1 || |P | a | g | e
HESI ADULT HEALTH EXAM ACTUAL TEST ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+
A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a nonsteroidal
| | | | | | | | | |
anti-inflammatory drug (NSAID). Which effect is characteristic of (NSAIDs) used
| | | | | | | | | |
for treating rheumatoid arthritis?
| | | |
A. Production of replacement cartilage is stimulated.
| | | | | |
B. Further destruction of the articular cartilage is prevented.
| | | | | | | |
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
| | | | | | |
D. Bradykinin is inhibited, thereby reducing acute and chronic pain.
| | | | | | | | |
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
| | | | | | |
Rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs), used for treating rheumatoid
| | | | | | |
arthritis, by inhibiting the synthesis of prostaglandins and providing relief from the
| | | | | | | | | | | |
associated pain.
| |
We have an expert-written solution to this problem!
| | | | | | |
When planning care for a client with right renal calculi, which nursing diagnosis has
| | | | | | | | | | | | |
the highest priority?
| | |
A. Acute pain related to movement of the stone.
| | | | | | | |
B. Impaired urinary elimination related to obstructed flow of urine.
| | | | | | | | |
C. Risk for infection related to urinary stasis.
| | | | | | |
D. Deficient knowledge related to need for prevention of recurrence of calculi.
| | | | | | | | | | |
,2 || |P | a | g | e
A. Acute pain related to movement of the stone.
| | | | | | | |
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the renal calculi's
| | | | | | | | | | | | |
movement".
|
The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing
| | | | | | | | | | | | | | |
action should be included in the plan of care?
| | | | | | | | |
A. Perform active range of motion three times daily
| | | | | | | |
B. Monitor for Battle's sign every four hours
| | | | | | |
C. Teach measures to avoid the Valsalva maneuver
| | | | | | |
D. Maintain the head of bed in a flat position
| | | | | | | | |
C. Teach measures to avoid the Valsalva maneuver
| | | | | | |
Rationale
The Valsalva maneuver, straining with bowel movements while holding one's breath,
| | | | | | | | | |
increases intracerebral pressure (ICP) which may induce bleeding or rupture of
| | | | | | | | | | |
cerebral blood vessels.
| | |
Which preexisting diagnosis places a client at greatest risk of developing superior
| | | | | | | | | | |
vena cava syndrome?
| | |
A. Carotid stenosis.
| |
B. Steatosis hepatitis.
| |
C. Metastatic cancer.
| |
D. Clavicular fracture.
| |
C. Metastatic cancer.
| |
,3 || |P | a | g | e
Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is
| | | | | | | | | | |
compressed by outside structures, such as a growing tumor that impedes the return
| | | | | | | | | | | | |
blood flow to the heart. Superior vena cava syndrome is likely to occur with
| | | | | | | | | | | | | |
metastatic cancer from a primary tumor in the upper lobe of the right lung that
| | | | | | | | | | | | | | |
compresses the superior vena cava.
| | | | |
What assessment finding should the nurse identify that indicates a client with an acute
| | | | | | | | | | | | |
asthma exacerbation is beginning to improve after treatment?
| | | | | | | |
A. Wheezing becomes louder.
| | |
B. Cough remains unproductive.
| | |
C. Vesicular breath sounds decrease.
| | | |
D. Bronchodilators stimulate coughing.
| | |
A. Wheezing becomes louder.
| | |
Rationale
In an acute asthma attack, air flow may be so significantly restricted that breath
| | | | | | | | | | | | |
sounds and wheezing is diminished. If the client is successfully responding to
| | | | | | | | | | | |
bronchodilators and respiratory treatments, wheezing should become louder as the
| | | | | | | | | |
air flow increases in the airways. As the airways open and mucous is mobilized in
| | | | | | | | | | | | | | |
response to treatment, the cough should become more productive. Vesicular breath
| | | | | | | | | | |
sounds are soft, low-pitched sounds heard throughout the lungs. These are normal.
