EXIT HESI EXAM UPDATE WITH MULTIPLE, HIGHLY
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PREDICTED QUESTIONS WITH MULTIPLE CORRECT G G G G
LY ANSWERED QUESTIONS GRADED A+
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A newly admitted client complains of pain rating a 7 on a scale of 0 to
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10. The client has not been sleeping well lately and is experiencing lab
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ored breathing. List the client's problems in order of priority for the n
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urse. (Rank in the priority order from highest to lowest.)
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1. Airway and breathing.
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2. Pain management.
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3. Definitive therapy.
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4. Sleep and rest.
G G G GGGGGGGGG ANS: ✔- Correct Answer:
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1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Defi
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nitive therapy.
G
Rationale
First-
level problems are immediate priorities (airway, breathing, and circul
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,ation). In this scenario, airway and breathing are the first priority, foll
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owed by pain management, Maslow's hierarchy of basic needs for res
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t and sleep, and then definitive drug therapies.
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Which biological practices are federally regulated for healthcare work
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ers? (Select all that apply.)
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Select all that apply G G G
1.Standard precautions. G
2. N-95 tuberculosis standard.
G G G
3. Blood-borne pathogen standard.
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4. Biological product exposure limit (BPEL).
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5. Resource Conservation and Recovery Act (RCRA).
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6. As Low as Reasonably Allowable standard (ALARA).
G G G G G G G GGGGGGGGG ANS: ✔- G
3. Blood-borne pathogen standard.
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5. Resource Conservation and Recovery Act (RCRA)
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Basic standards for healthcare workers, as delineated by Occupationa
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l Safety and Health Administration (OSHA), include standard precauti
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ons, droplet precautions using N-
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95 respiratory particulate masks when caring for a client who is positi
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ve for tuberculosis, and required annual updates for healthcare work
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ers about blood-G G
borne pathogen transmission, methods of minimizing exposure, and e
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,mployee rights. Other options [BPEL and ALARA ] are not federally reg
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ulated.
A client with severe depression tells the nurse, "I do not know why yo
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u bother with me or give me pills. I am never going to get well." What
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is the most therapeutic response?
G G G G
1. "You need to stop thinking negative thoughts. They get in the way o
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f your recovery."
G G
2. "You are no bother to me or to the staff. We want you to get well a
G G G G G G G G G G G G G G G G G
nd not feel sad anymore."
G G G G
3. "I have known many clients with depression who have felt better af
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ter several weeks of treatment."
G G G G
4. "You are feeling very pessimistic, but that is part of your illness. It s
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hould go away as you recover." G ANS: ✔- G G G G GGGGGGGGG G
G3. "I have known many clients with depression who have felt better a
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fter several weeks of treatment."
G G G G
Stating the observation that others have recovered can give a client h
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ope. Telling a person to stop negtive thinking is ineffective because th
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e client must be taught cognitive strategies to stop negative thinking.
G G G G G G G G G G G
Stating the person is "no bother" is arguing with the client's beliefs an
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d attempting to tell him how to feel, both of which are not therapeuti
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c responses. Bring up pessimistic feelings interprets the client's feelin
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gs and does not provide the same degree of hope.
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, The nurse is caring for a client with a nursing problem of, "Infection, ri
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sk for, related to inadequate primary defenses as evidenced by surgic
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al incision and IV access." What nursing intervention should the nurse
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Gimplement?
1. Limit visitors to immediate family to decrease exposure to infection
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.
2. Maintain "clean" technique in the change of wound dressing and IV
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site.
G
3. Assess and document skin condition around the incision and IV site
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at each shift.
G G
4. Require the use of a face mask by staff when providing care requiri
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ng close contact.
G ANS: ✔- G GGGGGGGGG G
3. Assess and document skin condition around the incision and IV site
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at each shift.
G G G
Early identification of infection leads to prompt treatment and decrea
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sed nosocomial transmission to others, so the condition of any invasiv
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e lines or breaks in the skin should be assessed and documented durin
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g each shift.
G G
A client with ulcerative colitis is scheduled for surgical creation of an il
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eoanal reservoir (J pouch). As part of preoperative teaching, what info
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rmation should the nurse provide? G G G G
1. The transverse loop ostomy is permanent.
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2. Easily removable appliances allow independence in self-care.
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3. Daily irrigation is started after the J pouch heals.
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G G G G G G G
PREDICTED QUESTIONS WITH MULTIPLE CORRECT G G G G
LY ANSWERED QUESTIONS GRADED A+
G G G G
A newly admitted client complains of pain rating a 7 on a scale of 0 to
G G G G G G G G G G G G G G G G
10. The client has not been sleeping well lately and is experiencing lab
G G G G G G G G G G G G
ored breathing. List the client's problems in order of priority for the n
G G G G G G G G G G G G
urse. (Rank in the priority order from highest to lowest.)
