HESI EXIT EXAM REVIEW (NIGHTINGALE COLLEGE) 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI EXIT EXAM REVIEW (NIGHTINGALE
COLLEGE) 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
The nurse is assessing a male with a history of Addison's
disease. The client has flu-like symptoms and nausea with
vomiting over the past week. The client's spouse reports that he
acted confused and was extremely weak when he awoke this
morning. The client is febrile and has tachycardia. The health care
provider diagnoses acute adrenal insufficiency. Which medication
will most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema
disappears
b. Hydrocortisone 100 mg - ANSWER-b. Hydrocortisone 100 mg
IV every six hours until systolic BP reaches 110 mmHg
A client with a history of mitral valve prolapse is admitted because
of fever and dyspnea on exertion, and is diagnosed with acute
infective endocarditis. During the admission assessment, the
nurse observes multiple areas of petechiae on the client's skin.
Which intervention should the nurse include in the client's plan of
care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
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d. Maintain recor - ANSWER-a. Monitor cardiac rhythm via
telemetry
b. Report changes in pre-existing murmurs
e. Initiate contact transmission precautions
The nurse is planning an educational session for new parents on
ways to prevent sudden infant death syndrome (SIDS). Which
information is most important to provide parents of newborns and
infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime -
ANSWER-c. Position the infant in a supine position while sleeping
The healthcare provider prescribes methylergonovine maleate for
a postpartum client with uterine atony. What findings should
indicate to the nurse to withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia - ANSWER-a. Hypertension
A mother runs into the emergency department with a toddler in
her arms and tells the nurse that her child got into some cleaning
products. the child smells of chemicals on the hands, face, and on
the front of the child's clothes. after ensuring the airway is patent,
what action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number - ANSWER-b.
Determine type of chemical exposure
Which conditions are most likely to respond to treatment with
antihistamines? Select all that apply.
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a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ANSWER-b. Allergic rhinitis
d. Contact dermatitis