Nurs 310 HESI Review Test Questions and Answers Rated A
A 75-year-old client who has a history of end stage renal
failure and advanced lung cancer, recently had a stroke.
Two days ago the healthcare provider discontinued the
client's dialysis treatments, stating that death is inevitable,
but the client is disoriented and will not sign a DNR direc-
tive. What is the priority nursing intervention?
Review the client's most recent laboratory reports. Determine who is legally empowered to make decisions.
Refer the client and family members for hospice care.
Notify the hospital ethics committee of the client situa-
tion.
Determine who is legally empowered to make decisions.
A male client with an infected wound tells the nurse that he
follows a macrobiotic diet. Which type of foods should the Combination of plant proteins to provide essential amino
nurse recommend that the client select from the hospital acids.
menu? A macrobiotic diet is high in whole-grain cereals, vegeta-
bles, sea vegetables, beans, and vegetarian soups, and
Low fat and low sodium foods. the client needs essential amino acids to provide com-
plete proteins to heal the infected wound. Although a
Combination of plant proteins to provide essential amino macrobiotic diet contains no source of animal protein,
acids. essential amino acids should be obtained by combining
plant (incomplete) proteins to provide complete (all es-
Limited complex carbohydrates and fiber. sential amino acids) proteins (B) for anabolic processes.
(A, C, and D) do not provide the client with food choices
Increased amount of vitamin C and beta carotene rich consistent with a macrobiotic diet and protein needs.
foods.
,Nurs 310 HESI Review Test Questions and Answers Rated A
The nurse is administering an intermittent infusion of an
antibiotic to a client whose intravenous (IV) access is an
antecubital saline lock. After the nurse opens the roller
clamp on the IV tubing, the alarm on the infusion pump
indicates an obstruction. What action should the nurse
Reposition the client's arm.
take first?
If the client's elbow is bent, the IV may be unable to infuse,
resulting in an obstruction alarm, so the nurse should
Check for a blood return.
first attempt to reposition the client's arm to alleviate any
obstruction
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.
What action should the nurse implement to prevent the
formation of a sacral ulcer for a client who is immobile?
Maintain in a lateral position using protective wrist and
vest devices.
Position prone with a small pillow below the diaphragm. Position prone with a small pillow below the diaphragm.
Raise the head and knee gatch when lying in a supine
position.
Transfer into a wheelchair close to the nurse's station for
observation.
What intervention should the nurse include in the plan of
care for a client who is being treated with an Unna's paste
boot for leg ulcers due to chronic venous insuflciency?
, Nurs 310 HESI Review Test Questions and Answers Rated A
Check capillary refill of toes on lower extremity with Unna's
paste boot.
Apply dressing to wound area before applying the Unna's
paste boot. Check capillary refill of toes on lower extremity with Unna's
paste boot.
Wrap the leg from the knee down towards the foot.
Remove the Unna's paste boot q8h to assess wound heal-
ing.
Which nursing intervention is most beneficial in reducing
the risk of urosepsis in a hospitalized client with an in-
dwelling urinary catheter?
Obtain a prescription for removal of the catheter as soon
Ensure that the client's perineal area is cleansed twice a
as possible.
day.
The best intervention to reduce the risk for urosepsis
(spread of an infectious agent from the urinary tract to
Maintain accurate documentation of the fluid intake and
systemic circulation) is removal of the urinary catheter as
output.
quickly as possible (D). (A, B, and C) are helpful to reduce
the risk of infection, but are of less priority than (D) in
Encourage frequent ambulation if allowed or regular
reducing the risk of urosepsis.
turning if on bedrest.
Obtain a prescription for removal of the catheter as soon
as possible.
A client provides the nurse with information about the
reason for seeking care. The nurse realizes that some
information about past hospitalizations is missing. How
should the nurse obtain this information?
Solicit information on hospitalization from the insurance
A 75-year-old client who has a history of end stage renal
failure and advanced lung cancer, recently had a stroke.
Two days ago the healthcare provider discontinued the
client's dialysis treatments, stating that death is inevitable,
but the client is disoriented and will not sign a DNR direc-
tive. What is the priority nursing intervention?
Review the client's most recent laboratory reports. Determine who is legally empowered to make decisions.
Refer the client and family members for hospice care.
Notify the hospital ethics committee of the client situa-
tion.
Determine who is legally empowered to make decisions.
A male client with an infected wound tells the nurse that he
follows a macrobiotic diet. Which type of foods should the Combination of plant proteins to provide essential amino
nurse recommend that the client select from the hospital acids.
menu? A macrobiotic diet is high in whole-grain cereals, vegeta-
bles, sea vegetables, beans, and vegetarian soups, and
Low fat and low sodium foods. the client needs essential amino acids to provide com-
plete proteins to heal the infected wound. Although a
Combination of plant proteins to provide essential amino macrobiotic diet contains no source of animal protein,
acids. essential amino acids should be obtained by combining
plant (incomplete) proteins to provide complete (all es-
Limited complex carbohydrates and fiber. sential amino acids) proteins (B) for anabolic processes.
(A, C, and D) do not provide the client with food choices
Increased amount of vitamin C and beta carotene rich consistent with a macrobiotic diet and protein needs.
foods.
,Nurs 310 HESI Review Test Questions and Answers Rated A
The nurse is administering an intermittent infusion of an
antibiotic to a client whose intravenous (IV) access is an
antecubital saline lock. After the nurse opens the roller
clamp on the IV tubing, the alarm on the infusion pump
indicates an obstruction. What action should the nurse
Reposition the client's arm.
take first?
If the client's elbow is bent, the IV may be unable to infuse,
resulting in an obstruction alarm, so the nurse should
Check for a blood return.
first attempt to reposition the client's arm to alleviate any
obstruction
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.
What action should the nurse implement to prevent the
formation of a sacral ulcer for a client who is immobile?
Maintain in a lateral position using protective wrist and
vest devices.
Position prone with a small pillow below the diaphragm. Position prone with a small pillow below the diaphragm.
Raise the head and knee gatch when lying in a supine
position.
Transfer into a wheelchair close to the nurse's station for
observation.
What intervention should the nurse include in the plan of
care for a client who is being treated with an Unna's paste
boot for leg ulcers due to chronic venous insuflciency?
, Nurs 310 HESI Review Test Questions and Answers Rated A
Check capillary refill of toes on lower extremity with Unna's
paste boot.
Apply dressing to wound area before applying the Unna's
paste boot. Check capillary refill of toes on lower extremity with Unna's
paste boot.
Wrap the leg from the knee down towards the foot.
Remove the Unna's paste boot q8h to assess wound heal-
ing.
Which nursing intervention is most beneficial in reducing
the risk of urosepsis in a hospitalized client with an in-
dwelling urinary catheter?
Obtain a prescription for removal of the catheter as soon
Ensure that the client's perineal area is cleansed twice a
as possible.
day.
The best intervention to reduce the risk for urosepsis
(spread of an infectious agent from the urinary tract to
Maintain accurate documentation of the fluid intake and
systemic circulation) is removal of the urinary catheter as
output.
quickly as possible (D). (A, B, and C) are helpful to reduce
the risk of infection, but are of less priority than (D) in
Encourage frequent ambulation if allowed or regular
reducing the risk of urosepsis.
turning if on bedrest.
Obtain a prescription for removal of the catheter as soon
as possible.
A client provides the nurse with information about the
reason for seeking care. The nurse realizes that some
information about past hospitalizations is missing. How
should the nurse obtain this information?
Solicit information on hospitalization from the insurance
