NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
• Agclientgwithgtypeg2gdiabetesgmellitusgisgadmittedgforgfrequentghyperglycemicg
episodesgandgagglycosylatedghemoglobing(HbA1c)gofg10%.gInsulingglargineg10gunitsg
subcutaneouslygoncegagdaygatgbedtimegandgagslidinggscalegwithginsulingaspartgq6hgar
egprescribed.gWhatgactiongshouldgthegnursegincludegingthisgclient'sgplangofgcare?
(correctgAnswer-
gFingerstickgglucosegassessmentgq6hgwithgmealsg Reviewgwithgtheg
clientgpropergfootgcaregandgpreventiongofginjury
CoordinategcarbohydrategcontrolledgmealsgatgconsistentgtimesgandgintervalsgTe
achgsubcutaneousginjectiongtechnique,gsitegrotationgandginsulingmanagement
• Whichgproblemgreportedgbygagclientgtakingglovastatingrequiresgthegmostg
immediategfallowgupgbygthegnurse?
(correctgAnswer-gMusclegpain
• Whilegassessinggagclient'sgchestgtubeg(CT),gthegnursegdiscoversgbubblinggingtheg
watergsealgchambergofgthegchestgtubegcollectiongdevice.gThegclient'sgvitalgsignsgare:g
bloodgpressuregofg80/40gmmHg,gheartgrateg120gbeats/minutes,grespiratorygrateg32gb
reaths/minutes,goxygengsaturationg88%.gWhichginterventionsgshouldgthegnursegimpl
ement?
g(correctgAnswer-
gProvidegsupplementalgoxygengAuscultategbilater
alglunggfields
ReinforcegocclusivegCTgdressing
• Beforegleavinggthegroomgofgagconfusedgclient,gthegnursegnotesgthatgaghalfgbowg
knotgwasgusedgtogattachgthegclient'sgwristgrestraintsgtogthegmovablegportiongofgthegc
lient'sgbedgframe.gWhatgactiongshouldgthegnursegtakegbeforegleavinggthegroom?
(correctgAnswer-gEnsuregthatgthegknotgcangbegquicklygreleased.
• Oralgantibioticsgaregprescribedgforgang18-month-
oldgtoddlergwithgseveregotitisgmedia.gAngantipyrinegandgbenzocaine-
oticgalsogprescribedgforgpaingandginflammation.gWhatginstructiongshouldgthegnurse
gemphasizegconcerninggtheginstallationgofgthegantipyrine/benzocainegoticgsolution?
(correctgAnswer-
gHavegthegchildgliegwithgthegeargupgforgonegtogtwogminutegafterg
installation.
• Angoldergadultgmalegisgadmittedgwithgcomplicationsgrelatedgtogchronicgob
structivegpulmonarygdiseaseg(COPD).gHegreportsgprogressivegdyspneagthatgwo
rsensgongexertiongandghisgweaknessghasgincreasedgovergthegpastgmonth.gThegnu
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
,NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
rsegnotesgthatgheghasgdependentgedemagingbothglowerglegs.gBasedgongthesegass
essmentgfindings,gwhichgdietaryginstructiongshouldgthegnursegprovide?
(correctgAnswer-gRestrictgdailygfluidgintake.
• Agclientgreceivesgagnewgprescriptiongforgsimvastating(Zocor)g5gmggPOgdailygatg
bedtime.gWhatgactiongshouldgthegnursegtake?
(correctgAnswer-gAdministergthegmedicationgasgprescribedgwithgagglassgofgwater
• Whichgclientgshouldgthegnursegassessgfrequentlygbecausegofgthegriskgforg
overflowgincontinence?
AgclientgWhogisgconfusedgandgfrequentlygforgetsgtoggogtogthegbathroom
• Whilegmonitoringgagclientgduringgagseizure,gwhichginterventionsgshouldgtheg
nursegimplement?g(Selectgallgthatgapply)
(correctgAnswer-
Movegobstaclegawaygfromgclientg
MonitorgphysicalgmovementsgObs
ervegforgagpatentgairwaygRecordgt
hegdurationgofgthegseizure
• Agmalegclientgwithgaglongghistorygofgalcoholismgisgadmittedgbecausegofgmildg
confusiongandgfinegmotorgtremors.gHegreportsgthatghegquitgdrinkinggalcoholgandgs
toppedgsmokinggcigarettesgonegmonthgagogafterghisgbrothergdiedgofglunggcancer.
Whichginterventiongisgmostgimportantgforgthegnursesgtogincludegingthegclient'sgplango
fgcare?
