ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
The nurse provides dietary instructions about iron rich foods to a client with
iron deficiency anemia. Which food selection made by the client indicates a
need for additional instructions?
A. Liver
B. Oranges
C. Leafy green vegetables
D. Kidney beans - ANSWER--B
A client with hyperparathyroidism reports a sudden onset of severe flank
pain. Which intervention should the nurse include in the client's plan of
care?
A. Begin straining all urine
B. Implement seizure precautions
C. Administer a PRN dose of a laxative
D. Initiate cardiac telemetry - ANSWER--A
The nurse is caring for a client on a rehabilitation unit who has right
cerebrovascular accident and is struggling with independent self-care. The
nurse places a large mirror in the client's room. Which instruction should
the nurse provide the client?
A. Mirrors reflect light to brighten the room so you can see better
B. A hoe-like environment helps you relax and feel more confident
C. Check your appearance before leaving the room
D. Use the mirror to watch yourself while dressing - ANSWER--D
, MED SURG RN HESI EXIT LATEST 2023 VERSION 5
ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
An older client who us agitated, dyspneic, orthopneic, and using accessory
muscles to breathe is admitted for further treatment. Initial assessment
includes a heart rate 128 beats/minute and irregular respirations 38
breaths/minute, blood pressure 168/100 mmHg, wheezes and crackles in
all lung fields. An hour after the administration of furosemide 60 mg IV,
which assessments should the nurse obtain to determine the client's
response to the treatment? (Select all that apply)
A. Oxygen saturation
B. Skin elasticity
C. Pain scale
D. Lung Sounds
E. Urinary output - ANSWER--A, D, E
While caring for a client with a full-thickness burn covering 40% of the
body, the nurse observes purulent drainage at the wound. Before reporting
this finding to the healthcare provide, the nurse should review which of the
client's laboratory values?
A. White blood cell count
B. Blood pH level
C. Platelet count
D. Hematocrit - ANSWER--A
During the admission assessment, the nurse identifies multiple bruises at
various stages of healing on a male client recently diagnosed with aplastic
anemia. The nurse reviews his stat serum laboratory values which reveal
platelets 50,000/mm^3, white blood cells 3,000/mm^3, and red blood cells
2.5 million/mm^3. Which actions should the nurse implement? (Select all
that apply)
, MED SURG RN HESI EXIT LATEST 2023 VERSION 5
ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
A. Initiate sepsis protocol
B. Provide a soft-bristle tooth brush
C. Monitor for signs of bleeding
D. Implement contact precautions
E. Infuse blood products as prescribed - ANSWER--A, B, C, E
The nurse auscultates a client's heart sounds and hears a mid-systolic click
associated with mitral valve prolapse. Which diagnostic test should the
nurse prepare the client to expect the healthcare provider to prescribe?
A. 12-lead electrocardiogram
B. 2D-echocardiograhy
C. Troponin and CK-MB levels
D. . CT scan of the chest - ANSWER--A
The nurse is developing plan of care for a client who reports blurred vision
and who is newly diagnosed with type 2 diabetes. Which outcome should
the nurse include in the plan of care for this client?
A. The nurse will encourage the client to walk 30 minutes every day
B. The client's blood pressure readings will be less than 160/90 mmHg
C. The client's hemoglobin A1c will be less than 7.0% in 3 months
D. The nurse will demonstrate the procedure for accurate eye care -
ANSWER--C
The nurse is developing a plan of care for an adult client with
cardiovascular disease who reports blurred-vision. Which outcome should
the nurse include in the plan of care for this client?