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NSG322 HESI Exam – Questions With Correct Solutions
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NSG322 HESI Exam – Questions With Correct Solutions
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NSG322 HESI Exam – Questions With Correct SolutionsThe nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications. The
client is pacing, is extremely irritable, and has a blood pressure of 146/96.
What is the priority nursing action? Right Ans - Reevaluate the client's
blood pressure in an hour.
A young adult female client with panic disorder arrives in the Emergency
Center with a 4-day history of chest pain that began when her boyfriend left
her. Initial assessment reveals normal cardiopulmonary findings. Which
information is most important for the nurse to obtain? Right Ans - Drugs
taken in last 7 days.
A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking
this morning." What intervention should the nurse take at this time? Right
Ans - Tell the client that therapy cannot take place while she is intoxicated.
The nurse is planning care for a client with major depression who is admitted
to the unit after a recent suicide attempt. Which intervention has the highest
priority for inclusion in this client's plan of care? Right Ans - Search the
client's personal belongings.
A male client is brought to the emergency department by a police officer, who
reports the client was "disturbing the peace" by running naked in the street,
striking out at others, and smashing car windows. Which behaviors should the
client demonstrate to determine if he should be evaluated for involuntary
commitment? (Choose all that apply.) Right Ans - Threats to kill his friend,
hears voices telling him to kill himself, reports he has not needed a bath in 4
months and says he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia who
is mute and motionless. What is the priority nursing problem? Right Ans -
High risk for fluid and electrolyte imbalance.
At the end of a group therapy session, a client who is hospitalized for
psychosis falls to the floor when attempting to stand. What intervention
, should the nurse implement first? Right Ans - Ask a group member to seek
help.
Which nursing intervention should the nurse implement with parents who
experience a fetal demise and express the wish not to see the baby? Right
Ans - Keep the body available for a few hours in case they change their minds.
An adult female who is married and works full-time in a factory has been
absent from work for three days at a time on several occasions. Each time she
returns to work, she wears dark glasses to cover facial bruising. Her
supervisor refers her to the occupational health nurse. What assessment
question should the nurse use? Right Ans - How did this happen to you?
A client on the mental health unit reports concerns about weight gain as a
result of taking divalproex (Depakote) and requests assistance to fill out a
menu. The nurse should initiate a referral to which healthcare team member?
Right Ans - Dietician.
The nurse is planning the care for a client based on the psychoanalytical
model. Which intervention should the nurse include in the plan of care?
Right Ans - Focus on the client's positive or negative feelings toward the
nurse.
A woman admitted to the Emergency Department is bleeding profusely from a
patch where hair was lost from her scalp. She is accompanied by her husband
who tells the nurse that his wife caught her hair on the railing and pulled it
out when she fell down the stairs. The husband is solicitous of his wife and
quickly answers questions on her behalf. He attempts to comfort his wife by
saying to her, "I am right here with you, dear. Nothing can keep us apart."
What is the priority nursing intervention? Right Ans - Require the husband
to leave the cubicle while the client is being treated.
A female client with severe depression is given information about the risks,
benefits, alternatives, and expected outcomes of electroconvulsive therapy
(ECT) and signs the informed consent for treatment. After the client's family
leaves, the client tells the nurse, "I signed the papers because my husband told
me I will be deported if my depression is not cured." What information should
the nurse report to the healthcare provider? Right Ans - The client's
consent may have been coerced.
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