A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
a. Explain that the need to restrict fluids is the primary limitation.
b. Advise the client to limit foods that are high in calcium and iron.
c. Instruct the
client to avoid foods with gluten, such as wheat bread.
d. Describe the use of an elimination diet to find trigger foods - ANS ✓d.
Describe the use of an elimination diet to find trigger foods
The nurse is obtaining a health history from a new client who has a history
of kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?
a. Jogs more frequently than usual daily routine.
b. Eats a vegetarian diet with
cheese 2 to 3 times a day.
BSN HESI
, 2
BSN
c. Experiences additional stress since adopting a child.
d. Drinks several bottles of carbonated water daily - ANS ✓b. Eats a
vegetarian diet with
cheese 2 to 3 times a day.
An older male client tells the nurse that he is losing sleep because he has to
get up several times at night to go to the bathroom, that he has trouble
starting his urinary system, and that he does not feel like his bladder is ever
completely
empty.
Which intervention should the nurse implement?
a. Review the client's fluid intake prior to bedtime.
b. Obtain a finger stick blood glucose level.
c. Palpate the bladder above the symphysis pubis.
d. Collect a urine specimen for culture analysis - ANS ✓c. Palpate the bladder
above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin
dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
BSN HESI
, 3
BSN
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus - ANS ✓c. Crohn's disease with colectomy.
When providing care for an unconscious client who has seizures.
Which nursing intervention is most essential?
a. Maintain the client in a semi-Fowler's position.
b. Keep the room at a comfortable
temperature.
c. Ensure oral suction is available.
d. Provide frequent mouth care - ANS ✓c. Ensure oral suction is available.
A client presents to the emergency department reporting chest pain that is
radiation to the left arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the
healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine - ANS ✓d. Morphine
BSN HESI
, 4
BSN
An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern
about
going blind.
Which nursing instruction is most important for the nurses to provide
this client?
a. Maintain prescribed eye drop regimen
b. Eat a diet high in carotene.
c. Wear prescription glasses.
d. Avoid frequent eye pressure measurement. - ANS ✓a. Maintain prescribed
eye drop regimen
Which information should the nurse include on the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
a. Adjust food intake to three full meals per day and no snacks.
b. Sleep without pillows at night to maintain neck alignment.
c. Minimize symptoms by wearing loose, comfortable clothing.
d. Avoid participation in any aerobic exercise programs - ANS ✓c. Minimize
symptoms by wearing loose, comfortable clothing.
BSN HESI
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