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HESI EXIT EXAM 1 2022 QUESTIONS WITH VERIFIED CORRECT DETAILED ANSWERS

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HESI EXIT EXAM 1 2022 QUESTIONS WITH VERIFIED CORRECT DETAILED ANSWERS HESI EXIT EXAM 1 2022 QUESTIONS WITH VERIFIED CORRECT DETAILED ANSWERS

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HESI EXAM 1 2022
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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

See an expert-written answer




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

See an expert-written answer

,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

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