266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
1. - D Enjoys fat-free yogurt as an occasion- Question 1 of 55
al snack food. The nurse is evaluating a client's understand-
ing about the DASH (Dietary Approaches to
Stop Hypertension) eating plan. Which behav-
ior indicates that the client is adhering to the
eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and
vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional
snack food.
2. - A Further decline in level of conscious- Question 2 of 55
ness. A client who has a history of hypothyroidism
was initially admitted with lethargy and con-
fusion. Which additional finding warrants the
most immediate action by the nurse? [Hema-
tocrit (Reference Range: Male: 42% to 52%
(0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
3. - B Full thickness. Question 3 of 55
The nurse is caring for a client with a burn that
is severely edematous with a wound bed that
is brown and yellow in appearance. The client
expresses feeling no pain. Which classification
, 266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
4. - A Urinary output. Question 4 of 55
- B Oxygen saturation. An older client who is agitated, dyspneic,
- D Lung sounds. orthopneic, and using accessory muscles to
breathe is admitted for further treatment.
Orthopneic position, sometimes called Initial assessment includes a heart rate 128
tripod position, is a sitting position beats/minute and irregular, respirations 38
where an individual leans slightly for- breaths/minute, blood pressure 168/100 mm
ward with their arms propped up on an Hg, wheezes and crackles in all lung fields. An
overbed table or their knees. hour after the administration of furosemide
60 mg intravenous (IV), which assessment(s)
Orthopnea is the sensation of breath-
should the nurse obtain to determine the
lessness in the recumbent (lying down)
client's response to treatment? (Select all that
position, relieved by sitting or standing.
apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
5. - B Crohn's disease with colectomy. Question 5 of 55
A client is diagnosed with chronic kidney dis-
Question # 5 ease and needs to begin dialysis. Which con-
Rationale - B Crohn's disease with colec- dition entered on the client's medical record
tomy. should the nurse recognize as a contraindica-
The nurse should recognize that clients
, 266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
with extensive intra-abdominal surgical tion for peritoneal dialysis?
history are not candidates for peritoneal
dialysis, as these clients may have de- - A Nephrotic syndrome history.
creased peritoneal membrane surface - B Crohn's disease with colectomy.
areas and scar tissue formation, which - C Type 2 diabetes mellitus.
would make it insufficient for adequate - D Latent hepatitis C.
dialysis exchange.
6. - D Hypoalbuminemia that results in a Question 6 of 55
decreased colloidal oncotic pressure. The nurse assesses a client with cirrhosis and
finds 4+ pitting edema of the feet and legs,
The three main things that the liver pro- and massive ascites. Which mechanism con-
duces are albumin, bile (digestive en- tributes to edema and ascites in clients with
zymes), and prothrombin (clotting fac- cirrhosis?
tors). - A Decreased portacaval pressure with greater
Albumin plays many important roles in- collateral circulation.
cluding maintenance of appropriate os- - B Hyperaldosteronism causing an increased
motic pressure, binding and transport of sodium reabsorption in renal tubules.
various substances like hormones, drugs - C Decreased renin-angiotensin response re-
etc. in blood, and neutralisation of free lated to an increase in renal blood flow.
radicals. It prevents fluid from leaking - D Hypoalbuminemia that results in a de-
out of blood vessels into your tissues. Al- creased colloidal oncotic pressure.
bumin is also responsible for transport-
ing vitamins, enzymes and hormones
throughout your body. Albumin makes
up 50% of the proteins found in your
plasma.
7. - B Discuss approaches to chronic pain Question 7 of 55
control with the client. While assessing a client with degenerative
joint disease, the nurse observes Heberden's
nodes, large prominences on the client's fin-
, 266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
gers that are reddened. The client reports that
the nodes are painful. Which action should the
nurse take?
- A Review the client's dietary intake of
high-protein foods.
- B Discuss approaches to chronic pain control
with the client.
- C Notify the healthcare provider of the find-
ing immediately.
- D Assess the client's radial pulses and capil-
lary refill time.
8. - B Minimize symptoms by wearing Question 8 of 55
loose, comfortable clothing. Which information should the nurse include in
the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per
day and no snacks.
- B Minimize symptoms by wearing loose,
comfortable clothing.
- C Avoid participation in any aerobic exercise
programs.
- D Sleep without pillows at night to maintain
neck alignment.
9. - D Platelet count. Question 9 of 55
The nurse assesses a client with petechiae
and ecchymosis scattered across the arms and
legs. Which laboratory result should the nurse
review?
