NEW GENERATION HESI RN EXIT EXAM 2024 QUESTIONS AND ANSWERS A+ GRADE

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NEW GENERATION HESI RN EXIT EXAM 2024 QUESTIONS AND ANSWERS A+ GRADE 1. 1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogas- tric tube to suction ... and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admis- sion to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? d. Increase the in- fusion rate of Lac- tated Ringer's so- lution. 2. 2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right pneu- mothorax. Chest tubes were inserted in the emer- gency department prior to his transfer to the inten- sive care unit (ICU). the nurse notes that the suction control chamber is bubbling at the - 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is measured in the collection chamber. Which interven- tion should the nurse implement? a. Add sterile wa- ter to the suction control chamber. 3. 3. A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first? c. Begin supple- mental oxygen. 4. 4. A client with Addison's crisis is admitted for treat- ment with adrenal cortical supplementation. Based on the client's admitting diagnosis, which findings require immediate action by the nurse? (Select all that apply) Headache and tremors Irregular heart rate pallor and di- aphoresis 5. 5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration that the nurse should re- port to the healthcare provider? d. Skin tenting occurs when the client's forearm is pinched. [Show More]

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