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A child w/ heart failure (HF) is taking digitalis. Which sign
indicates to the RN that the child may be experiencing
digitalis toxicity?
a. Muscle cramps
b. Dyspnea
c. Vomiting
d. Tachycardia
The Nurse enters the room of a disoriented (F) client to
supervise the care being provided by an UAP. The UAP has
left the room to obtain linens, leaving the client supine and
lying on wet sheets, with the side rails down and the bed in
high position. Which action should the nurse implement
first?
a. Explain the risks of the unsafe situation to the UAP
b. Both upper side rails of the bed should be raised
c. Plae the client in a lat position off the wet linens
d. The client should be re oriented to her surroundings
During a woman’s health fair, which assignment is best
for the practical nurse (PH) who is working with a RN?
NURSING 428 HESI EXAM QUESTIONS AND
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2023/2024 160 Q&A
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,NURSING 428 HESI EXAM QUESTIONS AND
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2023/2024 160 Q&A
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a. Prep a woman for a bone density screening
b. Encourage woman at risk for cancer to obtain a
colonoscopy
c. Present a class on breast self exam
d. Explaing the f/u needed for a client with
prehypertension
A client hospitalized and recently dx with addisons
disease is now confused and lethargic. Which actions
should the nurse implement? (SATA)
a. Initiate fall risk precautions
b. Reduce rate of IV fluid infusion
c. Withhiold next dose of corticosteroid
d. Measure capillary glucose level
e. Monitor cardiac telemetery pattern
A client with MS is rec beta-1B interferon every other day.
To assess for possible bone marrow suppression caused by
the medication, which serum lab values should the nurse
monitor? (SATA)
a. Sodium and potassium
NURSING 428 HESI EXAM QUESTIONS AND
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2023/2024 160 Q&A
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,NURSING 428 HESI EXAM QUESTIONS AND
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2023/2024 160 Q&A
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b. WBC
c. Platelet count
d. Albumin and protein
e. RBC
A client who had a lung biopsy asks the nurse to explain
the HCP report that the lung cancer is staged at T2N0M0
lung cancer. What information should the nurse provide?
a. Staging indicates the treatment options for surgery,
radiation, or chemotherapy.
b. The client's understanding of the cancer's prognosis
and quality of life.
c. The cancer is within its primary site with no
lymph node or metastasis present.
d. The cancer has spread to other organs which limits the
success rate of treatment.
The nurse assesses a full term infant whose mother has
type 1 DM. The infants blood glucose level at 1 hour of age
is 45 mg/dl (2.5 mmol/L) and at 2 hours of age it is 25
mg/dL (1.4 mmol/L). What is the cause of the chang in the
NURSING 428 HESI EXAM QUESTIONS AND
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2023/2024 160 Q&A
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, NURSING 428 HESI EXAM QUESTIONS AND
ANSWERS BEST RATED A+ BEST
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2023/2024 160 Q&A
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blood glucose?
a. A normal, physical response of the body that occurs
during transition from intrauterine to extrauterine life
b. An increase in urine production that results when
the kidneys are ridding the body of excess glucose
c. A rxn to the stress of labor and the period of
increased activity following delivery
d. A interruption in the source of glucose and
continued highinsulin production by the infant
The nurse and client are discussing strategies to manage
the client's acute pain following an injury. When setting
goals, which information is most important for the nurse to
obtain from the client?
a. Desired level of physical mobility.
b. Acceptable level of pain intensity.
c. Past experience with acute pain.
d. Cultural values related to pain.
A preschool teacher notifies the school nurse that child A
has bitten child B on the arm. Child B’s skin is broken, but
NURSING 428 HESI EXAM QUESTIONS AND
ANSWERS BEST RATED A+ BEST
GUARANTEED SUCCESS LATEST UPDATE
2023/2024 160 Q&A
100%CORRECT/VERIFIED