(correctgAnswer-gObservegforgchangesginglevelgofgconsciousness.
• Angoldergadultgfemalegadmittedgtogthegintensivegcaregunitg(ICU)gwithgagpossib
legstrokegisgintubatedgwithgventilatorgsettinggofgtidalgvolumeg600,gPlO2g40%,gandgre
spiratorygrategofg12gbreaths/minute.gThegarterialgbloodggasg(ABG)gresultsgaftergintu
bationgaregPHg7.31.gPaCO2g60,gPaO2g104,gSPO2g98%,gHCO3g23.gTognormalizegth
egclient'sgABGgfinding,gwhichgactiongisgrequired?
correctgAnswer-gIncreasegventilatorgrate.
• Thegmothergofgtheg12-gmonth-
oldgwithgcysticgfibrosisgreportsgthatghergchildgisgexperiencinggincreasinggcongestion
gdespitegthegusegofgchestgphysicalgtherapyg(CPT)g twicegagday,gandghasgalsogexperienc
esgaglossgofgappetite.gWhatginstructiongshouldgthegnursegprovide?
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
,NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
g(correctgAnswer-
gCPTgshouldgbegperformedgmoregfrequently,gbutgatgleastganghourg
beforegmeals.
• Theg nurseg isg evaluatingg theg dietg teachingg ofg ag clientg withg hypertension.g
Whatgdinnergselectiongindicatesgthatgthegclientgunderstandsgthegdietarygrecommen
dationforghypertension?
(correctgAnswer-gBakedgporkgchop,gapplesauce,gcorngongthegcob,g2%gmilk,gandgkey-
limegpie
g
• Thegnurseginsertsgangindwellinggurinarygcathetergasgseengingthegvideogwhatg
actiongshouldgthegnursegtakegnext?
g(correctgAnswer-gLeavegthegcathetergingplacegandgobtaingagsterilegcatheter.
•
• Agclientgwithgcoronarygarterygdiseasegwhogisgexperiencinggsyncopalgepisodesg
isgadmittedgforgangelectrophysiologygstudyg(EPS)gandgpossiblegcardiacgablationgth
erapy.gWhichginterventiongshouldgthegnursegdelegategtogthegunlicensedgassistivegp
ersonnelg(UAP)?
(correctgAnswer-gPreparegthegskingforgprocedure.
• Fallowinggangoutbreakgofgmeaslesginvolvingg5gstudentsgingangelementaryg
school,gwhichgactiongisgmostgimportantgforgthegschoolgnursegtogtake?g(correctg
Answer-
gRestrictgunvaccinatedgchildrengfromgattendinggschoolguntilgmeaslesgoutbreak
gisgresolved.
• Agpreeclampticgclientgwhogdeliveredg24hgagogremainsgingtheglaborgandgdeliver
ygrecoverygroom.gShegcontinuesgtogreceivegmagnesiumgsulfategatg2ggramsgperghour.g
Hergtotalginputgisglimitedgtog125gmlgperghour,gandghergurinarygoutputgforgtheglastghou
rgwasg850gml.gWhatginterventiongshouldgthegnursegimplement?
(correctgAnswer-gContinuegwithgthegplangofgcaregforgthisgclient
• Thegnursegisgplanninggcaregforgagclientgwhogadmitsghavinggsuicidalgthoughts.g
Whichgclientgbehaviorgindicatesgtheghighestgriskgforgthegclientgactinggongthesegsui
cidalgthoughts?
g(correctgAnswer-gBegingtogshowgsignsgofgimprovementgingaffect
• Whengassessinggagmultigravidagthegfirstgpostpartumgday,gthegnursegfindsgag
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
, NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
moderategamountgofglochiagrubra,gwithgtheguterusgfirm,gandgthreegfingerbreadthsg
abovegthegumbilicus.gWhatgactiongshouldgthegnursegimplementgfirst?
g(correctgAnswer-gCheckgforgagdestinedgbladder
• Ag12gyeargoldgclientgwhoghadgangappendectomygtwogdaysgagogisgreceivingg0.9
%gnormalgsalinegatg50gml/hour.gThegclient'sgurinegspecificggravitygisg1.035.gWhatgact
iongshouldgthegnursegimplement?
g(correctgAnswer-gEncouragegpopsiclesgandgfluidsgofgchoice
• Angoldergmalegclientgarrivesgatgthegclinicgcomplaininggthatghisgbladdergalwaysg
feelsgfull.gHegcomplainsgofgweakgurinegflow,gfrequentgdribblinggaftergvoiding,gand
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
• Agclientgwithgtypeg2gdiabetesgmellitusgisgadmittedgforgfrequentghyperglycemicg
episodesgandgagglycosylatedghemoglobing(HbA1c)gofg10%.gInsulingglargineg10gunitsg
subcutaneouslygoncegagdaygatgbedtimegandgagslidinggscalegwithginsulingaspartgq6hgar
egprescribed.gWhatgactiongshouldgthegnursegincludegingthisgclient'sgplangofgcare?
