2022 HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and answers]

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2022 HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and answers] HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and answers] After placing a 36- week- gestation newborn in an isolet... te and drying the infant with several blankets, what should the nurse implement next? - ANS Remove the wet blankets and linen from the isolette A client in the third trimester of pregnancy complains of frequent nasal stiffness and occasional nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic breathing. Her diaphragm is elevated and she has an increased costal angle. Which intervention should the nurse implement? - ANS Record the respiratory finding in the clients chart as normal A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the past several days he has been unable to get out of bed. Which action should the hospice nurse implement? - ANS Instruct family to offer client only soft bland foods A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy test and ultrasound were negative, so an exploratory laparotomy was completed during the night. When coffee ground materials is observed in the drainage from the nasogastric tube (NGT), which intervention should the nurse implement? - ANS Verify correct placement of the nasogastric tube The nurse is reviewing the laboratory values for a client with acute pancreatitis who reports of the abdominal pain is not as severe as it was on admission. Which laboratory test should the nurse review to evaluate the clients clinical recovery? - ANS Lipase While assessing a client who had a laparotomy the previous day, the nurse notices that 300 mL of dark red fluid has drained from the nasogastric tube in the last hour. Which action should the nurse take first? - ANS take vital signs The nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis, and emphysema. Which health care measure is most important for the nurse to recommend to these clients? - ANS Avoid large crowded areas during the colder months of the year The mother of a one-moth-old infant calls the clinic to report that the back of her infant's head is flat. How should the nurse respond? - ANS Position the infant on the stomach occasionally when awake and active A woman is brought to the labor and delivery unti after delivering a term infant and the placenta in the hospital parking lot 10 minutes ago. Which action should the nurse perform first? - ANS Perform a fundal massage A client has a new prescription for the maximum recommended dosage of pipercillin/tazobactam for nosocomial pneumonia. The nurse should report which laboratory finding to the healthcare provider before administering the prescribed dose? - ANS Decrease serum creatine A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating Kussmaul breathing and has a severe headache along with nausea. Her arterial blood gases (ABG) are: pH 7.50; PaCO2 30 mmHg; HCO3 24 mEq/L (24mmol/L). Which assessment finding warrants immediate intervention by the nurse? - ANS Fruity breath When performing postural drainage on a client with Chronic Obstructive Pulmonary disease (COPD), which approach should the nurse use? - ANS Explain that the client may be placed in five positions A young male client with testicular cancer has a living will that describes his desire that no extraordinary measures be taken to save his life. The healthcare provider knows the client has a good prognosis and refuses to write a "do not resuscitate" (DNR) prescription. Which action should the nurse take? - ANS Initiate an ethics committee review In observing a clients face, which assessment finding requires the most immediate intervention by the nurse? - ANS Oral mucosa is cyanotic Blue lips The nurse is assessing a client with cirrhosis and notes that the client has a positive Babinski reflex. Which action should the nurse take in response to the finding? - ANS Complete a thorough neurological assessment Which action should the nurse take first after obtaining a urine [Show More]

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