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HESI FINAL EXAM TEST 1 QUESTIONS
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HESI FINAL EXAM TEST 1 QUESTIONS
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HESI FINAL EXAM TEST 1 QUESTIONSAfter a thyroidectomy, the nurse should monitor for signs of tetany which can be caused
by trauma to the parathyroid gland. The signs of tetany include which of the following?
check all answers that apply
negative Chvostek's sign
positive Trousseau's sign
photophobia
cardiac dysrhythmias - Answers-positive Trousseau's sign
photophobia
cardiac dysrhythmias
All three of these are signs of tetany. A positive Chvostek's sign would also be a sign of
tetany, along with carpopedal spasm, dysphagia, muscle and abdominal cramps,
numbness and tingling of the face and extremities, wheezing and dyspnea, and
seizures.
Your patient has had a uterine artery embolization to treat a fibroid tumor. She is being
discharged and you will be giving her instructions for home care. Which of the following
would NOT be a part of your instructions?
alter diet to eliminate fiber
call the health care provider if you run a fever of 101.1 degrees F or more
do not use tampons for at least four weeks
avoid straining during bowel movements - Answers-alter diet to eliminate fiber
A reaction to the Mantoux test for tuberculosis means the client has been exposed to
the tuberculin bacillus. Further testing needs to be done to determine whether the
disease is active or dormant. A positive reaction does not mean the client is
immunocompromised, but clients who are immunocompromised have a high risk of
tuberculosis.
Which of the following would be considered a late sign of colorectal cancer?
check all answers that apply
blood in stool
anemia
cachexia
abdominal mass - Answers-cachexia
abdominal mass
These are late signs along with guarding or abdominal distention. Blood in the stool is
the most common manifestation of this cancer.
,The nursing diagnosis deals with which of the following?
check all answers that apply
disease
medical condition
human response to health problems
care plan - Answers-human response to health problems
A medical diagnosis deals with disease or medical condition. A nursing diagnosis deals
with human response to actual or potential health problems and life processes.
A client in a long-term care facility refuses to take his oral medications. The nurse
threatens the client and tells him that, if the medication is not taken, restraints will be
applied and the medication will be given by injection. The nurse's statement constitutes
which legal tort?
Assault
Battery
Negligence
Right to refuse care - Answers-Assault
sault. Assault occurs when a person puts another person in fear of harmful or
threatening contact. Battery is the actual contact with one's body. If the nurse actually
carried out the threat, battery would also apply. Negligence involves actions below the
standard of care. The client has the legal right to refuse care. In this situation, the
correct action is to try to calm the client, allow him time to talk, and then determine if he
will take the medications. If the client still won't take the medications, the nurse should
document his refusal, note the medications, and notify the physician and nursing
supervisor. The nurse should follow the facility's policy related to client's refusing care.
You have a patient who has been diagnosed with asthma. You are teaching him the
proper use of an inhaler. Which of the following would NOT be included in your
instruction?
Exhale completely.
Use the bronchodilator before the steroid inhaler.
If using a spacer, keep mouth open to bring in volume of air with misted medication.
Wait at least one minute between inhaled doses (puffs). - Answers-If using a spacer,
keep mouth open to bring in volume of air with misted medication.
If using a spacer, the mouthpiece should be gripped in the mouth. If not using a spacer,
the mouth should be kept open to bring in volume of air with misted medication. The
other choices are correct instructions.
, Pulmonary edema is a life-threatening event that can result from severe heart failure. If
a client develops pulmonary edema which of the following actions is appropriate?
check all answers that apply
Place the client in a low-Fowler's position.
Administer oxygen.
Ensure that an intravenous access device is in place.
Prepare for intubation if required. - Answers-Administer oxygen.
Ensure that an intravenous access device is in place.
Prepare for intubation if required.
These are all appropriate actions. You should immediately place the client in high-
Fowler's position, with the legs in a dependent position, to reduce pulmonary congestion
and relieve edema.
This patient would be told to eat a normal diet including fiber and fluids. All of the other
choices are appropriate instructions. Other instructions may include: take prescribed
medications as ordered; call the physician if she has bleeding, pain, swelling,
hematoma at the puncture site, urinary retention or abnormal vaginal drainage; and
refrain from using douches or having vaginal intercourse for at least four weeks.
Your patient has had hip replacement surgery. She is being discharged and along with
other instructions you advise her not to lift her leg upward from a lying position or
elevate the knee when sitting. The primary reason for this is which of the following?
This type of action may cause extreme pain.
This type of action will delay healing.
This type of action may cause venous thrombosis.
This type of action may pop the prosthesis out of the socket. - Answers-This type of
action may pop the prosthesis out of the socket.
This question asks for the primary reason for this advice. The primary reason is that this
type of action may pop the prosthesis out of the socket.
A young adult was told that he had a significant reaction to the Mantoux test. The nurse
explains that this means he
has active tuberculosis.
had active tuberculosis
has been exposed to tuberculosis
is immunocompromised. - Answers-has been exposed to tuberculosis.
A female client's gonorrhea culture is positive for gonorrhea. Which of the following
actions should the nurse take?
instruct the client to wait in the office for 25 minutes after the examination to allow the
local anesthesia to wear off
instruct the client to wait 24 hours before taking prescribed medication
ask the client for the names of all of her sexual partners
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