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Hesi Herzing University -HESI Comprehensive Exam 1 Questions With Complete Solutions
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Hesi Herzing University -HESI Comprehensive Exam 1 Questions With Complete Solutions
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HESI Comprehensive Exam 1 Questions With CompleteSolutions
A 16-year-old male client is admitted to the hospital after falling
off a bike and sustaining a fractured bone. The healthcare
provider explains the surgery needed to immobilize the fracture.
Which action should be implemented to obtain a valid informed
consent?
a. Instruct the client sign the consent before giving medications.
b. Obtain the permission of the custodial parent for the surgery.
c. Obtain the signature of the client's stepfather for the surgery.
d. Notify the non-custodial parent to also sign a consent form.
Correct Answers B
A 56-year-old female client is receiving intracavitary radiation
via a radium implant. Which nurse should be assigned to care
for this client?
a. The nurse who is caring for another client receiving
intracavitary radiation.
b. A nurse with Marfan's syndrome who is postmenopausal.
c. A nurse with oncology experience who may be pregnant.
d. The nurse who is caring for another client who has
Clostridium difficile. Correct Answers B
A client receiving intracavity radiation poses a radiation hazard
as long as the intracavity radiation source is in place. A nurse's
ability to care of this client is not affected by Marfan's syndrome
(B), which is a hereditary disorder of connective tissues, bones,
muscles, ligaments and skeletal structures. The goal is to limit
any one staff member's exposure to the calculated time span
based on the half-life of radium, such as the number of minutes
,at the bedside per day, so (A) should not be assigned. (C) should
not be exposed to the radiation due to the possible effect on the
fetus. A radiation exposure decreases the immune response in
the client who should not be exposed to the potential inadvertent
transmission of an infectious organism (D).
A 6-year-old child is alert but quiet when brought to the
emergency center with periorbital ecchymosis and ecchymosis
behind the ears. The nurse suspects potential child abuse and
continues to assess the child for additional manifestations of a
basilar skull fracture. What assessment finding would be
consistent with a basilar skull fracture?
a. Asymmetry of the face and eye movements.
b. Abnormal position and movement of the arm.
c. Hematemesis and abdominal distention.
d. Rhinorrhoea or otorrhoea with Halo sign Correct Answers D
Raccoon eyes (periorbital ecchymosis) and Battle's sign
(ecchymosis behind the ear over the mastoid process) are both
signs of a basilar skull fracture, so the nurse should assess for
possible meningeal tears that manifest as a Halo sign with CSF
leakage from the ears or nose (D). (A) is consistent with orbital
fractures. (B) occurs with wrenching traumas of the shoulder or
arm fractures. (C) occurs with blunt abdominal injuries.
A 63-year-old female client whose husband died one month ago
is seen in the psychiatric clinic. Her daughter tells the nurse that
her mother is eating poorly, sleeps very little at night, and
continues to set the table for her deceased husband. What
nursing problem best describes this problem?
a. Confusion related to recent death of loved one.
b. Delayed grief reaction related to death of husband.
,c. Denial related to the loss of a loved one.
d. Unresolved anger related to death of husband. Correct
Answers C
A 9-year-old is hospitalized for neutropenia and is placed in
reverse isolation. The child asks the nurse, "Why do you have to
wear a gown and mask when you are in my room?" How should
the nurse respond?
a. "There are many forms of bacteria and germs in the hospital."
b. "To protect you because you can get an infection very easily."
c. "After taking medication for 24 hours a gown and mask won't
be needed."
d. "Your condition could be spread to staff and other clients in
the hospital." Correct Answers B
Reverse isolation precaution implement measures to protect the
client from exposure to microorganisms from others (B).
Although microbes are prevalent in all environments, (A) does
not adequately answer the child's question. Reverse isolation
should be implemented until the client's white blood cell
increases (C). Neutropenia in this child does not place others (D)
at risk for infection.
A child is receiving maintainance intravenous (IV) fluids at the
rate of 1000 ml for the first 10 kg of body weight, plus 50 ml/kg
per day for each kilogram between 10 and 20. How many
milliliters per hour should the nurse program the infusion pump
for a child who weighs 19.5 kg? (Enter numeric value only. If
rounding is required, round to the nearest whole number.)
Correct Answers 61
, A child with bacterial conjunctivitis receives a prescription for
erythromycin eye drops. Which information is most important
for the nurse to include in the teaching plan?
a. Apply warm compresses to reduce swelling.
b. Wear sunglasses to protect eyes from sunlight.
c. Take acetaminophen (Tylenol) for any eye discomfort.
d. Avoid sharing towels and washcloths with siblings. Correct
Answers D
A child with Tetrology of Fallot suffers a hypercyanotic episode.
Which immediate action by the nurse can lessen the symptoms
of this "TET spell?"
a. Remove child's constrictive clothing.
b. Place child in knee-chest position.
c. Have child stop all current activity.
d. Administer a dose of digoxin stat. Correct Answers B
A client assigned to a female practical nurse (PN) needs total
morning care and sterile wound packing with a wet-to-dry
dressing. The PN tells the nurse that she has never performed a
wound packing. Which intervention should the charge nurse
implement?
a. Perform the wound care and have the PN provide the client's
morning care.
b. Advise the PN to review the procedure in the procedure
manual and then complete the wound care.
c. Note the PN's learning need to perform a wound packing and
contact nursing education to schedule a time for instruction.
d. Demonstrate the wound care procedure to the PN while the
PN assists. Correct Answers D
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