HESI EXIT COMPREHENSIVE REVIEW B.latest complete test(graded A)

HESI EXIT COMPREHENSIVE REVIEW B 1. Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opac ...

HESI EXIT COMPREHENSIVE REVIEW B 1. Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type structure in the visual field D. Reports the need to use a magnifying glass to see small print Rationale: 2. When caring for a client hospitalized with Guillain-Barré syndrome, which information is most important for the nurse to report to the primary health care provider? A. Ascending numbness from the feet to the knees B. Decrease in cognitive status of the client C. Blurred vision and sensation changes D. Persistent unilateral headache Rationale: 3. A client is admitted with a diagnosis of leukemia. This condition is manifested by which of the following? A. Fever, elevated white blood count, elevated platelets B. Fatigue, weight loss and anorexia, elevated red blood cells C. Hyperplasia of the gums, elevated white blood count, weakness D. Hypocellular bone marrow aspirate, fever, decreased hemoglobin level Rationale: 4. The nurse enters the examination room of a client who has been told by her health care provider that she has advanced ovarian cancer. Which response by the nurse is likely to be most supportive for the client? A. "I know many women who have survived ovarian cancer." B. "Let's talk about the treatments of ovarian cancer." C. "In my opinion I would suggest getting a second opinion." D. "Tell me about what you are feeling right now." Rationale: 5. A nurse working in the emergency department admits a client with full-thickness burns to 50% of the body. Assessment findings indicate high-pitched wheezing, heart rate of 120 beats/min, and disorientation. Which action should the nurse take first? A. Insert a large-bore IV for fluid resuscitation. B. Prepare to assist with maintaining the airway. C. Cleanse the wounds using sterile technique. D. Administer an analgesic for pain. Rationale: 6. The nurse walks into the room and observes the client experiencing a tonic- clonic seizure. Which intervention should the nurse implement first? A. Restrain the client to protect from injury. B. Flex the neck to ensure stabilization. C. Use a tongue blade to open the airway. D. Turn client on the side to aid ventilation. Rationale: 7. Which intervention should be included in the plan of care for a client admitted to the hospital with ulcerative colitis? A. Administer stool softeners. B. Place the client on fluid restriction. C. Provide a low-residue diet. D. Add a milk product to each meal. Rationale: 8. A nurse implements an education program to reduce hospital readmissions for clients with heart failure. Which statement by the client indicates that teaching has been effective? A. "I will not take my digoxin if my heart rate is higher than 100 beats/min." B. "I should weigh myself once a week and report any increases." C. "It is important to increase my fluid intake whenever possible." D. "I should report an increase of swelling in my feet or ankles." Rationale: 9. After assessing a 26-year-old client with type 1 diabetes mellitus, which data may indicate that the client is experiencing chronic complications of diabetes? A. Blood pressure, 159/98 mm Hg B. Hemoglobin A1C (HbA1C), 6% C. Creatinine level, 1.0 mg/dL D. Chronic sciatica Rationale: 10. When caring for a client with a tracheostomy, which intervention should the nurse delegate to the unlicensed assistive personnel (UAP)? A. Teach the family about signs and symptoms of hypoxia. B. Take the vital signs and obtain an O2 saturation level. C. Evaluate the need for tracheal suctioning. D. Revise the plan of care to include tracheostomy care. Rationale: 11. The charge nurse is making assignments for the upcoming shift. Which client is most appropriate to assign to the practical nurse (PN)? A. A client with nausea who needs a nasogastric tube inserted B. A client in hypertensive crisis who needs titration of IV nitroglycerin C. A newly admitted client who needs to have a plan of care established D. A client who is ready for discharge who needs discharge teaching Rationale: 12. A nurse performs an initial admission assessment of a 56-year-old client. Which factor(s) would indicate that the client is at risk for metabolic syndrome? (Select all that apply.) A. Abdominal obesity B. Sedentary lifestyle C. History of hypoglycemia D. Hispanic or Asian ethnicity E. Increased triglycerides Rationale: 13. Which clinical manifestation in the client with hyperthyroidism is most important to report to the health care provider? A. Nervousness B. Increased appetite C. Apical heart rate of 130 beats/min D. Insomnia Rationale: 14. The nurse administers atropine sulfate ophthalmic drops preoperatively to the right eye of a client scheduled for cataract surgery. Which response by the client indicates that the drug was effective? A. The pupils become equal and reactive to light. B. The right pupil constricts within 30 minutes. C. Bilateral visual accommodation is restored. D. The right pupil dilates after drop instillation. Rationale: 15. A client with human immunodeficiency virus (HIV) develops a painful blistering skin rash on the right lateral abdominal area. Which drug should the nurse expect to administer to treat this condition? A. Levofloxacin B. Acyclovir sodium C. Fluconazole D. Esomeprazole Rationale: 16. When assessing a 38-year-old client with tuberculosis who is taking rifampin, which finding would be most important to report to the primary health care provider immediately? A. Orange-colored urine B. Potassium level, 4.9 mEq/L C. Elevated liver enzyme levels D. Blood urea nitrogen (BUN) level, 12 mg/dL. 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