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Hesi Herzing University -HESI EXAM 1 FALL 2024 QUESTIONS WITH COMPLETE SOLUTIONS
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Hesi Herzing University -HESI EXAM 1 FALL 2024 QUESTIONS WITH COMPLETE SOLUTIONS
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HESI EXAM 1 FALL 2024 QUESTIONS WITHCOMPLETE SOLUTIONS
A 15-year-old male client was recently diagnosed with type 1
diabetes mellitus. He tells the nurse that he has difficulty
adhering to his meal plan when he is with his friends. What
nursing intervention is best for the nurse to implement?
a. Advise him to take his own food with him on going to fast
food restaurants with his friends
b. Encourage him to find activities to do with his friends that do
not involve eating
c. Assist him in identifying popular fast foods that are within his
meal plan for diabetes
d. Recommend that he avoid fast food restaurants until he is
familiar with his prescribed diet Correct Answer c. Assist him
in identifying popular fast foods that are within his meal plan for
diabetes
A 46 year old male client who had a myocardial infarction (MI)
24 hours ago comes to the nurses station fully dressed and
wanting to go home. He tells the nurse that he is feeling much
better at this time. Based on this behavior, which client problem
should the nurse include in the plan of care?
a. Deficient knowledge of lifestyle changes
b. Decisional conflict due to stress
c. Anxiety related to treatment plan
d. Ineffective coping related to denial Correct Answer d.
Ineffective coping related to denial
,A child is diagnosed with acquired aplastic anemia. The nurse
knows that this child has the best prognosis with which
treatment regimen?
a. Chemotherapy
b. Immunosuppressive therapy
c. Blood transfusions
d. Bone marrow transplantation Correct Answer c. Blood
transfusions
A client develops urticaria on the trunk and neck shortly after a
secondary infusion of piperacillin that is initiated. In what order
should the nurse implement these interventions? (arrange the
actions in order of priority, with highest priority first, and least
priority last or at the bottom.)
1. Document reaction to the drug
2. Initiate an adverse event report
3. Contact the health care provider
4. Assess vital signs
5. Stop the infusion Correct Answer 5. Stop the infusion
4. Assess vital signs
3. Contact the health care provider
1. Document reaction to the drug
2. Initiate an adverse event report
A client diagnosed with calcium kidney stones has a history of
gout. The new prescription for aluminum hydroxide is scheduled
to begin at 0730. Which medication should the nurse bring to the
health care providers attention?
a. Allopurinol
b. Furosemide
c. Aspirin, low dose
,d. Enalapril Correct Answer a. Allopurinol
A client exposed to tuberculosis is scheduled to begin
prophylactic treatment with isoniazid. Which information is
most important for the nurse to note before administering the
initial dose?
a. History of intravenous drug abuse
b. Conversion of the client's PPD test from negative to positive
c. Current diagnosis of hepatitis B
d. Length of time of the exposure to tuberculosis Correct
Answer c. Current diagnosis of hepatitis B
A client has had several episodes of clear, watery diarrhea that
started yesterday. What action should the nurse implement?
a. Check the client's hemoglobin level
b. Review the clients current list of medications
c. Assess the client for the presence of hemorrhoids
d. Administer prescribed PRN anti-emetic Correct Answer b.
Review the clients current list of medications
A client in menopause reports being lactose intolerant. She
exercises three times a week, drinks wine one to three times a
month, and drinks a cup of coffee daily. Which instruction
should the nurse provide to the client to reduce her risk of
developing osteoporosis?
a. Increase weekly exercise
b. Increase calcium intake
c. Decrease wine consumption
d. Decrease coffee consumption Correct Answer b. Increase
calcium intake
, A client in the intensive care unit is being mechanically
ventilated, has an indwelling urinary catheter in place, and is
exhibiting signs of restlessness. Which action should the nurse
take first?
a. Auscultate bilateral breath sounds
b. Review the heart rhythm on cardiac monitor
c. Administer PRN dose of lorazepam
d. Check urinary catheter for obstruction Correct Answer a.
Auscultate bilateral breath sounds
A client is admitted to the emergency department with a
respiratory rate of 34 breaths per minute and high-pitched
wheezing on inspiration and expiration. The medical diagnosis
is severe exacerbation of asthma. Which assessment finding,
obtained 10 minutes after the admission assessment, should the
nurse report immediately to the emergency department health
care provider?
a. Client reports being anxious
b. Extreme agitation with staff and family
c. An apical pulse of 120 beats per minute
d. No wheezing upon auscultation of the client Correct Answer
d. No wheezing upon auscultation of the client
A client is admitted with a diagnosis of urolithiasis. Which
finding is most important for the nurse to report to the health
care provider?
a. Volume of each voiding is more than 300 ml
b. Serum potassium level is elevated
c. Relief of flank pain that is radiating to the groin
d. Hematuria that is beginning to turn pink Correct Answer b.
Serum potassium level is elevated
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