| | | | | | | | | | | |
The nurse is providing postoperative instructions for a female client after a
| | | | | | | | | | |
mastectomy. Which information should the nurse include in the teaching plan?
| | | | | | | | | | |
(Select all that apply.)
| | | |
, 4 || |P | a | g | e
Select all that apply | | |
A. Empty surgical drains once a week using procedure gloves.
| | | | | | | | |
B. Report inflammation of the incision site or the affected arm.
| | | | | | | | | |
C. Wear clothing with snug sleeves over the arm on the operative side.
| | | | | | | | | | | |
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
| | | | | | | | | | | | |
B. Report inflammation of the incision site or the affected arm.
| | | | | | | | | |
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
| | | | | | | | | | | | |
Rationale
Part of a client's s/p (status post) mastectomy teaching plan should include reporting
| | | | | | | | | | | |
evidence of inflammation at the incision site or the affected arm, and to avoid lifting
| | | | | | | | | | | | | | |
or reaching above their head.
| | | | |
Which client is at highest risk for compromised psychological adjustment after a
| | | | | | | | | | |
hysterectomy?
|
A. A 46-year-old woman with three children and a recent promotion at work.
| | | | | | | | | | | |
B. A 55-year-old woman with abnormal bleeding and pain for 3 years.
| | | | | | | | | | |
C. A 62-year-old widow who has three friends who had uncomplicated
| | | | | | | | | |
hysterectomies.
|
D. A 29-year-old woman whose uterus ruptured after giving birth to her first child.
| | | | | | | | | | | | |
D. A 29-year-old woman whose uterus ruptured after giving birth to her first child.
| | | | | | | | | | | | |
Rationale
The client who is a primipara and is still in her childbearing years and is at highest risk
| | | | | | | | | | | | | | | | |
for unresolved conflicts about the end of her childbearing opportunities.
| | | | | | | | | |
HESI ADULT HEALTH EXAM ACTUAL TEST ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+
A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a nonsteroidal
| | | | | | | | | |
anti-inflammatory drug (NSAID). Which effect is characteristic of (NSAIDs) used
| | | | | | | | | |
for treating rheumatoid arthritis?
| | | |
A. Production of replacement cartilage is stimulated.
| | | | | |
B. Further destruction of the articular cartilage is prevented.
| | | | | | | |
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
| | | | | | |
D. Bradykinin is inhibited, thereby reducing acute and chronic pain.
| | | | | | | | |
C. Inflammation is reduced by inhibiting prostaglandin synthesis.
| | | | | | |
Rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs), used for treating rheumatoid
| | | | | | |
arthritis, by inhibiting the synthesis of prostaglandins and providing relief from the
| | | | | | | | | | | |
associated pain.
| |
We have an expert-written solution to this problem!
| | | | | | |
When planning care for a client with right renal calculi, which nursing diagnosis has
| | | | | | | | | | | | |
the highest priority?
| | |
A. Acute pain related to movement of the stone.
| | | | | | | |
B. Impaired urinary elimination related to obstructed flow of urine.
| | | | | | | | |
C. Risk for infection related to urinary stasis.
| | | | | | |
D. Deficient knowledge related to need for prevention of recurrence of calculi.
| | | | | | | | | | |
,2 || |P | a | g | e
A. Acute pain related to movement of the stone.
| | | | | | | |
Rationale
The nursing diagnosis of the highest priority is "Acute pain related the renal calculi's
| | | | | | | | | | | | |
movement".
|
The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing
| | | | | | | | | | | | | | |
action should be included in the plan of care?
| | | | | | | | |
A. Perform active range of motion three times daily
| | | | | | | |
B. Monitor for Battle's sign every four hours
| | | | | | |
C. Teach measures to avoid the Valsalva maneuver
| | | | | | |
D. Maintain the head of bed in a flat position
| | | | | | | | |
C. Teach measures to avoid the Valsalva maneuver
| | | | | | |
Rationale
The Valsalva maneuver, straining with bowel movements while holding one's breath,
| | | | | | | | | |
increases intracerebral pressure (ICP) which may induce bleeding or rupture of
| | | | | | | | | | |
cerebral blood vessels.
