HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
DETAILED
A male client is admitted for the removal of an internal fixation that was
inserted for the fracture ankle. During the admission history, he tells the
nurse he recently received vancomycin (vancomycin) for a methicillin-
resistant Staphylococcus aureus (MRSA) wound infection. Which action
should the nurse take? (Select all that apply.)
a. Collect multiple site screening culture for MRSA
b. Call healthcare provider for a prescription for linezolid (Zyrovix)
c. Place the client on contact transmission precautions
d. Obtain sputum specimen for culture and sensitivity
e. Continue to monitor for client sign of infection. - CORRECT ANSWERS
a. Collect multiple site screening culture for MRSA
c. Place the client on contact transmission precautions
e. Continue to monitor for client sign of infection.
Rationale: Until multi-site screening cultures come back negative (A), the
client should be maintained on contact isolation(C) to minimize the risk for
nosocomial infection. Linezolid (Zyvox), a broad spectrum anti-infecting, is
not indicated, unless the client has an active skin structure infection cause
by MRSA or multidrug- resistant strains (MDRSP) of Staphylococcus
aureus. A sputum culture is not indicated D) based on the client's history is
a wound infection.
A vacuum-assistive closure (VAC) device is being use to provide wound
care for a client who has stage III pressure ulcer on a below-the- knee
(BKA) residual limb. Which intervention should the nurse implement to
ensure maximum effectiveness of the device?
,HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
a. Empty the device every 8 hours and change the dressing daily ensure
sterility
b. Extended the transparent film dressing only to edge of wound to prevent
tension.
c. Ensure the transparent dressing has no tears that might create vacuum
leaks
d. Use an adhesive remover when changing the dressing to promote
comfort. - CORRECT ANSWERS Ensure the transparent dressing has no
tears that might create vacuum leak
Rationale: The nurse should ensure that the VAC transparent film is intact,
without tears or loose edges C) because a break in the seal resulting in
drying the wound and decreasing the vacuum. The vacuum-assisted
closure (VAC) device uses an open sponge in the wound bed, sealed with
a transparent film dressing and tube extrudes to a suction device that exert
negative pressure to remove excess wound fluid, reduce the bacterial
count and stimulate granulation. The VAC is changed every other day or
third day, not (A) depending on the stage of wound healing and emptied
when full or weekly. The transparent wound dressing should extend 3 to 5
cm beyond the wound edges, not (B) to ensure and airtight seal. Adhesive
removers leave a reduce that binder transparent film adherence (D)
The nurse is developing the plan of care for a client with pneumonia and
includes the nursing diagnosis of "Ineffective airway clearance related to
thick pulmonary secretions." Which intervention is most important for the
nurse to include in the client's plan of care?
a. Increase fluid intake to 3,000 ml/daily
b. Administer O2 at 5L/mint per nasal cannula
c. Maintain the client in a semi Fowler's position
,HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
d. Provide frequent rest period. - CORRECT ANSWERS Increase fluid
intake to 3,000 ml/daily
Rationale: The plan of care should include an increase in fluid intake (A) to
liquefy and thin secretions for easier removal of thick pulmonary secretion
which facilitates airway clearance. (B) should be implemented for signs of
hypoxia (C) implemented to facilitate lung expansion, and (D) implemented
for activity intolerance, but these interventions do not have the priority of
(A)
The nurse plans to collect a 24- hour urine specimen for a creatinine
clearance test. Which instruction should the nurse provide to the adult male
client?
a. Clearance around the meatus, discard first portion of voiding, and collect
the rest in a sterile bottle
b. Urinate at specific time, discard the urine, and collect all subsequent
urine during the next 24 hours.
c. For the next 24 hours, notify the nurse when the bladder is full, and the
nurse will collect catheterized specimens.
d. Urinate immediately into a urinal, and the lab will collect specimen every
6 hours, for the next 24 hours. - CORRECT ANSWERS Urinate at specific
time, discard the urine, and collect all subsequent urine during the next 24
hours.
Rationale: Urinate at specific time, discard the urine, and collect all
subsequent urine during the next 24 hours is the correct procedure for
collecting 24-hour urine specimen. Discarding even one voided specimen
invalidate the test.
, HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
The nurse is preparing to administer a histamine 2-receptor antagonist to a
client with peptic ulcer disease. What is the primary purpose of this drug
classification?
a. Neutralize hydrochloric (HCI) acid in the stomach
b. Decreases the amount of HCL secretion by the parietal cells in the
stomach
c. Inhibit action of acetylcholine by blocking parasympathetic nerve
endings.
d. Destroys microorganisms causing stomach inflammation. - CORRECT
ANSWERS Decreases the amount of HCL secretion by the parietal cells in
the stomach
Rationale: B correctly describe the action of histamine 2 receptor
antagonist in helping to prevent peptic ulcer disease.
The healthcare provider prescribes acarbose (Precose), an alpha-
glucosidase inhibitor, for a client with Type 2 diabetes mellitus. Which
information provides the best indicator of the drug's effectiveness?
a. Body max index (BMI) between 20 and 24
b. Blood pressure reading less than 120/80 mm Hg
c. Hemoglobin A1C (HbA1C) reading less than 7%
d. Self-reported glucose levels of 120-150 mg/dl. - CORRECT ANSWERS
Hemoglobin A1C (HbA1C) reading less than 7%
Rationale: Acarbose (Precose) delays carbohydrate absorption in the GI
tract and causes the blood glucose to rise slowly after a meal. The best
indicator of acarbose effectiveness is a serum hemoglobin A1 no greater
than 7%, an indication of glucose level over time. Acarbose has no effect
Correctly/Verified Brand New Latest Update 2024 RATED A+
DETAILED
A male client is admitted for the removal of an internal fixation that was
inserted for the fracture ankle. During the admission history, he tells the
nurse he recently received vancomycin (vancomycin) for a methicillin-
resistant Staphylococcus aureus (MRSA) wound infection. Which action
should the nurse take? (Select all that apply.)
a. Collect multiple site screening culture for MRSA
b. Call healthcare provider for a prescription for linezolid (Zyrovix)
c. Place the client on contact transmission precautions
d. Obtain sputum specimen for culture and sensitivity
e. Continue to monitor for client sign of infection. - CORRECT ANSWERS
a. Collect multiple site screening culture for MRSA
c. Place the client on contact transmission precautions
e. Continue to monitor for client sign of infection.
