NEW EXIT HESI EXAM 2022-2023 COMPLETE SOLUTION

NEW EXIT HESI EXAM 2022/2023 COMPLETE SOLUTION

A nurse is reviewing the laboratory results of a client who has rheumatoid

arthritis. Which of the following findings should the nurse report to the provider?

a. WBC count 8,000

b. platelets 150,000

c. aspartate aminotransferase 10 units

d. erythrocyte sedimentation rate 75mm - CORRECT ANSWER d

A nurse is caring for a client who has generalized petechiae and ecchymoses. The

nurse should expect a prescription for which of the following laboratory tests?

a. platelet count

b. potassium level

c. creatine clearance

d. prealbumin - CORRECT ANSWER a

A nurse is caring for a client following application of a cast. Which of the following

actions should the nurse take first?

a. place an ice pack over the cast

b. palpate the pulse distal to the cast

c. teach the client to keep the cast clean and dry

d. position the casted extremity on a pillow - CORRECT ANSWER b

A nurse is caring for a client who has vision loss. Which of the following actions

should the nurse take? SATA

a. keep objects in the clients room in the same place.

b. ensure there is high-wattage lighting in the clients room.

c. approach the client from the side

d. allow extra time for the client to perform tasks

e. touch the client gently to announce presence - CORRECT ANSWER a, b, d

A nurse is caring for a client who is newly diagnosed with pancreatic cancer and

has questions about the disease. To research the nurse should identify that which

of the following electronic database has the most comprehensive collection

nursing articles?

a. medline

b. C inahl

c. ProQuest

d. health source - CORRECT ANSWER b

A nurse in the emergency department is assessing newly admitted client who is

experiencing drooling and hoarseness following a brain injury. Which of the

following actions should the nurse take first?

a. obtain a baseline EKG

b. Obtain a blood specimen for ABG analysis

c. insert an 18 gauge IV catheter

d. Administer 100% humidified oxygen - CORRECT ANSWER d

A nurse is planning care for a client who has unilateral paralysis and dysphagia

following a right hemispheric stroke. Which of the following interventions should

the nurse include in the plan?

a. Place food on the left side of the client's mouth when he is ready to eat.

b. Provide total care in performing the client's ADLs.

c. Maintain the client on bed rest.

d. Place the client's left arm on a pillow while he is sitting. - CORRECT ANSWER d

A nurse is caring for a client who is in a seclusion room following violent behavior.

The client continues to display aggressive behavior. Which of the following actions

should the nurse take?

a. Confront the client about this behavior.

b. Express sympathy for the client's situation.

c. Speak assertively to the client.

d. Stand within 30 cm (1 ft) of the client when speaking with them. - CORRECT

ANSWER a

A nurse is caring for a client who is receiving brachytherapy for treatment of

prostate cancer. Which of the following actions should the nurse take?

a. Cleanse equipment before removal from the client's room.

b. Limit the client's visitors to 30 min per day.

c. Discard the client's linens in a double bag.

d. Discard the radioactive source in a biohazard bag - CORRECT ANSWER b

A nurse is caring for a client who has severe preeclampsia and is receiving

magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate

after the client displaces toxicity. Which of the following actions should the nurse

take?

a. Position the client supine

b. Prepare an IV bolus of dextrose 5% in water

c. Administer methylergonovine IM

d. Administer calcium gluconate IV - CORRECT ANSWER d

A charge nurse is teaching new staff members about factors that increase a

client's risk to become violent. Which of the following risk factors should the

nurse include as the best predictor of future violence?

a. Experiencing delusions

b. Male gender

c. Pervious violent behavior

d. A history of being in prison - CORRECT ANSWER c

A nurse is preparing to perform a sterile dressing change. Which of the following

actions should the nurse take when setting up the sterile field?

a. Place the cap from the solution sterile side up on clean surface

b. Open the outermost flap of the sterile kit toward the body→ flap AWAY from

the body's first

c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field

→ 2.5 cm (1-inch) border around any sterile drape or wrap that is considered

contaminated.

d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level;

should be ABOVE waist level - CORRECT ANSWER a

A nurse is providing teaching to an older adult client about methods to promote

nighttime sleep. Which of the following instructions should the nurse include?

a. Eat a light snack before bedtime

c. Stay in bed at least 1 hr if unable to fall asleep

d. Take a 1 hr nap during the day

e. Perform exercises prior to bedtime - CORRECT ANSWER a

A home health nurse is preparing for an initial visit with an older adult client who

lives alone. Which of the following actions should the nurse take first?

a. Educate the client about current medical diagnosis

b. Refer the client to a meal delivery program

c. Identify environmental hazards in the home

d. Arrange for client transportation to follow-up appointments Rationale Priority:

Assess first. - CORRECT ANSWER c

A nurse is assessing the remote memory of an older adult client who has mild

dementia. Which of the following questions should the nurse ask the client?

a. "Can you tell me who visited you today?"

b. "What high school did you graduate from

c. "Can you list your current medications?"

d. "What did you have for breakfast yesterday?" - CORRECT ANSWER b

A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus.

Which of the following goals should the nurse include in the teaching

a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. >

b. Blood glucose level greater than 200 mg/dL at bedtime

c. Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPOGLYCEMIC

d. HbA1c level less than 7% - CORRECT ANSWER d

A nurse is caring for a client who is receiving phenytoin for management of grand

mal seizures and has a new prescription for isoniazid and rifampin. Which of the

following should the nurse conclude if the client develops ataxia and

incoordination?

a. The client is experiencing an adverse reaction to rifampin

b. The client's seizure disorder is no longer under control

c. The client is showing evidence of phenytoin toxicity

d. The client is having adverse effects due to combination antimicrobial therapy -

CORRECT ANSWER c

A nurse is caring for a client who is 1 hr postoperative following rhinoplasty.

Which of the following manifestations requires immediate action by the nurse?

a. Increase in frequency of swallowing→ may indicate bleeding

b. Moderate sanguineous drainage on the drip pad

c. Bruising to the face→ side effect

d. Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) -

CORRECT ANSWER a

Rationale "Requires immediate action" choose the worst possibility that could

lead to. ABC

A nurse is planning care for a preschool-age child who is in the acute phase

Kawasaki disease. Which of the following interventions should the nurse include

in the plan of care?

a. Give scheduled doses of acetaminophen every 6 hr

b. Monitor the child's cardiac status

c. Administer antibiotics via intermittent IV bolus for 24 hr

d. Provide stimulation with children of the same age in the playroom - CORRECT

ANSWER b