RN HESI EXIT EXAM V2 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS AGRADE
RATED
The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicates the program is effective?Clients who incurred disease complications promptly received rehabilitation A client with leukemia who is receiving a myleosuppressive chemotherapy has a platelet count of 25,000/mm3. Which intervention is most important for the nurse to include in this client's plan of care?Assess urine and stool for occult blood While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?Neutrophil count Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?Report any painful urination, blood in urine, or fever 1 / 4
An older adult male who is in his early 70s admitted to the emergency department because of a COPD exacerbation. The client is struggling to breath and the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to stop the procedure and provides the nurse a copy of the client's living will. Which action should the nurse take?Notify the healthcare provider of the client's wishes The mother of a child with cerebral palsy asks the nurse if her child's impaired movements will worsen as the child grows which response provides the best explanation?Brain damage with CP is not progressive but does have a variable course.During shift report the central electrocardiogram monitoring system alarms which client alarm should the nurse investigate first?Respiratory apnea of 30 seconds The nurse is assessing A postpartum client who is 36 hours post-delivery which finding should the nurse report to the health care provider?Oral temperature of 100.6 Fahrenheit An older woman who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation which intervention is most important for the nurse to implement to help ensure the client's compliance with self-care?Have client vocalize the instructions provided A client with diabetic peripheral nephropathy has been taking pregabalin Lyrica for four days which finding indicates to the nurse that the medication is effective?Reduce pain level 2 / 4
A client presents to the emergency department with muscle aches headache fever and describes a recent loss of taste and smell the nurse obtains A nasal swab for COVID-19 testing which action is most important for the nurse to take?Place the nasal swab specimen for COVID-19 directly into a biohazard bag.A client who experienced a cerebrovascular accident CVA is aphasic and has left- sided paralysis which nurse should be responsible for coordinating the progression of this client's care?adult nurse practitioner A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day refuses to take a bath and refuses to eat which nursing intervention should the nurse implement first?Establish a structured routine for the client to follow.A 41-week gestation primigravida woman is admitted to labor and delivery for induction of labor which finding should the nurse report to the health care provider before initiating the infusion of oxytocin?Fetal heart tones located in upper right quadrant A client with type one diabetes mellitus and a large draining ulcer of the right foot is admitted with a suspected Staphylococcus Aureus infection which intervention should the nurse implement? select all that apply Monitor the clients white blood cell count
send wound drainage for a culture and sensitivity
institute contact precautions for staff and visitors An adult client is admitted to the psychiatric unit because of daily complex hand washing ritual that takes 2 hours or longer to complete the client worries about 3 / 4
staying clean and refuses to sit on any of the chairs in the day area the client's hand washing is an example of which clinical behavior?Compulsion The nurse observes a client prepare a meal in the kitchen of the rehabilitation facility prior to discharge which behaviors indicates the client understands how to maintain balance safely? Select all that apply Brings a heavy can close to body before lifting.-Widens stance while working near the sink.The nurse is interviewing a client with schizophrenia which clinical behaviors requires immediate intervention?Muscle spasms of the back and neck The nurse assesses a child in 90 to 90 skeletal tractions where should the nurse assess for signs of compartment syndrome?Click spot right on toes on injured foot A male client receives a Thrombolytic medication following a Myocardial infarction when the client has a bowel movement what action should the nurse implement?Send stool sample to the lab for a guaiac test A client is receiving mesalamine 800mg po TID Which assessment is most important for the nurse to perform to assess the effectiveness of the medication?Bowel patterns The nurse is assessing a client who reports falling two days ago and has a history of gouty arthritis that is controlled with allopurinol the client states the left knee is swollen and extremely painful to touch which instruction should the nurse include in the discharge teaching?
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