Exit Hesi Exam Study Guide Test Questions And Answers Verified 100% Correct

Exit Hesi Exam Study Guide Test Questions And Answers Verified 100% Correct The PN observes an UAP bathing a bedfast client with the bed in the high position. Which action should the PN take? A. Remain in the room to supervise the UAP B. Determine if the UAP would like assistance C. Assume care of the client immediately D. Instruct the UAP to lower the bed for safety - ANSWER D Thirty minutes after receiving IV morphine, a postoperative client continues yes to rate pain as 7 on 10 point scale. Which action should the PN implement first? A. Call HCP to request a different analgesic B. Determine when morphine can be given again C. Implement complimentary pain relief methods D. Observe dressing to determine presence of bleeding - ANSWER C The PN is caring for a laboring client whose last sterile vaginal examination revealed the cervix was 3 cm dilated, 50% effaced, and the presenting part was 0 station. An hour later, the client tells the PN that she wants to go the bathroom. Which action is most important for the PN to implement? A. Review the fetal heart rate and contraction pattern B. Check the perineum for increase in bloody show C. Request nurse to check client's cervical dilation D. Palpate the client's bladder for distention - ANSWER C The PN identifies an electrolyte imbalance, exhibited changes in mental status, and an elevated blood pressure for a client with progressive heart disease. Which intervention should the PN implement first? A. Record usual eating patterns B. Evaluate for muscle cramping C. Document abdominal girth D. Elevate both legs on pillows - ANSWER B The PN is caring for an older client who was informed about the diagnosis of terminal cancer two days ago. Which intervention wouldbe most helpful for the client's spouse at this time? A. Consultation with the case manager and hospital chaplain B. Visiting after procedures are done to avoid seeing the client in pain C. Participating in the client's care within his/her capabilities and desires D. Information about palliative and hospice care services - ANSWER D The PN is caring for a child who was admitted after experiencing a generalized tonicclonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately? Select all that apply A. Observe the progression of the seizure B. Loosen clothing around the neck C. Pad the side rails with pillows D. Insert a tongue blade between the teeth E. Hold the extremities close to the body - ANSWER A,B,C The HCP prescribes heparin 4,500 units subcutaneously once daily. The medication is available in a vial that contains heparin 10,000 units/mL. How many mL should the PN administer? - ANSWER 0.45 The UAP is caring for a male resident of a long-term care facility who has an external urinary catheter. Which finding should the PN instruct the UAP to report immediately? A. Swollen and discolored menial shaft B. Prepuce extends over head of penis C. Leaking urine around the top of catheter D. Moist and excavated perineal skin folds - ANSWER A A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. Which immediate intervention should the PN implement? A. Stimulate the infant to cry B. Give oxygen by positive pressure C. Suction the oral and nasal passages D. Turn the infant onto the right side - ANSWER C A client reports being able to swallow only small bites of solid food and liquids for the last 3 months. The PN should assess the client for what additional information? A. Past traumatic injury to neck B. Daily consumption of hot beverages C. History of alcohol or tobacco use D. Daily dietary intake of roughage - ANSWER C When caring for a child with sickle cell disease, the PN expects that the child will most likely describe which symptom when experiencing a sickle cell crisis? A. Decreased hemoglobin B. Joint pain C. Fatigue D. Infection - ANSWER C At the first dressing change, the PN tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best? A. You will feel better when you see that the incision is not as bad as you may think. B. It's OK if you don't want to look or talk about mastectomy. I will be available when you're ready C. Part of recovery is accepting your new body image, and you will need to look at your incision D. Would you like me to call another nurse to be here while I show you the wound? - ANSWER C A client with blood type AB negative delivers a newborn with blood type A positive. The cord blood reveals a positive indirect Coomb's test. Which is the implication of this finding? A. The newborn is infected with an infectious blood-borne disease B. The newborn needs phototherapy for physiologic jaundice C. The mother's Rh antibodies are present in the neonatal serum D. The mother no longer needs Rho immune globulin injections - ANSWER C During a clinic visit for a sore throat, a client's basal metabolic panel reveals a serum potassium of 3.0 mEq/L. Which intervention should the PN recommend to the client based on this finding? A. Increase intake of dried peaches and apricots B. Reduce intake of red meats C. Encourage use of soft toothbrush D. Force fluid intake to 1500 mL daily - ANSWER A The PN is reviewing instructions for the use of pilocarpine eye drops with a client who has glaucoma. The client replies that the cloth used to anesthetize the eye if eye pain is experienced. What action should the PN implement?