1
Mid 50 to 100. Mid-term HES
Mid-term HESI
51. Whichasesmentfindingofapostmenopausalwomannec
esitatesareferalbythenursetothehealthcare
providerforevaluationofthyroidfunctioning?
-coldsensitivity
52. Thenurseistakingthebloodpresuremeasurementof
clientwithParkinson’s(SATA)
-flataffect,frequentsyncope,bluredvision
Aclientisadmitedtotheintensivecareunitwith
53.
diabetesinsipidusduetoapituitaryglandtumor.W
hich
potentialcomplicationshouldthenursemonitorclo
sely?
A.Hypok
alemia
B.Keton
uria.
C.Periphera
ledema
D.Elevatedb
loodpressure
Rationale
Pituitarytumorsthatsuppres
santidiuretichormone(
ADH)resultindiabetesinsipidus,whichcausesmas
siv
e
polyuriaandserumelectrolyteimbalances,includin
ghypokalemia,whichcanleadtolethalar
rhythmias.
54. Inevaluatingaclientat29weksgestation,whichfi
ndingshouldthenursereportotheHCPimmediate
ly? a.Urinaryfrequency
b.Whitish,odorles,mu
coidvaginaldischarg
e
c.Temperatureat
.
, 2
Mid 50 to 100. Mid-term HES
100degresF
d.Edemaofankles
,faceandhands.
55Aclientwithmultiplesclerosisisreceivingbaclo
fen15mgPOthre
e
timesdaily.Thedrugisavailablein10
mgtablets.Howmanytabletsshouldthenurseadminist
erina24hourperiod?(Roundtonearest
tenth.)
4.5
1.15mgx3dosesperday
=45mgdailydose
2.1dose=1.5tablets
3.4.5tabsq24hr
56. ThenurseisasistingtheHCPwithawounddebridemen
tathebedsideofaclientwhoismildlyconfused.
Theclientisdrapedandasterilefieldiscreated.Wh
ichnursinginterventionshouldthenurseimplemen
tfor clientsafety?
a. Asesthediscomfortwhenpro
cedureiscompleted
, 3
Mid 50 to 100. Mid-term HES
b. Instructheclientokephandsunderthesterilefie
ld
c. Verifythatheclientha
sgiveninformedconsent
d.Pourcleaningsolution
ontothesterileclothfiel
d
57. Themotherofachildrecentlydiagnosedwithasthma
asksthenursehowtohelpprotectherchildfrom
havingasthmaticatacks.Toavoidtrigersofasthm
aticatacks,whichinstructionshouldthenursepr
ovide themother?
A. decreasetheraws
ugarsinherdiet
. B
kepawayfrompetsw
.
ithlonghair
. C
stayindoorswhengr
.
asisbeingcut D
avoidsuddenchange
sintemperature
E closecarwindowsanduseairconditioner
58. Whenadmitingaclientwithadiagnosisoftransci
entischemicatack(TIA),whichinterventionism
ost
importantforthenursetoincludeinthisclientsp
lanofcare.
A.
Initiateneurological
monitoringevery2hours
B.As
ses
sbilateralbreat
hsounds
C.Palpatesuprapubicr
egionforurinaryreten
tion
D.Reviewclientsdaily
meds
Mid 50 to 100. Mid-term HES
Mid-term HESI
51. Whichasesmentfindingofapostmenopausalwomannec
esitatesareferalbythenursetothehealthcare
providerforevaluationofthyroidfunctioning?
-coldsensitivity
52. Thenurseistakingthebloodpresuremeasurementof
clientwithParkinson’s(SATA)
-flataffect,frequentsyncope,bluredvision
Aclientisadmitedtotheintensivecareunitwith
53.
diabetesinsipidusduetoapituitaryglandtumor.W
hich
potentialcomplicationshouldthenursemonitorclo
sely?
A.Hypok
alemia
B.Keton
uria.
C.Periphera
ledema
D.Elevatedb
loodpressure
Rationale
Pituitarytumorsthatsuppres
santidiuretichormone(
ADH)resultindiabetesinsipidus,whichcausesmas
siv
e
polyuriaandserumelectrolyteimbalances,includin
ghypokalemia,whichcanleadtolethalar
rhythmias.
54. Inevaluatingaclientat29weksgestation,whichfi
ndingshouldthenursereportotheHCPimmediate
ly? a.Urinaryfrequency
b.Whitish,odorles,mu
coidvaginaldischarg
e
c.Temperatureat
.
, 2
Mid 50 to 100. Mid-term HES
100degresF
d.Edemaofankles
,faceandhands.
55Aclientwithmultiplesclerosisisreceivingbaclo
fen15mgPOthre
e
timesdaily.Thedrugisavailablein10
mgtablets.Howmanytabletsshouldthenurseadminist
erina24hourperiod?(Roundtonearest
tenth.)
4.5
1.15mgx3dosesperday
=45mgdailydose
2.1dose=1.5tablets
3.4.5tabsq24hr
56. ThenurseisasistingtheHCPwithawounddebridemen
tathebedsideofaclientwhoismildlyconfused.
Theclientisdrapedandasterilefieldiscreated.Wh
ichnursinginterventionshouldthenurseimplemen
tfor clientsafety?
a. Asesthediscomfortwhenpro
cedureiscompleted
, 3
Mid 50 to 100. Mid-term HES
b. Instructheclientokephandsunderthesterilefie
ld
c. Verifythatheclientha
sgiveninformedconsent
d.Pourcleaningsolution
ontothesterileclothfiel
d
57. Themotherofachildrecentlydiagnosedwithasthma
asksthenursehowtohelpprotectherchildfrom
havingasthmaticatacks.Toavoidtrigersofasthm
aticatacks,whichinstructionshouldthenursepr
ovide themother?
A. decreasetheraws
ugarsinherdiet
. B
kepawayfrompetsw
.
ithlonghair
. C
stayindoorswhengr
.
asisbeingcut D
avoidsuddenchange
sintemperature
E closecarwindowsanduseairconditioner
58. Whenadmitingaclientwithadiagnosisoftransci
entischemicatack(TIA),whichinterventionism
ost
importantforthenursetoincludeinthisclientsp
lanofcare.
A.
Initiateneurological
monitoringevery2hours
B.As
ses
sbilateralbreat
hsounds
C.Palpatesuprapubicr
egionforurinaryreten
tion
D.Reviewclientsdaily
meds
