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HESI FUNDAMENTALS PRACTICE QUESTIONS AND CORRECT ANSWERS [A+ GRADE GUARANTEE]
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HESI FUNDAMENTALS PRACTICE QUESTIONS AND CORRECT ANSWERS [A+ GRADE GUARANTEE]
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2HESI FUNDAMENTALS PRACTICE QUESTIONS AND CORRECT
ANSWERS [A+ GRADE GUARANTEE]
A client is taking lithium sodium (Lithium). The nurse should notify the
health care provider for which of the following laboratory values?
White blood cell (WBC) count of 15,000
mm3 Negative protein in the urine
Blood urea nitrogen (BUN) of 20
mg/dL Prothrombin of 12.0
seconds
White cell counts can increase with this drug. The expected range of the WBC count is
5000 to 10,000 mm3 for a healthy adult. Urinalysis, BUN, and prothrombin are not
necessary and these are normal values.
Often when a family member is dying, the client and the family are at
different stages of grieving. During which stage of a client's grieving is
the family likely to require more emotional nursing care than the
client?
Ange
r
Denia
l
Depressio
n
Acceptanc
e
, 2
Which drug does a nurse anticipate may be prescribed to produce
diuresis and inhibit formation of aqueous humor for a client with
glaucoma?
Chlorothiazide (Diuril)
Acetazolamide (Diamox)
Bendroflumethiazide
(Naturetin) Demecarium
bromide (Humorsol)
A client receiving steroid therapy states, "I have difficulty controlling
my temper which is so unlike me, and I don't know why this is
happening." What is the nurse's best response?
Tell the client it is nothing to worry about.
Talk with the client further to identify the specific cause of the
problem. Instruct the client to attempt to avoid situations that
cause irritation.
Interview the client to determine whether other mood swings are being experienced.
A client receiving steroid therapy states, "I have difficulty controlling
my temper which is so unlike me, and I don't know why this is
happening." What is the nurse's best response?
Tell the client it is nothing to worry about.
Talk with the client further to identify the specific cause of the
problem. Instruct the client to attempt to avoid situations that
cause irritation.
Interview the client to determine whether other mood swings are being experienced.
, 2
The nurse is caring for a client with a temperature of 104.5 degrees
Fahrenheit. The nurse applies a cooling blanket and administers an
antipyretic medication. The nurse explains that the rationale for these
interventions is to:
Promote equalization of osmotic
pressures. Prevent hypoxia associated
with diaphoresis. Promote integrity of
intracerebral neurons.
Reduce brain metabolism and limit hypoxia.
A health care provider prescribes 500 mg of an antibiotic intravenous
piggyback (IVPB) every 12 hours. The vial of antibiotic contains 1 g
and indicates that the addition of 2.5 mL of sterile water will yield 3
mL of reconstituted solution. How many milliliters of the antibiotic
should be added to the 50 mL IVPB bag? Record your answer using
one decimal place. mL
1.5
The nurse is caring for a non-ambulatory client with a reddened
sacrum that is unrelieved by repositioning. What nursing diagnosis
should be included on the client's plan of care?
Risk for pressure ulcer
Risk for impaired skin integrity
Impaired skin integrity, related to infrequent turning and
repositioning Impaired skin integrity, related to the effects of
pressure and shearing force
, 2
A client has a pressure ulcer that is full thickness with necrosis into the
subcutaneous tissue down to the underlying fascia. The nurse should
document the assessment finding as which stage of pressure ulcer?
Stage I
Stage II
Stage III
Unstageabl
e
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue must be
removed before the wound can be staged. A stage I pressure ulcer is defined as an area
of persistent redness with no break in skin integrity. A stage II pressure ulcer is a
partial-thickness wound with skin loss involving the epidermis, dermis, or both; the
ulcer is superficial and may present as an abrasion, blister, or shallow crater. A stage III
pressure ulcer involves full thickness tissue loss with visible subcutaneous fat. Bone,
tendon, and muscle are not exposed.
A client is being admitted for a total hip replacement. When is it
necessary for the nurse to ensure that a medication reconciliation is
completed? Select all that apply.
After reporting severe
pain On admission to the
hospital
Upon entering the operating room
Before transfer to a rehabilitation
facility
At time of scheduling for the surgical procedure
Medication reconciliation involves the creation of a list of all medications the client is
taking and comparing it to the health care provider's prescriptions on admission or
when there is a transfer to a different setting or service, or discharge. A change in
status does not require medication reconciliation. A medication reconciliation should be
completed long before entering the operating room. Total hip replacement is elective
surgery, and scheduling takes place before admission; medication reconciliation takes
place when the client is admitted.
4
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