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HESI RN Exit VI Share this
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Answer and Explanation
Question 1: Report an Issue
Report Wrong Answer
Choice A:
Food contamination from flood waters can
A client arrives at a hurricane lead to gastrointestinal issues, but in
disaster medical area seeking disaster scenarios, contaminated drinking
treatment for diarrhea, Which water is a more common source of
source of contamination should the widespread diarrhea.
nurse consider when interviewing
the client about exposure? Choice B:
A. Food contamination from flood Close living quarters at evacuation centers
waters. can contribute to the spread of infectious
B. Close living quarters at diseases, but they are less likely to be the
evacuation centers. primary source of contamination
compared to drinking water.
C. Nosocomial transmission in the
medical area.
Choice C:
D. Drinking water contaminated by
sewage. Nosocomial transmission in the medical
area is possible but less likely to be the
primary source of widespread diarrhea
among disaster victims.
Choice D:
Drinking water contaminated by sewage is
a common and significant source of
gastrointestinal infections, especially in
disaster scenarios where infrastructure
may be compromised.
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Answer and Explanation
Question 2: Report an Issue
Choice A:
Report Wrong Answer
Auscultating bowel sounds in all quadrants helps
assess the extent of gastrointestinal involvement
A client with deep vein thrombosis and possible complications.
(DVT) is receiving a continuous
Choice B:
intravenous heparin infusion. The
Administering warfarin is not appropriate in this
client now has tarry, black diarrhea
acute situation where there may be active
and reports abdominal pain. Which
bleeding; instead, the heparin infusion should be
actions should the nurse implement?
stopped.
Select all that apply.
A. Auscultate bowel sounds in all Choice C:
quadrants. Assessing the characteristics of the pain is
crucial for determining the severity and possible
B. Prepare to administer warfarin.
source of the gastrointestinal symptoms.
Choice D:
C. Assess characteristics of pain.
Monitoring stools for the presence of blood is
essential to confirm gastrointestinal bleeding
D. Monitor stools for presence of and the extent of blood loss.
blood.
Choice E:
E. Review last partial Reviewing the last partial thromboplastin time
thromboplastin time results. results helps assess the anticoagulation status of
the client and the potential need for reversal.
Discussion Section
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, Answer and Explanation
Question 3: Report an Issue
Report Wrong Answer Choice A:
Shuffling gait and stooped posture are common
The nurse is interviewing a client with side effects of antipsychotic medications and
schizophrenia. Which client behavior may require intervention but are not immediately
requires immediate intervention? dangerous.
A. Shuffling gait and stooped
posture. Choice B:
B. Rocks back and forth in the chair. Rocking back and forth in the chair can be a self-
soothing behavior in individuals with
schizophrenia and usually does not require
C. Muscle spasms of the back and
immediate intervention.
neck.
D. Lip smacking and frequent eye Choice C:
blinking. Muscle spasms of the back and neck (dystonia)
can be a sign of a serious side effect of
antipsychotic medications known as
extrapyramidal symptoms and require immediate
intervention to prevent complications such as
airway obstruction.
Choice D:
Lip smacking and frequent eye blinking can
indicate tardive dyskinesia, a long-term side
effect of antipsychotic medication, but it is not an
immediate emergency.
Discussion Section
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Answer and Explanation
Question 4: Report an Issue
Report Wrong Answer Choice A:
In emergency situations where immediate
An unresponsive victim of a diving surgery is required to save a client's life and no
accident is brought to the emergency family members are available, healthcare
department where it is determined that providers can proceed without signed informed
immediate surgery is required to save consent based on implied consent for life-saving
the client's life. The client is treatment.
, accompanied by a close friend, but no Choice B:
family members are available. Which Seeking an emergency court order would delay
action should the nurse take first? necessary treatment and is not the priority in an
A. Carry on with surgical immediate life-threatening situation.
preparation of the client without a
signed informed consent. Choice C:
B. Notify the unit manager that an A friend typically does not have the legal
authority to sign informed consent unless legally
emergency court order is needed
designated as the client's healthcare proxy.
to allow surgery.
C. Ask the client's friend to sign the Choice D:
informed consent since the client is Continuing to provide life support without
unresponsive. proceeding with necessary surgery could
D. Continue to provide life support jeopardize the client's life.
until a thorough search for a
guardian is completed.
Discussion Section
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Answer and Explanation
Question 5: Report an Issue
Report Wrong Answer
Choice A:
Serum sodium level is not directly related to the
While changing a client's postoperative presence of infection or the client's ability to
dressing, the nurse observes purulent fight infection.
drainage at the site. Before reporting
this finding to the healthcare provider, Choice B:
the nurse should note which of the
Platelet count is important for assessing bleeding
client's laboratory values? risk but is not directly related to infection.
A. Serum sodium level.
B. Platelet count. Choice C:
C. Hematocrit. Hematocrit levels are related to the client's blood
volume and anemia status but do not directly
D. Neutrophil count. indicate infection.
Choice D:
Neutrophil count is crucial for assessing the
client’s immune response and ability to fight
HESI RN Exit VI Share this
We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the
latest features, improvements, and component updates, please switch to the new system as soon
as possible.
