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An adult client experiences a gasoline tank fire when riding a motorcycle and
is admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area
should the nurse document in the electronic medical record (EMR)?
• 9%
• 18 %
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior
surfaces of one lower extremity is designated as 18 %of total body
surface area (TBSA), so both extremities equals 36% TBSA, other
options are incorrect.
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding
indicates that the medication is having the desired effect?
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S)ALL ANSWERS 100% CORRECT LATEST
UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+
, HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S)ALL ANSWERS 100% CORRECT LATEST
UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+
• Goiter no longer palpable
An older male client with type 2 diabetes mellitus reports that has
experiences legs pain when walking short distances, and that the pain is
relieved by rest. Which client behavior indicates an understanding of
healthcare teaching to promote more effective arterial circulation?
• Consistently applies TED hose before getting dressed in the morning.
• Frequently elevated legs thorough the day.
• Inspect the leg frequently for any irritation or skin breakdown
• Completely stop cigarette/ cigar smoking.
• Rationale: Stopping cigarette smoking helps to decrease
vasoconstriction and improve arterial circulation to the extremity.
HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S)ALL ANSWERS 100% CORRECT LATEST
UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+
, HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S)ALL ANSWERS 100% CORRECT LATEST
UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+
A client with a history of dementia has become increasingly confused at night
and is picking at an abdominal surgical dressing and the tape securing the
intravenous (IV) line. The abdominal dressing is no longer occlusive, and the
IV insertion site is pink. What intervention should the nurse implement?
• Replace the IV site with a smaller gauge.
• Redress the abdominal incision
• Leave the lights on in the room at night.
• Apply soft bilateral wrist restraints.
• Rationale: The abdominal incision should be redressed using aseptic-
techniques. The IV site should be assessed to ensure that it has not
been dislodged and a dressing reapplied, if need it. Leaving the light
on at night may interfere with the client’s sleep and increase
confusion. Restraints are not indicated and should only be used as a
last resort to keep client from self-harm.
An adult male client is admitted to the emergency room following an
automobile collision in which he sustained a head injury. What assessment
data would provide the earliest that the client is experiencing increased
intracranial pressure (ICP)?
• Lethargy
• Decorticate posturing
HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S)ALL ANSWERS 100% CORRECT LATEST
UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+
, HESI PN EXIT EXAM V3 100 QUESTIONS
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UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+
• Fixed dilated pupil
• Clear drainage from the ear.
• Rationale: Lethargy is the earliest sign of ICP along with slowing of
speech and response to verbal commands. The most important
indicator of increase ICP is the client’s level or responsiveness or
consciousness. B and C are very late signs of ICP.
In preparing a diabetes education program, which goal should the nurse
identify as the primary emphasis for a class on diabetes self-
management?
• Prepare the client to independently treat their disease process
• Reduce healthcare costs related to diabetic complications
• Enable clients to become active participating in controlling
the disease process
• Increase client’s knowledge of the diabetic disease process and
treatment options.
HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S)ALL ANSWERS 100% CORRECT LATEST
UPDATE 2021/2022 GUARANTEED SUCCESS RATED A+