2021 HESI EXIT RN V2 EXAM QUESTIONS AND ANSWERS 160 Questions With Correct Answers 1. The school nurse is preparing a presentation for an elementary school teacher to inform them about when a child s... hould be referred to the school clinic for further follow-up. The teachers should be instructed to report which situations to the school nurse? (Select all that apply) a. Refuses to complete written homework assignments b. Thirst and frequent requests for bathroom breaks c. Bruises on both knees after the weekend 2. When preparing a child for discharge from the hospital following a cystectomy and a urinary diversion to treat bladder cancer, which instruction is most important for the nurse to include in the client’s discharge teaching plan? a. Report any signs of cloudy urine output b. Frequently empty bladder to avoid distention c. Follow instructions for self-care toileting d. Seek counseling for body image 3. A client with renal lithiasis is receiving morphine sulfate every four hours for pain and renal colic. Which assessment finding should prompt the nurse to administer PRN dose of naloxone? a. Unresponsive to verbal or tactile stimuli b. Respiratory rate of 12 breaths per minute c. Statements about visual hallucinations d. Complaints of increasing flank pain 4. The mother of a 7-month-old brings the infant to the clinic, because the skin in the diaper area is excoriated and red, but there are no blisters or bleeding. The mother reports no evidence of watery stools. Which nursing intervention should the nurse implement? a. Instruct the mother to change the child’s diaper more often b. Encourage the mother to apply lotion with each diaper change c. Ask the mother to decrease the infant’s intake of fruits for 24 hours d. Tell the mother to cleanse with soap and water at each diaper change 5. The nurse is having difficulty palpating a client’s posterior tibial pulse while the client is lying in a supine position. Which of the following interventions is best for the nurse to take? a. Extend the client’s arm fully while supporting the elbow and attempt to re- palpate b. Apply less pressure when palpating over the middle of the dorsum of the foot c. Use an ultrasound stethoscope, and place behind and below the medial bone d. Help the client to a prone position with the knee slightly flexed and palpate again 6. The nurse initiates a tertiary prevention program for type 2 diabetes mellitus in a rural health clinic. Which outcome indicates that the program was effective? a. Average client scores improved on specific risk factor knowledge tests b. Only 30% of client did not attend self-management education sessions c. More than 50% of at-risk clients were diagnosed earl in the disease process [Show More]
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