SPRING 2023 HESI EXIT complete exam with correct answers A+ graded.

SPRING 2023 HESI EXIT complete exam with correct answers A+ graded The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which statement by the client indicates understanding? A Using salt, herbs, and spices will improve the flavor of foods. B Get an eye examination with an ophthalmologist annually. C Arrange diet schedule around three regular meals a day. D Inspect feet every month for ingrown nails, cuts, and calluses. - The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching? A Center attention on positive upbeat music. B Find outlets for more social interaction. C Practice using muscle relaxation techniques. D Think about reasons the episodes occur. - The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN) on the team. Which client should the charge nurse assign to the RN? A A 75-year-old client with renal calculi who requires urine straining. B A 64-year-old client who had a total hip replacement the previous day. C A 30-year-old depressed client who admits to suicide ideation. D An adolescent with multiple contusions due to a fall that occurred 2 days ago. - 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? A Raise head of bed until to a 90 degree angle. B Position bedside table so the client can lean across it. C Place bed in a reverse trendelenburg position. D Encourage rest until the analgesic becomes effective. - The nurse is caring for a client who arrives to the emergency department with reports of experiencing dizziness and difficulty walking to the bathroom. The nurse observes right-sided weakness and sluggish enunciation of speech. The nurse should immediately take which action? A Maintain elevated positioning of the dependent joints on affected side. B Keep the bed in the lowest position and initiate seizure and fall precautions. C Place an indwelling urinary catheter and measure strict intake and output. D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. - A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission procedure, the client has a tonic-clonic seizure that lasts 50 seconds. Following the seizure, the client is lethargic and confused and his wife tells the nurse that her husband has never had a seizure before and has always been alert and communicative. Which action should the nurse take? A Ask the wife to wait outside the room until the nurse can talk with her. B Keep orienting the client to time and space until he is less confused. C Notify the emergency response team of the client's seizure. D Explain the postictal state that usually follows seizures. - The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statement(s)made by the client should the nurse recognize as needing additional education? (Select all that apply.) A Keep a food diary. B Eat more canned vegetables. C Consume foods with saturated fats. D Walk 30 minutes per day. E Include oatmeal for breakfast. F Use a salt substitute. - While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement? A Use a water soluble lubricant on affected oral and nasal mucosa. B Use a topical lidocaine analgesic for cracked lips. C Ask the mother what she usually uses on the child's lips and nose. D Apply a petroleum jelly to the child's nose and lips. - When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action should the nurse implement first? A Increase intravenous infusion. B Massage the uterus to decrease atony. C Review the hemoglobin to determine hemorrhage. D Check for a distended bladder. - The nurse is caring for a client on the first day postoperative for a descending aortic aneurysm repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider? Reference Range Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)] A Serum potassium 4.8 mEg/L (4.8 mmol/L). B Electrocardiogram ST segment elevation. C Urine output 30 mL/hour. D Blood pressure 130/80. - The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis. Which food selection indicate to the nurse that the client understand the prescribed diet? A Roast pork, fresh strawberries. B Baked potato with skin, raw carrots. C Roasted turkey, canned vegetables. D Pancakes, whole-grain cereals. - The psychiatric nurse is caring for clients in an adolescent unit. Which client requires the nurse's immediate attention? A An 18-year-old client with antisocial behavior who is being yelled at by other clients. B A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby. C A 16-year-old client diagnosed with major depression who refuses to participate in a group. D A 14-year-old client with anorexia nervosa who is refusing to eat the evening snack. - A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD) and peripheral vascular disease (PVD) is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement? A Explain exercise daily regimen. B Demonstrate specific strengthening exercises. C Provide typed instructions for healthy diet selection D Reinforce need for adequate hydration. - A 6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy. Which pre-operative nursing action has the highest priority? A Instruct parents regarding care of the incisional area. B Mark an outline of the "olive-Shaped" mass in the right epigastric area. C Initiate a continuous infusion of IV fluids per prescription. D Monitor amount of intake and infant's response to feedings. - NGN: The client is a 26 yr old female who was in a car accident 6 months ago that killed her mother, husband, and 2 yr old son. She and her father were the only survivors of the crash. She is seeking care for depression. Choose the most likely options for the information missing from the statement by selecting from the list of options provided. The client is exhibiting symptoms of _________ relating to ___________ and __________. - NGN: After the examination by the physician, the client was diagnosed with depression and PSTD. The physician wrote orders for medication that need to be filled. The nurse speaks with the client again to educate her about her diagnose and medication. How can the nurse build a therapeutic relationship with the client? Select all that apply. A The nurse can establish a meaningful connection B The nurse can be open, honest, and sincere C The nurse can communicate acceptance of the client as she is D The nurse can talk as much as needed to get the client talking E The nurse can focus energy on the client F The nurse can show no emotion when talking to the client - ..........................................continued......................................................