HESI EXIT CAT EXAM 2/ HESI COMPUTERIZED ADAPTIVE TESTING 2023-2024 (COMPLETE 160 Q&A)

HESI EXIT CAT EXAM 2/ HESI COMPUTERIZED ADAPTIVE TESTING 2023-2024 (COMPLETE 160 QUESTIONS AND ANSWERS)

A client with a haemothorax has a chest tube in the fourth intercostal space connected to suction at 20 cm H2O pressure. Four hours after insertion, which client outcome should the nurse consider to be within normal limits for this client?

[Correct Ans: - Fluctuation with respiration in the water-seal chamber of the Pleuravac

A client has started long-term maintenance therapy with a cardiotonic medication that has a narrow therapeutic index. Teaching the client, the signs/symptoms of which adverse effect is most important?

[Correct Ans: - Toxicity

In caring for a client who is receiving peritoneal dialysis, the nurse should be alert for that what complications?

[Correct Ans: - Abdominal pain, tenderness, and rigidity

A high fluid intake is prescribed for a client with urolithiasis. The client wishes to know the chief purpose for this intervention. What should the nurse tell the client about this prescription?

[Correct Ans: - The purpose is to increase the hydrostatic pressure behind the stone to assist in its downward passage

Normal saline 0.9% is prescribed for a client with fluid volume deficit at a rate of 100ml/hour. Before starting the infusion, the nurse observes that the client's urine is dark amber in color. What action should the nurse take?

[Correct Ans: - Administer the normal saline at the prescribed rate of 100 ml/hour

Which explanation of autonomic cardiac regulation mediated by sympathetic innervations is correct?

[Correct Ans: - Increased Ca+ influx with sympathetic stimulation raises the heart rate

The nurse learns that a newly admitted adult client has a six-month history of recurring somatic pain. During the admission interview, it is most important for the nurse to question the client about what problem?

[Correct Ans: - Feelings of depression

A pregnant client begins to cry when the UAP tries to assist her in donning a hospital gown, and she refuses to remove an undergarment that is worn in her culture to preserve modesty. What should the charge nurse do first?

[Correct Ans: - Determine if continued wearing of the garment will compromise care

The nurse is preparing to insert an IV in an adult male client. Which client's lab value is most important for the nurse to consider prior to inserting the IV?

[Correct Ans: - Platelet count of 60,000/mm

A 12-year-old boy who is 54 inches tall is scheduled for x-rays of his hands and wrist to determine growth patterns. The mother asks the nurse why these x-rays are being taken. What explanation is best for the nurse to provide this mother?

[Correct Ans: - Hormonal influences on the bone at this age can be determined by x-ray

The nurse is reviewing laboratory results for a client with adrenal insufficiency. Which finding should the nurse report to the healthcare provider?

[Correct Ans: - A. Calcium 12 mg/dl

At 0700 the nurse receives report for a client with chronic intractable pain "who needs morphine every 4 hours during the day shift to control pain." After reviewing the client's record, what action should the nurse implement?

[Correct Ans: - . Request a change in the prescribed dose of fentanyl (Duragesic) transdermal pat

After a client experiences spontaneous rupture of the membranes during labor, the nurse notes a visible prolapse of the umbilical cord. What intervention should the nurse implement immediately?

[Correct Ans: - A. Push the presenting part off the cord

The nurse is preparing a teaching plan for a client receiving magnesium-based antacids for treatment of gastro-oesophageal reflux disease (GERD). Which instruction should the nurse plan to include?

[Correct Ans: - "Avoid taking any other drugs 1 to 2 hours before and after taking the antacid"

The nurse is caring for a young adult male client with facial injuries resulting from a motor vehicle collision. Which client statement indicative of the highest priority for nursing intervention?

[Correct Ans: - "I can't sleep through the night because I awaken with pain when I move"