HESI EXIT 2024 Exam Test Bank | Questions and Correct Answers | Latest Version

After placement of a left subclavian central venous catheter (CVC), the nurse receives a report of the X-ray findings that indicate the CVC tip is in the clients superior vena cava. Which action should the nurse implement?

The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?

The home care nurse provides self-care instruction for a client with chronic venous insufficiency caused by deep vein thrombosis. Which instructions should the nurse include in the clients discharge teaching plan? (Select all that apply)

The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?

A male client was transferred yesterday from the emergency department to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia (VT), what action should the nurse take first?

A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse?

A client is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose injection 500 ml at 25 ml/hour. How many units of heparin is the client receiving each hour?

The nurse is preparing a client for discharge from the hospital following a liver transplant. Which instruction is most important for the nurse to include in this clients discharge teaching plan?

The nurse is conducting health assessments. Which assessment finding increases a 56-year-old womans risk for developing osteoporosis?

A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take?

Which client should the nurse assess frequently because of the risk for overflow incontinence?

While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)

A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurse to include in the clients plan of care?

An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator settings of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the clients ABG findings, which action is required?

The mother of the 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experienced a loss of appetite. What instruction should the nurse provide?

The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendation for hypertension?

A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this clients plan of care? (Select all that apply)

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

While assessing a clients chest pain, the nurse should ask about the quality, location, and radiation of the pain, as well as any associated symptoms.

%1 HESI EXIT 2024 Exam Test Bank | Questions and Correct Answers | Latest Version %2%3 In this set of practice questions, you will find 32 questions and their corresponding correct answers related to the HESI EXIT 2024 Exam Test Bank. These questions cover a variety of topics and are designed to help you prepare for the exam. %4Q1: A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head injury. Which assessment finding is indicative of a developing epidural hematoma?A1: Altered consciousness within the first 24 hours after injury.Q2: In planning strategies to reduce a clients risk for complications following orthopedic surgery, the nurse recognizes which pathology as the underlying cause of osteomyelitis?A2: Infectious process.Q3: A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily two months ago. Which finding provides the best indication that the medication regimen is effective?A3: The family reports a great reduction in the clients manic behavior.Q4: Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an IV site in the clients arm?A4: Assess the IV site frequently for signs of extravasation.Q5: A client with a serum sodium level of 125 meq/mL should benefit most from the administration of which intravenous solution?A5: 0.9% sodium chloride solution (normal saline).Q6: A client with Alzheimers disease falls in the bathroom. The nurse notifies the charge nurse and completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the nurse?A6: Left forearm hematoma.Q7: The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be referred to the healthcare provider immediately?A7: Headache, photophobia, and nuchal rigidity.Q8: An adult male is brought to the emergency department by ambulance following a motorcycle accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?A8: Nausea and projectile vomiting.Q9: After placement of a left subclavian central venous catheter (CVC), the nurse receives a report of the X-ray findings that indicate the CVC tip is in the clients superior vena cava. Which action should the nurse implement?A9: Initiate intravenous fluid as prescribed.Q10: The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?A10: Participation of community leaders in planning the program.Q11: The home care nurse provides self-care instruction for a client with chronic venous insufficiency caused by deep vein thrombosis. Which instructions should the nurse include in the clients discharge teaching plan? (Select all that apply)A11: - Avoid prolonged standing or sitting.- Use a recliner for long periods of sitting.- Continue wearing elastic stockings.Q12: The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?A12: Muscle spasms of the back and neck.Q13: A male client was transferred yesterday from the emergency department to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia (VT), what action should the nurse take first?A13: Determine the clients responsiveness and respirations.Q14: A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse?A14: The client has asymmetrical chest wall expansion.Q15: A client is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose injection 500 ml at 25 ml/hour. How many units of heparin is the client receiving each hour?A15: 1000 units/hour.Q16: The nurse is preparing a client for discharge from the hospital following a liver transplant. Which instruction is most important for the nurse to include in this clients discharge teaching plan?A16: Monitor for an elevated temperature.Q17: The nurse is conducting health assessments. Which assessment finding increases a 56-year-old womans risk for developing osteoporosis?A17: 20 pack-year history of cigarette smoking.Q18: A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take?A18: Administer the medication as prescribed with a glass of water.Q19: Which client should the nurse assess frequently because of the risk for overflow incontinence?A19: A client who is confused and frequently forgets to go to the bathroom.Q20: While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)A20: - Move obstacles away from the client.- Monitor physical movements.- Observe for a patent airway.- Record the duration of the seizure.Q21: A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurse to include in the clients plan of care?A21: Observe for changes in the level of consciousness.Q22: An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator settings of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the clients ABG findings, which action is required?A22: Increase the ventilator rate.Q23: The mother of the 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experienced a loss of appetite. What instruction should the nurse provide?A23: CPT should be performed more frequently, but at least an hour before meals.Q24: The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendation for hypertension?A24: Baked pork chop, applesauce, corn on the cob, 2% milk, and key lime pie.Q25: A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this clients plan of care? (Select all that apply)A25: - Fingerstick glucose assessment q6h with meals.- Review with the client proper foot care and prevention of injury.- Coordinate carbohydrate-controlled meals at consistent times and intervals.- Teach subcutaneous injection technique, site rotation, and insulin management.Q26: Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?A26: Muscle pain.Q27: While assessing a clients chest pain, the nurse should ask about the quality, location, and radiation of the pain, as well as any associated symptoms.

