HESI A2 ENTRANCE EXAMS

22. Patient: A 54-year-old male who weighs 275 pounds. He is 5’ 10” tall and has many family members who have died of heart disease. Situation: He comes to the clinic stating that he has had several episodes of “chest pain” in the last week. Question: What is the most important action for the nurse to take? Ask the patient to describe the chest pain. 23. Patient: A 7-year-old child. Situation: A nurse arrives with an injection containing preoperative sedation that must be given to the child now. The child asks the nurse if the shot will hurt. Question: What response should the nurse offer to this child? “Yes, but it won’t last very long and soon you will be sleepy” 24. Patient: A 35-year-old female. Situation: The patient is admitted with a diagnosis of abdominal pain and diarrhea. Question: Which action should the nurse take first? Initiate Intravenous fluids. 25. Patient: A 51-year-old male. Situation: The patient is pale, has dark circles under his eyes, and responds to questions with a soft, low voice. He tells the nurse that he has not slept well for months, but denies any type of pain. Question: What information is most important for the nurse to obtain? The existence of a significant life in the last year that has caused anxiety. 26. Patient: A 19-year-old male who has previously been healthy. Situation: The patient complains that he is losing weight despite “eating all the time.” Question: Considering this patient’s age and complaint, which diagnostic test is likely to provide the most important information? A fingerstick for blood sugar level.