Exit HESI 366 QUESTIONS AND ANSWERS | LATEST UPDATE
An older client presents to the emergency department Turn on overhead lights while giving instructions
with abdominal pain due to constipation. The nurse is
providing a list of high-fiber foods to the client that the
healthcare provider has recommended. Which action
should the nurse implement when reviewing the list of
foods?
The nurse leading a care team on a medical unit is Anchor an inserted urinary catheter and place with tape
assigning client care to a practical nurse (PN) and a
unlicensed assistive personnel (UAP). Which activity
should the nurse delegate to the UAP?
A client with persistent low back pain has received a Determine if the sensation feels uncomfortable
prescription for electronic stimulator (TENS) unit. After the
nurse applies the electrodes and turns on the power, the
client reports feeling a tingling sensation. How should
the nurse respond?
The nurse enters a male client's room to administer oral Advise the UAP to stop providing care so the nurse can assess the client's
medications and finds an unlicensed assistive personnel condition
(UAP) providing personal care to the client. The client
is lying in a supine position, and his condition has
obviously deteriorated. He is weak, pale, and
diaphoretic. What is the priority nurse action?
In formulating the nursing care plan for a client Impaired physical mobility relative to muscle rigidity
diagnosed with Parkinson's disease, which nursing
problem has the highest priority?
, The nurse is caring for a client who has a history of Diphenhydramine
excessive saliva production and is scheduled for a
surgical procedure. Which medication should the nurse
anticipate being prescribed the healthcare provider?
A client with diabetes mellitus tells the nurse that she Advise patient that cranberry juice does not prevent infection
uses cranberry juice to help prevent UTI.
The nurse is developing a plan of care for a client with Provide a bedside commode for toileting
cardiomyopathy. Which intervention should the nurse
include to reduce cardiac workload?
The nurse is caring for a client who has been admitted Ask the client to describe pain
with recurring headaches. To assess the quality of the
client's pain
A client receiving mesalamine 800 mg by mouth Bowel sounds
three times a day. Which assessment should the nurse
perform to assess the effectiveness of the
medication?
The nurse is assessing an adolescent female diagnosed Amenorrhea
with anorexia nervosa who is admitted to the unit with
severe malnutrition and electrolyte imbalance. Which
pathological process results from the adolescent's
consistent maladaptive behavior?
A client with type 2 diabetes mellitus and hypertension is Headache
admitted with cellulitis of the right leg due to an
embedded thorn from gardening. The client is
receiving an intravenous infusion for antibiotic
administration and is on bed rest with the right leg
elevated on a pillow. Which finding should the nurse
identify may indicate an emerging situation?
A young adult who is hit with a baseball bat on the Altered consciousness within the first 24 hours after injury
temporal area of the left skull in consvious when admitted
to the ED and is transferred to the Neurological Unit to be
monitored for signs of a closed head injury. Which
assessment finding is idicative of a develpping
epidural hemoatoma?
A client with diabetes insipidus has a average urinary Urine specific gravity
output of 500 ml of dilute urine every hour for the last 4
hours. Which laboratory test is most important for the
nurse to monitor?
A client who is a veteran comes to the emergency I can't forgive myself for leaving my buddy behind
department appearing tense, anxious and having
difficulty concentrating on the questions the nurse is
asking during the health history. Which statement is most
important for the nurse to document?
An older client presents to the emergency department Turn on overhead lights while giving instructions
with abdominal pain due to constipation. The nurse is
providing a list of high-fiber foods to the client that the
healthcare provider has recommended. Which action
should the nurse implement when reviewing the list of
foods?
The nurse leading a care team on a medical unit is Anchor an inserted urinary catheter and place with tape
assigning client care to a practical nurse (PN) and a
unlicensed assistive personnel (UAP). Which activity
should the nurse delegate to the UAP?
A client with persistent low back pain has received a Determine if the sensation feels uncomfortable
prescription for electronic stimulator (TENS) unit. After the
nurse applies the electrodes and turns on the power, the
client reports feeling a tingling sensation. How should
the nurse respond?
The nurse enters a male client's room to administer oral Advise the UAP to stop providing care so the nurse can assess the client's
medications and finds an unlicensed assistive personnel condition
(UAP) providing personal care to the client. The client
is lying in a supine position, and his condition has
obviously deteriorated. He is weak, pale, and
diaphoretic. What is the priority nurse action?
In formulating the nursing care plan for a client Impaired physical mobility relative to muscle rigidity
diagnosed with Parkinson's disease, which nursing
problem has the highest priority?
, The nurse is caring for a client who has a history of Diphenhydramine
excessive saliva production and is scheduled for a
surgical procedure. Which medication should the nurse
anticipate being prescribed the healthcare provider?
A client with diabetes mellitus tells the nurse that she Advise patient that cranberry juice does not prevent infection
uses cranberry juice to help prevent UTI.
The nurse is developing a plan of care for a client with Provide a bedside commode for toileting
cardiomyopathy. Which intervention should the nurse
include to reduce cardiac workload?
The nurse is caring for a client who has been admitted Ask the client to describe pain
with recurring headaches. To assess the quality of the
client's pain
A client receiving mesalamine 800 mg by mouth Bowel sounds
three times a day. Which assessment should the nurse
perform to assess the effectiveness of the
medication?
The nurse is assessing an adolescent female diagnosed Amenorrhea
with anorexia nervosa who is admitted to the unit with
severe malnutrition and electrolyte imbalance. Which
pathological process results from the adolescent's
consistent maladaptive behavior?
A client with type 2 diabetes mellitus and hypertension is Headache
admitted with cellulitis of the right leg due to an
embedded thorn from gardening. The client is
receiving an intravenous infusion for antibiotic
administration and is on bed rest with the right leg
elevated on a pillow. Which finding should the nurse
identify may indicate an emerging situation?
A young adult who is hit with a baseball bat on the Altered consciousness within the first 24 hours after injury
temporal area of the left skull in consvious when admitted
to the ED and is transferred to the Neurological Unit to be
monitored for signs of a closed head injury. Which
assessment finding is idicative of a develpping
epidural hemoatoma?
A client with diabetes insipidus has a average urinary Urine specific gravity
output of 500 ml of dilute urine every hour for the last 4
hours. Which laboratory test is most important for the
nurse to monitor?
A client who is a veteran comes to the emergency I can't forgive myself for leaving my buddy behind
department appearing tense, anxious and having
difficulty concentrating on the questions the nurse is
asking during the health history. Which statement is most
important for the nurse to document?
