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HESI 700 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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HESI 700 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 2, 2024
  • 109
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Hesi exit
  • Hesi exit
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HESI 700 QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
FollowingGdischargeGteaching,GaGmaleGclientGwithGduodenalGulcerGtellsGtheGnurseGtheGheGwillGdrinkGplentyG
ofGdairyGproducts,GsuchGasGmilk,GtoGhelpGcoatGandGprotectGhisGulcer.GWhatGisGtheGbestGfollow-
upGactionGbyGtheGnurse?G-
GANSWERGReviewGwithGtheGclientGtheGneedGtoGavoidGfoodsGthatGareGrichGinGmilkGandGcream




AGmaleGclientGwithGhypertension,GwhoGreceivedGnewGantihypertensiveGprescriptionsGatGhisGlastGvisitGretur
nsGtoGtheGclinicGtwoGweeksGlaterGtoGevaluateGhisGbloodGpressureG(BP).GHisGBPGisG158/106GandGheGadmitsGt
hatGheGhasGnotGbeenGtakingGtheGprescribedGmedicationGbecauseGtheGdrugsGmakeGhimG"feelGbad".GInGexpla
iningGtheGneedGforGhypertensionGcontrol,GtheGnurseGshouldGstressGthatGanGelevatedGBPGplacesGtheGclientGa
tGriskGforGwhichGpathophysiologicalGcondition?G-GANSWERGStrokeGsecondaryGtoGhemorrhage



TheGnurseGobservesGanGunlicensedGassistiveGpersonnelG(UAP)GpositioningGaGnewlyGadmittedGclientGwhoGh
asGaGseizureGdisorder.GTheGclientGisGsupineGandGtheGUAPGisGplacingGsoftGpillowsGalongGtheGsideGrails.GWhatG
actionGshouldGtheGnurseGimplement?G-
GANSWERGInstructGtheGUAPGtoGobtainGsoftGblanketsGtoGsecureGtoGtheGsideGrailsGinsteadGofGpillows




AnGadolescentGwithGmajorGdepressiveGdisorderGhasGbeenGtakingGduloxetineG(Cymbalta)GforGtheGpastG12Gd
ays.GWhichGassessmentGfindingGrequiresGimmediateGfollow-upG-GANSWERGDescribesGlifeGwithoutGpurpose



AG60-year-
oldGfemaleGclientGwithGaGpositiveGfamilyGhistoryGofGovarianGcancerGhasGdevelopedGanGabdominalGmassGan
dGisGbeingGevaluatedGforGpossibleGovarianGcancer.GHerGPapanicolauG(Pap)GsmearGresultsGareGnegative.GWh
atGinformationGshouldGtheGnurseGincludeGinGtheGclient'sGteachingGplanG-
GANSWERGFurtherGevaluationGinvolvingGsurgeryGmayGbeGneeded




AGclientGwhoGrecentlyGunderwentGaGtracheostomyGisGbeingGpreparedGforGdischargeGtoGhome.GWhichGinstr
uctionsGisGmostGimportantGforGtheGnurseGtoGincludeGinGtheGdischargeGplan?G-
GANSWERGTeachGtrachealGsuctioningGtechniques




InGassessingGanGadultGclientGwithGaGpartialGrebreatherGmask,GtheGnurseGnotesGthatGtheGoxygenGreservoirGb
agGdoesGnotGdeflateGcompletelyGduringGinspirationGandGtheGclient'sGrespiratoryGrateGisG14GbreathsG/Gminut
e.GWhatGactionGshouldGtheGnurseGimplementG-GANSWERGDocumentGtheGassessmentGdataG

,Rational:GreservoirGbagGshouldGnotGdeflateGcompletelyGduringGinspirationGandGtheGclient'sGrespiratoryGrat
eGisGwithinGnormalGlimits.



DuringGshiftGreport,GtheGcentralGelectrocardiogramG(EKG)GmonitoringGsystemGalarms.GWhichGclientGalarmG
shouldGtheGnurseGinvestigateGfirst?G-GANSWERGRespiratoryGapneaGofG30Gseconds



DuringGaGhomeGvisit,GtheGnurseGobservedGanGelderlyGclientGwithGdiabetesGslipGandGfall.GWhatGactionGshoul
dGtheGnurseGtakeGfirst?G-GANSWERGCheckGtheGclientGforGlacerationsGorGfractures



