HESI exit exam version 1 : and solution

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The practical nurse (PN) performs a random blood glucose test for a client with a history of hypoglycemia and complains of dizziness. After test completion, which action should the PN perform first... ? Remove gloves and wash hands. Document results and actions in the medical record. Regarding client confidentiality, what information represents the correct understanding by the practical nurse of the guidelines set forth by HIPAA (Health Insurance Portability and Accountability Act)? Which action should the practical nurse (PN) implement to provide a sense of control to a toddler who is hospitalized? Dispose of lancet and test strip in proper receptacle. Discuss the test results with the client. Only clients can pick up their prescriptions at a pharmacy. Past medical records for clients should be stored in a secured place. Computers that access client information cannot be in the public part of a nursing station. Whiteboards with a list of client names are prohibited in areas that the public can see. Put a cover over the child's crib. Which interventions should the practical nurse (PN) implement in the postoperative period for a client who had surgery for cancer of the oral cavity? (Select all that apply.) Select all that apply Ask parents to stay with the child. Assign the same nurses to care for the child. Follow the child's usual routines for feeding and bedtime. Provide meticulous oral hygiene. Advise the client to avoid straining at stool. Obtain daily weights to determine need for NGT feedings. Observe for temporary or permanent loss of taste. Monitor for gastric indigestion. Which intervention is most important for the practical nurse to implement when suctioning the nasopharyngeal airways for a child after cardiac surgery? A female client with terminal cancer is tearful and is becoming increasingly withdrawn from her family and the nursing staff. She refuses medications, treatments, food, and frequently says, "Why is God doing this to me?" Which intervention should the practical nurse implement? Perform oropharyngeal suctioning PRN. Suction for no longer than 5 seconds at a time. Assess for symptoms of respiratory distress during suctioning. Administer supplemental oxygen before and after suctioning. Monitor for an increased suicide risk. Implement measures to reduce her pain level. Contact her religious advisor to help her face death. Which pathophysiological findings are characteristic in children with cystic fibrosis (CF)? (Select all that apply.) Select all that apply Which factor should the practical nurse (PN) consider prior to providing morning hygiene care to a male client who is of Middle-Eastern descent ? The caregiver of an 88-year-old client tells the practical nurse (PN) that the client takes frequent naps during the day and awakens frequently during the night. Which information should the PN provide? Skin color. Economic status. Personal preferences. Sociocultural background. [Show More]

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