HESI: NUR209/ NUR 209 /
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
The nurse reviews lab values of a female with metastatic breast cancer and notes that the client's
serum calcium level is 14 mg/dL. The client is weak, fatigued, and depressed. New prescriptions
include increasing the rate of IV fluids. Which action should the nurse take first?
a. Increase the IV fluids as prescribed.
b. Offer to provide privacy so the client can rest.
c. Encourage verbalization of the client's feelings.
d. Provide a nutritional supplement for a snack.
Answer:
a. Increase the IV fluids as prescribed.
QUESTION
A client with hypovolemic shock is admitted to the ICU with an intraosseous vascular device
placed in the right proximal tibia. The client has received 2 L of normal saline and one unit of
PRBC through the IO access device since admission. Which assessment finding warrants
immediate intervention by the nurse?
a. Client reports tenderness at IO insertion site.
b. Client verbalizes feeling tightness in the right calf muscle.
c. IO vascular access in place greater than 24 hours.
d. Sluggish IO blood return when aspirated.
Answer:
c. IO vascular access in place greater than 24 hours.
QUESTION
, A client has a neutrophil count of 500/mm3 after completing chemotherapy. Which intervention
is most important for the nurse to implement?
a. Implement bleeding precautions.
b. Review needs for pneumococcal vaccine.
c. Assess vital signs every 4 hours.
d Provide the client with protective isolation.
Answer:
d Provide the client with protective isolation.
QUESTION
A client's lab findings indicate elevations in thyroxine and triiodothyronine hormones. The
nurse suspects that the client may have hyperthyroidism. Which symptom is most often
associated with hyperthyroidism?
a. Atrophied thyroid gland.
b. Increased pulse rate.
c. Periorbital edema.
d. Diarrhea stools.
Answer:
b. Increased pulse rate.
QUESTION
Prior to initiating peritoneal dialysis, which nursing action is most important for the nurse to
implement?
a. Determine the client's O2 saturation.
b. Obtain and record the client's vital signs.
c. Auscultate the client's vital signs.
d. Observe the amount and color of the client's urine.
Answer:
b. Obtain and record the client's vital signs.
, QUESTION
The nurse is preparing to insert an indwelling catheter for a male client who has diabetes and a
semirigid penile implant. After placing the sterile drapes and prepping the meatus, the nurse
notes that the client's penis is erect. Which action should the nurse implement?
a. Ask the client to deflate the implant.
b. Talk to the client about his implant.
c. Continue to insert the catheter.
d. Wait until the erection subsides.
Answer:
c. Continue to insert the catheter.
QUESTION
Which finding should the nurse document as a primary manifestation of osteoporosis in an older
woman?
a. Loss of height over time.
b. Decreased serum calcium level.
c. Pain in the spine and neck.
d. Abnormal cardiac status in the ECG.
Answer:
a. Loss of height over time.
QUESTION
The nurse is conducting discharge teaching for a male client with a prescription for magnesium
hydroxide 15 mL QD. His home medication cup is in ounces. How many ounces should he take
each dose?
a. 0.5 ounces.
b. 0.05 ounces.
c. 0.25 ounces.
d. 1 ounce.
Answer:
a. 0.5 ounces.
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
The nurse reviews lab values of a female with metastatic breast cancer and notes that the client's
serum calcium level is 14 mg/dL. The client is weak, fatigued, and depressed. New prescriptions
include increasing the rate of IV fluids. Which action should the nurse take first?
a. Increase the IV fluids as prescribed.
b. Offer to provide privacy so the client can rest.
c. Encourage verbalization of the client's feelings.
d. Provide a nutritional supplement for a snack.
Answer:
a. Increase the IV fluids as prescribed.
QUESTION
A client with hypovolemic shock is admitted to the ICU with an intraosseous vascular device
placed in the right proximal tibia. The client has received 2 L of normal saline and one unit of
PRBC through the IO access device since admission. Which assessment finding warrants
immediate intervention by the nurse?
a. Client reports tenderness at IO insertion site.
b. Client verbalizes feeling tightness in the right calf muscle.
c. IO vascular access in place greater than 24 hours.
d. Sluggish IO blood return when aspirated.
Answer:
c. IO vascular access in place greater than 24 hours.
QUESTION
, A client has a neutrophil count of 500/mm3 after completing chemotherapy. Which intervention
is most important for the nurse to implement?
a. Implement bleeding precautions.
b. Review needs for pneumococcal vaccine.
c. Assess vital signs every 4 hours.
d Provide the client with protective isolation.
Answer:
d Provide the client with protective isolation.
QUESTION
A client's lab findings indicate elevations in thyroxine and triiodothyronine hormones. The
nurse suspects that the client may have hyperthyroidism. Which symptom is most often
associated with hyperthyroidism?
a. Atrophied thyroid gland.
b. Increased pulse rate.
c. Periorbital edema.
d. Diarrhea stools.
Answer:
b. Increased pulse rate.
QUESTION
Prior to initiating peritoneal dialysis, which nursing action is most important for the nurse to
implement?
a. Determine the client's O2 saturation.
b. Obtain and record the client's vital signs.
c. Auscultate the client's vital signs.
d. Observe the amount and color of the client's urine.
Answer:
b. Obtain and record the client's vital signs.
, QUESTION
The nurse is preparing to insert an indwelling catheter for a male client who has diabetes and a
semirigid penile implant. After placing the sterile drapes and prepping the meatus, the nurse
notes that the client's penis is erect. Which action should the nurse implement?
a. Ask the client to deflate the implant.
b. Talk to the client about his implant.
c. Continue to insert the catheter.
d. Wait until the erection subsides.
Answer:
c. Continue to insert the catheter.
QUESTION
Which finding should the nurse document as a primary manifestation of osteoporosis in an older
woman?
a. Loss of height over time.
b. Decreased serum calcium level.
c. Pain in the spine and neck.
d. Abnormal cardiac status in the ECG.
Answer:
a. Loss of height over time.
QUESTION
The nurse is conducting discharge teaching for a male client with a prescription for magnesium
hydroxide 15 mL QD. His home medication cup is in ounces. How many ounces should he take
each dose?
a. 0.5 ounces.
b. 0.05 ounces.
c. 0.25 ounces.
d. 1 ounce.
Answer:
a. 0.5 ounces.
