ALL HESI EXIT Questions and Answers Test Bank; A+ Rated Guide (2022)

Test For COMPLETE HESI EXIT Queries and Answers Question Bank; Top-Rated Manual (2022)

COMPLETE HESI EXIT Queries and Answers Question Bank; Top-Rated Manual (2022)
271. Upon receiving a new order for simvastatin (Zocor) 5 mg PO daily at bedtime, what should the nurse do?
(Correct Response- Administer the medication as directed with a glass of water)
272. Which individual should the nurse monitor regularly due to the possibility of overflow incontinence?
A confused individual who frequently forgets to visit the restroom
273. During a seizure observation, which steps should the nurse execute? (Choose all applicable)
(Correct ResponseMove any obstacles away from the individual
Monitor physical movements
Check for an open airway
Keep track of the seizure duration)
274. A male patient with a lengthy history of alcoholism is admitted with slight confusion and fine motor tremors. He mentions quitting alcohol and cigarettes a month ago after his brother’s death from lung cancer. What is the most important intervention for the nurse to include in the patient’s care plan?
(Correct Response- Monitor changes in consciousness level)
275. An elderly woman arrives at the intensive care unit (ICU) with potential stroke symptoms and is intubated with the ventilator set at tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. Initial arterial blood gas (ABG) readings post-intubation are PH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. What action is necessary to correct the ABG results?
(Correct Response- Increase ventilator rate)
276. The parent of a 12-month-old with cystic fibrosis reports increased congestion despite twice-daily chest physical therapy (CPT) and a loss of appetite. What guidance should the nurse provide?
(Correct Response- Perform CPT more frequently, preferably at least an hour before meals)
277. When evaluating a client’s diet understanding in managing hypertension, which dinner selection indicates comprehension of dietary recommendations for hypertension?
(Correct Response- Baked pork chop, applesauce, corn on the cob, 2% milk, and key lime pie)
278. A client with type 2 diabetes is admitted for frequent hyperglycemic episodes with a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once daily at bedtime and a sliding scale with insulin aspart q6h are prescribed. What should the nurse incorporate into this client’s care plan?
(Correct Response- Check fingerstick glucose levels q6h with meals
Educate the client on proper foot care and injury prevention
Arrange consistent carbohydrate-controlled meals at precise times
Teach subcutaneous injection technique, site rotation, and insulin control)
279. Which complaint from a client taking lovastatin requires immediate attention by the nurse?
(Correct Response- Muscle discomfort)
280. While examining a client’s chest tube (CT), bubbling is noticed in the water seal chamber of the chest tube collection unit. The client’s vital signs are: blood pressure 80/40 mmHg, heart rate 120 beats/minute, respiratory rate 32 breaths/minute, oxygen saturation 88%. What steps should the nurse take?
(Correct Response- Administer supplemental oxygen
Listen to both lung fields
Reinforce the occlusive CT dressing)
281. Before exiting the room of a confused client, the nurse observes a half bow knot securing the client’s wrist restraints to the movable part of the bed frame. What should the nurse do before leaving?
(Correct Response- Ensure the knot can be quickly undone)
282. A toddler aged 18 months is prescribed oral antibiotics and an antipyrine and benzocaine-otic solution for otitis media. What instruction is vital regarding the use of the antipyrine/benzocaine-otic solution?
(Correct Response- Have the child lie with the ear up for one to two minutes after administering)
283. An elderly man is admitted with COPD complications, reporting worsening dyspnea and increased weakness over the past month. The nurse observes dependent edema in both lower legs. Based on these findings, which dietary advice should the nurse provide?
(Correct Response- Limit daily fluid intake)
284. When inserting an indwelling urinary catheter as shown in the video, what should the nurse do next?
(Correct Response- Leave the catheter in place and acquire a sterile catheter)
285. A client with coronary artery disease experiencing syncopal episodes is admitted for an electrophysiology study (EPS) and potential cardiac ablation therapy. What task can the nurse assign to the unlicensed assistive personnel (UAP)?
(Correct Response- Prepare the skin for the procedure)
286. After a measles outbreak involving five students in an elementary school, what is the most critical action for the school nurse to take?
(Correct Response- Prohibit unvaccinated children from attending school until the measles outbreak is resolved)
287. A preeclamptic client who gave birth 24 hours ago remains in the labor and delivery recovery room, receiving magnesium sulfate at 2 grams per hour. With a restricted total input of 125 ml per hour and urinary output of 850 ml in the last hour, what should the nurse do?
(Correct Response- Continue with the existing care plan for this client)
288. When planning care for a client admitting to having suicidal thoughts, which behavior poses the highest risk of acting on those thoughts?
(Correct Response- Beginning to display improvements in affect)
289. On the first postpartum day of a multigravida, the nurse finds moderate lochia rubra with a firm uterus positioned three fingerbreadths above the umbilicus. What should the nurse do first?
(Correct Response- Verify a distended bladder)
290. A 12-year-old client post-appendectomy is receiving 0.9% normal saline at 50 ml/hour with a urine specific gravity of 1.035. What should the nurse do?
(Correct Response- Encourage popsicles and preferred fluids)
291. An older male client at the clinic complains of a consistently full bladder. He mentions weak urine flow, dribbling post-voiding, and