HESI EXIT STUDY QUESTIONS WITH VERIFIED ANSWERS GUARANTEED PASS | RATED A+

HESI EXIT STUDY QUESTIONS WITH VERIFIED ANSWERS GUARANTEED PASS | RATED A+

The nurse on the medical-surgical unit is receiving a transfer report from the post-anesthesia
care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides
the following information: "1000 mL normal saline is infusing at 125 mL/hr into the left wrist
with 600 mL remaining. Ondansetron 4 mg intravenously every 8 hours is prescribed for nausea.
The last dose was administered at 0700. The client is currently describing pain at a level 2 on a 0
to 10 pain scale. The client has a prescription for hydromorphone 1 mg intravenously every 2
hours as needed for pain. The last dose was administered at 1000." Which additional information
should the PACU nurse report? - Answer>>> Soft abdomen, absent bowel sounds, no bleeding
on dressing.
AN adult client who is admitted to the mental health unit for treatment of bipolar disorder has
slightly slurred speech pattern and an unsteady gait. Which assessment finding is most important
for the nurse to report to the healthcare provider? - Answer>>> Serum lithium of 1.6 mEq/L or
mmol/L
A male client with heart failure becomes short of breath, anxious, and has audible wheezing with
pink frothy sputum. The nurse sits the client upright and provides oxygen per nasal cannula. The
nurse receives a prescription to administered a one- time dose of morphine sulfate
intravenously. What action should the nurse take? - Answer>>> Administered the dose of
morphine sulfate as prescribed.
A client with pancreatitis complains of severe epigastric pain, so the nurse administers a
prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning
forward. Which intervention should the nurse implement? - Answer>>> Position bedside table so
the client can lean across it.
A client with megaloblastic anemia who takes folate 1 mg by mouth daily reports to the nurse of
feeling increasingly fatigued. Which laboratory value should the nurse review? - Answer>>>
Complete blood count.
The nurse is planning group therapy for clients in a substance abuse program. The focus of the
group is, "Risk factors for hepatitis." What intervention should the nurse plan for the gorup? -
Answer>>> Summarize what the group talked about
At 1130, the nurse assumes care of an adult client with diabetes mellitus who was admitted with
an infected foot ulcer. After reviewing the client's electronic heath record, which priority nursing
action should the nurse implement? - Answer>>> Administer insulin per sliding scale
The nurse is preparing to administer 1.6 mL of medication intramuscularly to a 4-month-old
infant. Which action should the nurse include? - Answer>>> Divide the medication into two
injections with volumes under 1 mL.
A school-aged child with chronic renal failure receives a prescription from the healthcare
provider for losartan. Which action should the nurse implement prior to administering the
medication? - Answer>>> Evaluate the ability to swallow medication.
An adolescent client on a drug treatment unit becomes angry and pulls the refrigerator from the
wall and then throws the microwave. After the client fails to respond to the redirection, the
healthcare provider prescribes restraints. Which assessment should the nurse include in the
client's record while the client is in restraints? - Answer>>> • Range-of-motion and circulation.
The nurse brings an oral medication prescribed to be given daily to a male client who tells the
nurse that he will take his medication later. Which action should the nurse implement? -
Answer>>> Agree upon a time to return to the client's room with the medication.
When conducting diet teaching for a client who was diagnosed with hypertension, which foods
should the nurse encourage the client to eat? (Select all that apply) - Answer>>> • Fresh or
frozen vegetables without sauce
• Fruits without sauce
The charge nurse observes a new nurse preparing to insert an intravenous (IV) catheter. The new
nurse gathers equipment, including an intravenous catheter and insertion kit, and a 4x4 gauze
dressing to apply over the insertion site. Which action should the charge nurse take? -
Answer>>> • Remind the nurse to use a transparent dressing over the site.
The client who has emphysema and recently experienced a stroke receives a prescription for a
metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is
necessary. What information should the nurse provide? - Answer>>> It allows time to inhale the
entire dispensed dose.
A client with atrial fibrillation receives a new prescription for dabigatran etexilate. Which
instruction is important for the nurse to emphasize when teaching the client about this
medication? - Answer>>> • Report unusual bruising or bleeding.
An older adult with a terminal illness is receiving hospice care and is having difficulty coping with
feelings related to death and dying. Which interventions should the nurse include in this client's
plan of care? - Answer>>> • Encourage family to bring the client old photographs
• Encourage family to visit frequently
• Teach the client how to use guided imagery
The nurse is preparing an older client for discharge following cataract extraction. Which
instruction should be included in the discharge teaching? - Answer>>> Avoid straining at school,
bending, or lifting heavy objects.
The nurse completes percussion of the abdomen on an older adult client. Which finding is
considered normal for this client? - Answer>>> Musical and drumlike.
An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's
plan of care? - Answer>>> • Teach the client to use incentive spirometer every 2 hours while
awake. 

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