%1 HESI EXIT 2024 Exam Test Bank | Questions and Correct Answers | Latest Version %2%3 In this set of practice questions, you will find 32 questions and their corresponding correct answers related to the HESI EXIT 2024 Exam Test Bank. These questions cover a variety of topics and are designed to help you prepare for the exam. %4Q1: A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head injury. Which assessment finding is indicative of a developing epidural hematoma?A1: Altered consciousness within the first 24 hours after injury.Q2: In planning strategies to reduce a clients risk for complications following orthopedic surgery, the nurse recognizes which pathology as the underlying cause of osteomyelitis?A2: Infectious process.Q3: A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily two months ago. Which finding provides the best indication that the medication regimen is effective?A3: The family reports a great reduction in the clients manic behavior.Q4: Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an IV site in the clients arm?A4: Assess the IV site frequently for signs of extravasation.Q5: A client with a serum sodium level of 125 meq/mL should benefit most from the administration of which intravenous solution?A5: 0.9% sodium chloride solution (normal saline).Q6: A client with Alzheimers disease falls in the bathroom. The nurse notifies the charge nurse and completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the nurse?A6: Left forearm hematoma.Q7: The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be referred to the healthcare provider immediately?A7: Headache, photophobia, and nuchal rigidity.Q8: An adult male is brought to the emergency department by ambulance following a motorcycle accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?A8: Nausea and projectile vomiting.Q9: After placement of a left subclavian central venous catheter (CVC), the nurse receives a report of the X-ray findings that indicate the CVC tip is in the clients superior vena cava. Which action should the nurse implement?A9: Initiate intravenous fluid as prescribed.Q10: The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?A10: Participation of community leaders in planning the program.Q11: The home care nurse provides self-care instruction for a client with chronic venous insufficiency caused by deep vein thrombosis. Which instructions should the nurse include in the clients discharge teaching plan? (Select all that apply)A11: - Avoid prolonged standing or sitting.- Use a recliner for long periods of sitting.- Continue wearing elastic stockings.Q12: The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?A12: Muscle spasms of the back and neck.Q13: A male client was transferred yesterday from the emergency department to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia (VT), what action should the nurse take first?A13: Determine the clients responsiveness and respirations.Q14: A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse?A14: The client has asymmetrical chest wall expansion.Q15: A client is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose injection 500 ml at 25 ml/hour. How many units of heparin is the client receiving each hour?A15: 1000 units/hour.Q16: The nurse is preparing a client for discharge from the hospital following a liver transplant. Which instruction is most important for the nurse to include in this clients discharge teaching plan?A16: Monitor for an elevated temperature.Q17: The nurse is conducting health assessments. Which assessment finding increases a 56-year-old womans risk for developing osteoporosis?A17: 20 pack-year history of cigarette smoking.Q18: A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take?A18: Administer the medication as prescribed with a glass of water.Q19: Which client should the nurse assess frequently because of the risk for overflow incontinence?A19: A client who is confused and frequently forgets to go to the bathroom.Q20: While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)A20: - Move obstacles away from the client.- Monitor physical movements.- Observe for a patent airway.- Record the duration of the seizure.Q21: A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurse to include in the clients plan of care?A21: Observe for changes in the level of consciousness.Q22: An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator settings of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the clients ABG findings, which action is required?A22: Increase the ventilator rate.Q23: The mother of the 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experienced a loss of appetite. What instruction should the nurse provide?A23: CPT should be performed more frequently, but at least an hour before meals.Q24: The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendation for hypertension?A24: Baked pork chop, applesauce, corn on the cob, 2% milk, and key lime pie.Q25: A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this clients plan of care? (Select all that apply)A25: - Fingerstick glucose assessment q6h with meals.- Review with the client proper foot care and prevention of injury.- Coordinate carbohydrate-controlled meals at consistent times and intervals.- Teach subcutaneous injection technique, site rotation, and insulin management.Q26: Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?A26: Muscle pain.Q27: While assessing a clients chest pain, the nurse should ask about the quality, location, and radiation of the pain, as well as any associated symptoms.

