HESI ADN EXIT HESI Simplified Exam Questions And Answers Best Rated A+ Guaranteed Success Latest Update 2023

A female client is admitted with end stage pulmonary disease is alert, oriented, and complaining of shortness of breath. The client tells the nurse that she wants “no heroic measures” taken if she stops breathing, and she asks the nurse to document this in her medical record. What action should the nurse implement? • • A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has developed diarrhea. The client has a new prescription to change the feeding to half strength. What intervention should the nurse implement? • • A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question should nurse to ask? • • After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting up blood. What assessment finding warrants immediate intervention by the nurse? • • After the nurse witnesses a preoperative client sign the surgical consent form, the nurse signs the form as a witness. What are legal implications of the nurse’s signature on the client’s surgical consent form? (sata) • • • • Following surgery, a male client with antisocial personality disorder frequently requests that a specific nurse be assigned to his care and is belligerent when another nurse is assigned. Charge nurse implement what? • A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation implant. While providing care, the nurse finds the radiation implant in the bed. What action should the nurse take? • • The client with which type of wound is most likely to need immediate intervention by the nurse? • • The nurse is planning care for client admitted with a diagnosis of pheochromocytoma. Intervention? • Monitor blood pressure frequently • When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse elevates the head of the bed 30 degrees. What is the reason for this intervention? • • When assessing a mildly obese 35-year-old female, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. What is the most likely explanation for failure to locate the gallbladder by palpation? • Ask the client to discuss “do not resuscitate” with her healthcare provider Capillary refill of 8 seconds • Advise the client that assignments are not based on clients requests Place the implant in a lead container using long-handled forceps Laceration To reduce abdominal pressure on the diaphragm