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• An older male client with a history of type 1 diabetes has not felt well the
past few days and arrives at the clinic with abdominal cramping and
vomiting. He is lethargic, moderately, confused, and cannot remember
when he took his last dose of insulin or ate last. What action should the
nurse implement first?
• Start an intravenous (IV) infusion of normal saline
• obtain a serum potassium level
• administer the client's usual dose of insulin
• assess pupillary response to light
• Rationale: the nurse should first start an intravenous infusion of
normal saline to replace the fluids and electrolytes because the client
has been vomiting, and it is
unclear when he last ate or took insulin. The symptoms of
confusion, lethargy, vomiting, and abdominal cramping are all
suggestive of hyperglycemia, which also contributes to diuresis and
fluid electrolyte imbalance.
• A client who received multiple antihypertensive medications experiences
syncope due to a drop in blood pressure to 70/40. What is the rationale for
the nurse’s decision to hold the client’s scheduled antihypertensive
medication?
• increased urinary clearance of the multiple medications has produced
diuresis and lowered the blood pressure
NURSING HESI REVIEW EXAM QUESTIONS
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,NURSING HESI REVIEW EXAM QUESTIONS
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• the antagonistic interaction among the various blood pressure
medications has reduced their effectiveness
• The additive effect of multiple medications has caused the blood
pressure to drop too low
• the synergistic effect of the multiple medications has resulted in drug
toxicity and resulting hypotension
• Which client is at the greatest risk for developing delirium?
• An adult client who cannot sleep due to constant pain.
• an older client who attempted 1 month ago
• a young adult who takes antipsychotic medications twice a day
• a middle-aged woman who uses a tank for supplemental oxygen
• Which intervention should the nurse include in a long-term plan of care for a
client with
Chronic Obstructive Pulmonary Disease (COPD)?
• Reduce risks factors for infection
• Administer high flow oxygen during sleep
• Limit fluid intake to reduce secretions
• Use diaphragmatic breathing to achieve better exhalation
• Which location should the nurse choose as the best for beginning a screening
program for
hypothyroidism?
NURSING HESI REVIEW EXAM QUESTIONS
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,NURSING HESI REVIEW EXAM QUESTIONS
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• A business and professional women's group.
• An African-American senior citizens center
• A daycare center in a Hispanic neighborhood
• An after-school center for Native-American teens
• A female client has been taking a high dose of prednisone, a corticosteroid,
for several
months. After stopping the medication abruptly, the client reports feeling
“very tired”. Which nursing intervention is most important for the nurse
to implement?
• Measure vital signs
• Auscultate breath sounds
• Palpate the abdomen
• Observe the skin for bruising
• A male client reports the onset of numbness and tingling in his fingers and
around his
mouth. Which lab is important for the nurse to review before contacting the
health care provider?
• capillary glucose
• urine specific gravity
• Serum calcium
• white blood cell count
NURSING HESI REVIEW EXAM QUESTIONS
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, NURSING HESI REVIEW EXAM QUESTIONS
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• What explanation is best for the nurse to provide a client who asks the
purpose of using
the log-rolling technique for turning?
• working together can decrease the risk for back injury
• The technique is intended to maintain straight spinal alignment.
• Using two or three people increases client safety.
• turning instead of pulling reduces the likelihood of skin damage
• A client receiving chemotherapy has severe neutropenia. Which snack is best
for the
nurse to recommend to the client?
• Baked apples topped with dried raisins
• Which action should the school nurse take first when conducting a screening
for
scoliosis?
• Inspect for symmetrical shoulder height.
• An unlicensed assistive personnel (UAP) assigned to obtain client vital signs
reports to
the charge nurse that a client has a weak pulse with a rate of 44 beat/
minutes. What action should the charge nurse implement?
• Assign a practical nurse (LPN) to determine if an apical radial deficit is
present
NURSING HESI REVIEW EXAM QUESTIONS
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UPDATE 2023 ASSURED SATISFACTION