HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and
answers]
After placing a 36- week- gestation newborn in an isolette and drying the infant
... [Show More] 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
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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 [Show Less]