Crowder College
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ADVANCED CLINICAL CONCEPTS HESI HINTS DOCUMENT 
 
•	ARDS is an unexpected, catastrophic pulmonary complication occurring in a person with no previous pulmonary problems. The mortality rate is high (50%) 
 
•	In ARDS, a common laboratory finding is lowered PO2. However, these clients are not very responsive to high concentrations of oxygen. 
 
•	Think about the physiology of the lungs by remembering PEEP: Positive End Expiratory Pressure is the instillation and maintenance of small amoun...
ADVANCED CLINICAL CONCEPTS HESI HINTS DOCUMENT 
 
•	ARDS is an unexpected, catastrophic pulmonary complication occurring in a person with no previous pulmonary problems. The mortality rate is high (50%) 
 
•	In ARDS, a common laboratory finding is lowered PO2. However, these clients are not very responsive to high concentrations of oxygen. 
 
•	Think about the physiology of the lungs by remembering PEEP: Positive End Expiratory Pressure is the instillation and maintenance of small amoun...
ADVANCED CLINICAL CONCEPTS HESI HINTS DOCUMENT 
 
•	ARDS is an unexpected, catastrophic pulmonary complication occurring in a person with no previous pulmonary problems. The mortality rate is high (50%) 
 
•	In ARDS, a common laboratory finding is lowered PO2. However, these clients are not very responsive to high concentrations of oxygen. 
 
•	Think about the physiology of the lungs by remembering PEEP: Positive End Expiratory Pressure is the instillation and maintenance of small amoun...
Chapter 70: Care of Patients with Renal Disorders Test Bank MULTIPLE CHOICE 1. On assessment of a client with polycystic kidney disease (PKD), which finding is of greatest concern to the nurse? a. Flank pain b. Periorbital edema c. Bloody and cloudy urine d. Enlarged abdomen ANS: B Flank pain and a distended or enlarged abdomen occur in PKD because the kidneys enlarge and displace other organs. Urine can be bloody or cloudy owing to cyst rupture or infection. Periorbital edema would not be a fin...
The document shows a nursing test exam for crowder college. It is complete with all the answers
ADVANCED CLINICAL CONCEPTS HESI HINTS DOCUMENT 
Trendelenburg because the weight of the lower organs restricts breathing). 
 
•	Epinephrine: 1:1000, 0.2 to 0.5ml subq for mild 
 
•	Epinephrine: 1:10,000, or 5ml IV for severe 
 
•	Volume expanding fluids are usually given to clients in shock. However, if the shock is cardiogenic, pulmonary edema may result. 
 
•	Drugs of choice for shock 
-	Digitalis preparations: Increase the contractility of the heart muscle 
-	Vasoconstrictors (Lev...
Chapter 51: Care of Patients with Ear and Hearing Problems Test Bank 
 
 
MULTIPLE CHOICE 
 
1.	The nurse is caring for a client with external otitis. Which assessment finding indicates to the nurse that the client’s infection has worsened? 
a.	The client now reports tinnitus and vertigo at night. 
b.	The client now has a positive Rinne test, with AC > BC. 
c.	The tympanic membrane is pearly gray with white patches. 
d.	The auricular lymph nodes have increased in size over the last 24 hours...
Chapter 50: Assessment of the Ear and Hearing Test Bank 
 
 
MULTIPLE CHOICE 
 
1.	The nurse notes that a client’s tympanic membrane moves in response to air injected into the external canal. What is the nurse’s best action? 
a.	Notify the health care provider. 
b.	Document the finding. 
c.	Prepare to wash the external ear canal. 
d.	Immediately remove the otoscope. 
ANS: B 
The healthy ear should have a tympanic membrane that is mobile when air is injected into the external canal. This norm...
Chapter 59: Care of Patients with Noninflammatory Intestinal Disorders Test Bank 
 
 
MULTIPLE CHOICE 
 
1.	A client has irritable bowel syndrome. Which menu selections by this client indicate good understanding of dietary teaching? 
a.	Tuna salad on white bread, cup of applesauce, glass of diet cola 
b.	Broiled chicken with brown rice, steamed green beans, glass of apple juice 
c.	Grilled cheese sandwich, small ripe banana, cup of hot tea with lemon 
d.	Grilled steak, green beans, dinner roll w...
Chapter 55: Assessment of the Gastrointestinal System Test Bank 
 
 
MULTIPLE CHOICE 
 
1.	The nurse is caring for a client who is receiving radiation treatment for oral cancer. Which problem does the nurse anticipate for this client? 
a.	Failure to absorb nutrients from the stomach 
b.	Inability to digest protein 
c.	Impaired ability to soften and break down food 
d.	Difficulty swallowing food 
ANS: C 
Saliva is responsible for the softening of food in the mouth and contains an enzyme, salivary...