NU272 HESI PRACTICE EXAM NEWEST VERSION
EXPECTED QUESTION AND CORRECT ANSWER FROM
VERIFIED SOURCES RATED A GRADE.
The nurse is caring for a client with human immunodeficiency virus
(HIV) infection who develops Mycobacterium avium complex (MAC).
What is the most significant desired outcome for this client?
✔✔ANSWER✔✔Return to pre-illness weight.
-
RATIONALES ;
MAC is an opportunistic infection that presents as a tuberculosis-like
pulmonary process. MAC is a major contributing factor to the
development of wasting syndrome, so the most significant desired
outcome is the client's return to a pre-illness weight using oral, enteral,
or parenteral supplementation as needed.
The nurse obtains a client's history that includes right mastectomy and
radiation therapy for cancer of the breast 10 years ago. Which current
health problem should the nurse consider is a consequence of the
radiation therapy? ✔✔ANSWER✔✔Pathologic fracture of two ribs on
the right chest.
-
RATIONALES ;
The ribs lie in the radiation pathway and lose density over time,
becoming thin and brittle, so the occurence of two right-sided ribs with
,pathological fractures resulting without evidence of trauma is related to
radiation damage.
A client is admitted to the emergency department after being lost for
four days while hiking in a national forest. Upon review of the
laboratory results, the nurse determines the client's serum level for
thyroid-stimulating hormone (TSH) is elevated. Which additional
assessment should the nurse make? ✔✔ANSWER✔✔Exposure to cold
environmental temperatures.
-
RATIONALES ;
TSH influences the amount of thyroxine secretion which increases the
rate of metabolism to maintain body temperature near normal.
Prolonged exposure to cold environmental temperatures stimulates the
hypothalamus to secrete thyrotropin-releasing hormone, which
increases anterior pituitary serum release of TSH.
An older female client is admitted with atrophic vaginitis and perineal
cutaneous candidiasis. What is the priority nursing diagnosis for this
client? ✔✔ANSWER✔✔Impaired comfort.
-
RATIOANALES ;
In menopausal women, the vaginal mucous membrane responds to low
estrogen levels causing the vaginal walls to become thinner, drier, and
susceptible to infection which leads to atrophic vaginitis. Perineal
cutaneous candidiasis contributes to other manifestations of vaginal
,infections, such as vaginal irritation, burning, pruritus, increased
leukorrhea, bleeding, and dyspareunia, which supports the primary
nursing diagnosis, "Impaired comfort".
The nurse is caring for a client scheduled to undergo insertion of a
percutaneous endoscopic gastrostomy (PEG) tube. The client asks the
nurse to explain how a PEG tube differs from a gastrostomy tube (GT).
Which explanation best describes how they are different?
✔✔ANSWER✔✔Method of insertion.
-
RATIONALES;
The best explanation of how a PEG tube differs from a GT is by the
method of insertion. GT insertion involves making an incision in the wall
of the abdomen and suturing the tube to the gastric wall. A PEG tube is
more commonly used due to the fact it does not require general
anesthesia and less invasive due to being inserted with endoscopic
visualization through the esophagus into the stomach and then pulled
through a small incision in the abdominal wall and held in place by a
tiny plastic device called a "bumper" that holds the g-tube in place
inside the stomach and a small water-filled balloon which keeps the
stomach in place against the abdominal wall.
Which sexually transmitted infection (STI) should the nurse include in a
client's teaching plan about the risk for cervical cancer?
✔✔ANSWER✔✔Human papillomavirus.
-
, RATIONALES ;
According to the CDC (2017), it is estimated at least 80% of all women
who are sexually active will contract the Human papillomavirus (HPV) in
their lifetime. Certain types of HPV have been suspected to cause
cervical cancer and HPV strain 16 and 18 have been identified to cause
70% of cervical cancers.
The home health nurse is assessing a client with terminal lung cancer
who is receiving hospice care. Which activity should be assigned to the
hospice practical nurse (PN)? ✔✔ANSWER✔✔Administer medications
for pain relief, shortness of breath, and nausea.
-
RATIONALES;
Hospice care provides symptom management and pain control during
the dying process and enhances the quality of life for a client who is
terminally ill. Administering medication and monitoring for therapeutic
and adverse effects is within the scope of practice for the PN.
The nurse is assessing a client with a chest tube that is attached to
suction and a closed drainage system. Which finding is most important
for the nurse to further assess? ✔✔ANSWER✔✔Upper chest
subcutaneous emphysema.
-
RATIONALES ;
Subcutaneous emphysema is a complication and indicates air is leaking
beneath the skin surrounding the chest tube.
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