ALL HESI EXIT EXAM QUESTIONS AND ANSWERS TEST BANK; A+ RATED GUIDE (2022-2023)
71. Which serum blood findings with diabetic ketoacidosis alerts the
... [Show More] nursethat immediate action is required?
A) pH below 7.3
B) Potassium of 5.0
C) HCT of 60
D) Pa O2 of 79%
The correct answer is C: HCT of 60
72. The nurse is preparing the teaching plan for a group of parents aboutrisks to toddlers.
The nurse plans to explain proper communication in the event ofaccidental poisoning.
The nurse should plan to tell the parents to first state what substance wasingested and then what information should be the priority for the parents to
communicate?
A) The parents' name and telephone number
B) The currency of the immunization and allergy history of the child C) The estimated time of the accidental poisoning and a confirmation that the parents will bring the containers of theingested substance
D) The affected child's age and weight
The correct answer is D: The affected child''s age and weight
73. A 2 year-old child is brought to the health care provider's office with achief complaint of mild diarrhea for 2 days. Nutritional counseling by the nurseshould include
which statement?
A) Place the child on clear liquids and gelatin for 24 hours
B) Continue with the regular diet and include oral rehydration fluids
C) Give bananas, apples, rice and toast as tolerated
D) Place NPO for 24 hours, then rehydrate with milk and water The correct answer is B: Continue with the regular diet andinclude oral rehydration fluids
74. The nurse is teaching an elderly client how to use MDI's (multi-doseinhalers). The
nurse is concerned that the client is unable to coordinate the release ofthe medication with the inhalation phase. What is the nurse's best recommendation toimprove delivery
of the medication?
A) Nebulized treatments for home care
B) Adding a spacer device to the MDI canister
C) Asking a family member to assist the client with the MDI
D) Request a visiting nurse to follow the client at home
The correct answer is B: Adding a spacer device to the MDIcanister
75. Which of the following manifestations observed by the school nurseconfirms the
presence of pediculosis capitis in students?
A) Scratching the head more than usual
B) Flakes evident on a student's shoulders
C) Oval pattern occipital hair loss
D) Whitish oval specks sticking to the hair
The correct answer is D: Whitish oval specks sticking to the
hair
76. When parents call the emergency room to report that a toddler hasswallowed drain
cleaner, the nurse instructs them to call for emergency transport to thehospital. While waiting for an ambulance,
the nurse would suggest for the parents to give sips of which substance?
A) Tea
B) Water C) Milk D) Soda
The correct answer is B: Water
77. A client is scheduled for an IVP (Intravenous Pyelogram). Which of thefollowing data from the client’s history indicate a potential hazard for this test?
A) Reflex incontinence B) Allergic to shellfish C) Claustrophobia
D) Hypertension
The correct answer is B: Allergic to shellfish
78. The nurse is preparing a handout on infant feeding to be distributed tofamilies visiting the clinic. Which notation should be included in the teachingmaterials?
A) Solid foods are introduced 1 at a time beginning with cereal B) Finely ground meat should be started early to provide iron C) Egg white is added early to increase protein intake
D) Solid foods should be mixed with formula in a bottle
The correct answer is A: Solid foods are introduced 1 at atime beginning with cereal
79. The nurse is caring for a client with sickle cell disease who isscheduled to receive a
unit of packed red blood cells. Which of the following is an appropriateaction for the nurse when administeringthe
infusion?
A) Storing the packed red cells in the medicine refrigerator whilestarting IV
B) Slow the rate of infusion if the client develops fever or chills
C) Limit the infusion time of each of the unit to a maximum of 4
hours
D) Assess vital signs every 15 minutes throughout the entire
infusion
The correct answer is C: Limit the infusion time of each ofthe unit to a maximum of four hours
80. A client with a documented pulmonary embolism has the followingarterial blood
gases: PO2 - 70 mm hg, PCO2 - 32 mm hg, pH - 7.45, SaO2 - 87%, HCO3 -
22. Based
on this data, what is the first nursing action?
A) Review other lab data
B) Notify the health care provider
C) Administer oxygen
D) Calm the client
The correct answer is C: Administer oxygen [Show Less]