022/23 HESI EXIT V5 revised and verified Questions and Answers

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A client comes into the community health center upset and crying stating “I will die of cancer now that I have this disease.” And then the client hands the nurse a paper with one word written on... it: "Pheochromocytoma." Which response should the nurse state initially? A) Pheochromocytomas usually aren't cancerous (malignant). But they may be associated with cancerous tumors in other endocrine glands such as the thyroid (medullary carcinoma of the thyroid). B) This problem is diagnosed by blood and urine tests that reveal elevated levels of adrenaline and noradrenaline. C) Computerized tomography (CT) or magnetic resonance imaging (MRI) are used to detect an adrenal tumor. D) You probably have had episodes of sweating, heart pounding and headaches. The correct answer is A: Pheochromocytomas usually aren''t cancerous (malignant). But they may be associated with cancerous tumors in other endocrine glands such as the thyroid (medullary carcinoma of the thyroid). 2. A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs? A) Weight gain of 2 pounds or more in a 48 hour period B) Urinating 4 to 5 times each day C) A significant decrease in appetite D) Appearance of non-pitting ankle edema The correct answer is A: Weight gain of 2 pounds or more in a 48 hour period 3. The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by A) Inserting a fenestrated catheter with a whistle tip without suction B) Completing suction pass in 30 seconds with pressure of 150 mm Hg C) Hyper oxygenating with 100% O2 for 1 to 2 minutes before and after each suction pass D) Minimizing suction pass to 60 seconds while slowly rotating the lubricated catheter The correct answer is C: Hyper oxygenating with 100% O2 for 1-2 minutes before and after each suction pass [Show More]

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