HESI INET VERSION 5 ACTUAL EXAM 2024 QUESTIONS AND 100% VERIFIED SOLUTIONS GUARANTEED PASS 2024 UPDATED

HESI INET VERSION 5 ACTUAL EXAM 2024 QUESTIONS AND 100% VERIFIED SOLUTIONS GUARANTEED PASS 2024 UPDATED 1. After placing a 36-week-gesation newborn in an isolette and drying the infant with several blankets, what Should the nurse implement next? a. Administer the vitamin K injection. b. Remove the wet blankets and linens from the isolette. c. Place erythromycin opthalmic ointment in both eyes. d. Open the door to assess the infant's vital signs.: b. Remove the wet blankets and linens from the isolette. Wet blankets can contribute to heat loss in the newborn. Removing them and replacing them with dry linens helps maintain the infant's body temperature, which is crucial, especially for preterm or near-term infants like a 36-week-gestation newborn. 2. A client in the third trimester of pregnancy com- plains of frequent nasal stiffness and occasional nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic breathing. Her diaphragm is elevated and she has an increased costal angle. Which intervention should the nurse implement?: d. Record the respiratory findings in the clients record as normal 3. A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the past several days he has been unable to get out of bed. Which action should the hospice nurse implement? a. Ask family to remain nearby, but in another room. b. Encourage family to speak often with the client. c. Teach family how to assist the client to a wheelchair. d. Instruct family to offer client only soft, bland foods: b. encourage family to speak often with the client Even if the client has decreased awareness, hearing familiar voices can be comfort- ing. Family members can share memories, express love, or simply be present with the client, which can be emotionally supportive for everyone involved. 4. A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy test and ultrasound were negative, so an exploratory laparoto- my was completed during the night. When coffee ground material is observed in the drainage from the nasogastric tube (NGT), which Intervention should the nurse implement? 2 / 64 HESI INET VERSION 5 ACTUAL EXAM 2024 QUESTIONS AND 100% VERIFIED SOLUTIONS GUARANTEED PASS 2024 UPDATED a. Verify correct placement of the nasogastric tube b. Perform gastroccult test on the nasogastric drainage. c. Listen for evidence of diminished bowel sounds. d. Irrigate the nasogastric tube with water until clear.: b. perform gastroccult test on the nasogastric drainage A gastroccult test is used to detect the presence of blood in gastric contents. Performing this test on the nasogastric drainage will help confirm whether the coffee ground material is indeed blood, which is a crucial step in assessing the patient's condition. 5. The nurse Is reviewing the laboratory values for a client with acute pan- creatitis who reports of the abdominal pain is not as severe as it was on admission. Which laboratory test should the nurse review to evaluate the client's clinical recovery? a. Lipase. b. Creatinine. c. Bilirubin. d. Glucose.: a. Lipase. Lipase is an enzyme produced by the pancreas. Elevated levels of lipase in the blood are indicative of pancreatic inflammation and are commonly used to diagnose and monitor acute pancreatitis. A decreasing trend in lipase levels can indicate clinical improvement and resolution of pancreatitis symptoms. 6. While assessing a client who had a laparotomy the previous day, the nurse notices that 300 ml of dark red fluids has drained from the nasogastric tube In the last hour. Which action should the nurse take first? a. Determine the clients vital signs b. Monitor urinary output hourly. c. Notify the surgeon immediately. d. Assess the client's level of pain.: a. Determine the clients vital signs Assessing the client's vital signs, especially blood pressure and heart rate, is the most immediate and essential action in this situation to determine if the client is experiencing hypovolemia (a significant decrease in blood volume). The dark red drainage may indicate bleeding, and vital signs can help assess the client's overall hemodynamic status. 3