| | |
Which preexisting diagnosis places a client at greatest risk of developing superior
| | | | | | | | | | |
vena cava syndrome?
| | |
A. Carotid stenosis.
| |
B. Steatosis hepatitis.
| |
C. Metastatic cancer.
| |
D. Clavicular fracture.
| |
C. Metastatic cancer.
| |
,3 || |P | a | g | e
Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is
| | | | | | | | | | |
compressed by outside structures, such as a growing tumor that impedes the return
| | | | | | | | | | | | |
blood flow to the heart. Superior vena cava syndrome is likely to occur with
| | | | | | | | | | | | | |
metastatic cancer from a primary tumor in the upper lobe of the right lung that
| | | | | | | | | | | | | | |
compresses the superior vena cava.
| | | | |
What assessment finding should the nurse identify that indicates a client with an acute
| | | | | | | | | | | | |
asthma exacerbation is beginning to improve after treatment?
| | | | | | | |
A. Wheezing becomes louder.
| | |
B. Cough remains unproductive.
| | |
C. Vesicular breath sounds decrease.
| | | |
D. Bronchodilators stimulate coughing.
| | |
A. Wheezing becomes louder.
| | |
Rationale
In an acute asthma attack, air flow may be so significantly restricted that breath
| | | | | | | | | | | | |
sounds and wheezing is diminished. If the client is successfully responding to
| | | | | | | | | | | |
bronchodilators and respiratory treatments, wheezing should become louder as the
| | | | | | | | | |
air flow increases in the airways. As the airways open and mucous is mobilized in
| | | | | | | | | | | | | | |
response to treatment, the cough should become more productive. Vesicular breath
| | | | | | | | | | |
sounds are soft, low-pitched sounds heard throughout the lungs. These are normal.
| | | | | | | | | | | |
The nurse is providing postoperative instructions for a female client after a
| | | | | | | | | | |
mastectomy. Which information should the nurse include in the teaching plan?
| | | | | | | | | | |
(Select all that apply.)
| | | |
, 4 || |P | a | g | e
Select all that apply | | |
A. Empty surgical drains once a week using procedure gloves.
| | | | | | | | |
B. Report inflammation of the incision site or the affected arm.
| | | | | | | | | |
C. Wear clothing with snug sleeves over the arm on the operative side.
| | | | | | | | | | | |
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
| | | | | | | | | | | | |
B. Report inflammation of the incision site or the affected arm.
| | | | | | | | | |
D. Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
| | | | | | | | | | | | |
Rationale
Part of a client's s/p (status post) mastectomy teaching plan should include reporting
| | | | | | | | | | | |
evidence of inflammation at the incision site or the affected arm, and to avoid lifting
| | | | | | | | | | | | | | |
or reaching above their head.
| | | | |
Which client is at highest risk for compromised psychological adjustment after a
| | | | | | | | | | |
hysterectomy?
|
A. A 46-year-old woman with three children and a recent promotion at work.
| | | | | | | | | | | |
B. A 55-year-old woman with abnormal bleeding and pain for 3 years.
| | | | | | | | | | |
C. A 62-year-old widow who has three friends who had uncomplicated
| | | | | | | | | |
hysterectomies.
|
D. A 29-year-old woman whose uterus ruptured after giving birth to her first child.
| | | | | | | | | | | | |
D. A 29-year-old woman whose uterus ruptured after giving birth to her first child.
| | | | | | | | | | | | |
Rationale
The client who is a primipara and is still in her childbearing years and is at highest risk
| | | | | | | | | | | | | | | | |
for unresolved conflicts about the end of her childbearing opportunities.
| | | | | | | | | |