%1 HESI EXIT 2024 Exam Test Bank | Questions and Correct Answers | Latest Version %2%3 In this set of practice questions, you will find 32 questions and their corresponding correct answers related to the HESI EXIT 2024 Exam Test Bank. These questions cover a variety of topics and are designed to help you prepare for the exam. %4Q1: A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head injury. Which assessment finding is indicative of a developing epidural hematoma?A1: Altered consciousness within the first 24 hours after injury.Q2: In planning strategies to reduce a clients risk for complications following orthopedic surgery, the nurse recognizes which pathology as the underlying cause of osteomyelitis?A2: Infectious process.Q3: A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily two months ago. Which finding provides the best indication that the medication regimen is effective?A3: The family reports a great reduction in the clients manic behavior.Q4: Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an IV site in the clients arm?A4: Assess the IV site frequently for signs of extravasation.Q5: A client with a serum sodium level of 125 meq/mL should benefit most from the administration of which intravenous solution?A5: 0.9% sodium chloride solution (normal saline).Q6: A client with Alzheimers disease falls in the bathroom. The nurse notifies the charge nurse and completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the nurse?A6: Left forearm hematoma.Q7: The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be referred to the healthcare provider immediately?A7: Headache, photophobia, and nuchal rigidity.Q8: An adult male is brought to the emergency department by ambulance following a motorcycle accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?A8: Nausea and projectile vomiting.Q9: After placement of a left subclavian central venous catheter (CVC), the nurse receives a report of the X-ray findings that indicate the CVC tip is in the clients superior vena cava. Which action should the nurse implement?A9: Initiate intravenous fluid as prescribed.Q10: The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?A10: Participation of community leaders in planning the program.Q11: The home care nurse provides self-care instruction for a client with chronic venous insufficiency caused by deep vein thrombosis. Which instructions should the nurse include in the clients discharge teaching plan? (Select all that apply)A11: - Avoid prolonged standing or sitting.- Use a recliner for long periods of sitting.- Continue wearing elastic stockings.Q12: The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?A12: Muscle spasms of the back and neck.Q13: A male client was transferred yesterday from the emergency department to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia (VT), what action should the nurse take first?A13: Determine the clients responsiveness and respirations.Q14: A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse?A14: The client has asymmetrical chest wall expansion.Q15: A client is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose injection 500 ml at 25 ml/hour. How many units of heparin is the client receiving each hour?A15: 1000 units/hour.Q16: The nurse is preparing a client for discharge from the hospital following a liver transplant. Which instruction is most important for the nurse to include in this clients discharge teaching plan?A16: Monitor for an elevated temperature.Q17: The nurse is conducting health assessments. Which assessment finding increases a 56-year-old womans risk for developing osteoporosis?A17: 20 pack-year history of cigarette smoking.Q18: A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take?A18: Administer the medication as prescribed with a glass of water.Q19: Which client should the nurse assess frequently because of the risk for overflow incontinence?A19: A client who is confused and frequently forgets to go to the bathroom.Q20: While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)A20: - Move obstacles away from the client.- Monitor physical movements.- Observe for a patent airway.- Record the duration of the seizure.Q21: A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurse to include in the clients plan of care?A21: Observe for changes in the level of consciousness.Q22: An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator settings of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the clients ABG findings, which action is required?A22: Increase the ventilator rate.Q23: The mother of the 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experienced a loss of appetite. What instruction should the nurse provide?A23: CPT should be performed more frequently, but at least an hour before meals.Q24: The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendation for hypertension?A24: Baked pork chop, applesauce, corn on the cob, 2% milk, and key lime pie.Q25: A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this clients plan of care? (Select all that apply)A25: - Fingerstick glucose assessment q6h with meals.- Review with the client proper foot care and prevention of injury.- Coordinate carbohydrate-controlled meals at consistent times and intervals.- Teach subcutaneous injection technique, site rotation, and insulin management.Q26: Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?A26: Muscle pain.Q27: While assessing a clients chest pain, the nurse should ask about the quality, location, and radiation of the pain, as well as any associated symptoms.

