HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
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.
The nurse is preparing a 4-day-old I infant with a serum bilirubin level of
19 mg/dl (325 micromol/L) for discharge from the hospital. When teaching
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
,HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
the parents about home phototherapy, which instruction should the nurse
include in the discharge teaching plan?
• Reposition the infant every 2 hours.
• Perform diaper changes under the light.
• Feed the infant every 4 hours.
• Cover with a receiving blanket.
• Rational: An infant, who is receiving phototherapy for
hyperbilirubinemia, should be repositioned every two hours. The
position changes ensure that the phototherapy lights reach all of the
body surface areas. Bathing, feedings, and diaper changes are ways
for the parents to bond with the infant, and can occur away from the
treatment. Feedings need to occur more frequently than every 4 hours
to prevent dehydration. The infant should wear only a diaper so that
the skin is exposed to the phototherapy.
When planning care for a client with acute pancreatitis, which nursing
intervention has the highest priority?
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
,HEALTHY SCI COH 315 HESI PN
EXIT EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
• Withhold food and fluid intake.
• Initiate IV fluid replacement.
• Administer antiemetic as needed.
• Evaluate intake and output ratio.
• Rational: The pathophysiologic processes in acute pancreatitis
result from oral fluid and ingestion that causes secretion of
pancreatic enzymes, which destroy ductal tissue and pancreatic
cells, resulting in auto digestion and fibrosis of the pancreas. The
main focus of the nursing care is reducing pain caused by
pancreatic destruction through interventions that decrease GI
activity, such as keeping the client NPO. Other choices are also
important intervention but are secondary to pain management.
A 56-years-old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial
action by the nurse?
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
, HEALTHY SCI COH 315 HESI PN
EXIT EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
• Provide an opportunity for him to clarify his values related to the
decision
• Encourage him to share memories about his life with his wife and
family
• Advise him to seek several opinions before making decision
• Offer to contact the hospital chaplain or social worker to offer support.
• Rationale: When a client is faced with a decisional conflict, the nurse
should first provide opportunities for the client to clarify values
important in the decision. The rest may also be beneficial once the
client as clarified the values that are important to him in the decision-
making process.
A client is being discharged home after being treated for heart failure (HF).
What instruction should the nurse include in this client’s discharge teaching
plan?
• Weigh every morning
• Eat a high protein diet
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
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.
The nurse is preparing a 4-day-old I infant with a serum bilirubin level of
19 mg/dl (325 micromol/L) for discharge from the hospital. When teaching
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
,HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
the parents about home phototherapy, which instruction should the nurse
include in the discharge teaching plan?
• Reposition the infant every 2 hours.
• Perform diaper changes under the light.
• Feed the infant every 4 hours.
• Cover with a receiving blanket.
• Rational: An infant, who is receiving phototherapy for
hyperbilirubinemia, should be repositioned every two hours. The
position changes ensure that the phototherapy lights reach all of the
body surface areas. Bathing, feedings, and diaper changes are ways
for the parents to bond with the infant, and can occur away from the
treatment. Feedings need to occur more frequently than every 4 hours
to prevent dehydration. The infant should wear only a diaper so that
the skin is exposed to the phototherapy.
When planning care for a client with acute pancreatitis, which nursing
intervention has the highest priority?
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
,HEALTHY SCI COH 315 HESI PN
EXIT EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
• Withhold food and fluid intake.
• Initiate IV fluid replacement.
• Administer antiemetic as needed.
• Evaluate intake and output ratio.
• Rational: The pathophysiologic processes in acute pancreatitis
result from oral fluid and ingestion that causes secretion of
pancreatic enzymes, which destroy ductal tissue and pancreatic
cells, resulting in auto digestion and fibrosis of the pancreas. The
main focus of the nursing care is reducing pain caused by
pancreatic destruction through interventions that decrease GI
activity, such as keeping the client NPO. Other choices are also
important intervention but are secondary to pain management.
A 56-years-old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial
action by the nurse?
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
, HEALTHY SCI COH 315 HESI PN
EXIT EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
• Provide an opportunity for him to clarify his values related to the
decision
• Encourage him to share memories about his life with his wife and
family
• Advise him to seek several opinions before making decision
• Offer to contact the hospital chaplain or social worker to offer support.
• Rationale: When a client is faced with a decisional conflict, the nurse
should first provide opportunities for the client to clarify values
important in the decision. The rest may also be beneficial once the
client as clarified the values that are important to him in the decision-
making process.
A client is being discharged home after being treated for heart failure (HF).
What instruction should the nurse include in this client’s discharge teaching
plan?
• Weigh every morning
• Eat a high protein diet
HEALTHY SCI COH 315 HESI PN EXIT
EXAM V3 110 QUESTIONS
AND ANSWERS BEST RATED A+
LATEST 2022
