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1. A client who received multiple antihypertensive medications experiences s
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yncope due to a drop in blood pressure to 70/40. What is the rationale for t
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he nurse’s decision to hold the client’s scheduled antihypertensive medicati
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on?
• increased urinary clearance of the multiple medications has produced
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diuresis and lowered the blood pressure
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• the antagonistic interaction among the various blood pressure med
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ications has reduced their effectiveness
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• The additive effect of multiple medications has caused the blood
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m pressure to drop too low m m m m
• the synergistic effect of the multiple medications has resulted in drug toxicity a
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nd
resulting hypotension m
2. Which client is at the greatest risk for developing delirium?
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• An adult client who cannot sleep due to constant pain.
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• an older client who attempted 1 month ago
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• a young adult who takes antipsychotic medications twice a day
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• a middle-aged woman who uses a tank for supplemental oxygen
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3. Which intervention should the nurse include in a long-
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term plan of care for a client withChronic Obstructive Pulmonary Disease
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(COPD)?
• Reduce risks factors for infection
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• Administer high flow oxygen during sleep m m m m m
HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
RIFIED New 2022 latest m m m m
,HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
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• Limit fluid intake to reduce secretions
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• Use diaphragmatic breathing to achieve better exhalation
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4. Which location should the nurse choose as the best for beginning a screenin
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g program for hypothyroidism?
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• A business and professional women's group.
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• An African-American senior citizens center
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• A daycare center in a Hispanic neighborhood
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• An after-school center for Native-American teens
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5. A female client has been taking a high dose of prednisone, a corticostero
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id, for several months. After stopping the medication abruptly, the client r
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eports feeling “very tired”. Which nursing intervention is most important
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for the nurse to implement?
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• Measure vital signs m m
• Auscultate breath sounds m m
• Palpate the abdomen m m
• Observe the skin for bruising m m m m
6. A male client reports the onset of numbness and tingling in his fingers an
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d around his mouth. Which lab is important for the nurse to review befor
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e contacting the health care provider?
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• capillary glucose m
• urine specific gravity m m
• Serum calcium m
• white blood cell count m m m
7. What explanation is best for the nurse to provide a client who asks the pu
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HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
RIFIED New 2022 latest m m m m
,HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
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rpose of using the log-rolling technique for turning?
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• working together can decrease the risk for back injury
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• The technique is intended to maintain straight spinal alignment.
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• Using two or three people increases client safety.
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• turning instead of pulling reduces the likelihood of skin damage
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8. A client receiving chemotherapy has severe neutropenia. Which snack i
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s best for the nurse to recommend to the client?
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• Baked apples topped with dried raisins
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9. Which action should the school nurse take first when conducting a
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screening for scoliosis? m m
• Inspect for symmetrical shoulder height.
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10. An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports
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to
HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
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, HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
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the charge nurse that a client has a weak pulse with a rate of 44 beat/
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minutes. What action should the charge nurse implement?
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• Assign a practical nurse (LPN) to determine if an apical radial deficit is present
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11.After a sudden loss of consciousness, a female client is taken to the ED an
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d initial assessment indicate that her blood glucose level is critically low.
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Once her glucose level is stabilized, the client reports that was recently dia
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gnosed with anorexia nervosa and is being treated at an outpatient clinic.
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Which intervention is more important to include in this client’s discharge
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plan?
• Encourage a low-carbohydrate and high-protein dietm m m m m
12.A client with a peripherally inserted central catheter (PICC) line has a feve
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r. What client assessment is most important for the nurse to perform?
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• Observe the antecubital fossa for inflammation.
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13.The nurse administers an antibiotic to a client with respiratory tract infectio
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n. To evaluate the medication’s effectiveness, which laboratory values shoul
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d the nurse monitor? Select all that apply
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• White blood cell (WBC) count m m m m
• Sputum culture and sensitivity m m m
14.A client is admitted to isolation with the diagnosis of active tuberculosis. W
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hich infection control measures should the nurse implement?
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• Negative pressure environment m m
• contact precautions m
• droplet precautions m
• protective environment m
HESI Exit RN Exam over 700 Questions&
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Answers Rationale 100% CORRECT/VE m m m
RIFIED New 2022 latest m m m m