HESI EXIT EXAM NEWEST 2024 TEST BANK 2024 QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+)

HESI EXIT EXAM NEWEST 2024 TEST BANK
2024 QUESTIONS AND DETAILED CORRECT
ANSWERS INCLUDING RATIONALES (GRADED
A+)
A client was admitted to the cardiac observation unit 2 hours ago complaining of chest
pain. On admission, the client's EKG showed bradycardia, ST depression, but no
ventricular ectopy. The client suddenly reports a sharp increase in pain, telling the
nurse, "I feel like an elephant just stepped on my chest" The EKG now shows Q waves
and ST segment elevations in the anterior leads. What intervention should the nurse
perform?
a. Increase the peripheral IV flow rate to 175 ml/hr to prevent hypotension and shock
b. Administer prescribed morphine sulfate IV and provide oxygen at 2 L/min per nasal
cannula.
c. Obtain a stat 12 lead EKG and perform a venipuncture to check cardiac enzymes
levels.
d. Notify the healthcare provider of the client's increase chest pain a call for the
defibrillator crash cart. - ANSWER-b. Administer prescribed morphine sulfate IV and
provide oxygen at 2 L/min per nasal cannula.
Based on the information provided in this client's medical record during labor, which
should the nurse implement? (Click on each chart tab for additional information. Please
be sure to scroll to the bottom right corner of each tab to view all information contained
in the client's medical record.)
a. Apply oxygen 10 l/mask
b. Stop the oxytocin infusion
c. Turn the client to the right lateral position.
d. Continue to monitor the progress of labor. - ANSWER-d. Continue to monitor the
progress of labor.
The nurse is completing a head to be assessment for a client admitted for observation
after falling out of a tree. Which finding warrants immediate intervention by the nurse?
a. Sluggish pupillary response to light
b. Clear fluid leaking from the nose.
c. Complaint of severe headache
d. Periorbital ecchymosis of right eye. - ANSWER-b. Clear fluid leaking from the nose.
A client who received multiple antihypertensive medications experiences syncope due
to a drop in blood pressure to 70/40. What is the rationale for the nurse's decision to
hold the client's scheduled antihypertensive medication?
a. Increased urinary clearance of the multiple medications has produced diuresis and
lowered the blood pressure
b. The antagonistic interaction among the various blood pressure medications has
reduced their effectiveness
c. The additive effect of multiple medications has caused the blood pressure to drop too
low.
d. The synergistic effect of the multiple medications has resulted in drug toxicity and
resulting hypotension. - ANSWER-c. The additive effect of multiple medications has
caused the blood pressure to drop too low.
A female client has been taking a high dose of prednisone, a corticosteroid, for several
months. After stopping the medication abruptly, the client reports feeling "very tired".
Which nursing intervention is most important for the nurse to implement?
a. Measure vital signs
b. Auscultate breath sounds
c. Palpate the abdomen
d. Observe the skin for bruising - ANSWER-a. Measure vital signs
After a sudden loss of consciousness, a female client is taken to the ED and initial
assessment indicate that her blood glucose level is critically low. Once her glucose level
is stabilized, the client reports that was recently diagnosed with anorexia nervosa and is
being treated at an outpatient clinic. Which intervention is more important to include in
this client's discharge plan?
a. Describe the signs and symptoms of hypoglycemia.
b. Encourage a low-carbohydrate and high-protein diet
c. Reinforce the need to continue outpatient treatment
d. Suggest wearing a medical alert bracelet at all time. - ANSWER-b. Encourage a lowcarbohydrate and high-protein diet