EXIT HESI EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

EXIT HESI EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ Terms in this set (48) The nurse is completing the admission assessment of a 3 - year - old who is admitted with bacterial meningitis and hydrocephalus Which assessment finding evidence that the child is experience increased intracranial pressure ( ICP ) ? A Tachycardia and tachypnea B Sluggish and unequal pupillary responses . C Increased head circumference and bulging fontanels D Blood pressure fluctuations and syncope . B Sluggish and unequal pupillary responses . A client with acute pancreatitis is admitted with severe , piercing abdominal pain and an elevated serum amylase . Which additional information is the client most likely to report to the nurse? A Abdominal pain decreases when lying supine . B Pain lasts an hour and leaves the abdomen tender . C Right upper quadrant pain refers to right scapula . D Drinks alcohol until intoxicated at least twice weekly . A Abdominal pain decreases when lying supine . A child newly diagnosed with sickle cell anemia ( SCA ) is being discharged from the hospital . Which information is most important for the nurse to provide the parents prior to discharge ? A Instructions about how much fluid the child should drink daily . B Signs of addiction to opioid pain medications . C Information about non - pharmaceutical pain relief measures . D Referral for social services for the child and family . A Instructions about how much fluid the child should drink daily After receiving report on an inpatient acute care unit , which client should the nurse assess first ? A The client with an obstruction of the large intestine who is experiencing abdominal distention . B The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds C The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid . D The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity . D The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity . A teenager presents to the emergency department with palpitations after vaping at a party . The client is anxious , fearful , and hyperventilating . The nurse anticipates the client developing which acid base imbalance ? A Respiratory acidosis . B Metabolic alkalosis . C Metabolic acidosis . D Respiratory alkalosis . D Respiratory alkalosis . The nurse is taking the blood pressure measurement of a client with Parkinson's disease . Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading ? ( Select all that apply . ) A Frequent syncope . B Occasional nocturia . C Flat affect . D Blurred vision E Frequent drooling . A Frequent syncope . C Flat affect . D Blurred vision While caring for a client's postoperative dressing , the nurse observes purulent drainage at the wound . Before reporting this finding to the healthcare provider , the nurse should review which of the client's laboratory values A Serum albumin . B Culture for sensitive organisms . C Serum blood glucose ( BG ) level . D Creatinine level . B Culture for sensitive organisms . A preschool - aged boy is admitted to the pediatric unit following successful resuscitation from a near - drowning incident . While providing care to the child , the nurse begins talking with his preadolescent brother who rescued the child from the swimming pool and initiated resuscitation . The nurse notices the older boy becomes withdrawn when asked about what happened . Which action should the nurse take ? A Develop a water safety teaching plan for the family . B Ask the older brother how he felt during the incident . C Tell the older brother that he seems depressed . D Commend the older brother for his heroic actions . B Ask the older brother how he felt during the incident .