NUR 160 HESI Questions and Answers 2023 with complete
solution
checking for cyanosis in a patient who has a darker skin tone
check the lips and mucous membranes to see if they are dusky in color
how to accurately assess a client's baseline BP during a routine health exam
measure the pressure in each arm while the client sits with the arm supported at heart
level. (seated or supine)
advancing oral intake from NPO
ice chips or water first then advance to a clear liquid and up.
best strategy to implement for the client's incontinence
establish a 2-hour voiding schedule.
intervention to reduce incidence of UTI in a client with a indwelling catheter
cleanse perineum area with soap and water BID and PRN
upset client about a recommendation about a AKA states "If they want to cut off
my leg, they should just shoot me instead." how do you respond
ask the client how the surgery might effect his lifestyle. (limp amputation alters he body
image and changes a clients ADL, work & recreational activities which triggers grieving
process for the client. determining the clients perceptions of the procedure's impact on
his lifestyle, this is therapeutic & allows client to discuss his feelings.
patient with cancer has been taking opioid analgesics for two years now &
requires an increase in dose. client expresses fear of becoming addicted to these
drugs
explain that prescribed opiates for cancer pain relief improves quality of life. (this is the
main goal of pain management for clients with cancer to minimize pain and improve
quality of life.)
intervention to help a client cope effectively with chronic pain
encourage using relaxation techniques (effective long-term strategy to help a client
control tension, anxiety and cope with chronic pain.)
a young woman who is the primary caregiver for her mother who has alzheimer's
disease states "Sometimes I hate my mother for living this long and my Dad for
dying and not caring for her." How do you respond.
"What do you do to cope with these feelings" (invites the client to share feelings and
perceptions is most therapeutic)
Native American client with TB keeps his eyes on the floor and does not make
eye contact . how do you interpret this behavior
his culture finds sustained eye contact as rude or disrespectful
client has influenza and vomiting for 3 days, has poor skin turgor and dry oral
mucous membranes what other S/S would you report to the nurse
hypotension and tachycardia
food that is highest in protein for a vegetarian diet
Soybeans
checking gastric residual volume, 150 ml of gastric contents is aspirated what
should you do next
solution
checking for cyanosis in a patient who has a darker skin tone
check the lips and mucous membranes to see if they are dusky in color
how to accurately assess a client's baseline BP during a routine health exam
measure the pressure in each arm while the client sits with the arm supported at heart
level. (seated or supine)
advancing oral intake from NPO
ice chips or water first then advance to a clear liquid and up.
best strategy to implement for the client's incontinence
establish a 2-hour voiding schedule.
intervention to reduce incidence of UTI in a client with a indwelling catheter
cleanse perineum area with soap and water BID and PRN
upset client about a recommendation about a AKA states "If they want to cut off
my leg, they should just shoot me instead." how do you respond
ask the client how the surgery might effect his lifestyle. (limp amputation alters he body
image and changes a clients ADL, work & recreational activities which triggers grieving
process for the client. determining the clients perceptions of the procedure's impact on
his lifestyle, this is therapeutic & allows client to discuss his feelings.
patient with cancer has been taking opioid analgesics for two years now &
requires an increase in dose. client expresses fear of becoming addicted to these
drugs
explain that prescribed opiates for cancer pain relief improves quality of life. (this is the
main goal of pain management for clients with cancer to minimize pain and improve
quality of life.)
intervention to help a client cope effectively with chronic pain
encourage using relaxation techniques (effective long-term strategy to help a client
control tension, anxiety and cope with chronic pain.)
a young woman who is the primary caregiver for her mother who has alzheimer's
disease states "Sometimes I hate my mother for living this long and my Dad for
dying and not caring for her." How do you respond.
"What do you do to cope with these feelings" (invites the client to share feelings and
perceptions is most therapeutic)
Native American client with TB keeps his eyes on the floor and does not make
eye contact . how do you interpret this behavior
his culture finds sustained eye contact as rude or disrespectful
client has influenza and vomiting for 3 days, has poor skin turgor and dry oral
mucous membranes what other S/S would you report to the nurse
hypotension and tachycardia
food that is highest in protein for a vegetarian diet
Soybeans
checking gastric residual volume, 150 ml of gastric contents is aspirated what
should you do next
