HESI case studies EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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HESI case study ASSESSMENT fall 2026 A+ GRADE ASSU
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RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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8DF2B)




QUESTION 1 zm




A client with progressive hearing loss appears distressed when the registered nurse a
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sked open ended questions about the clients health history. which forms of communic
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ation should the nurse use?
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ANSWER

Face to client so the client can see the RN's mouth; check if the clients hearing aids are working pr
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operly; reduce environmental noise surrounding the client
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QUESTION 2 zm




The registered nurse assesses a client's results for an arterial blood gases who has e
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mphysema. Which finding is consistent with respiratory acidosis?
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ANSWER

pH of 7.32, pCO2 of 46 mmHg, HCO3 of 24 MEq/L Rationale: normal pH ranges are 7.35-
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7.45 normal ranges of pCO2 35-45 mmHg normal ranges of HCO3 21-
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28 MEq/L. Respiratory acidosis is characterized by low pH pCO2 higher than normal and HCO3 with
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in normal limits.
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QUESTION 3 zm




The registered nurse notifies the spouse of a client who is admitted to hospice with s
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hallow respirations, of a change in the clients condition. Over the past hour the client
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s respiratory pattern has changed to a Cheyne stokes pattern. After receiving this info
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rmation the client spouse begins vacuuming around the bed. Which stage of grief is th
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e spouse displaying during the visit?
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ANSWER

Denial

, QUESTION 4 zm




The registered nurse is assessing common complications related to a patient's recent
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diagnosis systemic lupus erythemoatosus (SLE). Which symptom should the RN instruc
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t the client to report immediately?
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ANSWER

Fever related to infection Rationale: secondary infections are a major concern with SLE client states
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the use of corticosteroids and chemotherapeutic agents (which suppresses the immune system) fever
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and infection should be reported immediately
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QUESTION 5 zm




The registered nurse is interviewing a female client who states she has persistent pro
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ductive cough during the winter caused by bronchitis. Which additional findings shoul
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d the RN assess for bronchitis?
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ANSWER

Phlegm production and wheezing Rationale: A chronic seasonal cough related to bronchitis is likely
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accompanied with phlegm production and wheezing. Although smoking can contribute to a chronic c
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ough the typical seasonal cough is an inflammatory reaction to seasonal changes
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QUESTION 6 zm




The registered nurse is teaching a client who is newly diagnosed with emphysema ho
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w to perform pursed lip breathing. What is the primary reason for teaching a client t
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his method of breathing?
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ANSWER

Promotes CO2 elimination Rationale: pursed lip breathing eliminates CO2 by increasing positive pres
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sure within the alveoli increasing the surface area of the alveoli making it easier for the O2 and CO
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2 gases exchange to occur
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QUESTION 7 zm




The registered nurse is developing the plan of care for a client who is admitted for al
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cohol detoxification. Which goal should be the most important for the RN to primarily
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mfocus the client care? zm zm zm




ANSWER

The client will remain free from injury Rationale: The client is at highest risk for injury due to alter
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ed cognitive and sensory disturbances as well as delirium tremors during withdrawal. Remaining fre
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e from injury is the most important goal for the acute phase of alcohol withdrawal
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