Rationale: Until multi-site screening cultures come back negative (A), the
client should be maintained on contact isolation(C) to minimize the risk for
nosocomial infection. Linezolid (Zyvox), a broad spectrum anti-infecting, is
not indicated, unless the client has an active skin structure infection cause
by MRSA or multidrug- resistant strains (MDRSP) of Staphylococcus
aureus. A sputum culture is not indicated D) based on the client's history is
a wound infection.
A vacuum-assistive closure (VAC) device is being use to provide wound
care for a client who has stage III pressure ulcer on a below-the- knee
(BKA) residual limb. Which intervention should the nurse implement to
ensure maximum effectiveness of the device?
,HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
a. Empty the device every 8 hours and change the dressing daily ensure
sterility
b. Extended the transparent film dressing only to edge of wound to prevent
tension.
c. Ensure the transparent dressing has no tears that might create vacuum
leaks
d. Use an adhesive remover when changing the dressing to promote
comfort. - CORRECT ANSWERS Ensure the transparent dressing has no
tears that might create vacuum leak
Rationale: The nurse should ensure that the VAC transparent film is intact,
without tears or loose edges C) because a break in the seal resulting in
drying the wound and decreasing the vacuum. The vacuum-assisted
closure (VAC) device uses an open sponge in the wound bed, sealed with
a transparent film dressing and tube extrudes to a suction device that exert
negative pressure to remove excess wound fluid, reduce the bacterial
count and stimulate granulation. The VAC is changed every other day or
third day, not (A) depending on the stage of wound healing and emptied
when full or weekly. The transparent wound dressing should extend 3 to 5
cm beyond the wound edges, not (B) to ensure and airtight seal. Adhesive
removers leave a reduce that binder transparent film adherence (D)
The nurse is developing the plan of care for a client with pneumonia and
includes the nursing diagnosis of "Ineffective airway clearance related to
thick pulmonary secretions." Which intervention is most important for the
nurse to include in the client's plan of care?
a. Increase fluid intake to 3,000 ml/daily
b. Administer O2 at 5L/mint per nasal cannula
c. Maintain the client in a semi Fowler's position
,HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
d. Provide frequent rest period. - CORRECT ANSWERS Increase fluid
intake to 3,000 ml/daily
Rationale: The plan of care should include an increase in fluid intake (A) to
liquefy and thin secretions for easier removal of thick pulmonary secretion
which facilitates airway clearance. (B) should be implemented for signs of
hypoxia (C) implemented to facilitate lung expansion, and (D) implemented
for activity intolerance, but these interventions do not have the priority of
(A)
The nurse plans to collect a 24- hour urine specimen for a creatinine
clearance test. Which instruction should the nurse provide to the adult male
client?
a. Clearance around the meatus, discard first portion of voiding, and collect
the rest in a sterile bottle
b. Urinate at specific time, discard the urine, and collect all subsequent
urine during the next 24 hours.
c. For the next 24 hours, notify the nurse when the bladder is full, and the
nurse will collect catheterized specimens.
d. Urinate immediately into a urinal, and the lab will collect specimen every
6 hours, for the next 24 hours. - CORRECT ANSWERS Urinate at specific
time, discard the urine, and collect all subsequent urine during the next 24
hours.
Rationale: Urinate at specific time, discard the urine, and collect all
subsequent urine during the next 24 hours is the correct procedure for
collecting 24-hour urine specimen. Discarding even one voided specimen
invalidate the test.
, HESI 799 RN Exit Exam 100Questions and Answers All Answers 100%
Correctly/Verified Brand New Latest Update 2024 RATED A+
The nurse is preparing to administer a histamine 2-receptor antagonist to a
client with peptic ulcer disease. What is the primary purpose of this drug
classification?
a. Neutralize hydrochloric (HCI) acid in the stomach
b. Decreases the amount of HCL secretion by the parietal cells in the
stomach
c. Inhibit action of acetylcholine by blocking parasympathetic nerve
endings.
d. Destroys microorganisms causing stomach inflammation. - CORRECT
ANSWERS Decreases the amount of HCL secretion by the parietal cells in
the stomach
Rationale: B correctly describe the action of histamine 2 receptor
antagonist in helping to prevent peptic ulcer disease.
The healthcare provider prescribes acarbose (Precose), an alpha-
glucosidase inhibitor, for a client with Type 2 diabetes mellitus. Which
information provides the best indicator of the drug's effectiveness?
a. Body max index (BMI) between 20 and 24
b. Blood pressure reading less than 120/80 mm Hg
c. Hemoglobin A1C (HbA1C) reading less than 7%
d. Self-reported glucose levels of 120-150 mg/dl. - CORRECT ANSWERS
Hemoglobin A1C (HbA1C) reading less than 7%
Rationale: Acarbose (Precose) delays carbohydrate absorption in the GI
tract and causes the blood glucose to rise slowly after a meal. The best
indicator of acarbose effectiveness is a serum hemoglobin A1 no greater
than 7%, an indication of glucose level over time. Acarbose has no effect
