HESI RN EXIT
EXAM 2022
V3
The nurse is caring for a client in
hypertensive crisis in an intensive
care unit. The priority assessment
in the first hour of care is A) Heart
rate B) Pedal pulses C) Lung sounds
D) Pupil responses - ANSWER-D)
Pupil responses
The nurse is evaluating a tertiary
prevention program for clients with
cardiovascular disease implemented
in a rural health clinic. Which
outcome indicate the program is
effective?
a. At-risk clients received an
increased number of routine health
screenings. b. Clients reported
having new confidence in making
healthy food choices. c. Clients who
incurred disease complications
promptly received rehabilitation. d.
Client relapse rate of 30% in a 5-
year community-wide anti-smoking
campaign. - ANSWER-c. Clients who
incurred disease complications
promptly received rehabilitation.
The nurse is caring for a client with
chronic obstructive pulmonary
disease (COPD) who uses
oxygen at 2 L/minute per nasal
cannula continuously. The nurse
observes that the client is
having increased shortness of
breath with respirations at 23
breaths/minute. Which action
should the nurse implement first?
a. Determine if the client is
experiencing any anxiety. b.
Auscultate the client's bilateral lung
sounds and oxygen saturation. c.
Notify the healthcare provider about
the client's distress. d. Assess the
delivery mechanism of the oxygen
tank, tubing, and cannula. -
ANSWER-d. Assess the delivery
mechanism of the oxygen tank,
tubing, and cannula.
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