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,HESI HEALTH ASSESSMENT EXAM
The registered nurse (RN) is caring for a client with peptic ulcer disease
(PUD). What assessment should the RN identify that is consistent with
PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea - ANSWER >>>>A B D
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which
statement by the client conveys the client's understanding of the etiology of
diverticula?
A. Over use of laxatives for bowel regularity result in loss of peristaltic tone.
B. Inflammation of the colon mucosa that cause growths that protrude into
the lumen.
C. Diverticulosis is the result of high fiber diet and sedentary life style.
D. Chronic constipation causes weakening of colon wall which result in
outpouching sacs. - ANSWER >>>>D
The registered nurse (RN) is caring for an Asian client who refuses to make
eye contact during conversations. How should the RN assess this client's
response?
A. The client cannot understand the nurse.
B. The client is uncomfortable with the nurse.
C. The client is treating the nurse with respect.
D. The client is purposefully disrespecting the nurse. - ANSWER >>>>C
,The registered nurse (RN) is caring for a client who developed oliguria and
was diagnosed with sepsis and dehydration 48 hours ago. Which
assessment finding indicates to the RN that the client is stabilizing?
A. Urine output of 40 ml/hour
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands. - ANSWER >>>>A
The registered nurse (RN) is caring for a client with tuberculosis (TB) who
is taking a combination drug regimen. The client complains about taking "so
many pills." What information should the RN provide to the client about the
prescribed treatment?
A. The development of resistant strains of TB are decreased with a
combination of drugs.
B. Compliance to the medication regimen is challenging but should be
maintained.
C. Side effects are minimized with the use of a single medication but is
less effective.
D. The treatment time is decreased from 6 months to 3 months with this
standard regimen. - ANSWER >>>>A
The registered nurse (RN) is caring for a young adult who is having an oral
glucose tolerance test (OGTT). which laboratory result should the RN
assess as a normal value for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl - ANSWER >>>>A
After a liver biopsy is performed at the bedside, the registered nurse (RN) is
assigned the care of the client. Which nursing intervention is most
important for the RN to implement?
, A. Position the client on the left side with pillow placed under the costal
margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the
procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen. -
ANSWER >>>>C
The registered nurse (RN) notifies the spouse of a client who was admitted
to hospice with shallow respirations, of a change in the client's condition.
Over the past hour, the client's respiratory pattern has changed to a
Cheyne Stokes pattern. After receiving this information, the client's spouse
begins vacuuming around the bed. Which stage of grief is the spouse
displaying during the visit?
A. Acceptance
B. Denial
C. Bargaining
D. Depression - ANSWER >>>>B
The registered nurse (RN) places an ice pack on a middle school student
who comes to the school clinic complaining of a sprained ankle. Which
therapeutic response should the RN anticipate?
A. Reduced pain and minimized bruising.
B. Lowering of body core temperature.
C. Increased circulation around injury.
D. Reabsorption of edema at injury. - ANSWER >>>>A
The registered nurse (RN) palpates a weak pedal pulse on the client'rs right
foot. Which assessment findings should the RN document that are
consistent with diminished peripheral circulation (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
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