%1 HESI EXIT 2024 Exam Test Bank | Questions and Correct Answers | Latest Version %2%3 In this set of practice questions, you will find 32 questions and their corresponding correct answers related to the HESI EXIT 2024 Exam Test Bank. These questions cover a variety of topics and are designed to help you prepare for the exam. %4Q1: A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head injury. Which assessment finding is indicative of a developing epidural hematoma?A1: Altered consciousness within the first 24 hours after injury.Q2: In planning strategies to reduce a clients risk for complications following orthopedic surgery, the nurse recognizes which pathology as the underlying cause of osteomyelitis?A2: Infectious process.Q3: A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily two months ago. Which finding provides the best indication that the medication regimen is effective?A3: The family reports a great reduction in the clients manic behavior.Q4: Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an IV site in the clients arm?A4: Assess the IV site frequently for signs of extravasation.Q5: A client with a serum sodium level of 125 meq/mL should benefit most from the administration of which intravenous solution?A5: 0.9% sodium chloride solution (normal saline).Q6: A client with Alzheimers disease falls in the bathroom. The nurse notifies the charge nurse and completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the nurse?A6: Left forearm hematoma.Q7: The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be referred to the healthcare provider immediately?A7: Headache, photophobia, and nuchal rigidity.Q8: An adult male is brought to the emergency department by ambulance following a motorcycle accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?A8: Nausea and projectile vomiting.Q9: After placement of a left subclavian central venous catheter (CVC), the nurse receives a report of the X-ray findings that indicate the CVC tip is in the clients superior vena cava. Which action should the nurse implement?A9: Initiate intravenous fluid as prescribed.Q10: The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?A10: Participation of community leaders in planning the program.Q11: The home care nurse provides self-care instruction for a client with chronic venous insufficiency caused by deep vein thrombosis. Which instructions should the nurse include in the clients discharge teaching plan? (Select all that apply)A11: - Avoid prolonged standing or sitting.- Use a recliner for long periods of sitting.- Continue wearing elastic stockings.Q12: The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?A12: Muscle spasms of the back and neck.Q13: A male client was transferred yesterday from the emergency department to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia (VT), what action should the nurse take first?A13: Determine the clients responsiveness and respirations.Q14: A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse?A14: The client has asymmetrical chest wall expansion.Q15: A client is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose injection 500 ml at 25 ml/hour. How many units of heparin is the client receiving each hour?A15: 1000 units/hour.Q16: The nurse is preparing a client for discharge from the hospital following a liver transplant. Which instruction is most important for the nurse to include in this clients discharge teaching plan?A16: Monitor for an elevated temperature.Q17: The nurse is conducting health assessments. Which assessment finding increases a 56-year-old womans risk for developing osteoporosis?A17: 20 pack-year history of cigarette smoking.Q18: A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take?A18: Administer the medication as prescribed with a glass of water.Q19: Which client should the nurse assess frequently because of the risk for overflow incontinence?A19: A client who is confused and frequently forgets to go to the bathroom.Q20: While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)A20: - Move obstacles away from the client.- Monitor physical movements.- Observe for a patent airway.- Record the duration of the seizure.Q21: A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurse to include in the clients plan of care?A21: Observe for changes in the level of consciousness.Q22: An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator settings of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the clients ABG findings, which action is required?A22: Increase the ventilator rate.Q23: The mother of the 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experienced a loss of appetite. What instruction should the nurse provide?A23: CPT should be performed more frequently, but at least an hour before meals.Q24: The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendation for hypertension?A24: Baked pork chop, applesauce, corn on the cob, 2% milk, and key lime pie.Q25: A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this clients plan of care? (Select all that apply)A25: - Fingerstick glucose assessment q6h with meals.- Review with the client proper foot care and prevention of injury.- Coordinate carbohydrate-controlled meals at consistent times and intervals.- Teach subcutaneous injection technique, site rotation, and insulin management.Q26: Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?A26: Muscle pain.Q27: While assessing a clients chest pain, the nurse should ask about the quality, location, and radiation of the pain, as well as any associated symptoms.

