366 Hesi Study Guide, EXAM QUESTIONS AND
ANSWERS RECENT AND COMPREHENSIVE VERSION
WITH VERIFIED ANSWERS GUARANTEED PASS WITH
INSTANT PDF DOWNLOAD.
A client who had a small bowel resection acquired methicillin-resistant staphylococcus aureus (MRSA)
while hospitalized. He treated and released but is readmitted today because of diarrhea and
dehydration. It si important for the nurse to implement which intervention?
Maintain contact transmission precautions
The nurse notes the client receiving heparin infusion labeled, Heparin Na 25,000 Units in 5% Dextrose
injection 500 ml at 50ml/hr. What dose of Heparin is the client receiving per hour?
2,500 units
An unlicensed assistant personnel UAP leaves the unit without notifying the staff. In what order should
the unit manager implement this intervention to address the UAPs behavior?
a) Note date and time of the behavior
b) Discuss the issue privately with UAP.
c) Plan for scheduled break times
d) Evaluate the UAP for signs of improvement
The nurse mixes 250 mg of debutamine in 250ml of D5W and plans to administer the solution at rate
15mcg/kg/minute a client weighing 110 pounds. The nurse should set the infusion pump to administer
how many ml per hour only. If rounding is required, round to the nearest whole number.)
45 ml
,An older adult client admitted to the stroke unit after recovery from the acute phrase of an ischemic
cerebral vascular accident (CVA). Which intervention should the nurse include in the plan of care during
convalescence and rehabilitation? (Select all that apply.)
Measure neurological vital signs every 4hours
Encourage family to participate in the client's care
Play classical music in room while client is awake
The nurse should expect a client diagnosis with regional enteritis (Crohn's disease) to exhibit what initial
symptoms?
Diarrhea, abdominal pain, and weight loss
The nurse is planning to assess a client's oxygen saturation to determine if additional oxygen is needed
via nasal cannula. The client has a bilateral below-the-knee amputation and pedal pulses that are weak
and threaty. What action should the nurse take?
Place the oximeter clip on the ear lobe to obtain the oxygen saturation reading.
A client is receiving lactulose (Portalac) for signs of hepatic encephalopathy. to evaluate the client's
therapeutic response to this medication, which assessment should the nurse obtain?
Level of consciousness (LOC)
While changing a client's chest tube dressing, the nurse notes a crackling sensation when gentle
pressure is applied to the skin at the insertion site. What is the best action fo the nurse to take?
Measure the area of swelling and crackling.
, During discharge teaching, the nurse discusses the parameters for weight monitoring awith a client who
was recently diagnossed with heart failure (HF). Which information is most important for the client to
acknowlege?
Report weight gain of 2 pounds (0.9kg) in 24 hours
Which intervention should the nurse implement during the administration of vesicant chemotherapeutic
agent via an IV site in the client's arm?
Assess IV site frequently for signs of extravasation
A client is being discharged home after being treated for heart failure (HF). What instructions should the
nurse include in this client's discharge teaching plan?
Weigh every morning
An older adult male is admitted with complications to chronic obstructive pulmonary disease (COPD). He
reports progressive dyspnea that worsens on exertion and his weakness has increased over the past
month. The nurse notes that he has dependent edema in both lower legs. Based on these assessment
findings, which dietary instruction should the nurse provide?
Restrict daily fluid intake
An older male client arrives at the clinic complaining that his bladder always feels full. He complains of
weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating his
urine system. Which action should the nurse implement?
Palpate the client's suprapubic area for distention
The nurse is preparing an older client for discharge following cataract extraction. Which instruction
should be include in the discharge teaching?
Avoid straining at stool, bending, or lifting heavy objects
ANSWERS RECENT AND COMPREHENSIVE VERSION
WITH VERIFIED ANSWERS GUARANTEED PASS WITH
INSTANT PDF DOWNLOAD.
A client who had a small bowel resection acquired methicillin-resistant staphylococcus aureus (MRSA)
while hospitalized. He treated and released but is readmitted today because of diarrhea and
dehydration. It si important for the nurse to implement which intervention?
Maintain contact transmission precautions
The nurse notes the client receiving heparin infusion labeled, Heparin Na 25,000 Units in 5% Dextrose
injection 500 ml at 50ml/hr. What dose of Heparin is the client receiving per hour?
2,500 units
An unlicensed assistant personnel UAP leaves the unit without notifying the staff. In what order should
the unit manager implement this intervention to address the UAPs behavior?
a) Note date and time of the behavior
b) Discuss the issue privately with UAP.
c) Plan for scheduled break times
d) Evaluate the UAP for signs of improvement
The nurse mixes 250 mg of debutamine in 250ml of D5W and plans to administer the solution at rate
15mcg/kg/minute a client weighing 110 pounds. The nurse should set the infusion pump to administer
how many ml per hour only. If rounding is required, round to the nearest whole number.)
45 ml
,An older adult client admitted to the stroke unit after recovery from the acute phrase of an ischemic
cerebral vascular accident (CVA). Which intervention should the nurse include in the plan of care during
convalescence and rehabilitation? (Select all that apply.)
Measure neurological vital signs every 4hours
Encourage family to participate in the client's care
Play classical music in room while client is awake
The nurse should expect a client diagnosis with regional enteritis (Crohn's disease) to exhibit what initial
symptoms?
Diarrhea, abdominal pain, and weight loss
The nurse is planning to assess a client's oxygen saturation to determine if additional oxygen is needed
via nasal cannula. The client has a bilateral below-the-knee amputation and pedal pulses that are weak
and threaty. What action should the nurse take?
Place the oximeter clip on the ear lobe to obtain the oxygen saturation reading.
A client is receiving lactulose (Portalac) for signs of hepatic encephalopathy. to evaluate the client's
therapeutic response to this medication, which assessment should the nurse obtain?
Level of consciousness (LOC)
While changing a client's chest tube dressing, the nurse notes a crackling sensation when gentle
pressure is applied to the skin at the insertion site. What is the best action fo the nurse to take?
Measure the area of swelling and crackling.
, During discharge teaching, the nurse discusses the parameters for weight monitoring awith a client who
was recently diagnossed with heart failure (HF). Which information is most important for the client to
acknowlege?
Report weight gain of 2 pounds (0.9kg) in 24 hours
Which intervention should the nurse implement during the administration of vesicant chemotherapeutic
agent via an IV site in the client's arm?
Assess IV site frequently for signs of extravasation
A client is being discharged home after being treated for heart failure (HF). What instructions should the
nurse include in this client's discharge teaching plan?
Weigh every morning
An older adult male is admitted with complications to chronic obstructive pulmonary disease (COPD). He
reports progressive dyspnea that worsens on exertion and his weakness has increased over the past
month. The nurse notes that he has dependent edema in both lower legs. Based on these assessment
findings, which dietary instruction should the nurse provide?
Restrict daily fluid intake
An older male client arrives at the clinic complaining that his bladder always feels full. He complains of
weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating his
urine system. Which action should the nurse implement?
Palpate the client's suprapubic area for distention
The nurse is preparing an older client for discharge following cataract extraction. Which instruction
should be include in the discharge teaching?
Avoid straining at stool, bending, or lifting heavy objects
