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HESI PN EXIT EXAM V2 LATEST 2024 QUESTIONS
AND ANSWERS AGRADE
A nurse in a long-term care facility is caring for a client who has methicillin- resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
- Remove personal protective equipment after leaving the client's room.
- Restrict the client's visitors.
- Ensure that the negative air pressure is active for the client's room.
- Wear a gown when assisting the client with personal hygiene.
- Wear a gown when assisting the client with personal hygiene.
- Tell the client to push during contractions.
- Encourage the client to soak in a hot bath.
- Apply fundal pressure during contractions.
- Instruct the client to change positions frequently.
- Tell the client to push during contractions.
- Remove bibs when the infant is going to sleep.
- Start using a highchair for feedings.
- Place no more than one small pillow in the crib.
- Make sure the crib mattress is soft.
- Remove bibs when the infant is going to sleep. 1 / 4
A nurse is assisting with the care of a client who is in the latent stage of labor and has pelvic pain with contractions. Which of the following actions should the nurse take?
A nurse is reinforcing teaching about home safety precautions with the parents of a 3-month-old infant. Which of the following instructions should the nurse include in the teaching?
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2 A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color.The nurse should document this finding as which of the following?
- Ballottement
- Hegar's sign
- Chadwick's sign
- Chloasma
- Chadwick's sign
- A nurse is reinforcing teaching with a new mother about facility security
- "I will carry my baby to the nursery.
- "I will have an identification and that matches the one my baby wears
- " I can take my baby to the lobby to visit family.
- " I can remove my security and to the won a family member
- "I will have an identification and that matches the one my baby wears
- Bacon and eggs
- Chicken sandwich
- Shrimp and French fries
- Cheeseburger
- Chicken sandwich
- Have the client point his toes before inserting his foot into the stocking.
- Remove the stockings once every 24 hr. 2 / 4
measures. Which of the following statements by the mother indicates an understanding of the teaching?
A nurse is caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse plan to offer the client?
A nurse is applying antiembolic stockings for a client who is postoperative.Which of the following actions should the nurse take?
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- Roll the top of the stocking down so it fits snugly above the client's calf.
- Elevate the client's legs for 5 min prior to applying the stockings.
- Remove the stockings once every 24 hr.
- Remind the client of the day and time often.
- Alternate daily caregivers.
- Avoid discussing the client's fears.
- Offer the client several choices at mealtimes.
- Remind the client of the day and time often.
- Hold gentle, direct pressure on the protruding organ.
- Place the client's knees in an extended position.
- Cover the wound with sterile, saline-soaked gauze.
- Raise the head of the bed to a 45° angle.
- Cover the wound with sterile, saline-soaked gauze.
- Perform the task on behalf of the AP
- Report the AP to the risk manager.
- Discuss the AP's concerns about performing the task.
- Assign the task to another AP
- Discuss the AP's concerns about performing the task. 3 / 4
A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend?
A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration. Which of the following actions should the nurse take?
A nurse delegates a task to an assistive personnel (AP) and the AP refuses to complete the assigned task. Which of the following actions should the nurse take?
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4 A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make?
- Take the medication with an antacid.?
- Take the medication with crackers?
- Take the medication and then lay down for 30 min.
- Take the medication with calcium-fortified orange juice.
- Take the medication with crackers?
- Auscultates breath sounds
- Preoxygenation with 100% oxygen
- Suctions for 30 seconds
- Applies suction during catheter removal
- Suctions for 30 seconds
- The client reports he has no interest in dating.
- The client attends a grief support group twice each month.
- The client keeps a framed picture of his partner on the wall.
- The client develops chest pain each time he talks about his partner.
- The client develops chest pain each time he talks about his partner.
- Urinary output 20 mL/hr
- Positive clonus
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A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene?
A nurse is collecting data from a client whose partner died 1 year ago. Which of the following findings indicates that the client is experiencing complicated grief?
A nurse is collecting data from a client who is receiving magnesium sulfate via continuous IV infusion to treat preeclampsia. Which of the following findings indicates that the medication is having a therapeutic effect?