2020 HESI Clinical Analysis Exit Exam Version 3 With Answers (129 Solved Questions)

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1.After placing a 36- week- gestation newborn in an isolette and drying theinfant with several blankets, what should the nurse implement next?a.Place erythromycin ophthalmic ointment in both eyes2.A client in the third trimester of pregnancy complains of frequent nasalstiffness and occasional nosebleeds. Her chest circumference has increasedby 5 cm during the pregnancy, and she uses thoracic breathing. Herdiaphragm is elevated and she has an increased costal angle. Whichintervention should the nurse implement?a.Examine the client for signs of tissue anoxia, such as pallor3.A terminally ill male hospice client who is at home is showing decreasedawareness of his surroundings. His appetite is poor and he often refuses oralintake of solids and liquids. For the past several days he has been unable toget out of bed. Which action should the hospice nurse implement?a.Teach the family how to assist the client to a wheelchair4.A woman was admitted yesterday afternoon with severe abdominal pain. Herpregnancy test and ultrasound were negative, so an exploratory laparotomywas completed during the night. When coffee ground materials is observed inthe drainage from the nasogastric tube (NGT), which intervention should thenurse implement?a.Verify correct placement of the nasogastric tube5.The nurse is reviewing the laboratory values for a client with acutepancreatitis who reports of the abdominal pain is not as severe as it was onadmission. Which laboratory test should the nurse review to evaluate theclients clinical recovery?a.Lipase6.While assessing a client who had a laparotomy the previous day, the nursenotices that 300 mL of dark red fluid has drained from the nasogastric tube inthe last hour. Which action should the nurse take first?a.Assess the clients level of pain7.The nurse is reviewing the recommended preventative care for clients withasthma, chronic bronchitis, and emphysema. Which health care measure ismost important for the nurse to recommend to these clients?a.Avoid large crowded areas during the colder months of the year8.The mother of a one-moth-old infant calls the clinic to report that the back ofher infant’s head is flat. How should the nurse respond?a.Position the infant on the stomach occasionally when awake andactive9.A woman is brought to the labor and delivery unti after delivering a terminfant and the placenta in the hospital parking lot 10 minutes ago. Whichaction should the nurse perform first?a.Place the infant to the breast for bonding10. A client has a new prescription for the maximum recommended dosage ofpipercillin/tazobactam for nosocomial pneumonia. The nurse should reportwhich laboratory finding to the healthcare provider before administering theprescribed dose?a.Presence of gram positive bacteria in the sputum2020 HESI EXIT V3

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