Hesi Exit Exam 2022 with complete solutions

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A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter numeric ... value only.) - ANSWER 200ml . 25 ml of full strength feeding mixed with 25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? - ANSWER Apply an external condom catheter 3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to enter his body once he is cleansed for prayer. What action should the nurse implement? - ANSWER Reschedule administration of the antibiotic until after he completes his prayers UAP using a hand sanitzers that is alcohol for 2 minutes - ANSWER tell that hand sanitizer use is less > 2min 5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer - ANSWER Answer: 800 Rationale: First, convert the child's weight to kg: 44 pounds divided by 2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg 6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take next? - ANSWER Compare current vital signs with previous vital signs A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take? - ANSWER Have the parent take the child for emergency help Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought processes, secondary to" what condition? - ANSWER Postpartum psychosis The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual cramps" for a 25-year-old female client. Which self-care activity should the nurse emphasize in the client's teaching plan? - ANSWER Regular aerobic exercise. Psych/Alcohol/Tylenol overdose antidote - ANSWER Give Mucomyst Medical Surgical/Laxative abuses - ANSWER Patient -taking Milk of Magnesium Spiritual/Documentation - ANSWER Native American - Allow pt's family to stay in the room Leadership- Interpreter informed consent - ANSWER Pt should sign the consent Geriatrics/Emergency Rib fractures fall - ANSWER Pulmonary embolism A client diagnosed with major depression is being allowed a weekend pass from the psychiatric unit. Which instruction should the nurse provide to the client's family? - ANSWER Involve the client in usual at home activities Upon assessment, the nurse discovers that a postpartum client has persistent red lochia. Which of the following does this assessment finding suggest to the nurse? - ANSWER Coagulation disorders The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of fluid is drained. What action should the nurse complete first? - ANSWER Assess vital signs. After administering a medication through a nasogastric tube connected to suction, what action should the nurse take first? - ANSWER Clamp the tube The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of 8.; Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell count of 15,000. What should the nurse implement? - ANSWER Determine if Client B has two units of packed cells available in the blood bank. Triage question with a train wreck The psychiatric nurse is called to a train derailment that was likely caused by a terrorist bomb. In triaging those in need of immediate care, what is the priority ranking for these cases? (arrange these cases in order or priority with the top item requiring the most immediate care and the bottom item requiring the least priority care) - ANSWER A mother and father have just arrived on the . A crying child being held by another passenger. A woman sitting on the ground with a blanket. A middle-aged man who is wandering around [Show More]

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