A nurse has assisted a physician in inserting a central venous access device
into a client with a diagnosis of severe malnutrition who will be receiving
parenteral nutrition (PN). After insertion of the catheter, the nurse
immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed
rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr
to maintain patency - ANS ✓A. Call the radiography department to obtain a
chest x-ray
A rape victim being treated in the emergency department says to the nurse,
"I'm really worried that I've got HIV now." What is the appropriate
response by the nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of
contracting HIV." - ANS ✓D. "Let's talk about the information that you need to
determine your risk of contracting HIV."
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times
daily, to relieve joint pain resulting from rheumatoid arthritis. The client
1
HESI Comprehensive
,HESI
tells the nurse that the medication is causing nausea and indigestion. The
nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - ANS ✓C. Take the
medication with food
A client's oral intake of liquids includes 120 mL on the night shift, 800 mL
on the day shift, and 650 mL on the evening shift. The client is receiving an
intravenous (IV) antibiotic every 12 hours, diluted in 50 mL of normal
saline solution. The nurse empties 700 mL of urine from the client's Foley
catheter at the end of the day shift. Thereafter, 500 mL of urine is emptied
at the end of the evening shift and 325 mL at the end of the night shift.
Nasogastric tube drainage totals 155 mL for the 24-hour period, and the
total drainage from the Jackson-Pratt device is 175 mL. What is the client's
total intake during the 24-hour period? Type your answer in the space
provided.
Answer: ________mL - ANS ✓Correct Responses: "1670"
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push)
is prescribed for a client for the management of anxiety. The nurse
prepares the medication as prescribed and administers the medication
over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANS ✓A. 3 minutes Correct
2
HESI Comprehensive
,HESI
A nurse, conducting an assessment of a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he is
taking. The client tells the nurse that he is taking nefazodone hydrochloride
(Serzone). On the basis of this information, the nurse determines that the
client most likely has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - ANS ✓A. Depression
Phenelzine sulfate (Nardil) is prescribed for a client with depression. The
nurse provides information to the client about the adverse effects of the
medication and tells the client to contact the physician immediately if she
experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ANS ✓D. Neck stiffness or soreness Correct
15 Risperidone (Risperdal) is prescribed for a client hospitalized in the
mental health unit for the treatment of a psychotic disorder. Which finding
in the client's medical record would prompt the nurse to contact the
prescribing physician before administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin). - ANS ✓C. The client
takes a prescribed antihypertensive.
3
HESI Comprehensive
, HESI
A client who has been undergoing long-term therapy with an antipsychotic
medication is admitted to the inpatient mental health unit. Which of the
following findings does the nurse, knowing that long-term use of an
antipsychotic medication can cause tardive dyskinesia, monitor in the
client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ANS ✓D. Tongue protrusion
A nurse is reviewing the record of a client scheduled for electroconvulsive
therapy (ECT). Which of the following diagnoses, if noted on the client's
record, would indicate a need to contact the physician who is scheduled to
perform the ECT?
A. Recent stroke
B. Hypothyroidism
C. History of glaucoma
D. Peripheral vascular disease - ANS ✓A. Recent stroke
A client scheduled for suprapubic prostatectomy has listened to the
surgeon's explanation of the surgery. The client later asks the nurse to
explain again how the prostate is going to be removed. The nurse tells the
client that the prostate will be removed through:
A. A lower abdominal incision
B. An upper abdominal incision
C. An incision made in the perineal area
D. The urethra, with the use of a cutting wire - ANS ✓A. A lower abdominal
incision
4
HESI Comprehensive
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamitorMagnus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.39. You're not tied to anything after your purchase.
