NCLEX HESI exam 2023 latest update
265 questions and correct answers
graded A
A nurse in a physician's office is reviewing the medical record of a
... [Show More] child with a diagnosis of lactose
intolerance. Which of the following findings does the nurse expect to see documented in the child's
record? - answer-Episodes of cramping abdominal pain and excessive flatus
A client is found to have posttraumatic stress disorder (PTSD) after witnessing a terrorist attack that
caused the deaths of hundreds of people. The nurse, developing a plan of care for the client, identifies
posttrauma syndrome as a concern and identifies a client outcome that states, "The client will cope
effectively with thoughts and feelings of the event." Which nursing interventions will assist the client in
achieving this outcome? Select all that apply. - answer-Being honest, nonjudgmental, and empathetic
Assessing the immediate posttraumatic reaction
Encouraging the client to keep a journal focused on the trauma
Asking the client about the use of alcohol and drugs before and since the event
A client who has been undergoing long-term therapy with an antipsychotic medication is admitted to
the inpatient mental health unit. Which of the following findings does the nurse, knowing that long-term
use of an antipsychotic medication can cause tardive dyskinesia, monitor in the client? - answer-Tongue
protrusion
Chlorpromazine (Thorazine) has been prescribed to a client with Huntington's disease for the relief of
choreiform movements. Of which common side effect does the nurse warn the client? - answerDrowsiness
A nurse assigns a nursing assistant to care for a client who is hearing impaired and provides instructions
to the nursing assistant about the effective methods for communicating with the client. Which
statement by the nursing assistant indicates that further instruction is needed? - answer-"I should raise
the volume of my voice and stand on the client's affected side when I'm talking to him."
A nurse is preparing to care for a client who has undergone abdominal hysterectomy for the treatment
of endometrial cancer. The nurse determines that the priority in the 24 hours after surgery is: - answerEncouraging the client to deep-breathe, cough, and use an incentive spirometer
A client is found to have iron-deficiency anemia, and ferrous sulfate (Feosol) is prescribed. The nurse
tells the client that it is best to take the medication with: - answer-Orange juice
A nurse is developing a plan of care for a client admitted to the nursing unit with a diagnosis of paranoid
personality disorder. On which characteristic of the disorder does the nurse base the plan of care? -
answer-Projecting blame, possibly becoming hostile
A nurse has given a client with viral hepatitis instructions about home care. Which of the following
statements by the client indicates to the nurse that the client needs further teaching? - answer-"I need
to eat three meals a day with foods high in protein, fat, and carbs."
Oral prednisone 5 mg/day has been prescribed for a client with a chronic respiratory disorder, and the
nurse provides instructions to the client about the medication. The nurse tells the client to: - answer-Call
the physician if a fever, sore throat, or muscle aches develop
The nurse, auscultating the breath sounds of a client, hears these sounds. What are they? - answerWheezes
Laboratory studies are performed on a client with suspected sickle cell disease, and electrophoresis
reveals a large percentage of hemoglobin S (HbS). Which additional laboratory finding will the nurse
expect to note that is a characteristic of this disease? - answer-Increased white blood cell (WBC) count
A client is found to have hypoxemic respiratory failure. Which finding does the nurse expect to note on
review of the results of the client's arterial blood gas analysis? - answer-Pao2 of 49 mm Hg, Paco2 of 32
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