of diagnostic and end-of-life treatment procedures
• Increased numbers of elderly and of the chronically ill of all ages
• A steep rise in health care provider fees and in insurance premiums

A A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to include in the plan of care within the initial 24 hours for this client?

• Wear masks with shields if potential splash
• Use disposable utensils and plates for meals
• Wear gown and gloves during client contact
• Provide soft easily digested food with frequent snacks

C

• / 4