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HESI RN Exit Comprehensive V3
(5 Sets of V3 Exams)
HESI RN EXIT Comprehensive V3 Exam
Set 1
- Which change in sleep patterns is most likely to occur in an older aduANS –
Has a decline in stage 4 sleep - The nurse is developing the plan of care for an older client who is immobileand at risk for pressure ulcers.Which contributing factor should the nurse include in the nursing diagnosis, “risk for altered skin integrity?”
ANS tissue ischemia
Prolonged, intense pressure affects cellular metabolism by impeding capillary blood
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flow to tissue over weight-bearing bony prominences, resulting in tissue ischemia,
skin breakdown, and tissue death - A male client tells the nurse that he is frequently constipated.Which findingshould the nurse identify as a common dietary cause of the complication
ANS In-adequate intake of dietary fiber and fluids - The nurse is obtaining a client’s consent for a paracentesis.What information should a nurse provide to ensure the client understands the purpose of
the procedure
ANS A needle is inserted to remove excessive fluid from the abdominalperitoneal
cavity. - The nurse is teaching a client with Addison’s disease about this new diagnosis. what pathophysio explanation should the nurse share with the client
ANS c.Adrenal insufficiency is an autoimmune dysfunction that results from white
blood cells damaging the adrenal cortex - The nurse is caring for a client with diabetic ketoacidosis (DKA) who is
manifesting rapid and deep rests.Which resp pattern should the nurse docu-
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ment
ANS Kussmaul respirations - The nurse is teaching a client who is newly diagnosed with Type 1 diabetesmellitus about diet and insulin. The client should be instructed to perform
glucose self-monitoring when which symptoms occur after exercising
ANS Shak-iness - Which action should the nurse implement when providing nasogastric (NG)feeding to an unresponsive client
ANS Check residual volume every four hours. - The healthcare provider prescribes digital evacuation a focal impaction foran older client who is admitted for a closed head injury after falling out of
bed. As a part of the procedure policy, the nurse applies a topical anestheticgel to the rectum. What rationale best supports the use of the anesthetic gel
ANS Decrease risk for bradycardia - What nursing intervention should the nurse include in the plan of care fora client following a bone marrow aspiration
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ANS Use of a compression dressing forfirm pressure to the site
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