HESI exam, pain management, long term care, client assessment, nursing care, vital signs, myocardial infarction, tracheotomy, pacemaker insertion, abuse allegation, domestic violence, medication education, therapeutic relationship, pain relief, hospital policy
The document includes 150 questions with answers to practice the HESI Exit Exam.
[...] When asked if visitors can come, the home health nurse should respond that: Visitors must wear a mask and gown There are no special requirements for visitors for clients on contact precautions Visitors should wash their hands before and after interacting with the client Visitors are not permitted Correct answer: Visitors should wash their hands before and after interacting with the client 53. In the case of a child admitted with suspected meningococcal meningitis, the first order of action for the nurse should be to: Initiate seizure precautions Check neurological status hourly Implement respiratory and secretion precautions Administer Cefotaxime IV at 50 mg/kg/day divided every 6 hours Correct answer: Implement respiratory and secretion precautions 54. Among four elderly clients, which nursing diagnosis would indicate the highest risk of falls for one client? [...]
[...] The nurse should respond with: "The client has many issues. You should be patient." "I'll discuss the matter with the client to find a solution." "The client is scared and projecting feelings. Let's talk about a solution." "Just ignore the client and focus on your remaining tasks; someone else can handle them today." Correct answer: "The client is scared and projecting feelings. Let's talk about a solution." 75. A client diagnosed with bipolar disorder is being considered for placement in a boarding home. [...]
[...] What is the best explanation the nurse can provide about the purpose of the tube? "The tube will drain fluid from your chest." "The tube will eliminate excess air from your chest." "The tube regulates air entering your chest." "The tube will close up the hole in your lung." Correct answer: "The tube will eliminate excess air from your chest." 132. The nurse reviewing laboratory results for a client with acute renal failure should be most concerned about which value needing immediate reporting? [...]
[...] Which care consideration should be included? Watch for high potassium levels Implement protective isolation Precautions when changing positions Administer prescribed diuretics Correct answer: Precautions when changing positions 40. During a home visit, a COPD patient informs the nurse that walking to the mailbox has become difficult. They now require rest halfway. What is the most fitting diagnosis based on this assessment? Activity intolerance associated with fatigue from chronic tissue hypoxia Impaired mobility related to chronic obstructive pulmonary disease Self-care deficit due to fatigue and dyspnea Ineffective airway clearance from excessive bronchial secretions Correct answer: Activity intolerance associated with fatigue from chronic tissue hypoxia 41. [...]
[...] Switch the baby to whole milk Add chocolate syrup to enhance taste Continue with the iron-fortified formula Frequently offer fruit juice Correct answer: Continue with the iron-fortified formula 38. Client information confidentiality is legally mandated. When would the nurse breach this confidentiality? If a family member volunteers information about their relative When there's a threat of self-harm or potential harm to others Based on a healthcare provider's decision regarding family rights to know If a visitor claims to have the client's permission Correct answer: When there's a threat of self-harm or potential harm to others 39. [...]
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