HESI mid curricular Exam, Most Recent Verified Exam
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The nurse provides instructions to a malnourished
pregnant client regarding iron supplementation. Which
client statement indicates an understanding of the
instructions?
1-"Iron supplements will give me diarrhea."
2-"Meat does not provide iron and should be avoided."
3-"The iron is best absorbed if taken on an empty
stomach."
4-"On the days that I eat green leafy vegetables or calf
liver I can omit taking the iron supplement." - Answer-3-
"The iron is best absorbed if taken on an empty stomach."
Rationale:Iron is needed to allow for transfer of adequate
iron to the fetus and to permit expansion of the maternal
red blood cell mass. During pregnancy, the relative excess
of plasma causes a decrease in the hemoglobin
concentration and hematocrit, known as physiological
anemia of pregnancy. This is a normal adaptation during
pregnancy. Iron is best absorbed if taken on an empty
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stomach. Taking it with a fluid high in ascorbic acid such
as tomato juice enhances absorption. Iron supplements
usually cause constipation. Meats are an excellent source
of iron. The client needs to take the iron supplements
regardless of food intake.
The nurse is teaching a client with emphysema about
positions that help breathing during dyspneic episodes.
The nurse instructs the client that which positions alleviate
dyspnea? Select all that apply.
1- Sitting up and leaning on a table
2-Standing and leaning against a wall
3-Lying supine with the feet elevated
4-Sitting up with the elbows resting on knees
5-Lying on the back in a low-Fowler's position - Answer-1-
Sitting up and leaning on a table
2-Standing and leaning against a wall
4-Sitting up with the elbows resting on knees
Rationale:The client would use the positions outlined in
options 1, 2, and 4. These allow for maximal chest
expansion. The client would not lie on the back because
this reduces movement of a large area of the client's chest
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wall. Sitting is better than standing, whenever possible. If
no chair is available, leaning against a wall while standing
allows accessory muscles to be used for breathing and not
posture control.
A client is about to undergo a lumbar puncture. The nurse
describes to the client that which position will be used
during the procedure?
1-Side-lying with a pillow under the hip
2-Prone with a pillow under the abdomen
3-Prone in slight Trendelenburg's position
4-Side-lying with the legs pulled up and the head bent
down onto the chest - Answer-4-Side-lying with the legs
pulled up and the head bent down onto the chest
Rationale:A client undergoing lumbar puncture is
positioned lying on the side, with the legs pulled up to the
abdomen and the head bent down onto the chest. This
position helps open the spaces between the vertebrae and
allows for easier needle insertion by the primary health
care provider. The nurse remains with the client during the
procedure to help the client maintain this position. The
other options identify incorrect positions for this procedure.
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The nurse assesses a client with the admitting diagnosis
of bipolar affective disorder, mania. Which client symptoms
require the nurse's immediate action?
1-Incessant talking and sexual innuendos
2-Grandiose delusions and poor concentration
3-Outlandish behaviors and inappropriate dress
4-Nonstop physical activity and poor nutritional intake -
Answer-4-Nonstop physical activity and poor nutritional
intake
Rationale:Mania is a mood characterized by excitement,
euphoria, hyperactivity, excessive energy, decreased need
for sleep, and impaired ability to concentrate or complete a
single train of thought. The client's mood is predominantly
elevated, expansive, or irritable. All of the options reflect a
client's possible symptoms. However, the correct option
clearly presents a problem that compromises physiological
integrity and needs to be addressed immediately.
The nurse is caring for a client who was involuntarily
hospitalized to a mental health unit and is scheduled for
electroconvulsive therapy. The nurse notes that an
informed consent has not been obtained for the