(correctgAnswer-
gFingerstickgglucosegassessmentgq6hgwithgmealsg Reviewgwithgtheg
clientgpropergfootgcaregandgpreventiongofginjury
CoordinategcarbohydrategcontrolledgmealsgatgconsistentgtimesgandgintervalsgTe
achgsubcutaneousginjectiongtechnique,gsitegrotationgandginsulingmanagement
• Whichgproblemgreportedgbygagclientgtakingglovastatingrequiresgthegmostg
immediategfallowgupgbygthegnurse?
(correctgAnswer-gMusclegpain
• Whilegassessinggagclient'sgchestgtubeg(CT),gthegnursegdiscoversgbubblinggingtheg
watergsealgchambergofgthegchestgtubegcollectiongdevice.gThegclient'sgvitalgsignsgare:g
bloodgpressuregofg80/40gmmHg,gheartgrateg120gbeats/minutes,grespiratorygrateg32gb
reaths/minutes,goxygengsaturationg88%.gWhichginterventionsgshouldgthegnursegimpl
ement?
g(correctgAnswer-
gProvidegsupplementalgoxygengAuscultategbilater
alglunggfields
ReinforcegocclusivegCTgdressing
• Beforegleavinggthegroomgofgagconfusedgclient,gthegnursegnotesgthatgaghalfgbowg
knotgwasgusedgtogattachgthegclient'sgwristgrestraintsgtogthegmovablegportiongofgthegc
lient'sgbedgframe.gWhatgactiongshouldgthegnursegtakegbeforegleavinggthegroom?
(correctgAnswer-gEnsuregthatgthegknotgcangbegquicklygreleased.
• Oralgantibioticsgaregprescribedgforgang18-month-
oldgtoddlergwithgseveregotitisgmedia.gAngantipyrinegandgbenzocaine-
oticgalsogprescribedgforgpaingandginflammation.gWhatginstructiongshouldgthegnurse
gemphasizegconcerninggtheginstallationgofgthegantipyrine/benzocainegoticgsolution?
(correctgAnswer-
gHavegthegchildgliegwithgthegeargupgforgonegtogtwogminutegafterg
installation.
• Angoldergadultgmalegisgadmittedgwithgcomplicationsgrelatedgtogchronicgob
structivegpulmonarygdiseaseg(COPD).gHegreportsgprogressivegdyspneagthatgwo
rsensgongexertiongandghisgweaknessghasgincreasedgovergthegpastgmonth.gThegnu
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
,NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
rsegnotesgthatgheghasgdependentgedemagingbothglowerglegs.gBasedgongthesegass
essmentgfindings,gwhichgdietaryginstructiongshouldgthegnursegprovide?
(correctgAnswer-gRestrictgdailygfluidgintake.
• Agclientgreceivesgagnewgprescriptiongforgsimvastating(Zocor)g5gmggPOgdailygatg
bedtime.gWhatgactiongshouldgthegnursegtake?
(correctgAnswer-gAdministergthegmedicationgasgprescribedgwithgagglassgofgwater
• Whichgclientgshouldgthegnursegassessgfrequentlygbecausegofgthegriskgforg
overflowgincontinence?
AgclientgWhogisgconfusedgandgfrequentlygforgetsgtoggogtogthegbathroom
• Whilegmonitoringgagclientgduringgagseizure,gwhichginterventionsgshouldgtheg
nursegimplement?g(Selectgallgthatgapply)
(correctgAnswer-
Movegobstaclegawaygfromgclientg
MonitorgphysicalgmovementsgObs
ervegforgagpatentgairwaygRecordgt
hegdurationgofgthegseizure
• Agmalegclientgwithgaglongghistorygofgalcoholismgisgadmittedgbecausegofgmildg
confusiongandgfinegmotorgtremors.gHegreportsgthatghegquitgdrinkinggalcoholgandgs
toppedgsmokinggcigarettesgonegmonthgagogafterghisgbrothergdiedgofglunggcancer.
Whichginterventiongisgmostgimportantgforgthegnursesgtogincludegingthegclient'sgplango
fgcare?
(correctgAnswer-gObservegforgchangesginglevelgofgconsciousness.
