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HESI EXIT EXAM FOR NIGHTINGALE
COLLEGE WITH ACCURAT E AND
VERIFIED QUESTIONS COVERING
COMPREHENSIVE NURSIN G
CONCEPTS, CLINICAL JUDGMENT,
NCLEX READINESS, AND PATIENT
CARE MANAGEMENT.
Question :The nurse is completing the admission
assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP?) A.) Tachycardia and tachypnea B.) Sluggish and unequal pupillary responses C.) Increased head circumference and bulging fontanels D.) Blood pressure fluctuations and syncope
Correct answer:B.) Sluggish and unequal pupillary
responses
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Question :A client with acute pancreatitis is admitted with
severe, piercing abdominal pain and elevated serum amylase. Which additional information is the client most likely to report to the nurse?A.) Abdominal pain decreases when lying supine B.) Pain lasts an hour and leaves the abdomen tender C.) Right upper quadrant pain refers to right scapula D.) Drinks alcohol until intoxicated at least twice weekly
Correct answer:A.) Abdominal pain decreases when lying
supine
Question :A child newly diagnosed with sickle cell
anemia is being discharged from the hospital. Which information is MOST important to provide the parents prior to discharge?A.) Instructions about how much fluid the child should drink daily B.) Signs of addiction to opioid pain medications C.) Information about non-pharmaceutical pain relief measures.
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D.) Referral for social services for the child and family
Correct answer:A.) Instructions about how much fluid the
child should drink daily
Question :After receiving report on an inpatient acute care
unit, which client should the nurse assess first?A.) The client with an obstruction of the large intestine who is experiencing abdominal distention B.) The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds C.) The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid D.) The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
Correct answer:D.) The client with a bowel obstruction
due to a volvulus who is experiencing abdominal rigidity
Question :A teenager presents to the emergency
department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. The nurse
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anticipates the client developing which acid base imbalance?A.) Respiratory acidosis B.) Metabolic alkalosis C.) Metabolic acidosis D.) Respiratory alkalosis
Correct answer:D.) Respiratory alkalosis
Question :A client with dyspnea is being admitted to the
medical unit. To best prepare for the client arrival, the nurse should ensure that the clients bed is in which position?(picture of beds are noted) A.) flat B.) Trendelenburg C.) HOB around 10 degrees D.) HOB around 45 degrees