Critical Care Exit Hesi Exam Questions And Answers Verified 100% Correct

Critical Care Exit Hesi Exam Questions And Answers Verified 100% Correct 3 - ANSWER-The nurse cares for a client diagnosed with Crohn's disease. The nurse instructs the client about diet. Which menu selection indicates to the nurse that teachingis effective? 1. Cheeseburger on a whole-wheat bun, french fries, and an apple.2. Tomato soup, saltines, and a slice of unfrosted angel food cake.3. Baked cod, biscuit without butter, fruit roll-up. 4. Macaroni and cheese, coleslaw, 2 macaroon cookies 3 - ANSWER-The nursing team consists of one RN, one LPN/LVN and two nursing assistive personnel (NAPs). Which assignment is MOST appropriate for the LPN/LVN?1. A 38-yearold client diagnosed with Guillain-Barré syndrome receiving plasmapheresis therapy. 2. A 72-year-old client admitted yesterday with a 10-day history of oral antibiotic therapyand a 24-hour history of watery diarrhea. 3. A 78-year-old client diagnosed with a thrombotic cerebrovascular accident 5 daysago. 4. A 86-year-old client just admitted with malaise, a productive cough, and WBC 17,000mm3. 1 - ANSWER-The nurse cares for a client during a 24-hour urine specimen collection. Several hours later, the client tells the nurse that she has started to menstruate. Whichaction by the nurse is MOST appropriate? 1. Inform the health care provider that the client is menstruating. 2. Send the urine collected prior to the onset of the client's menstruation to the lab. 3. Insert an indwelling bladder catheter during the remainder of the collection period. 4. Request a separate urine collection container from the laboratory to be used duringthe remainder of the urine collection period. 2 - ANSWER-The nurse cares for the client in the recovery room after a knee surgery procedure. The client has an oral airway in place. Which is the BEST indicator that theoral airway can be removed? 1. The client has a forceful cough during repositioning .2. The client tries to chew on the oral airway.. 3. The client tries to push the airway out with his tongue.4. The client is able to swallow. 2 - ANSWER-The nurse cares for clients in the antepartum clinic. Which client shouldthe nurse see FIRST? 1. An 18-year-old multigravida client at 28 weeks gestation with a positive indirect Coombs' test. 2. A 24-year-old multigravida client at 32 weeks gestation with moderate facial edema.3. A 30- year-old client at 26 weeks gestation with bilateral yellow breast exudate. 4. A 43-year-old primigravida client at 18 weeks of gestation reporting an absence offetal movement. 3 - ANSWER-The nurse instructs a client about include digoxin (Lanoxin), furosemide (Lasix), spironolactone (Aldactone), and a low-sodium diet. Which statement by the client indicates the need for further instruction? 1. "I should weigh myself every morning and call the health care provider if I gain morethan a couple of pounds in a few days." 2. "I should call the health care provider immediately if I start to feel nauseated or have difficulty breathing with normal activities." 3. "I plan to use salt substitutes now that I have to limit my sodium intake." 4. "I should read food and nonprescription medication labels to check the ingredients." 2 - ANSWER-The nurse cares for a client scheduled for a femoral popliteal bypass procedure. When the nurse approaches the client with the informed consent form, theclient says, "I don't need to talk to anybody about this procedure. I already know everything I need to know about it." Which response by the nurse is BEST? 1. "After I explain the operation to you, both of us will sign the form for legal purposesand it will be placed in your chart." 2. "Tell me what the healthcare provider told you about the risks and benefits of this operation." 3. "Can I ANSWER any questions that you have about the procedure?" 4. "You should read all these materials to be sure that you understand everything aboutthis procedure." 1 - ANSWER-A man scheduled for a vasectomy tells the nurse that he and his wife areinvolved in a monogamous relationship. Which statement by the nurse is BEST? 1. "You will need to wear a condom when having sexual intercourse for 6 weeks following the vasectomy." 2. "No other form of birth control is necessary for you or your wife at this time." 3. "You do not need to wear a condom when having sexual intercourse for the next fewweeks, but your wife should use spermicidal jelly." 4. "Always wear a condom when having sexual intercourse because not all vasectomiesare successful." 1 - ANSWER-The nurse prepares to assign a client requiring a capillary blood glucosetest to a newly hired nursing assistive personnel. Which action should the nurse take FIRST? 1. "Show me how you check a capillary glucose level." 2. "How many of these glucose checks have you done in the past?" 3. "Would you like for me to go with you when you do the glucose test?" 4. "Was this procedure covered during your nursing assistive personnel class?" 1 - ANSWER-A 12-year-old diagnosed boy with a fractured right femur is placed in balanced suspension traction with a Thomas splint and Pearson attachment. The nurseis MOST concerned by which client statement? 1. "I will experience more muscle spasms and pain while my leg is in traction." 2. "I can lift my body up while I grab the overhead trapeze and bend my left leg." 3. "The health care provider told me it is okay to move the head of my bed up and downby myself." 4. "I need to put the phone where I can reach for it without moving onto my side." 2 - ANSWER-The nurse prioritizes the needs of a client who has been raped. Whichnursing action is MOST important? 1. Observe the client for withdrawn, tearful behavior.2. Determine if the client sustained any injuries. 3. Obtain information about events which preceded the rape. 4. Accurately document the client's comments about the rape. 2 - ANSWER-A child in a new plaster walking cast has dusky, swollen toes. Whichaction by the nurse is MOST appropriate? 1. Get Doppler studies to check the pulse.2. Notify the healthcare provider. 3. Determine if the cast is dry. 4. Check the client's vital signs 3 - ANSWER-The nurse reviews medications with a 35-year-old female. The client takes200 mg carbamazepine (Tegretol) orally twice daily. The client asks the nurse about future pregnancies. Which statement by the nurse is MOST appropriate? 1. "If you take 5 mg folic acid daily while trying to conceive, you should be able to get pregnant." 2. "It is recommended that you take carbamazepine suspension instead of the tabletswhen trying to get pregnant." 3. "You should contact your health care provider and discuss your concerns about pregnancy." 4. "If you avoid drinking grapefruit juice, there should be no problem with conception." 3 - ANSWER-The nurse cares for the client 3 days after a stroke. It is MOST importantfor the nurse to take which action? 1. Instruct the client to push with the feet while moving client up in bed.2. Offer the client soft foods on request. 3. Auscultate the client's lungs every 4 hours. 4. Observe the client's legs for warm, reddened, and tender areas every 4 hours