HESI: NUR209/ NUR 209 / Questions
and Verified Answers| 100% Correct| A
Grade – Fortis
QUESTION
A postoperative client reports incisional pain. The client has two prescriptions for PRN
analgesia that accompanied the client from the postanasthesia unit. Before selecting which
medication to administer, which action should the nurse implement?
A. Document the client's report of pain in the electronic medical record
B. Determine which prescription will have the quickest onset of action
C. Compare the client's pain scale rating with the prescribed dosing
D. Ask the client to choose which mediation is needed for pain
Answer:
C. Compare the client's pain scale rating with the prescribed dosing
QUESTION
While assisting a female client to the toilet, the client begins to have a seizure and the nurse
eases her to the floor. The nurse calls for help and monitors the client until the seizing stops.
Which intervention should the nurse implement first?
A. Document details of the seizure activity
B. Observe for lacerations to the tongue
C. Observe for prolonged periods of apnea
D. Evaluate for evidence of incontinence
Answer:
C. Observe for prolonged periods of apnea
,QUESTION
A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation
facility following treatment for a stroke with resulting right hemiplegia. He tells the nurse that
his feet are always uncomfortably cool at night, preventing him from falling asleep. Which
action should the nurse implement.
A. Provide a warming pad (Aqua-pad or K-pad) to feet
B. Medicate the client with a prescribed sedative
C. Use a bed cradle to hold the covers off the feet
D. Place warm blankets next to the client's feet
Answer:
D. Place warm blankets next to the client's feet
QUESTION
During a home visit, the nurse assesses the skin of a client with eczema who reports that an
exacerbation of symptoms has occurred during the last week. Which information is most useful
in determining the possible cause of the symptoms?
A. An old friend with eczema came for a visit
B. Recently received an influenza immunization
C. A grandson and his new dog recently visited
D. Corticosteroid cream was applied to eczema
Answer:
C. A grandson and his new dog recently visited
QUESTION
While planning care for a client with carpal tunnel syndrome, the nurse identifies a collaborative
problem of pain. what is the etiology of this problem?
A. Irritation of nerve endings
B. Diminished blood flow
C. Ischemic tissue changes
D. Compression of a nerve
Answer:
D. Compression of a nerve
,QUESTION
The nurse assesses a client being treated for Herpes Zoster (shingles). Which assessments
should the nurse include when evaluating the effectiveness of treatment? (Select all that apply)
A. Skin integrity
B. Functional ability
C. Heart sounds
D. Pain scale
E. Bowel sounds
Answer:
A. Skin integrity
B. Functional ability
D. Pain scale
QUESTION
A male client tells the clinic nurse that he is experiencing burning on urination, and assessment
reveals that he had sexual intercourse four days ago with a woman he casually met. Which action
should the nurse implement?
A. Observe the perineal area for a chancroid-like lesion
B. Obtain a specimen of urethral drainage for culture
C. Assess for perineal itching, erythema and excoriation
D. Identify all sexual partners in the last four days
Answer:
B. Obtain a specimen of urethral drainage for culture
QUESTION
A client with Addison's disease started taking hydrocortisone in a divided daily dose last week.
It is most important for the nurse to monitor which serum laboratory value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets
, Answer:
B. Glucose
QUESTION
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange from a
respiratory infection. Which assessment finding warrants immediate intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing
Answer:
D. Pain when swallowing
QUESTION
An older male client tells the nurse that he is losing sleep because he has to get up several times
at night to go to the bathroom, that he has trouble starting his urinary stream, and that he does not
feel like his bladder is ever completely empty. Which intervention should the nurse implement?
A. Collect a urine specimen for culture analysis
B. Review the client's fluid intake prior to bedtime
C. Palpate the bladder above the symphysis pubis
D. Obtain a fingerstick blood glucose level
Answer:
C. Palpate the bladder above the symphysis pubis
QUESTION
Fluids are restricted to 1,500 ml daily for a male client with acute kidney injury (AKI). He is
frustrated and complaining of constant thirst, and the nurse discovers that the family is providing
the client with additional fluids. Which intervention should the nurse implement?
