HESI Comprehensive Exit Exam-Evolve
224 graded A+ CORRECT ANSWERS
HESI Comprehensive Exit Exam-Evolve
224 graded A+ CORRECT ANSWERS
-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment
does the nurse perform as a priority before administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - Answer-A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse
would check the client's blood pressure immediately before administering each dose.
Checking the client's peripheral pulses, the results of the most recent potassium level,
and the intake and output for the previous 24 hours are not specifically associated with
this mediation.
normal PTT - Answer-60-70 seconds
whats a CT do - Answer-horizontal slices taken of organ to create 3d image
what does an ultrasound do - Answer-assess size and shape of fluid in body cavity or
organ
real-time pictures or video of internal organs or other soft tissues, such as blood vessels
Utrasound can detect cysts, tumors, obstructions or infections within or around your
kidneys.....pregnancies...identify breast lumps and cysts.
Doppler ultrasound: This is a special ultrasound technique that assesses the movement
of materials, like blood, in your body. It allows your provider to see and evaluate blood
flow through arteries and veins in your body
A pelvic ultrasound looks at the organs in your pelvic area between your lower abdomen
(belly) and legs. Some of the pelvic organs include your bladder, prostate, rectum,
ovaries, uterus and vagina.
Your provider inserts a probe into your vaginal canal. It shows reproductive tissues such
as your uterus or ovaries
,HESI Comprehensive Exit Exam-Evolve
224 graded A+ CORRECT ANSWERS
Providers use ultrasound to assess your thyroid, a butterfly-shaped endocrine gland in
your neck. Providers can measure the size of your thyroid and see if there are n
what is Abruptio placentae - Answer-Premature separation of a normally implanted
placenta after the 20th week but before birth
signs of Abruptio placentae - Answer--acute abdominal pain
-uterine tenderness
-possible dark blood
CT scan is better for showing ____ - Answer-bone and joint issues, blood clots, and
some organ injuries,
an MRI is better for _____ - Answer-inflammation, torn ligaments, nerve and spinal
problems, and soft tissues.
used for stroke evaluation, damage to joints
normal male HDL - Answer->45
normal LDL - Answer-<130
normal total cholesterol - Answer-<200
normal female HDL - Answer->55
normal glucose fasting - Answer-70-110 mg/dL
normal HCO3 range - Answer-22-26
normal PO2 - Answer-80-100
normal co2 range - Answer-35-45
normal male creatinine range - Answer-0.6-1.2
normal female creatinine range - Answer-0.5-1.1 mg/dL
normal INR - Answer-0.76-1.27
normal PT range - Answer-11-12.5 seconds
normal male hct range - Answer-42-52%
,HESI Comprehensive Exit Exam-Evolve
224 graded A+ CORRECT ANSWERS
normal platelet count - Answer-150,000-400,000
normal female hct range - Answer-37-47%
normal hgb on male - Answer-14-18
normal hgb on female - Answer-12-16
normal WBC range - Answer-5,000-10,000
normal calcium range - Answer-8.5-10.5
The nurse is correct in withholding an older adult client's dose of nifedipine if which
assessment finding is obtained?
A. Blood pressure of 90/56 mm Hg
BApical pulse rate of 68 beats/min
CPotassium level of 3.3 mEq/L
DUrine output of 200 mL in 4 hours
SubmitEnd Study - Answer-A
Nifedipine is a calcium channel blocker that causes a decrease in blood pressure. It
should be withheld if the blood pressure is lowered, and 90/56 mm Hg is a low blood
pressure for an adult male. A pulse rate <60 beats/min is an indication to withhold the
drug. A potassium level of 3.3 mEq/L is low (normal, 3.5-5.0 mEq/L), but this finding
does not affect the administration of Procardia. Urine output of more than 30 mL/hr, or
120 mL in 4 hours, is normal. Although a 200-mL output in 4 hours is slightly less than
normal and warrants follow-up, it is not an indication to withhold a nifedipine (Procardia)
dose.
When the nurse manager posts a schedule for volunteers to be on call, one staff
member immediately signs up for all available 7-3 day shifts. Other staff members
complain to the charge nurse that they were not permitted the opportunity to be on call
for the day shift. What action should the nurse manager implement?
A Speak privately with the nurse.
BHold a staff meeting to discuss this issue.
CReview the nurse's current salary.
DNominate the nurse for employee of the month. - Answer-A
The nurse manager should speak privately with the nurse to assess the nurse's motives
and to discuss allowing other team members the opportunity to be on call for the day
shift. Option B might become confrontational. Option C is irrelevant. Option D is not
warranted.
, HESI Comprehensive Exit Exam-Evolve
224 graded A+ CORRECT ANSWERS
The nurse is preparing a client for surgery scheduled in 2 hours. A UAP is helping the
nurse. The nurse must plan on performing which task?
a Remove the client's nail polish and dentures
.BAssist the client to the restroom to void.
CObtain the client's height and weight.
DOffer the client emotional support. - Answer-D
By using therapeutic techniques to offer support, the nurse can determine any client
concerns that need to be addressed. Options A, B, and C are all actions that can be
performed by the UAP under the supervision of the nurse.
CM of a type 4 delayed hypersensitivity reaction - Answer-edema
ischemica
induration
tissue damage
Allopurinol is prescribed for a client newly diagnosed with gout. Which comment by the
client warrants intervention by the nurse?
A"I take aspirin for my arthritis pain in my knees."
B"I frequently eat fruit and drink fruit juices."
C"I drink a great deal of water, so I have to get up at night to urinate."
D"I observe my skin daily to see if I have an allergic rash to the medication." - Answer-A
The client should be taught to avoid aspirin because the ingestion of aspirin or diuretics
can precipitate an attack of gout. Options B, C, and D are all appropriate for the
treatment of gout. The client's urinary pH can be increased by the intake of alkaline ash
foods, such as citrus fruits and juices, which will help reduce stone formation. Increasing
fluids helps prevent urinary calculi (stone) formation and should be encouraged, even if
the client must get up at night to urinate. Allopurinol has a rare but potentially fatal
hypersensitivity syndrome, which is characterized by a rash and fever. The medication
should be discontinued immediately if this occurs.
the normal value of inspiratory reserve volume is ___ - Answer-3.0 L
the normal value of residual volume is - Answer-1.5 L
celiac disease stoools - Answer-large, pale, foul smelling
What is a rhytidectomy? - Answer-face lift
SYSTEMIC CM of osteomyelitis
LOCAL CM ? - Answer-malaise
restlessness
nightsweats
