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ALL HESI EXIT Questions and Answers Test Bank

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A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take? (correct Answer- Administer the medication as prescribed with a glass of water Which client should the nurse assess frequently because of the risk for overflow incontinence? A client Who is confused and frequently forgets to go to the bathroom While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply) (correct Answer- Move obstacle away from client Monitor physical movements Observe for a patent airway Record the duration of the seizure A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurses to include in the client's plan of care? (correct Answer- Observe for changes in level of consciousness. An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding, which action is required? correct Answer- Increase ventilator rate. The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day, and has also experiences a loss of appetite. What instruction should the nurse provide? (correct Answer- CPT should be performed more frequently, but at least an hour before meals. The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendationfor hypertension? (correct Answer- Baked pork chop, applesauce, corn on the cob, 2% milk, and key- lime pie A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this client's plan of care? (correct Answer- Fingerstick glucose assessment q6h with meals Review with the client proper foot care and prevention of injury Coordinate carbohydrate controlled meals at consistent times and intervals Teach subcutaneous injection technique, site rotation and insulin management Which problem reported by a client taking lovastatin requires the most immediate fallow up by the nurse?

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ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+




• A client receives a new prescription for simvastatin (Zocor) 5 mg PO
daily atbedtime. What action should the nurse take?


(correct Answer- Administer the medication as prescribed with a glass of water


• Which client should the nurse assess frequently because of the
risk foroverflow incontinence?


A client Who is confused and frequently forgets to go to the bathroom


• While monitoring a client during a seizure, which interventions
should thenurse implement? (Select all that apply)


(correct Answer-
Move obstacle away from client
Monitor physical movements
Observe for a patent airway
Record the duration of the
seizure


• A male client with a long history of alcoholism is admitted because of
mildconfusion and fine motor tremors. He reports that he quit drinking


ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+

,ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+
alcohol and stopped smoking cigarettes one month ago after his brother
died of lung cancer.




ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+

,ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+
Which intervention is most important for the nurses to include in the client's
planof care?


(correct Answer- Observe for changes in level of consciousness.


• An older adult female admitted to the intensive care unit (ICU) with a
possible stroke is intubated with ventilator setting of tidal volume 600, PlO2
40%,and respiratory rate of 12 breaths/minute. The arterial blood gas
(ABG) results after intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2
98%, HCO3 23. To normalize the client's ABG finding, which action is
required?
correct Answer- Increase ventilator rate.


• The mother of the 12- month-old with cystic fibrosis reports that her
child is experiencing increasing congestion despite the use of chest physical
therapy (CPT)twice a day, and has also experiences a loss of appetite. What
instruction should the nurse provide?


(correct Answer- CPT should be performed more frequently, but at least
an hourbefore meals.


• The nurse is evaluating the diet teaching of a client with
hypertension.What dinner selection indicates that the client understands the
dietary recommendationfor hypertension?


(correct Answer- Baked pork chop, applesauce, corn on the cob, 2% milk, and
key-lime pie



ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+

, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+
• A client with type 2 diabetes mellitus is admitted for frequent
hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%.
Insulin glargine 10 unitssubcutaneously once a day at bedtime and a sliding
scale with insulin aspart q6h are prescribed. What action should the nurse
include in this client's plan of care?


(correct Answer- Fingerstick glucose assessment q6h with
mealsReview with the client proper foot care and prevention
of injury
Coordinate carbohydrate controlled meals at consistent times and
intervals Teach subcutaneous injection technique, site rotation and insulin
management


• Which problem reported by a client taking lovastatin requires the
mostimmediate fallow up by the nurse?




ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022/2023) GRADED A+

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