HESI (nursing)

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. - D. Rise slowly when getting out of bed or chair. A female clie...

Monitoring for fetal position is important because the mother cannot tell you she has back pain, which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks, especially epidural and caudal, often result in assisted delivery? A. inability to push effectively in 3rd stage B. inability to push effectively in 4th stage C. inability to push effectively in 1st stage D. inability to push effectively in 2nd stage - D. Regional blocks, especially epidural and caud...

A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for the last 3 days. Which assessment is most important for the nurse to make? - Measure the infant's pulse While obtaining the vital signs of a 10 year old boy who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? - Inspect the posterior oropharynx The parents of a 3-year-old boy who has Duchenne muscular dys...

An alert child has been treated for a submersion injury (near drowning). Which complication should the nurse anticipate? A. hypertension B. Edema C. Oliguria D. Hypothermia - D. Hypothermia Almost half of all children who experience near drowning, whether they are asymptomatic or minimally symptomatic, will experience complications during the first 24 hours after the incident. Hypothermia is common in children due to their large surface area relative to body mass, decreased subcutaneous ...

Which formula is most preferable for a child who has lactose intolerance? a. Soy-based formula b. Whey hydrolysate formula c. Cow's milk-based formula d. Amino acid-based formula - a Soy-based formula is a commercially available formula that has a high amount of protein but does not contain lactose. Amino acid-based formula is preferable for a child who has food allergies. However, it is not the most preferable formula for the child with lactose intolerance. Whey hydrolysate formula and ...

The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? A. Blood pressure trend is downward and pulse is rapid and irregular B. Right foot I cool to the touch and appears pale and blanched C. Pulse distal to the femoral artery is weaker on the left foot than right foot D. The pressure dressing at right femoral area is moist and oozing blood - B. Right foot...

The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle collision. Which finding is most important for the PN to report to the charge nurse? a) narrowing pulse pressure b) apprehension c) irritability d) thirst - Answer: A Rationale: As shock progresses, perfusion in the microcirculation becomes marginal despite compensatory adjustments, and the signs of decompensated shock become pronounced, such as tachycardia and narrowing pulse pressure...

A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client? A. After ceasing breastfeeding, the diaphragm should be resized. B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated. C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use. D. Use an alterna...

A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain, which approach should the nurse use? - Ask the patient to describe the pain The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should be removed first? - Gloves An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The daughter, who has power of attorney, has ...

A nurse designs a product to investigate the use of smokeless tobacco by male graduates from a local high school and incidence of oral cancer 10 years later. This represents what type of study? A. Experimental B. Prospective C. Cross-sectional D. Retrospective - B. Prospective; looks forward to find a causal relationship Which of the following represents secondary prevention? A. Meals On Wheels for the homebound B. Breast self-exam C. Seatbelt use D. Flu vaccine - B. Breast self-exam; ...