CORRECT TAED A+
Mid-term HESI
51. Whichasesmentfindingofapostmenopausalwomannecesitates
areferalbythenursetothehealthcare
providerforevaluationofthyroidfunctioning?
-coldsensitivity
52. Thenurseistakingthebloodpresuremeasurementofclientwit
hParkinson’s(SATA)
-flataffect,frequentsyncope,bluredvision
53. Aclientisadmitedtotheintensivecareunitwithdiabetesi
nsipidusduetoapituitaryglandtumor.Which
potentialcomplicationshouldthenursemonitorclosely?
A.Hypokal
emia
B.Ketonu
ria.
C.Peripherale
dema
D.Elevatedblo
odpres
sure
Rationale
Pituitarytumorsthatsuppres
santidiuretichormone(ADH)resul
tindiabetesinsipidus,whichcausesmas
sive
polyuriaandserumelectrolyteimbalances,includinghypokalem
ia,whichcanleadtolethalar
rhythmias.
54. Inevaluatingaclientat29weksgestation,whichfindingshou
ldthenursereportotheHCPimmediately?
a.Urinaryfrequency
b.Whitish,odorles,mucoid
vaginaldischarge
c.Temperatureat100
degresF
.
, MID TERM HESI ASSESSMENT Q & A 100%
CORRECT TAED A+
d.Edemaofankles,fa
ceandhands.
55Aclientwithmultiplesclerosisisreceivingbaclofen15mgPOt
hre
e timesdaily.Thedrugisavailablein10
mgtablets.Howmanytablets
s houldthenurseadministerina24ho
urperiod?(Roundtonearest
tenth.)
4.5
1.15mgx3dosesperday=45m
gdailydose
2.1dose=1.5tablets
3.4.5tabsq24hr
56. ThenurseisasistingtheHCPwithawounddebridementathebeds
ideofaclientwhoismildlyconfused.
Theclientisdrapedandasterilefieldiscreated.Whichnursin
ginterventionshouldthenurseimplementfor clientsafety?
a. Asesthediscomfortwhenprocedur
eiscompleted
, MID TERM HESI ASSESSMENT Q & A 100%
CORRECT TAED A+
b. Instructheclientokephandsunderthesterilefield
c. Verifythatheclienthasgiv
eninformedconsent
d.Pourcleaningsolutiononto
thesterileclothfield
57. Themotherofachildrecentlydiagnosedwithasthmaasksthen
ursehowtohelpprotectherchildfrom
havingasthmaticatacks.Toavoidtrigersofasthmaticatac
ks,whichinstructionshouldthenurseprovide themother?
A. decreasetherawsuga
.
rsinherdiet B
.
kepawayfrompetswithl
.
onghair C
.
stayindoorswhengrasi
sbeingcut D
avoidsuddenchangesin
temperature
E closecarwindowsanduseairconditioner
58. Whenadmitingaclientwithadiagnosisoftranscientischem
icatack(TIA),whichinterventionismost
importantforthenursetoincludeinthisclientsplanofcar
e.
A.
Initiateneurologicalmoni
toringevery2hours
B.As
ses
sbilateralbreathsoun
ds
C.Palpatesuprapubicregio
nforurinaryretention
D.Reviewclientsdailymeds
Step-by-stepexplanation
Transientischemicatackisaconditionthathappenswhentheblo
odsupplytothebrainis
s uddenlyinter
rupted