Practice Question
A parent brings their child, who has a history of asthma, to the emergency department (ED). The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has labored respirations. Which assessment is most important for the nurse to obtain?
Answer Choices:
Correct Answer:
Last dose and type of rescue inhaler used by the child.
Rationale:
💎 Knowing the last inhaler use helps assess medication effectiveness and potential overdose or failure.
💎 It provides immediate data on bronchodilator response and the need for further intervention.
💎 Timing and type help determine if the attack is refractory to treatment.
💎 Guides the nurse in preparing for possible emergency escalation (e.g., epinephrine or oxygen).
💎 This assessment is time-critical in acute asthma management to evaluate airway stability.
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This question is from HESI EXIT which contains 102 questions.
More Questions from This Exam
The nurse provides sliding scale insulin administration instructions to an adult who was recently diagnosed with diabetes mellitus. The client demonstrates an understanding of the instructions provided by performing the procedure in which order? (Arrange with the first on top and the last on the bottom.)
Answer Choices:
A. Draw insulin into insulin syringe.
B. Obtain blood glucose level.
C. Verify the insulin prescription.
D. Cleanse the selected site.
A client who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. The client is pain free. Which intervention should the nurse include in the client's plan of care?
Answer Choices:
A. Determine if the client is over-hydrating to feel satiated.
B. Administer daily vitamin supplements.
C. Maintain the client on an NPO status.
D. Encourage positive self accolades for dietary adherence.
Which client's vital signs indicating increased intracranial pressure (ICP) should the nurse report to the healthcare provider?
Answer Choices:
A. 0800: Heart rate 70 beats/minute, blood pressure 120/60 mm Hg; 1200: heart rate 100 beats/minute, blood pressure 90/60 mm Hg, rapid respirations.
B. 0800: Heart rate 130 beats/minute, blood pressure 190/90 mm Hg; 1200: heart rate 136 beats/minute, blood pressure 200/100 mm Hg, Kussmaul respirations.
C. 0800: Heart rate 110 beats/minute, blood pressure 130/70 mm Hg; 1200: heart rate 100 beats/minute, blood pressure 110/70 mm Hg, shallow respirations.
D. 0800: Heart rate 55 beats/minute, blood pressure 160/70 mm Hg; 1200: heart rate 50 beats/minute, blood pressure 194/70 mm Hg, irregular respirations.
The client is a 24-year-old female who fell while horseback riding.
Answer Choices:
A. Admitted client. Vital signs: heart rate 128 beats/minute, rhythm sinus tachycardia, respiratory rate 14 breaths/minute, oxygen saturation 100% on 40% fraction of inspired oxygen, temperature 96.9" F (36.1" C), blood pressure 90/79 mm Hg. Pulse pressure calculated to be less than 40 mm Hg. The client's surgical dressing is clean and dry. Ecchymosis noted on the abdomen around the dressing. The client has a peripheral intravenous (PIV) line in the right forearm and one in the left hand. The client also has a right subclavian central venous catheter that is infusing propofol and intravenous fluids. Heart sounds are regular. The skin is pink. Capillary refill is 6 seconds. Radial pulses are equal bilaterally. Lung sounds are clear and equal bilaterally. The client has an indwelling urinary catheter in place. No urine noted. The client has no visitors at this time. The social worker is attempting to contact family members. The client opens her eyes to verbal stimuli and follows verbal commands.
The client is a 24-year-old female who fell while horseback riding.
Answer Choices:
A. Lipid panel
B. Blood culture
C. Electrolytes
D. Arterial blood gas
E. Coagulation studies
F. Urine osmolality
G. Complete blood count
H. Type and screen
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2024
- Answer Choices: 4