AtG0600GwhileGadmittingGaGwomanGforGaGscheduleGrepeatGcesareanGsectionG(C-
Section),GtheGclientGtellsGtheGnurseGthatGsheGdrankGaGcupGaGcoffeeGatG0400GbecauseGsheGwantedGtoGavoidG
gettingGaGheadache.GWhichGactionGshouldGtheGnurseGtakeGfirst?G-
GANSWERGInformGtheGanesthesiaGcareGprovider




AfterGplacingGaGstethoscopeGasGseenGinGtheGpicture,GtheGnurseGauscultatesGS1GandGS2GheartGsounds.GToGde
termineGifGanGS3GheartGsoundGisGpresent,GwhatGactionGshouldGtheGnurseGtakeGfirstG-
GANSWERGListenGwithGtheGbellGatGtheGsameGlocation




AG66-year-
oldGwomanGisGretiringGandGwillGnoGlongerGhaveGaGhealthGinsuranceGthroughGherGplaceGofGemployment.GW
hichGagencyGshouldGtheGclientGbeGreferredGtoGbyGtheGemployeeGhealthGnurseGforGhealthGinsuranceGneeds?
G-GANSWERGMedicare




AGclientGwhoGisGtakingGanGoralGdoseGofGaGtetracyclineGcomplainsGofGgastrointestinalGupset.GWhatGsnackGsh
ouldGtheGnurseGinstructGtheGclientGtoGtakeGwithGtheGtetracycline?G-
GANSWERGToastedGwheatGbreadGandGjelly




FollowingGaGlumbarGpuncture,GaGclientGvoicesGseveralGcomplaints.GWhatGcomplaintGindicatedGtoGtheGnurse
GthatGtheGclientGisGexperiencingGaGcomplication?G-

GANSWERG"IGhaveGaGheadacheGthatGgetsGworseGwhenGIGsitGup"




AnGelderlyGclientGseemsGconfusedGandGreportsGtheGonsetGofGnausea,Gdysuria,GandGurgencyGwithGincontine
nce.GWhichGactionGshouldGtheGnurseGimplementG-GANSWERGObtainGaGcleanGcatchGmid-streamGspecimen

,TheGnurseGisGassistingGtheGmotherGofGaGchildGwithGphenylketonuriaG(PKU)GtoGselectGfoodsGthatGareGinGkeep
ingGwithGtheGchild'sGdietaryGrestrictions.GWhichGfoodsGareGcontraindicatedGforGthisGchild?G-
GANSWERGFoodsGsweetenedGwithGaspartame




BeforeGpreparingGaGclientGforGtheGfirstGsurgicalGcaseGofGtheGday,GaGpart-
timeGscrubGnurseGasksGtheGcirculatingGnurseGifGaG3GminuteGsurgicalGhandGscrubGisGadequateGpreparationGf
orGthisGclient.GWhichGresponseGshouldGtheGcirculatingGnurseGprovide?G-
GANSWERGDirectGtheGnurseGtoGcontinueGtheGsurgicalGhandGscrubGforGaG5GminuteGduration




WhichGbreakfastGselectionGindicatesGthatGtheGclientGunderstandsGtheGnurse'sGinstructionsGaboutGtheGdieta
ryGmanagementGofGosteoporosis?G-GANSWERGBagelGwithGjellyGandGskimGmilk



TheGchargeGnurseGofGaGcriticalGcareGunitGisGinformedGatGtheGbeginningGofGtheGshiftGthatGlessGthanGtheGopti
malGnumberGofGregisteredGnursesGwillGbeGworkingGthatGshift.GInGplanningGassignments,GwhichGclientGshoul
dGreceiveGtheGmostGcareGhoursGbyGaGregisteredGnurseG(RN)G-GANSWERGAnG82-year-
oldGclientGwithGAlzheimer'sGdiseaseGnewly-
fracturesGfemurGwhoGhasGaGFoleyGcatheterGandGsoftGwristGrestrainsGapplied



AGmotherGbringsGherG6-year-
oldGchild,GwhoGhasGjustGsteppedGonGaGrustyGnail,GtoGtheGpediatrician'sGoffice.GUponGinspection,GtheGnurseG
notesGthatGtheGnailGwentGthroughGtheGshoeGandGpiercedGtheGbottomGofGtheGchild'sGfoot.GWhichGactionGsh
ouldGtheGnurseGimplementGfirst?G-
GANSWERGCleanseGtheGfootGwithGsoapGandGwaterGandGapplyGanGantibioticGointment




TheGmotherGofGanGadolescentGtellsGtheGclinicGnurse,G"MyGsonGhasGathlete'sGfoot,GIGhaveGbeenGapplyingGtri
pleGantibioticGointmentGforGtwoGdays,GbutGthereGhasGbeenGnoGimprovement."GWhatGinstructionGshouldGth
eGnurseGprovide?G-
GANSWERGStopGusingGtheGointmentGandGencourageGcompleteGdryingGofGtheGfeetGandGwearingGcleanGsocks

.