Study online at https://quizlet.com/_e5i72m
1. - D Enjoys fat-free yogurt as an occasion- Question 1 of 55
al snack food. The nurse is evaluating a client's understand-
ing about the DASH (Dietary Approaches to
Stop Hypertension) eating plan. Which behav-
ior indicates that the client is adhering to the
eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and
vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional
snack food.
2. - A Further decline in level of conscious- Question 2 of 55
ness. A client who has a history of hypothyroidism
was initially admitted with lethargy and con-
fusion. Which additional finding warrants the
most immediate action by the nurse? [Hema-
tocrit (Reference Range: Male: 42% to 52%
(0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
3. - B Full thickness. Question 3 of 55
The nurse is caring for a client with a burn that
is severely edematous with a wound bed that
is brown and yellow in appearance. The client
expresses feeling no pain. Which classification
, 266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
4. - A Urinary output. Question 4 of 55
- B Oxygen saturation. An older client who is agitated, dyspneic,
- D Lung sounds. orthopneic, and using accessory muscles to
breathe is admitted for further treatment.
Orthopneic position, sometimes called Initial assessment includes a heart rate 128
tripod position, is a sitting position beats/minute and irregular, respirations 38
where an individual leans slightly for- breaths/minute, blood pressure 168/100 mm
ward with their arms propped up on an Hg, wheezes and crackles in all lung fields. An
overbed table or their knees. hour after the administration of furosemide
60 mg intravenous (IV), which assessment(s)
Orthopnea is the sensation of breath-
should the nurse obtain to determine the
lessness in the recumbent (lying down)
client's response to treatment? (Select all that
position, relieved by sitting or standing.
apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
5. - B Crohn's disease with colectomy. Question 5 of 55
A client is diagnosed with chronic kidney dis-
Question # 5 ease and needs to begin dialysis. Which con-
Rationale - B Crohn's disease with colec- dition entered on the client's medical record
tomy. should the nurse recognize as a contraindica-
The nurse should recognize that clients
, 266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
with extensive intra-abdominal surgical tion for peritoneal dialysis?
history are not candidates for peritoneal
dialysis, as these clients may have de- - A Nephrotic syndrome history.
creased peritoneal membrane surface - B Crohn's disease with colectomy.
areas and scar tissue formation, which - C Type 2 diabetes mellitus.
would make it insufficient for adequate - D Latent hepatitis C.
dialysis exchange.
6. - D Hypoalbuminemia that results in a Question 6 of 55
decreased colloidal oncotic pressure. The nurse assesses a client with cirrhosis and
finds 4+ pitting edema of the feet and legs,
The three main things that the liver pro- and massive ascites. Which mechanism con-
duces are albumin, bile (digestive en- tributes to edema and ascites in clients with
zymes), and prothrombin (clotting fac- cirrhosis?
tors). - A Decreased portacaval pressure with greater
Albumin plays many important roles in- collateral circulation.
cluding maintenance of appropriate os- - B Hyperaldosteronism causing an increased
motic pressure, binding and transport of sodium reabsorption in renal tubules.
various substances like hormones, drugs - C Decreased renin-angiotensin response re-
etc. in blood, and neutralisation of free lated to an increase in renal blood flow.
radicals. It prevents fluid from leaking - D Hypoalbuminemia that results in a de-
out of blood vessels into your tissues. Al- creased colloidal oncotic pressure.
bumin is also responsible for transport-
ing vitamins, enzymes and hormones
throughout your body. Albumin makes
up 50% of the proteins found in your
plasma.
7. - B Discuss approaches to chronic pain Question 7 of 55
control with the client. While assessing a client with degenerative
joint disease, the nurse observes Heberden's
nodes, large prominences on the client's fin-
, 266 HESI lots of questions
Study online at https://quizlet.com/_e5i72m
gers that are reddened. The client reports that
the nodes are painful. Which action should the
nurse take?
- A Review the client's dietary intake of
high-protein foods.
- B Discuss approaches to chronic pain control
with the client.
- C Notify the healthcare provider of the find-
ing immediately.
- D Assess the client's radial pulses and capil-
lary refill time.
8. - B Minimize symptoms by wearing Question 8 of 55
loose, comfortable clothing. Which information should the nurse include in
the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per
day and no snacks.
- B Minimize symptoms by wearing loose,
comfortable clothing.
- C Avoid participation in any aerobic exercise
programs.
- D Sleep without pillows at night to maintain
neck alignment.
9. - D Platelet count. Question 9 of 55
The nurse assesses a client with petechiae
and ecchymosis scattered across the arms and
legs. Which laboratory result should the nurse
review?
