HESI Case Studies|Bundle Package |

Which thought process describes Adam's inability to leave his apartment because he thinks someone is waiting to kill him? A. Hallucination. B. Phobia. C. Delusions. D. Confabulation. CORRECT ANSWER C. Delusions. When Adam explains that someone has been following him and is waiting outside ...

Client quietly paces in the ED waiting area with his hands on his hips and rubbing his mid-lower left side. He has a flat facial expression. Which factor is most important for the nurse to consider when interpreting this client's pain behavior? CORRECT ANSWER Client's cultural identity. The nur...

1. In reviewing Ashley's history, the RN is correct in concluding that Jennie is in jeopardy of developing a hypertensive disorder because of her age (15). Which other factor(s) add to Ashelys risk of developing preeclampsia? (Select all) CORRECT ANSWER -Familial history -Preexisting medical or ge...

The Emergency Department (ED) nurse completes the admission assessment. Mr. Jones is alert but struggles to answer questions. When he attempts to talk, he slurs his speech and appears very frightened. Which additional clinical manifestations should the nurse expect to find if Mr. Jones' symptoms ha...

George's blood pressure reading is 189/110 mmHg. His LDL cholesterol reading is 200 mg/dL. He asks the student nurse if he should be concerned about his blood pressure. How should the student nurse respond? CORRECT ANSWER Please sit here quietly for a few minutes. I need to recheck your blood pr...

Based on this assessment, what is the most important nursing intervention? A. Establish rapport and trust. B. Assess for hallucinations. C. Maintain adequate social space. D. Plan to give a PRN antipsychotic. CORRECT ANSWER A. Establish rapport and trust. What is the most accurate assessmen...

Which is an example of a nurse applying community as client? 1 Counseling a client who is having trouble managing their asthma. 2 Planning for a peer mentorship program for youth with serious mental illness. 3 Assisting parents to prepare for the birth of their first child. 4 Assessing the fal...

Which information about cirrhosis should the nurse remember when responding to Frank's wife? CORRECT ANSWER There are several types of cirrhosis with differing causes. Which question is most important for the nurse to include when assessing the client for etiologic factors related to cirrhosis? ...

During intake, the triage nurse quickly realizes Roberto's parents speak limited English. Who is the best resource for the nurse to consult? CORRECT ANSWER Hospital interpreter What action should the nurse take after the specimen is obtained? CORRECT ANSWER Hold pressure for 5 minutes on all ven...

Which information provided by the nurse is most accurate? CORRECT ANSWER B: there are several types of cirrhosis Which question is most important for the nurse to include when assessing the client for etiologic factors related to cirrhosis? CORRECT ANSWER C: "have you been exposed to toxic subst...

As Alex considers the unit assignments and tasks for the day, he thinks about the evidence-based guidelines for delegation. Which elements are part of the Five Rights of Delegation? (Select all that apply.) CORRECT ANSWER - supervision - task - circumstances - instructions After receiving repo...

1. During the report, one of the UAPs interrupts to state that a client who is 1 day post abd surgery is now vomiting large amounts of green fluid. How should Ms. Hatch respond to this situation? CORRECT ANSWER Request that a night shift staff RN go to the room to evaluate the situation 2. CORREC...

How should Ms. Hatch respond to this situation? CORRECT ANSWER Request that a night shift staff RN go to the room to evaluate the situation. The night charge nurse states "That UAP is incompetent." As the day shit charge nurse, how should Ms. Hatch respond? CORRECT ANSWER Your concern needs to ...

Which action should the labor and delivery nurse take? CORRECT ANSWER c. Answer the mother's questions and allow her to see her daughter. The labor and delivery nurse knows that many infants with a cleft lip also have a cleft palate. Which assessment technique will determine if the infant has a ...