HESI Study Quests (from Evolve
website) | questions with 100% Correct
Answers | Updated 2024 | Guaranteed A+
1.A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the client's
history, the registered nurse (RN) discovers that the client's spouse died 2 weeks ago. Which
nursing interventions should the RN implement to help the client begin the process of dealing
with loss? (Select all that apply.)
A. Establish trust by creating an safe atmosphere for sharing.
B. Share personal stories about how other clients dealt with grief.
C. Help the client identify ways to adapt lifestyle to accommodate loss.
D. Assure the client that their grief will last a short period of time.
E. Explore ways to assist the client to make new emotional investments. ✔✔ANS: A, C, E
(A, C, and E) are correct, and these interventions aid the client in maneuvering through the
stages of grieving and establishing a foundation to continue life. Assisting the client in finding
a
,support group and sharing stories of other clients can be misconstrued as a violation of HIPPA
rights of other clients (B). Each client deals with grief differently, so offering a time line for
grieving (D) is not an expected outcome for this client and offers false reassurance.
2.The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What
assessment should the RN identify and document 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. ✔✔ANS: A, B, D
(A, B and D) correct. Manifestations of PUD include hematemesis (A), gastric pain (B), and
spicy food intolerance. (C) is consistent with cholecystitis (D). (E) is not consistent with PUD.
3.The registered nurse (RN) is caring for a client with a newly placed nasogastric tube (NGT).
Once the placement of the NG tube is verified by x-ray, which technique should the RN use as
a reliable method to ensure the NGT is not displaced?
A. Check pH of aspirated stomach contents obtained from the NGT.
B. Auscultate over the epigastrium while injecting air into the NGT.
C. Disconnect and place the end of NGT in water to see if bubbles appear.
D. Listen for hyperactive bowel sounds in all four quadrants of abdomen. ✔✔ANS: A
, Checking the pH of the aspirate (A) is the best method to validate that the NGT is not displaced
and should reveal an acidic pH of 1.5 to 3.5 due to presence of gastric acid. (B, C and D) are not
reliable methods to ensure the NGT placement in the stomach.
4.The registered nurse (RN) is evaluating a client who presents with symptoms of viral
gastroenteritis. Which assessment finding should the RN report to the healthcare provider?
A. Dry mucous membranes and lips.
B. Rebound abdominal tenderness over right lower quadrant.
C. Dizziness when client ambulates from a sitting position.
D. Poor skin turgor over client's wrist. ✔✔ANS: B
RLQ rebound abdominal tenderness (B) may be related to acute appendicitis and should
be reported to the healthcare provider. (A, C and D) are expected findings associated with
gastroenteritis that are not urgent findings or life threatening.
5.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 cause growths that protrude into the colon 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 out-pouching
sacs. ✔✔ANS: D
A client who has chronic constipation (D) often strains to pass constipated stool which increases
intestinal pressure that weakens the intestinal walls and causes out-pouching sacs, called
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