HESI EXAM NUR3410 BLUEPRINT V-2
HESI EXAM NUR3410 BLUEPRINT V-2 QUESTIONS AND ANSWERS GRADED A+
The nurse is providing discharge teaching to an elderly client
hospitalized for treatment of venous leg ulcers. Which instructions
should the nurse include in the teaching plan? SATA ANS >> -Eat a diet
that is high in protein and vitamins A and C
-Inspect ankles daily for areas of darkening skin
-Keep legs elevated when sitting or lying down
A client with renal calculus is complaining of severe right flank pain,
nausea, and vomiting. Which nursing problem has the highest priority?
ANS >> Acute pain related to real calculus
,HESI EXAM NUR3410 BLUEPRINT V-2
A client with newly diagnosed Crohn's disease asks the nurse about
dietary restrictions. How should the nurse respond? ANS >> Describe
the use of an elimination diet to find trigger foods
The nurse is assessing clients in an outpatient diabetic clinic. Which
entry provides the best indication that the client is adhering to the
prescribed diabetic regimen? ANS >> Haemoglobin A1C of 6.2%per
The nurse is developing a plan of care for a client undergoing peritoneal
dialysis. Which nursing intervention is of highest priority? ANS >>
Maintain accurate intake and output record
An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants
the most immediate intervention by the nurse? ANS >> potassium of
2.5 me/l
The family suspects that acquired immune deficiency syndrome (AIDS)
dementia is occurring in their son who is HIV positive. Which symptom
confirms their suspicion? ANS >> A change has recently occurred in his
handwriting
A client with a history of asthma reports having episodes of
bronchoconstriction and increased mucus production while exercising.
, HESI EXAM NUR3410 BLUEPRINT V-2
Which action should the nurse implement? ANS >> Determine if the
client is using an inhaler before exercising
An overweight, young adult client who was recently diagnosed with
type 2 diabetes mellitus is admitted for a hernia repair. The client
reports feeling very weak and jittery. Which actions should the nurse
implement? SATA ANS >> Check fingerstick glucose level
Assess skin temperature and moisture
Measure pulse and blood pressure
The nurse is assessing a client who is one-day post parathyroidectomy
and finds that the client is experiencing stridor. After notifying the
healthcare provider, the nurse should prepare for which procedure?
ANS >> Tracheostomy placement
A client with cholelithiasis is admitted with jaundice due to obstruction
of the common bile duct. Which finding is most important for the nurse
to report to the healthcare provider? ANS >> Distended, hard, and
rigid abdomen
While caring for a client with Guillain Barre syndrome, the nurse
performs a neurological assessment every four hours. Which
HESI EXAM NUR3410 BLUEPRINT V-2 QUESTIONS AND ANSWERS GRADED A+
The nurse is providing discharge teaching to an elderly client
hospitalized for treatment of venous leg ulcers. Which instructions
should the nurse include in the teaching plan? SATA ANS >> -Eat a diet
that is high in protein and vitamins A and C
-Inspect ankles daily for areas of darkening skin
-Keep legs elevated when sitting or lying down
A client with renal calculus is complaining of severe right flank pain,
nausea, and vomiting. Which nursing problem has the highest priority?
ANS >> Acute pain related to real calculus
,HESI EXAM NUR3410 BLUEPRINT V-2
A client with newly diagnosed Crohn's disease asks the nurse about
dietary restrictions. How should the nurse respond? ANS >> Describe
the use of an elimination diet to find trigger foods
The nurse is assessing clients in an outpatient diabetic clinic. Which
entry provides the best indication that the client is adhering to the
prescribed diabetic regimen? ANS >> Haemoglobin A1C of 6.2%per
The nurse is developing a plan of care for a client undergoing peritoneal
dialysis. Which nursing intervention is of highest priority? ANS >>
Maintain accurate intake and output record
An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants
the most immediate intervention by the nurse? ANS >> potassium of
2.5 me/l
The family suspects that acquired immune deficiency syndrome (AIDS)
dementia is occurring in their son who is HIV positive. Which symptom
confirms their suspicion? ANS >> A change has recently occurred in his
handwriting
A client with a history of asthma reports having episodes of
bronchoconstriction and increased mucus production while exercising.
, HESI EXAM NUR3410 BLUEPRINT V-2
Which action should the nurse implement? ANS >> Determine if the
client is using an inhaler before exercising
An overweight, young adult client who was recently diagnosed with
type 2 diabetes mellitus is admitted for a hernia repair. The client
reports feeling very weak and jittery. Which actions should the nurse
implement? SATA ANS >> Check fingerstick glucose level
Assess skin temperature and moisture
Measure pulse and blood pressure
The nurse is assessing a client who is one-day post parathyroidectomy
and finds that the client is experiencing stridor. After notifying the
healthcare provider, the nurse should prepare for which procedure?
ANS >> Tracheostomy placement
A client with cholelithiasis is admitted with jaundice due to obstruction
of the common bile duct. Which finding is most important for the nurse
to report to the healthcare provider? ANS >> Distended, hard, and
rigid abdomen
While caring for a client with Guillain Barre syndrome, the nurse
performs a neurological assessment every four hours. Which
