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hesi exam version 1 2022 HESI Exit RN V4 AHIP other
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Gabby_Acevedo99 Preview goldygal007 Preview cheruiyot_kiplanga
A mother runs into the b. Determine type of chemical exposure
emergency department with a
toddler in her arms and tells the
nurse that her child got into
some cleaning products. the
child smells of chemicals on the
hands, face, and on the front of
the child's clothes. after ensuring
the airway is patent, what action
should the nurse implement
first?
a. Assess the child for altered
sensorium
b. Determine type of chemical
exposure
c. Obtain equipment for gastric
lavage
d. Call poison control
emergency number
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Which conditions are most likely b. Allergic rhinitis
to respond to treatment with d. Contact dermatitis
antihistamines? Select all that
apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis
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,An older client's daughter calls a. Ask if the mother is experiencing any pain with urination
the home health nurse and c. Instruct the daughter to check her mother's temperature
reports that her mother has e. Determine if the mother has recently experienced a fall
become forgetful and is very
confused at night. The daughter
states that her mother's behavior
changed suddenly a few days
ago and is now getting worse.
Which action should the nurse
take? Select all that apply.
a. Ask if the mother is
experiencing any pain with
urination
b. Encourage increased intake of
high protein foods
c. Instruct the daughter to check
her mother's temperature
d. Review the client's current
food and medication allergies
e. Determine if the mother has
recently experienced a fall
The nurse is assessing a male b. Hydrocortisone 100 mg IV every six hours until systolic BP
with a history of Addison's reaches 110 mmHg
disease. The client has flu-like
symptoms and nausea with
vomiting over the past week.
The client's spouse reports that
he acted confused and was
extremely weak when he awoke
this morning. The client is febrile
and has tachycardia. The health
care provider diagnoses acute
adrenal insufficiency. Which
medication will most likely be
prescribed?
a. Hypertonic saline solution at
100 ml/hr until all edema
disappears
b. Hydrocortisone 100 mg IV
every six hours until systolic BP
reaches 110 mmHg
c. Potassium chloride 20 mEq IV
to infuse over 2 hours until
confusion resolves
d. Regular insulin drip to keep
blood glucose around 100
mg/dl (5.55 mmol/L)
,A client with a history of mitral a. Monitor cardiac rhythm via telemetry
valve prolapse is admitted b. Report changes in pre-existing murmurs
because of fever and dyspnea e. Initiate contact transmission precautions
on exertion, and is diagnosed
with acute infective
endocarditis. During the
admission assessment, the nurse
observes multiple areas of
petechiae on the client's skin.
Which intervention should the
nurse include in the client's plan
of care? Select all that apply.
a. Monitor cardiac rhythm via
telemetry
b. Report changes in pre-
existing murmurs
c. Schedule rest periods
between activities
d. Maintain record of fluid intake
and output
e. Initiate contact transmission
precautions
The nurse is planning an c. Position the infant in a supine position while sleeping
educational session for new
parents on ways to prevent
sudden infant death syndrome
(SIDS). Which information is
most important to provide
parents of newborns and
infants?
a. Remove pillows and soft toys
from the crib at bedtime
b. Keep a bulb syringe
accessible for use for an infant
c. Position the infant in a supine
position while sleeping
d. Do not prop bottles for an
infant during naps and bedtime
The healthcare provider a. Hypertension
prescribes methylergonovine
maleate for a postpartum client
with uterine atony. What findings
should indicate to the nurse to
withhold the next dose of
medication?
a. Hypertension
b. Difficulty locating the uterine
fundus
c. Saturation of more than one
pad per hour
d. Excessive lochia
, The nurse notes that an older b. Request a consultation to confirm dysphasia
adult client has a moist cough
that increases in severity during
and after meals. Based on this
finding, which action should the
nurse take?
a. Collect a sputum specimen
immediately
b. Request a consultation to
confirm dysphasia
c. Offer the client additional
clear liquids frequently
d. Encourage the client to do
deep breathing exercises daily
A multiparous client who d. Review the use of sitz bath equipment with the client
delivered her infant 3 hours ago
asks the nurse if she can take a
warm sitz bath because it
helped reduce perennial pain
after her last delivery. What
action should the nurse
implement?
a. Using analgesic spray to the
perennial area to reduce pain
b. Apply an ice pack to the
perineum for the first 24 hours
c. Teach the client how to
practice kegel exercises
d. Review the use of sitz bath
equipment with the client
When the parents of a 6-year- b. Assure the parents that a terminal diagnosis was inevitable
old boy with a brain tumor are
told that his condition is but I think d???
terminal, the mother shouts at
the father, "This is your fault! It
never would have happened if
we sought treatment sooner!"
Which intervention is best for
the nurse to implement?
a. Refer the parents to the
chaplain to provide grief
counseling
b. Assure the parents that a
terminal diagnosis was inevitable
c. Tell the parents that blame
each other will not change the
situation
d. Explain to the parents that
anger is a common response to
grief