HESI
LEADERSHIP
EXIT EXAM.
114- A client who is newly diagnosed with type 2 diabetes mellitus
(DM) receives a prescription for metformin (Glucophage)
... [Show More] 500 mg
PO twice daily. What information should the nurse include in this
client‟s teaching plan? (Select all that apply.)
a- Take an additional dose for signs of hyperglycemia
b- Recognize signs and symptoms of hypoglycemia.
c- Report persist polyuria to the healthcare provider.
d- Use sliding scale insulin for finger stick glucose elevation.
2022 - 2023 Hesi Leadership Exit Exam V1 & V2 TB Guide (Brand
New!!) A++ All Q&As Included!!
e- Take Glucophage with the morning and evening meal.
Rationale: Glucophage, an antidiabetic agent, acts by inhibiting hepatic
glucose production and increases peripheral tissue sensitivity to insulin.
The client and family should be taught to recognize signs and symptoms
of hypoglycemia. If the dose of Glucophage is inadequate, signs of
hypoglycemia, such as polydipsia and polyuria, should be reported to the
healthcare provider. Glucophage should be taken with meals to reduce
GI upset and increase absorption (E).
115- The nurse is developing an educational program for older
clients who are being discharged with new antihypertensive
medications. The nurse should ensure that the educational
materials include which characteristics? Select all that apply
a- Written at a twelfth-grade reading level
b- Contains a list with definitions of unfamiliar terms
c- Uses common words with few Syllables
d- Printed using a 12-point type font
e- Uses pictures to help illustrate complex ideas
Rationale: During the aging process older clients often experience
sensory or cognitive changes, such as decreased visual or hearing acuity,
2022 - 2023 Hesi Leadership Exit Exam V1 & V2 TB Guide (Brand
New!!) A++ All Q&As Included!!
slower thought or reasoning processes, and shorter attention span.
Materials for this age group should include at least of terms, such as a
medical terminology that incline may not know and use common words
that expresses information clearly and simply. Simple, attractive pictures
help hold the learner‟s attention. The reading level of material should be
at the 4th to 5th grade level. Materials should be printed using large font
(18-point or higher), not the standard 12-point font.
116- During the admission assessment, the nurse auscultates heart
sounds for a client with no history of cardiovascular disease.
Where should the nurse listen when assessing the client‟s point of
maximal impulse (PMI) (Click the chosen location. To change,
click on a new location)
a117- An older male adult resident of long-term care facility is
2022 - 2023 Hesi Leadership Exit Exam V1 & V2 TB Guide (Brand
New!!) A++ All Q&As Included!!
hospitalized for a cardiac catheterization that occurred yesterday.
Since the procedure was conducted, the client has become
increasingly disoriented. The night shift nurse reports that he
attempted to remove the sandbag from his femoral artery
multiple times during the night. What actions should the nurse
take? (Select all that apply.)
a- Recommend a 24-hour caregiver on discharge to the longterm facility.
b- Notify the healthcare provider of the client‟s change in
mental status.
c- Include q2 hour‟s reorientation in the client‟s plan of
care.
d- Request immediate evaluation by Rapid Response Team
e- Apply soft wrist restraints so that the operative site is
protected.
Rationale: The client‟s condition reflects mental changes that could be
related to post procedure stress, sundowner‟s syndrome, or cerebral
complications, the nurses should inform the healthcare provider of the
client‟s change in mental status for the client‟s safety, q2 hour
orientation evaluations and reorientation should be included in the plan
of care. [Show Less]