Visit Latest Version
Answer and Explanation
Question 1: Report an Issue
Report Wrong Answer
Choice A:
Food contamination from flood waters can
A client arrives at a hurricane lead to gastrointestinal issues, but in
disaster medical area seeking disaster scenarios, contaminated drinking
treatment for diarrhea, Which water is a more common source of
source of contamination should the widespread diarrhea.
nurse consider when interviewing
the client about exposure? Choice B:
A. Food contamination from flood Close living quarters at evacuation centers
waters. can contribute to the spread of infectious
B. Close living quarters at diseases, but they are less likely to be the
evacuation centers. primary source of contamination
compared to drinking water.
C. Nosocomial transmission in the
medical area.
Choice C:
D. Drinking water contaminated by
sewage. Nosocomial transmission in the medical
area is possible but less likely to be the
primary source of widespread diarrhea
among disaster victims.
Choice D:
Drinking water contaminated by sewage is
a common and significant source of
gastrointestinal infections, especially in
disaster scenarios where infrastructure
may be compromised.
, Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 2: Report an Issue
Choice A:
Report Wrong Answer
Auscultating bowel sounds in all quadrants helps
assess the extent of gastrointestinal involvement
A client with deep vein thrombosis and possible complications.
(DVT) is receiving a continuous
Choice B:
intravenous heparin infusion. The
Administering warfarin is not appropriate in this
client now has tarry, black diarrhea
acute situation where there may be active
and reports abdominal pain. Which
bleeding; instead, the heparin infusion should be
actions should the nurse implement?
stopped.
Select all that apply.
A. Auscultate bowel sounds in all Choice C:
quadrants. Assessing the characteristics of the pain is
crucial for determining the severity and possible
B. Prepare to administer warfarin.
source of the gastrointestinal symptoms.
Choice D:
C. Assess characteristics of pain.
Monitoring stools for the presence of blood is
essential to confirm gastrointestinal bleeding
D. Monitor stools for presence of and the extent of blood loss.
blood.
Choice E:
E. Review last partial Reviewing the last partial thromboplastin time
thromboplastin time results. results helps assess the anticoagulation status of
the client and the potential need for reversal.
Discussion Section
M Share insights...
0 Pulse Checks
No comments
, Answer and Explanation
Question 3: Report an Issue
Report Wrong Answer Choice A:
Shuffling gait and stooped posture are common
The nurse is interviewing a client with side effects of antipsychotic medications and
schizophrenia. Which client behavior may require intervention but are not immediately
requires immediate intervention? dangerous.
A. Shuffling gait and stooped
posture. Choice B:
B. Rocks back and forth in the chair. Rocking back and forth in the chair can be a self-
soothing behavior in individuals with
schizophrenia and usually does not require
C. Muscle spasms of the back and
immediate intervention.
neck.
D. Lip smacking and frequent eye Choice C:
blinking. Muscle spasms of the back and neck (dystonia)
can be a sign of a serious side effect of
antipsychotic medications known as
extrapyramidal symptoms and require immediate
intervention to prevent complications such as
airway obstruction.
Choice D:
Lip smacking and frequent eye blinking can
indicate tardive dyskinesia, a long-term side
effect of antipsychotic medication, but it is not an
immediate emergency.
Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 4: Report an Issue
Report Wrong Answer Choice A:
In emergency situations where immediate
An unresponsive victim of a diving surgery is required to save a client's life and no
accident is brought to the emergency family members are available, healthcare
department where it is determined that providers can proceed without signed informed
immediate surgery is required to save consent based on implied consent for life-saving
the client's life. The client is treatment.
, accompanied by a close friend, but no Choice B:
family members are available. Which Seeking an emergency court order would delay
action should the nurse take first? necessary treatment and is not the priority in an
A. Carry on with surgical immediate life-threatening situation.
preparation of the client without a
signed informed consent. Choice C:
B. Notify the unit manager that an A friend typically does not have the legal
authority to sign informed consent unless legally
emergency court order is needed
designated as the client's healthcare proxy.
to allow surgery.
C. Ask the client's friend to sign the Choice D:
informed consent since the client is Continuing to provide life support without
unresponsive. proceeding with necessary surgery could
D. Continue to provide life support jeopardize the client's life.
until a thorough search for a
guardian is completed.
Discussion Section
M Share insights...
0 Pulse Checks
No comments
Answer and Explanation
Question 5: Report an Issue
Report Wrong Answer
Choice A:
Serum sodium level is not directly related to the
While changing a client's postoperative presence of infection or the client's ability to
dressing, the nurse observes purulent fight infection.
drainage at the site. Before reporting
this finding to the healthcare provider, Choice B:
the nurse should note which of the
Platelet count is important for assessing bleeding
client's laboratory values? risk but is not directly related to infection.
A. Serum sodium level.
B. Platelet count. Choice C:
C. Hematocrit. Hematocrit levels are related to the client's blood
volume and anemia status but do not directly
D. Neutrophil count. indicate infection.
Choice D:
Neutrophil count is crucial for assessing the
client’s immune response and ability to fight