AG26-year-
oldGfemaleGclientGisGadmittedGtoGtheGhospitalGforGtreatmentGofGaGsimpleGgoiter,GandGlevothyroxineGsodium
G(Synthroid)GisGprescribed.GWhichGsymptomsGindicateGtoGtheGnurseGthatGtheGprescribedGdosageGisGtooGhig

hGforGthisGclient?GTheGclientGexperiencesG-GANSWERGPalpitationsGandGshortnessGofGbreath

, AGclientGwithGaGhistoryGofGheartGfailureGpresentsGtoGtheGclinicGwithGaGnausea,Gvomiting,GyellowGvisionGandG
palpitations.GWhichGfindingGisGmostGimportantGforGtheGnurseGtoGassessGtoGtheGclient?G-
GANSWERGObtainGaGlistGofGmedicationsGtakenGforGcardiacGhistory




TheGhealthcareGproviderGprescribesGanGIVGsolutionGofGisoproterenolG(Isuprel)G1GmgGinG250GmlGofGD5WGatG
300Gmcg/hour.GTheGnurseGshouldGprogramGtheGinfusionGpumpGtoGdeliverGhowGmanyGml/hour?G(EnterGnu
mericGvalueGonly.)G-GANSWERG75G

Rationale:GConvertGmgGtoGmcgGandGuseGtheGformulaGD/HGxGQ.G300Gmcg/hourG/G1,000GmcgGxG250GmlG=G3/1
GxG25G=G75Gml/hour




TheGpathophysiologicalGmechanismGareGresponsibleGforGascitesGrelatedGtoGliverGfailure?G(SelectGallGthatGap
ply)G-GANSWERG-FluidGshiftsGfromGintravascularGtoGinterstitialGareaGdueGtoGdecreasedGserumGproteinG

-IncreasedGhydrostaticGpressureGinGportalGcirculationGincreasesGfluidGshiftsGintoGabdomenG

-IncreasedGcirculatingGaldosteroneGlevelsGthatGincreaseGsodiumGandGwaterGretention



TheGnurseGisGauscultatingGaGclient'sGheartGsounds.GWhichGdescriptionGshouldGtheGnurseGuseGtoGdocumentG
thisGsound?G(PleaseGlistenGtoGtheGaudioGfirstGtoGselectGtheGoptionGthatGapplies)G-GANSWERGMurmur



TheGhealthcareGproviderGprescribesGceltazidimeG(Fortax)G35GmgGeveryG8GhoursGIMGforGanGinfant.GTheG500G
mgGvialGisGlabeledGwithGtheGinstructionGtoGaddG5.3GmlGdiluentGtoGprovideGaGconcentrationGofG100Gmg/ml.G
HowGmanyGmlGshouldGtheGnurseGadministeredGforGeachGdose?G(EnterGnumericGvalueGonly.GIfGroundingGisGr
equired,GroundGtoGtheGnearestGtenthG-GANSWERG0.4G

rationale:G35mg/100mgGxG1G=G0.35G=G0.4Gml



TheGnurseGnotesGthatGaGclientGhasGbeenGreceivingGhydromorphoneG(Dilaudid)GeveryGsixGhoursGforGfourGda
ys.GWhatGassessmentGisGmostGimportantGforGtheGnurseGtoGcomplete?G-
GANSWERGAuscultateGtheGclient'sGbowelGsounds



Rationale:GhydromorphoneGisGaGpotentGopioidGanalgesicGthatGslowsGperistalsisGandGfrequentlyGcausesGcon
stipation,GsoGitGisGmostGimportantGtoGAuscultateGtheGclient'sGbowelGsounds



AGfemaleGclientGisGadmittedGwithGendGstageGpulmonaryGdiseaseGisGalert,Goriented,GandGcomplainingGofGsh
ortnessGofGbreath.GTheGclientGtellsGtheGnurseGthatGsheGwantsG"noGheroicGmeasures"GtakenGifGsheGstopsGbre
athing,GandGsheGasksGtheGnurseGtoGdocumentGthisGinGherGmedicalGrecord.GWhatGactionGshouldGtheGnurseGi
mplementG-GANSWERGAskGtheGclientGtoGdiscussG"doGnotGresuscitate"GwithGherGhealthcareGprovider

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