Hesi Adult Care| Questions and Answers| Latest 2022/2023

Hesi Adult Care| Questions and Answers| Latest 2022/2023 1. The clinic nurse has provided instructions to a client who will be reporting to the laboratory the next morning to have blood drawn for a complete blood cell (CBC) count. Which statement, if made by the client, indicates an understanding of the preparation for this laboratory test? a) "There is no special preparation for this test." b) "I cannot eat or drink anything after midnight." c) "I need to avoid any cold cuts and luncheon meats for the rest of the day." d) "I can drink coffee or tea in the morning before the test but cannot eat anything." ~ Answer: a) "There is no special preparation for this test." 2. The nurse is caring for an 8-month-old infant. A urinalysis has been prescribed, and the nurse plans to collect the specimen. Which method is most appropriate in urine collection in an infant? a) Catheterizing the infant using a Foley catheter b) Attaching a urine collection device to the infant's perineum c) Obtaining the specimen from the diaper, using a syringe, after the infant voids d) Monitoring the urinary patterns and preparing to collect the specimen into a cup when the infant voids ~ Answer: b) Attaching a urine collection device to the infant's perineum 3. A client is admitted to the critical care unit with a diagnosis of suspected myocardial infarction. The unit nurse is reviewing the laboratory test results for this client. Which finding would most specifically indicate the presence of a myocardial infarction (MI)? a) Increased troponin I b) Increased myoglobin c) Increased blood urea nitrogen (BUN) d) Decreased white blood cell (WBC) count ~ Answer: a) Increased troponin I 4. The emergency department nurse is caring for a client with a suspected diagnosis of meningitis. The nurse should prepare the client for which test to confirm the diagnosis? a) Blood culture b) Lumbar puncture c) Serum electrolyte panel d) White blood cell (WBC) count ~ Answer: b) Lumbar puncture 5. The nurse is preparing for the admission of a client with a suspected diagnosis of herpes simplex encephalitis. The nurse anticipates that which diagnostic test will be prescribed to confirm this diagnosis? a) Lumbar puncture b) Electroencephalogram (EEG) c) Polymerase chain reaction (PCR) d) Computed tomography (CT) scan ~ Answer: c) Polymerase chain reaction (PCR) 6. A pulmonary angiography is scheduled to be performed in a client suspected of having a pulmonary embolism. In planning the preprocedure care for this client, which nursing action is unnecessary? a) Shave the anticipated entry site. b) Obtain a signed informed consent. c) Ask the client about allergies to shellfish or contrast media. d) Contact the operating room regarding the need for the procedure ~ Answer: d) Contact the operating room regarding the need for the procedure  Rationale: it is not performed in the operating room 7. A client asks the nurse to explain what is involved in an intravenous fluorescein angiography study of the eye. The nurse should incorporate which statement in the reply? a) "No contrast dye is used." b) "Food is restricted for 4 hours before the procedure." c) "Dilating drops will be instilled before the procedure." d) "The study predicts the success of radial keratotomy." ~ Answer: c) "Dilating drops will be instilled before the procedure." 8. The clinic nurse is providing instructions to a client who is scheduled for a barium enema. What should the nurse instruct the client to do in preparation for this procedure? a) Liquids are restricted for 24 hours after the test. b) A clear liquid diet is required for 4 days before the test. c) Laxatives should not be taken for at least 1 week before the test. d) A low-fiber diet needs to be maintained for 1 to 3 days before the test. ~ Answer: d) A low-fiber diet needs to be maintained for 1 to 3 days before the test.