• Angoldergadultgfemalegadmittedgtogthegintensivegcaregunitg(ICU)gwithgagpossib
legstrokegisgintubatedgwithgventilatorgsettinggofgtidalgvolumeg600,gPlO2g40%,gandgre
spiratorygrategofg12gbreaths/minute.gThegarterialgbloodggasg(ABG)gresultsgaftergintu
bationgaregPHg7.31.gPaCO2g60,gPaO2g104,gSPO2g98%,gHCO3g23.gTognormalizegth
egclient'sgABGgfinding,gwhichgactiongisgrequired?
correctgAnswer-gIncreasegventilatorgrate.
• Thegmothergofgtheg12-gmonth-
oldgwithgcysticgfibrosisgreportsgthatghergchildgisgexperiencinggincreasinggcongestion
gdespitegthegusegofgchestgphysicalgtherapyg(CPT)g twicegagday,gandghasgalsogexperienc
esgaglossgofgappetite.gWhatginstructiongshouldgthegnursegprovide?
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
,NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
g(correctgAnswer-
gCPTgshouldgbegperformedgmoregfrequently,gbutgatgleastganghourg
beforegmeals.
• Theg nurseg isg evaluatingg theg dietg teachingg ofg ag clientg withg hypertension.g
Whatgdinnergselectiongindicatesgthatgthegclientgunderstandsgthegdietarygrecommen
dationforghypertension?
(correctgAnswer-gBakedgporkgchop,gapplesauce,gcorngongthegcob,g2%gmilk,gandgkey-
limegpie
g
• Thegnurseginsertsgangindwellinggurinarygcathetergasgseengingthegvideogwhatg
actiongshouldgthegnursegtakegnext?
g(correctgAnswer-gLeavegthegcathetergingplacegandgobtaingagsterilegcatheter.
•
• Agclientgwithgcoronarygarterygdiseasegwhogisgexperiencinggsyncopalgepisodesg
isgadmittedgforgangelectrophysiologygstudyg(EPS)gandgpossiblegcardiacgablationgth
erapy.gWhichginterventiongshouldgthegnursegdelegategtogthegunlicensedgassistivegp
ersonnelg(UAP)?
(correctgAnswer-gPreparegthegskingforgprocedure.
• Fallowinggangoutbreakgofgmeaslesginvolvingg5gstudentsgingangelementaryg
school,gwhichgactiongisgmostgimportantgforgthegschoolgnursegtogtake?g(correctg
Answer-
gRestrictgunvaccinatedgchildrengfromgattendinggschoolguntilgmeaslesgoutbreak
gisgresolved.
• Agpreeclampticgclientgwhogdeliveredg24hgagogremainsgingtheglaborgandgdeliver
ygrecoverygroom.gShegcontinuesgtogreceivegmagnesiumgsulfategatg2ggramsgperghour.g
Hergtotalginputgisglimitedgtog125gmlgperghour,gandghergurinarygoutputgforgtheglastghou
rgwasg850gml.gWhatginterventiongshouldgthegnursegimplement?
(correctgAnswer-gContinuegwithgthegplangofgcaregforgthisgclient
• Thegnursegisgplanninggcaregforgagclientgwhogadmitsghavinggsuicidalgthoughts.g
Whichgclientgbehaviorgindicatesgtheghighestgriskgforgthegclientgactinggongthesegsui
cidalgthoughts?
g(correctgAnswer-gBegingtogshowgsignsgofgimprovementgingaffect
• Whengassessinggagmultigravidagthegfirstgpostpartumgday,gthegnursegfindsgag
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
, NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
moderategamountgofglochiagrubra,gwithgtheguterusgfirm,gandgthreegfingerbreadthsg
abovegthegumbilicus.gWhatgactiongshouldgthegnursegimplementgfirst?
g(correctgAnswer-gCheckgforgagdestinedgbladder
• Ag12gyeargoldgclientgwhoghadgangappendectomygtwogdaysgagogisgreceivingg0.9
%gnormalgsalinegatg50gml/hour.gThegclient'sgurinegspecificggravitygisg1.035.gWhatgact
iongshouldgthegnursegimplement?
g(correctgAnswer-gEncouragegpopsiclesgandgfluidsgofgchoice
• Angoldergmalegclientgarrivesgatgthegclinicgcomplaininggthatghisgbladdergalwaysg
feelsgfull.gHegcomplainsgofgweakgurinegflow,gfrequentgdribblinggaftergvoiding,gand
NUR 4262 ALL HESI EXIT Questions and Answers Tes
g g g g g g g g
t Bank; A+ Rated Guide (2023)
g g g g g
