NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
HESI FUNDAMENTALS
PRACTICE
Which drug does a nurse anticipate may be prescribed to
produce diuresis and inhibit formation of aqueous humor for a
client with glaucoma?
Chlorothiazide (Diuril)
Acetazolamide (Diamox)
Bendroflumethiazide
(Naturetin) Demecarium
bromide (Humorsol)
A client receiving steroid therapy states, "I have difficulty
controlling my temper which is so unlike me, and I don't know
why this is happening." What is the nurse's best response?
Tell the client it is nothing to worry about.
Talk with the client further to identify the specific cause of the
problem. Instruct the client to attempt to avoid situations that
cause irritation.
Interview the client to determine whether other mood swings are being experienced.
1
,NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
A client receiving steroid therapy states, "I have difficulty
controlling my temper which is so unlike me, and I don't know
why this is happening." What is the nurse's best response?
Tell the client it is nothing to worry about.
Talk with the client further to identify the specific cause of the
problem. Instruct the client to attempt to avoid situations that
cause irritation.
Interview the client to determine whether other mood swings are being experienced.
The nurse is caring for a client with a temperature of 104.5
degrees Fahrenheit. The nurse applies a cooling blanket and
administers an antipyretic medication. The nurse explains that
the rationale for these interventions is to:
Promote equalization of osmotic
pressures. Prevent hypoxia associated
with diaphoresis. Promote integrity of
intracerebral neurons.
Reduce brain metabolism and limit hypoxia.
A health care provider prescribes 500 mg of an antibiotic
intravenous piggyback (IVPB) every 12 hours. The vial of
antibiotic contains 1 g and indicates that the addition of 2.5 mL
of sterile water will yield 3 mL of reconstituted solution. How
many milliliters of the antibiotic should be added to the 50 mL
IVPB bag? Record your answer using one decimal place. mL
1.5
2
,NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
The nurse is caring for a non-ambulatory client with a reddened
sacrum that is unrelieved by repositioning. What nursing
diagnosis should be included on the client's plan of care?
Risk for pressure ulcer
Risk for impaired skin integrity
Impaired skin integrity, related to infrequent turning and
repositioning Impaired skin integrity, related to the effects of
pressure and shearing force
3
, NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
A client has a pressure ulcer that is full thickness with necrosis
into the subcutaneous tissue down to the underlying fascia. The
nurse should document the assessment finding as which stage
of pressure ulcer?
Stage I
Stage II
Stage III
Unstageabl
e
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue must be
removed before the wound can be staged. A stage I pressure ulcer is defined as an area
of persistent redness with no break in skin integrity. A stage II pressure ulcer is a
partial-thickness wound with skin loss involving the epidermis, dermis, or both; the
ulcer is superficial and may present as an abrasion, blister, or shallow crater. A stage III
pressure ulcer involves full thickness tissue loss with visible subcutaneous fat. Bone,
tendon, and muscle are not exposed.
A client is being admitted for a total hip replacement. When is it
necessary for the nurse to ensure that a medication
reconciliation is completed? Select all that apply.
After reporting severe
pain On admission to the
hospital
Upon entering the operating room
Before transfer to a rehabilitation
facility
At time of scheduling for the surgical procedure
Medication reconciliation involves the creation of a list of all medications the client is
taking and comparing it to the health care provider's prescriptions on admission or
4
HESI FUNDAMENTALS
PRACTICE
Which drug does a nurse anticipate may be prescribed to
produce diuresis and inhibit formation of aqueous humor for a
client with glaucoma?
Chlorothiazide (Diuril)
Acetazolamide (Diamox)
Bendroflumethiazide
(Naturetin) Demecarium
bromide (Humorsol)
A client receiving steroid therapy states, "I have difficulty
controlling my temper which is so unlike me, and I don't know
why this is happening." What is the nurse's best response?
Tell the client it is nothing to worry about.
Talk with the client further to identify the specific cause of the
problem. Instruct the client to attempt to avoid situations that
cause irritation.
Interview the client to determine whether other mood swings are being experienced.
1
,NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
A client receiving steroid therapy states, "I have difficulty
controlling my temper which is so unlike me, and I don't know
why this is happening." What is the nurse's best response?
Tell the client it is nothing to worry about.
Talk with the client further to identify the specific cause of the
problem. Instruct the client to attempt to avoid situations that
cause irritation.
Interview the client to determine whether other mood swings are being experienced.
The nurse is caring for a client with a temperature of 104.5
degrees Fahrenheit. The nurse applies a cooling blanket and
administers an antipyretic medication. The nurse explains that
the rationale for these interventions is to:
Promote equalization of osmotic
pressures. Prevent hypoxia associated
with diaphoresis. Promote integrity of
intracerebral neurons.
Reduce brain metabolism and limit hypoxia.
A health care provider prescribes 500 mg of an antibiotic
intravenous piggyback (IVPB) every 12 hours. The vial of
antibiotic contains 1 g and indicates that the addition of 2.5 mL
of sterile water will yield 3 mL of reconstituted solution. How
many milliliters of the antibiotic should be added to the 50 mL
IVPB bag? Record your answer using one decimal place. mL
1.5
2
,NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
The nurse is caring for a non-ambulatory client with a reddened
sacrum that is unrelieved by repositioning. What nursing
diagnosis should be included on the client's plan of care?
Risk for pressure ulcer
Risk for impaired skin integrity
Impaired skin integrity, related to infrequent turning and
repositioning Impaired skin integrity, related to the effects of
pressure and shearing force
3
, NURSING MISCHesi Fundamentals Practice [100%correct latest 2022].
A client has a pressure ulcer that is full thickness with necrosis
into the subcutaneous tissue down to the underlying fascia. The
nurse should document the assessment finding as which stage
of pressure ulcer?
Stage I
Stage II
Stage III
Unstageabl
e
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue must be
removed before the wound can be staged. A stage I pressure ulcer is defined as an area
of persistent redness with no break in skin integrity. A stage II pressure ulcer is a
partial-thickness wound with skin loss involving the epidermis, dermis, or both; the
ulcer is superficial and may present as an abrasion, blister, or shallow crater. A stage III
pressure ulcer involves full thickness tissue loss with visible subcutaneous fat. Bone,
tendon, and muscle are not exposed.
A client is being admitted for a total hip replacement. When is it
necessary for the nurse to ensure that a medication
reconciliation is completed? Select all that apply.
After reporting severe
pain On admission to the
hospital
Upon entering the operating room
Before transfer to a rehabilitation
facility
At time of scheduling for the surgical procedure
Medication reconciliation involves the creation of a list of all medications the client is
taking and comparing it to the health care provider's prescriptions on admission or
4
