266 HESI lots of questions and answers
266 HESI lots of questions
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- D Enjoys fat-free yogurt as an occasional snack food.
Question 1 of 55
The nurse is evaluating a client's understanding about the DASH (Dietary Approaches to Stop Hypertension) eating
plan. Which behavior ind...
266 HESI lots of questions
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Question 1 of 55
The nurse is evaluating a client's under-
standing about the DASH (Dietary Ap-
proaches to Stop Hypertension) eating
plan. Which behavior indicates that the
client is adhering to the eating plan?
- D Enjoys fat-free yogurt as an occasion-
al snack food.
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh
fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasion-
al snack food.
Question 2 of 55
A client who has a history of hypothy-
roidism was initially admitted with lethar-
gy and confusion. Which additional find-
ing warrants the most immediate action
by the nurse? [Hematocrit (Reference
Range: Male: 42% to 52% (0.42 to 0.52
- A Further decline in level of conscious- volume fraction)]
ness.
- A Further decline in level of conscious-
ness.
- B Hematocrit of 30% (0.30 volume frac-
tion)
- C Cold and dry skin.
- D Facial puffiness and periorbital ede-
ma
Question 3 of 55
The nurse is caring for a client with a
burn that is severely edematous with a
wound bed that is brown and yellow in
- B Full thickness. appearance. The client expresses feel-
ing no pain. Which classification of burn
depth should the nurse document?
- A Deep full-thickness.
, 266 HESI lots of questions
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- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
Question 4 of 55
An older client who is agitated, dyspneic,
orthopneic, and using accessory mus-
cles to breathe is admitted for further
- A Urinary output.
treatment. Initial assessment includes a
- B Oxygen saturation.
heart rate 128 beats/minute and irregu-
- D Lung sounds.
lar, respirations 38 breaths/minute, blood
pressure 168/100 mm Hg, wheezes and
Orthopneic position, sometimes called
crackles in all lung fields. An hour after
tripod position, is a sitting position where
the administration of furosemide 60 mg
an individual leans slightly forward with
intravenous (IV), which assessment(s)
their arms propped up on an overbed
should the nurse obtain to determine the
table or their knees.
client's response to treatment? (Select
all that apply.)
Orthopnea is the sensation of breath-
lessness in the recumbent (lying down)
- A Urinary output.
position, relieved by sitting or standing.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
- B Crohn's disease with colectomy.
Question 5 of 55
A client is diagnosed with chronic kid-
Question # 5
ney disease and needs to begin dialysis.
Rationale - B Crohn's disease with colec-
Which condition entered on the client's
tomy.
medical record should the nurse recog-
The nurse should recognize that clients
nize as a contraindication for peritoneal
with extensive intra-abdominal surgical
dialysis?
history are not candidates for peritoneal
dialysis, as these clients may have de-
- A Nephrotic syndrome history.
creased peritoneal membrane surface
- B Crohn's disease with colectomy.
areas and scar tissue formation, which
- C Type 2 diabetes mellitus.
would make it insufficient for adequate
- D Latent hepatitis C.
dialysis exchange.
- D Hypoalbuminemia that results in a
decreased colloidal oncotic pressure.
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Question 6 of 55
The three main things that the liver pro-
The nurse assesses a client with cirrho-
duces are albumin, bile (digestive en-
sis and finds 4+ pitting edema of the feet
zymes), and prothrombin (clotting fac-
and legs, and massive ascites. Which
tors).
mechanism contributes to edema and
Albumin plays many important roles in-
ascites in clients with cirrhosis?
cluding maintenance of appropriate os-
- A Decreased portacaval pressure with
motic pressure, binding and transport
greater collateral circulation.
of various substances like hormones,
- B Hyperaldosteronism causing an in-
drugs etc. in blood, and neutralisation
creased sodium reabsorption in renal
of free radicals. It prevents fluid from
tubules.
leaking out of blood vessels into your
- C Decreased renin-angiotensin re-
tissues. Albumin is also responsible for
sponse related to an increase in renal
transporting vitamins, enzymes and hor-
blood flow.
mones throughout your body. Albumin
- D Hypoalbuminemia that results in a
makes up 50% of the proteins found in
decreased colloidal oncotic pressure.
your plasma.
Question 7 of 55
While assessing a client with degener-
ative joint disease, the nurse observes
Heberden's nodes, large prominences
on the client's fingers that are reddened.
The client reports that the nodes are
painful. Which action should the nurse
take?
- B Discuss approaches to chronic pain
control with the client.
- A Review the client's dietary intake of
high-protein foods.
- B Discuss approaches to chronic pain
control with the client.
- C Notify the healthcare provider of the
finding immediately.
- D Assess the client's radial pulses and
capillary refill time.
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Question 8 of 55
Which information should the nurse in-
clude in the teaching plan of a client
diagnosed with gastroesophageal reflux
disease (GERD)?
- B Minimize symptoms by wearing - A Adjust food intake to three full meals
loose, comfortable clothing. per day and no snacks.
- B Minimize symptoms by wearing
loose, comfortable clothing.
- C Avoid participation in any aerobic ex-
ercise programs.
- D Sleep without pillows at night to main-
tain neck alignment.
Question 9 of 55
The nurse assesses a client with petechi-
ae and ecchymosis scattered across the
arms and legs. Which laboratory result
should the nurse review?
- D Platelet count.
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
Question 10 of 55
The nurse is providing teaching to a
client with Type 2 diabetes mellitus and
peripheral neuropathy. Which informa-
tion should the nurse provide?
- A Family members can help with regu- - A Family members can help with regu-
lar foot exams. lar foot exams.
- B Heating pads are useful if on the
lowest setting.
- C Shoes should be worn outside the
house, but it is fine to be barefoot inside.
- D Aching feet may be soaked in luke-
warm water for one hour or more.
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