Herzing hesi exam 2024 questions with complete solutions
A 20-year-old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide?
- "Check it again in one month, and if it is still there schedule an
appointment."
- "Most lumps are benign, but it is always best to come in for an
examination."
- "Try not to worry too much about it, because usually, most
lumps are benign."
- "If you are in your menstrual period it is not a good time to
check for lumps." Correct Answers "Most lumps are benign,
but it is always best to come in for an examination."
A 32-year-old female client complains of severe abdominal pain
each month before her menstrual period, painful intercourse, and
painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
- frequent urinary tract infections.
- inability to get pregnant
- premenstrual syndrome
- chronic use of laxatives Correct Answers inability to get
pregnant
A 46-year-old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration?
- serum creatinine
- blood Urea Nitrogen (BUN)
- sedimentation rate
,- urine specific gravity Correct Answers serum creatinine
A 49-year-old female client arrives at the clinic for an annual
exam and asks the nurse why she becomes excessively
diaphoretic and feels warm during nighttime. What is the nurse's
best response?
- explain the effect of the follicle-stimulating and luteinizing
hormones
- discuss perimenopause and related comfort measures
- assess lung fields and for a cough productive of blood-tinged
mucous
- ask if a fever above 101 F (38.3 C) has occurred in the last 24
hours Correct Answers discuss perimenopause and related
comfort measures
A 51-year-old truck driver who smokes two packs of cigarettes a
day and is 30 pounds overweight is diagnosed with having a
gastric ulcer. Which content is most important for the nurse to
include in the discharge teaching for this client?
- information about smoking cessation
- diet instructions for a low-residue diet
- instructions on a weight-loss program
- the importance of increasing milk in the diet Correct Answers
information about smoking cessation
A 57-year-old male client is scheduled to have a stress-thallium
test the following morning and is NPO after midnight. At 0130,
he is agitated because he cannot eat and is demanding food.
Which response is best for the nurse to provide to this client?
- "I'm sorry sir, you have a prescription for nothing by mouth
from midnight tonight."
,- "I will let you have one cracker, but that is all you can have for
the rest of tonight."
- "What did the healthcare provider tell you about the test you
are having tomorrow?"
- "The test you are having tomorrow requires that you have
nothing by mouth tonight." Correct Answers "The test you are
having tomorrow requires that you have nothing by mouth
tonight."
A 58-year-old client who has been post-menopausal for five
years is concerned about the risk for osteoporosis because her
mother has the condition. Which information should the nurse
offer?
- osteoporosis is a progressive genetic disease with no effective
treatment
- calcium loss from bones can be slowed by increasing calcium
intake and exercise
- estrogen replacement therapy should be started to prevent the
progression osteoporosis
- low-dose corticosteroid treatment effectively halts the course
of osteoporosis Correct Answers calcium loss from bones can
be slowed by increasing calcium intake and exercise
A 58-year-old client, who has no health problems, asks the nurse
about the Pneumovax vaccine. The nurse's response to the client
should be based on which information?
- the vaccine is given annually before the flu season to those
over 50 years of age
- the immunization is administered once to older adults or
persons with a history of chronic illness
, - the vaccine is for all ages and is given primarily to those
persons traveling overseas to areas of infection
- the vaccine will prevent the occurrence of pneumococcal
pneumonia for up to five years Correct Answers the
immunization is administered once to older adults or persons
with a history of chronic illness
A 67-year-old woman who lives alone tripped on a rug in her
home and fractured her hip. Which predisposing factor probably
led to the fracture in the proximal end of her femur?
- failing eyesight resulting in an unsafe environment
- renal osteodystrophy resulting from chronic renal failure
- osteoporosis resulting from hormonal changes
- cardiovascular changes resulting in small strokes which impair
mental acuity Correct Answers osteoporosis resulting from
hormonal changes
A 77-year-old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is
complaining of a headache. Her pulse rate is 43 beats per
minute.
It is most important for the nurse to assess for which finding?
- wearing dentures
- use of aspirin prior to admit
- prescribed nitroglycerin for chest pain
- takes digitalis Correct Answers takes digitalis
A client experiencing uncontrolled atrial fibrillation is admitted
to the telemetry unit. Which initial medication should the nurse
anticipate administering to the client?
- xylocaine
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