HESI RN COMPREHENSIVE EXIT EXAM ON

HESI RN COMPREHENSIVE EXIT EXAM ON

MED SURG REAL EXIT EXAM WITH NGN

QUESTIONS AND CORRECT ANSWERS

REAL EXAM QUESTIONS AND ANSWERS

(BRAND NEW!!)

A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near- drowning incident. While providing care to the child, the nurse begins talking with his preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what happened. Which action should the nurse take?

• Develop a water safety teaching plan for the family

B.

• Tell the older brother that he seems depressed
• Commend the older brother for his heroic actions - ANSWER✔✔B. Ask the older brother how he felt

during the incident A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse take?A.

• Obtain a PRN prescription for an analgesic that the client can use for symptom relief
• Suggest that the client take brief showers and apply oil-based lotion after showering
• Explain that the symptoms are caused by liver damage and cannot be relieved - ANSWER✔✔A.

Encourage the client to use cooler water and apply calamine lotion after soaking 1 / 4

An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expected in the client with acute HF?

• Increased cardiac contractility

B.

• Relaxed vascular tone
• Decreased afterload - ANSWER✔✔B. Reduced preload

Which intervention should the nurse include in the plan of care for a child with tetanus?

• Encourage coughing and deep breathing

B.

• Reposition from side to side every hour
• Open window shades to provide natural light - ANSWER✔✔B. Minimize the amount of stimuli in the

room An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?

• Ate an extra peanut butter sandwich before gym class
• incorrectly administered too much insulin

C.

• Skipped eating lunch - ANSWER✔✔C. Had a cold and ear infection for the past two days

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death.After notifying the family of the client's status, what priority action should the nurse implement? 2 / 4

• The impending signs of death should be documented
• The client's status should be conveyed to the chaplain

C.

• The nurse manager should be updated on the client's status - ANSWER✔✔C. The client's need for pain

medication should be determined Which self care measure is most important for the nurse to include in the plan of care of a client recently diagnosed with type 2 diabetes mellitus?

• Self-injection techniques

B

• Diabetic diet meal planning
• A realistic exercise plan - ANSWER✔✔B. Blood glucose monitoring

A client who gave birth 48 hours ago has decided to bottle feed the infant. During the assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation. Which instruction should the nurse provide?A.

• Wear a loose-fitting bra during the day to prevent nipple irritation
• Run warm water over breasts
• Express small amounts of milk from the breasts to relieve pressure - ANSWER✔✔A. Apply ice to the

breasts for comfort The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to home.Which recommendations should the nurse provide this client? (Select all that apply)

• Avoid range of motion exercises 3 / 4

B.

• Apply alcohol to the stump after bathing

D.

• - ANSWER✔✔B. Use a residual limb shrinker
• Inspect skin for redness
• Wash the stump with soap and water

A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain, and vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by the parents. Which type of testing should the nurse provide education to the toddler's family about?A.

• Intradermal test
• Atopy patch test
• Placebo-controlled food challenge - ANSWER✔✔A. Serum immunoglobulin E (IgE)

A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the highest priority?

• Allow client to gargle with warm salt water
• Administer a sedative to alleviate anxiety

C.

• Deny client's request for a midnight snack - ANSWER✔✔C. Instruct client to write down the questions
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