%1 HESI EXIT 2024 Exam Test Bank | Questions and Correct Answers | Latest Version %2%3 In this set of practice questions, you will find 32 questions and their corresponding correct answers related to the HESI EXIT 2024 Exam Test Bank. These questions cover a variety of topics and are designed to help you prepare for the exam. %4Q1: A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head injury. Which assessment finding is indicative of a developing epidural hematoma?A1: Altered consciousness within the first 24 hours after injury.Q2: In planning strategies to reduce a clients risk for complications following orthopedic surgery, the nurse recognizes which pathology as the underlying cause of osteomyelitis?A2: Infectious process.Q3: A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily two months ago. Which finding provides the best indication that the medication regimen is effective?A3: The family reports a great reduction in the clients manic behavior.Q4: Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an IV site in the clients arm?A4: Assess the IV site frequently for signs of extravasation.Q5: A client with a serum sodium level of 125 meq/mL should benefit most from the administration of which intravenous solution?A5: 0.9% sodium chloride solution (normal saline).Q6: A client with Alzheimers disease falls in the bathroom. The nurse notifies the charge nurse and completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the nurse?A6: Left forearm hematoma.Q7: The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be referred to the healthcare provider immediately?A7: Headache, photophobia, and nuchal rigidity.Q8: An adult male is brought to the emergency department by ambulance following a motorcycle accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?A8: Nausea and projectile vomiting.Q9: After placement of a left subclavian central venous catheter (CVC), the nurse receives a report of the X-ray findings that indicate the CVC tip is in the clients superior vena cava. Which action should the nurse implement?A9: Initiate intravenous fluid as prescribed.Q10: The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?A10: Participation of community leaders in planning the program.Q11: The home care nurse provides self-care instruction for a client with chronic venous insufficiency caused by deep vein thrombosis. Which instructions should the nurse include in the clients discharge teaching plan? (Select all that apply)A11: - Avoid prolonged standing or sitting.- Use a recliner for long periods of sitting.- Continue wearing elastic stockings.Q12: The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?A12: Muscle spasms of the back and neck.Q13: A male client was transferred yesterday from the emergency department to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia (VT), what action should the nurse take first?A13: Determine the clients responsiveness and respirations.Q14: A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which assessment finding warrants immediate intervention by the nurse?A14: The client has asymmetrical chest wall expansion.Q15: A client is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose injection 500 ml at 25 ml/hour. How many units of heparin is the client receiving each hour?A15: 1000 units/hour.Q16: The nurse is preparing a client for discharge from the hospital following a liver transplant. Which instruction is most important for the nurse to include in this clients discharge teaching plan?A16: Monitor for an elevated temperature.Q17: The nurse is conducting health assessments. Which assessment finding increases a 56-year-old womans risk for developing osteoporosis?A17: 20 pack-year history of cigarette smoking.Q18: A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What action should the nurse take?A18: Administer the medication as prescribed with a glass of water.Q19: Which client should the nurse assess frequently because of the risk for overflow incontinence?A19: A client who is confused and frequently forgets to go to the bathroom.Q20: While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)A20: - Move obstacles away from the client.- Monitor physical movements.- Observe for a patent airway.- Record the duration of the seizure.Q21: A male client with a long history of alcoholism is admitted because of mild confusion and fine motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one month ago after his brother died of lung cancer. Which intervention is most important for the nurse to include in the clients plan of care?A21: Observe for changes in the level of consciousness.Q22: An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator settings of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are pH 7.31, PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the clients ABG findings, which action is required?A22: Increase the ventilator rate.Q23: The mother of the 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experienced a loss of appetite. What instruction should the nurse provide?A23: CPT should be performed more frequently, but at least an hour before meals.Q24: The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection indicates that the client understands the dietary recommendation for hypertension?A24: Baked pork chop, applesauce, corn on the cob, 2% milk, and key lime pie.Q25: A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this clients plan of care? (Select all that apply)A25: - Fingerstick glucose assessment q6h with meals.- Review with the client proper foot care and prevention of injury.- Coordinate carbohydrate-controlled meals at consistent times and intervals.- Teach subcutaneous injection technique, site rotation, and insulin management.Q26: Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?A26: Muscle pain.Q27: While assessing a clients chest pain, the nurse should ask about the quality, location, and radiation of the pain, as well as any associated symptoms.