BRAND NEW RN 2023 HESI EXIT EXAM (13 VERSIONS) WITH NGN
WELL ORGANIZED EXAMS, ANSWERS WITH
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VERSION 1
The nurse is assessing an older adult with type 2 diabetes mellitus. Which assessment finding
indicates at the client understands long-term control of diabetes?
The fating blood sugar was 120mg/dl this morning.
Urine ketones have been negative for the past 6 months
The hemoglobin A1C was6.5g/100ml last week
No diabetic keto acido sish as occurred in 6 months.
Rationale: A hemoglobin A1C level reflects he average blood sugar
the client hadover the previous 2 to 3 month, and level of 6.5 g/100
ml suggest that the client understand long-term diabetes control.
Normal value in a diabetic patient is up to6.5g/100 ml.
A client with rheumatoid arthritis (RA) starts a new prescription of
etanercept(Enbrel)sub cut aneouslyonce weekly.The nurse should
emphasize the importance of reporting problem to the health care provider?
Headache
Joint stiffness
Persistentfever
Increase hunger and thirst
Rationale:Enbrel decrease immune and inflammatory
responses,increasing the client’s risk of serious infection, so the
client should be instructed to report a persistent fever,or other signs
of infection to the healthcare provider.
An older male client is admitted with the medical diagnosis of possible
cerebralvascular accident (CVA). He has facial paralysis and cannot move
his left side. Whenentering the room, the nurse finds the client’s wife
tearful and trying unsuccessfully togivehimadrinkofwater. Whataction
shouldthenursetake?
Ask the wife to stop and assess the client’s swallowing reflex
A 13 years-old client with non-union of a comminuted fracture of the
tibia is admitted with osteomyelitis.The health care provider collects
home aspirate specimens for culture and sensitivity and applies a cast to
the adolescent’s lower leg. What action should the nurse implement
next?
Administerantiemeticagents
Bi valve the cast fordistal compromise
Providehigh-calorie, high-proteindiet
Begin parenteral antibiotic therapy
Rationale: The standard of treatment for osteomyelitis is antibiotic
therapy
andimmobilization.Afterbondandbloodaspiratespecimensareobtained
forcultureandsensitivity,the
nurseshouldinitiateparenteralantibioticsasprescribed.
two weeks later to evaluate his blood pressure (BP). His BP is158/106 and
he admits that he has not been taking the prescribedmedication because
the drugs make him “feel bad”. In explainingthe need for hypertension
control, the nurse should stress that anelevated BP places the client at risk
for which pathophysiologicalcondition?
a- Blindnesssecondarytocataracts
b- Acutekidney injury dueto glomerular damage
c- Strokesecondary tohemorrhage
d- Heartblock dueto myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk
foruncontrolledhypertension.
The nurse is preparing a community education program on osteoporosis.
Which instruction is help fulin preventing bone loss and promoting bone
formation?
Recommend weigh bearing physical activity
A client with a history of chronic pain requests a nonopioid analgesic. The
clientisalertbut hasdifficultydescribingtheexact nature and location of the
pain to the nurse.What action should the nurse implement next?
Administer the analgesic as requested
A male client receives a thrombolytic medication following a
myocardialinfarction. When the client has a bowel movement, what
action should the nurseimplement?
Send stools ampleto the lab foraguaiactest
Observe stool for a day-colored appearance.
Obtain specimen for culture andsensitivity analysis
Asses for fatty yellow streaks in the client’s stool.
Rationale: Thrombolytic drugs increase the tendency for bleeding.
So guaiac (occult blood test) test of the stool should be evaluated to
detect bleeding in the intestinal tract.
The mother of a child with cerebral palsy (CP) ask the nurse if her
child’simpairedmovementswillworsenasthechildgrows.Whichresponsepro
videsthebestexplanation?
Brain damage with CP is not progressive but does have a variable course
During shift report, the central electrocardiogram (EKG) monitoring
systemalarms.Whichclientalarmshould thenurseinvestigatefirst?
Respiratory apnea of 30 seconds
In early septic shock states,what is the primary cause of hypotension?
Peripheral vasoconstriction
Peripheralva sodilation
Cardiacfailure [Show Less]