HESI Mid-Curricular Exam Review Most Recent
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The antitubular drug isoniazid is prescribed for a client
with active tuberculosis. To evaluate the effectiveness of
this medication, which outcome can the nurse expect this
client to exhibit?
A Decreased appetite and weight loss.
B A positive sputum smear and culture.
C Decreased cough and sputum.
D Vertigo and tinnitus. - Answer-C Decreased cough and
sputum.
5 The nurse performs a routine assessment on a 12-hour-
old infant. Which finding requires the nurse to intervene?
• A Crying for more than 10 minutes.
• B Acrocyanosis with hands and feet cool to touch.
• C Respiratory rate of 73 breaths/minute.
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• D No voiding or stooling since birth. - Answer-• C
Respiratory rate of 73 breaths/minute.
→ infant is hyperventilating; should be 30-60 breaths/min
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 Diminished lung sounds.
• B Generalized weakness.
• C Elevated temperature.
• D Pain when swallowing. - Answer-• A Diminished lung
sounds.
A client who is terminally ill has an advance directive that
stipulates no resuscitative measures are to be taken. The
client's death is imminent and the family is in the client's
room. The client is currently exhibiting Cheyne-Stokes
respirations and has a blood pressure of 60/30 mm Hg.
Which is the priority nursing action?
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• A Allow privacy for the family and client to express their
feelings to one another.
• B. Elevate the head of the client's bed and apply oxygen
using a face mask.
• C Apply an automatic blood pressure cuff and take
readings every 15 minutes.
• D Teach the client's family how to use an oral suction
device to clear the airway. - Answer-• A Allow privacy for
the family and client to express their feelings to one
another.
A young adult client, admitted to the emergency
department following a motor vehicle collision is receiving
transfusion of 4 units of packed red blood cells (PRBC).
The client's pretransfusion hematocrit is 17% (0.17
volume). How many hematocrit value should the nurse
expect the client to have after all of the PRBCs have been
transfused
Reference Range:
Hematocrit (42% to 52% (0.4Lto 0.52 volume fraction)]
A 9% (0.09 volume fraction).
B 39% (0.39 volume fraction).
C 19% (0.19 volume traction)
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D 29% (0.29 volume fraction). - Answer-D 29% (0.29
volume fraction).
A female client on a psychiatric unit is sweating profusely
while she vigorously does push- ups and then runs the
length of the corridor several times before crashing into
furniture in the sitting room. Picking herself up, she begins
to toss chairs aside, looking for a red one to sit in. When
another client objects to the disturbance, the client shouts,
"I am the boss here. I do what I want." Which nursing
problem best supports these observations?
• A Disturbed personal identity related to grandiosity.
• B Risk for activity intolerance related to hyperactivity.
• C Risk for other related violence related to disruptive
behavior.
• D Deficient diversional activity related to excess energy
level. - Answer-• C Risk for other related violence related
to disruptive behavior.
A client with cirrhosis has ascites and reports feeling short
of breath. The client is in a Semi-Fowler's position with
arms posit Which action should the nurse implement?