A. Remove all sources of liquids from the client's room
B. Allow family to give client a measured amount of ice chips
and Verified Answers| 100% Correct| A
Grade – Fortis
QUESTION
A postoperative client reports incisional pain. The client has two prescriptions for PRN
analgesia that accompanied the client from the postanasthesia unit. Before selecting which
medication to administer, which action should the nurse implement?
A. Document the client's report of pain in the electronic medical record
B. Determine which prescription will have the quickest onset of action
C. Compare the client's pain scale rating with the prescribed dosing
D. Ask the client to choose which mediation is needed for pain
Answer:
C. Compare the client's pain scale rating with the prescribed dosing
QUESTION
While assisting a female client to the toilet, the client begins to have a seizure and the nurse
eases her to the floor. The nurse calls for help and monitors the client until the seizing stops.
Which intervention should the nurse implement first?
A. Document details of the seizure activity
B. Observe for lacerations to the tongue
C. Observe for prolonged periods of apnea
D. Evaluate for evidence of incontinence
Answer:
C. Observe for prolonged periods of apnea
,QUESTION
A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation
facility following treatment for a stroke with resulting right hemiplegia. He tells the nurse that
his feet are always uncomfortably cool at night, preventing him from falling asleep. Which
action should the nurse implement.
A. Provide a warming pad (Aqua-pad or K-pad) to feet
B. Medicate the client with a prescribed sedative
C. Use a bed cradle to hold the covers off the feet
D. Place warm blankets next to the client's feet
Answer:
D. Place warm blankets next to the client's feet
QUESTION
During a home visit, the nurse assesses the skin of a client with eczema who reports that an
exacerbation of symptoms has occurred during the last week. Which information is most useful
in determining the possible cause of the symptoms?
A. An old friend with eczema came for a visit
B. Recently received an influenza immunization
C. A grandson and his new dog recently visited
D. Corticosteroid cream was applied to eczema
Answer:
C. A grandson and his new dog recently visited
QUESTION
While planning care for a client with carpal tunnel syndrome, the nurse identifies a collaborative
problem of pain. what is the etiology of this problem?
A. Irritation of nerve endings
B. Diminished blood flow
C. Ischemic tissue changes
D. Compression of a nerve
Answer:
D. Compression of a nerve
,QUESTION
The nurse assesses a client being treated for Herpes Zoster (shingles). Which assessments
should the nurse include when evaluating the effectiveness of treatment? (Select all that apply)
A. Skin integrity
B. Functional ability
C. Heart sounds
D. Pain scale
E. Bowel sounds
Answer:
A. Skin integrity
B. Functional ability
D. Pain scale
QUESTION
A male client tells the clinic nurse that he is experiencing burning on urination, and assessment
reveals that he had sexual intercourse four days ago with a woman he casually met. Which action
should the nurse implement?
A. Observe the perineal area for a chancroid-like lesion
B. Obtain a specimen of urethral drainage for culture
C. Assess for perineal itching, erythema and excoriation
D. Identify all sexual partners in the last four days
Answer:
B. Obtain a specimen of urethral drainage for culture
QUESTION
A client with Addison's disease started taking hydrocortisone in a divided daily dose last week.
It is most important for the nurse to monitor which serum laboratory value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets
, Answer:
B. Glucose
QUESTION
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange from a
respiratory infection. Which assessment finding warrants immediate intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing
Answer:
D. Pain when swallowing
QUESTION
An older male client tells the nurse that he is losing sleep because he has to get up several times
at night to go to the bathroom, that he has trouble starting his urinary stream, and that he does not
feel like his bladder is ever completely empty. Which intervention should the nurse implement?
A. Collect a urine specimen for culture analysis
B. Review the client's fluid intake prior to bedtime
C. Palpate the bladder above the symphysis pubis
D. Obtain a fingerstick blood glucose level
Answer:
C. Palpate the bladder above the symphysis pubis
QUESTION
Fluids are restricted to 1,500 ml daily for a male client with acute kidney injury (AKI). He is
frustrated and complaining of constant thirst, and the nurse discovers that the family is providing
the client with additional fluids. Which intervention should the nurse implement?
A. Remove all sources of liquids from the client's room
B. Allow family to give client a measured amount of ice chips
