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HESI 246 - practice questions
Concepts of Nursing I (Nightingale College)
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HESI REMEDIATION 246
QUESTION ANSWER
The nurse reviews the client's medical history.
1. What part of the medical history should the nurse consider relevant to the client's current history?
(Select all that apply. One, some, or all options may be correct.)
- Hypertension - Polycystic kidney disease - Diabetes Mellitus-
2. Which additional symptoms should the nurse ask about? (Select all that apply. One, some, or all
options may be correct.) –
Nausea - Decreased attention span - Itching
3. Based on the client's symptoms, what should the nurse suspect?
The client has uremia and may need to start dialysis.
4. The nurse is teaching the client about progression of chronic kidney disease (CKD). Which evaluation
statement documented by the nurse indicates the client's understanding of the disease process?
The client acknowledges that renal replacement therapy will need to be initiated immediately to rid the
body of waste and maintain fluid balance.
5. Which lab value would the nurse be MOST concerned about?
Glomerular filtration rate (GFR) of 9mL/min/1.73m2.
6. What is the correct interpretation of these ABG's?
Metabolic acidosis (compensated)
7. What assessment data supports the diagnosis of acute organ rejection? (Select all that apply. One,
some, or all options may be correct.) –
Blood pressure of 178/96 mm Hg. –
Sub therapeutic immunosuppression levels - Acute pain rated 6/10 –
Temperature of 100.6 F(38.1 C). –
BUN of 56 mg/dL (19.99 mmol/L)
and Creatinine of 1.9 mg/dL (167.96 mcmol/L
8. The client's hemoglobin level is 7.8 g/dL (78 g/L). What action should the nurse take?
Obtain an order to start an erythropoietin stimulating agent (ESA)
9. After the nurse completes the assessment, what findings are most important to report to the
healthcare provider (HCP) ? (Select all that apply. One, some, or all options may be correct.) –
Blood pressure of 178/92 mmHg - Respiratory rate of 28 breaths per minute- Bibasilar crackles - Edema
10. Which assessment finding indicates to the nurse that the desired outcome of the calcium acetate
has been achieved?
Serum phosphorous of 4.0 mg/dL (1.29 mmol/L)5
11. Which assessment should the nurse perform to determine if the desired outcome of the losartan has
been achieved?
Blood pressure
Downloaded by damaris mutuli ()
HESI 246 - practice questions
Concepts of Nursing I (Nightingale College)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by damaris mutuli ()
, lOMoARcPSD|46240884
HESI REMEDIATION 246
QUESTION ANSWER
The nurse reviews the client's medical history.
1. What part of the medical history should the nurse consider relevant to the client's current history?
(Select all that apply. One, some, or all options may be correct.)
- Hypertension - Polycystic kidney disease - Diabetes Mellitus-
2. Which additional symptoms should the nurse ask about? (Select all that apply. One, some, or all
options may be correct.) –
Nausea - Decreased attention span - Itching
3. Based on the client's symptoms, what should the nurse suspect?
The client has uremia and may need to start dialysis.
4. The nurse is teaching the client about progression of chronic kidney disease (CKD). Which evaluation
statement documented by the nurse indicates the client's understanding of the disease process?
The client acknowledges that renal replacement therapy will need to be initiated immediately to rid the
body of waste and maintain fluid balance.
5. Which lab value would the nurse be MOST concerned about?
Glomerular filtration rate (GFR) of 9mL/min/1.73m2.
6. What is the correct interpretation of these ABG's?
Metabolic acidosis (compensated)
7. What assessment data supports the diagnosis of acute organ rejection? (Select all that apply. One,
some, or all options may be correct.) –
Blood pressure of 178/96 mm Hg. –
Sub therapeutic immunosuppression levels - Acute pain rated 6/10 –
Temperature of 100.6 F(38.1 C). –
BUN of 56 mg/dL (19.99 mmol/L)
and Creatinine of 1.9 mg/dL (167.96 mcmol/L
8. The client's hemoglobin level is 7.8 g/dL (78 g/L). What action should the nurse take?
Obtain an order to start an erythropoietin stimulating agent (ESA)
9. After the nurse completes the assessment, what findings are most important to report to the
healthcare provider (HCP) ? (Select all that apply. One, some, or all options may be correct.) –
Blood pressure of 178/92 mmHg - Respiratory rate of 28 breaths per minute- Bibasilar crackles - Edema
10. Which assessment finding indicates to the nurse that the desired outcome of the calcium acetate
has been achieved?
Serum phosphorous of 4.0 mg/dL (1.29 mmol/L)5
11. Which assessment should the nurse perform to determine if the desired outcome of the losartan has
been achieved?
Blood pressure
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