G G G G G G G G G
1. Airway and breathing.
G G G
2. Pain management.
G G
3. Definitive therapy.
G G
4. Sleep and rest.
G G G GGGGGGGGG ANS: ✔- Correct Answer:
G G G
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Defi
G G G G G G G G
nitive therapy.
G
Rationale
First-
level problems are immediate priorities (airway, breathing, and circul
G G G G G G G G
,ation). In this scenario, airway and breathing are the first priority, foll
G G G G G G G G G G G
owed by pain management, Maslow's hierarchy of basic needs for res
G G G G G G G G G G
t and sleep, and then definitive drug therapies.
G G G G G G G
Which biological practices are federally regulated for healthcare work
G G G G G G G G
ers? (Select all that apply.)
G G G G
Select all that apply G G G
1.Standard precautions. G
2. N-95 tuberculosis standard.
G G G
3. Blood-borne pathogen standard.
G G G
4. Biological product exposure limit (BPEL).
G G G G G
5. Resource Conservation and Recovery Act (RCRA).
G G G G G G
6. As Low as Reasonably Allowable standard (ALARA).
G G G G G G G GGGGGGGGG ANS: ✔- G
3. Blood-borne pathogen standard.
G G G G
5. Resource Conservation and Recovery Act (RCRA)
G G G G G G
Basic standards for healthcare workers, as delineated by Occupationa
G G G G G G G G
l Safety and Health Administration (OSHA), include standard precauti
G G G G G G G G
ons, droplet precautions using N-
G G G G
95 respiratory particulate masks when caring for a client who is positi
G G G G G G G G G G G
ve for tuberculosis, and required annual updates for healthcare work
G G G G G G G G G
ers about blood-G G
borne pathogen transmission, methods of minimizing exposure, and e
G G G G G G G G
,mployee rights. Other options [BPEL and ALARA ] are not federally reg
G G G G G G G G G G G
ulated.
A client with severe depression tells the nurse, "I do not know why yo
G G G G G G G G G G G G G
u bother with me or give me pills. I am never going to get well." What
G G G G G G G G G G G G G G G G
is the most therapeutic response?
G G G G
1. "You need to stop thinking negative thoughts. They get in the way o
G G G G G G G G G G G G G
f your recovery."
G G
2. "You are no bother to me or to the staff. We want you to get well a
G G G G G G G G G G G G G G G G G
nd not feel sad anymore."
G G G G
3. "I have known many clients with depression who have felt better af
G G G G G G G G G G G G
ter several weeks of treatment."
G G G G
4. "You are feeling very pessimistic, but that is part of your illness. It s
G G G G G G G G G G G G G G
hould go away as you recover." G ANS: ✔- G G G G GGGGGGGGG G
G3. "I have known many clients with depression who have felt better a
G G G G G G G G G G G G
fter several weeks of treatment."
G G G G
Stating the observation that others have recovered can give a client h
G G G G G G G G G G G
ope. Telling a person to stop negtive thinking is ineffective because th
G G G G G G G G G G G
e client must be taught cognitive strategies to stop negative thinking.
G G G G G G G G G G G
Stating the person is "no bother" is arguing with the client's beliefs an
G G G G G G G G G G G G
d attempting to tell him how to feel, both of which are not therapeuti
G G G G G G G G G G G G G
c responses. Bring up pessimistic feelings interprets the client's feelin
G G G G G G G G G
gs and does not provide the same degree of hope.
G G G G G G G G G
, The nurse is caring for a client with a nursing problem of, "Infection, ri
G G G G G G G G G G G G G
sk for, related to inadequate primary defenses as evidenced by surgic
G G G G G G G G G G
al incision and IV access." What nursing intervention should the nurse
G G G G G G G G G G
Gimplement?
1. Limit visitors to immediate family to decrease exposure to infection
G G G G G G G G G G
.
2. Maintain "clean" technique in the change of wound dressing and IV
G G G G G G G G G G G
site.
G
3. Assess and document skin condition around the incision and IV site
G G G G G G G G G G G G
at each shift.
G G
4. Require the use of a face mask by staff when providing care requiri
G G G G G G G G G G G G G
ng close contact.
G ANS: ✔- G GGGGGGGGG G
3. Assess and document skin condition around the incision and IV site
G G G G G G G G G G G G
at each shift.
G G G
Early identification of infection leads to prompt treatment and decrea
G G G G G G G G G
sed nosocomial transmission to others, so the condition of any invasiv
G G G G G G G G G G
e lines or breaks in the skin should be assessed and documented durin
G G G G G G G G G G G G
g each shift.
G G
A client with ulcerative colitis is scheduled for surgical creation of an il
G G G G G G G G G G G G
eoanal reservoir (J pouch). As part of preoperative teaching, what info
G G G G G G G G G G
rmation should the nurse provide? G G G G
1. The transverse loop ostomy is permanent.
G G G G G G
2. Easily removable appliances allow independence in self-care.
G G G G G G G
3. Daily irrigation is started after the J pouch heals.
G G G G G G G G G