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HESI EXIT

Question 91

The charge nurse in a critical care unit is reviewing client conditions to determine who is stable enough to be transferred. Which client status report indicates readiness for transfer from the critical care unit to a medical unit?

[ ] A. Chronic liver failure with a hemoglobin of 10.1 g/dL (101 g/L) and a slight bilirubin elevation.

[ ] B. Myocardial infarction with sinus bradycardia and multiple ectopic beats.

[ ] C. Adult respiratory distress syndrome with an oxygen saturation of 88% on room air.

[ ] D. Pulmonary embolus with an IV heparin infusion and new onset hematuria.

Question 93

A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention should the nurse instruct the unlicensed assistive personnel (UAP) to implement?

[ ] A. Provide with only finger foods.

[ ] B. Orient the client to the location of the food on the plate.

[ ] C. Ask family to visit during meal time to assist with feeding.

[ ] D. Feed the client the entire meal.  HESI EXIT

Question 94

The school nurse is implementing standards to manage students and provide a safe and healthy school setting. Which action is most important for the nurse to implement?

[ ] A. Ensure that medical supplies are available.

[ ] B. Conduct annual student health assessments.

[ ] C. Maintain student immunization records.

[ ] D. Develop an emergency plan for the school.

Question 95

The plan of care for a client who was recently diagnosed with breast cancer includes the nursing problem, “Anxiety related to the threat of death secondary to the cancer diagnosis.” Which expected outcome should the nurse identify for this client?

[ ] A. Verbalizes feelings when becoming anxious.

[ ] B. Describes acceptance of impending death.

[ ] C. Uses coping mechanisms effectively.

[ ] D. Cries openly when discussing diagnosis.

Question 96

The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client indicates that the teaching was effective?

[ ] A. A tuna fish sandwich with chips and ice cream.

[ ] B. A peanut butter sandwich with soda and cookies.

[ ] C. Vegetable soup, crackers, and milk.

[ ] D. A salad with three kinds of lettuce and fruit.  HESI EXIT

Question 97

The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis. Which food selection indicates to the nurse that the client understands the prescribed diet?

[ ] A. Baked potato with skin, raw carrots.

[ ] B. Pancakes, whole-grain cereals.

[ ] C. Roast pork, fresh strawberries.

[ ] D. Roasted turkey, canned vegetables.  HESI EXIT