HESI EXIT RN 2022 V4 (NEW!) (Q&A)  100% COMPLETE SOLUTIONS DOWNLOAD TO SCORE OUTSTANDING GRADE A

HESI EXIT RN V4 2022 (NEW)

1. If the nurse is initiating IV fluid replacement for a child who has dry, sticky mucous

membranes, flushed skin, and fever of 103.6 F. Laboratory finding indicate that the

child has a sodium concentration of 156 mEq/L. What physiologic mechanism

contributes to this finding?

- Insensible loss of body fluids contribute to the hemoconcentration of serum solutes.

Rationale: Fever causes insensible fluid loss, which contribute to fluid volume and

results in hemoconcentration of sodium (serum sodium greater than 150 mEq/L).

Dehydration, which is manifested by dry, sticky mucous membranes, and flushed skin,

is often managed by replacing lost fluids and electrolytes with IV fluids that contain

varying concentration of sodium chloride. Although other options are consistent with

fluid volume deficit, the physiologic response of hypernatremia is explained by hem

concentration.

2. During a Woman's Health fair, which assignment is the best for the Practical Nurse

(PN) who is working with a register nurse (RN)

- Prepare a woman for a bone density screening.

Rationale: A bone density screening is a fast, noninvasive screening test for

osteoporosis that can be explained by the PN. There is no additional preparation needed

(A) required a high level of communication skill to provide teaching and address the

client's fear. (B) Requires a higher level of client teaching skill than responding to one

client. (D) Requires higher level of knowledge and expertise to provide needed teaching

regarding this complex topic.

3. An adult client present to the clinic with large draining ulcers on both lower legs that

are characteristics of Kaposi's sarcoma lesions. The client is accompanied by two family

members. Which action should the nurse take?

- Send family to the waiting area while the client's history is taking.

Rationale: To protect the client privacy, the family member should be asked to wait

outside while the client's history is taken. Gloves should be worn when touching the

client's body fluids if the client is HIV positive and these lesions are actually Kaposi

sarcoma lesion. HIV testing cannot legally be done without the client explicit

permission. A further assessment can be implemented after the family left the room.

4. An adult client is exhibiting the maniac stage of bipolar disorder is admitted to the

psychiatric unit. The client has lost 10 pounds in the last two weeks and has no bathed in

a week "I'm trying to start a new business and "I'm too busy to eat". The client is

oriented to time, place, person but not situation. Which nursing problem has the

greatest priority?

- Imbalance nutrition.

Rationale: The client's nutritional status has the highest priority at this time, and

finger foods are often provided, so the client who is on the maniac phase of bipolar

disease can receive adequate nutrition. Other options are nursing problems that should

also be addresses with the client's plan of care, but at this stage in the client's treatment,

adequate nutrition is a priority.

5. The nurse is preparing a discharge teaching plan for a client who had a liver

transplant. Which instruction is most important to include in this plan?

- Avoid crowds for first two months after surgery.

Rationale: Cyclosporine immunosuppression therapy is vital in the success of liver

transplantation and can increase the risk for infection, which is critical in the first two

months after surgery. Fever is often.

6. The nurse is assessing a client's nailbeds. Witch appearance indicates further followup is needed for problems associated with chronic hypoxia? -

7. A client who had a percutaneous transluminal coronary angioplasty (PTCA) two

weeks ago returns to the clinic for a follow up visit. The client has a postoperative

ejection fraction ejection fraction of 30%. Today the client has lungs which are clear, +1

pedal edema, and a 5pound weight gain. Which intervention the nurse implements?

- Assess compliance with routine prescriptions.

Rationale: Fluid retention may be a sign that the client is not taking the medication as

prescribed or that the prescriptions may need adjustment to manage cardiac function

post-PTCA (normal ejection fraction range is 50 to 75%).

8. The RN is assigned to care for four surgical clients. After receiving report, which

client should the nurse see first?

The client who is - Three days postoperative colon resection receiving transfusion of

packed RBCs.