2024 HESI health assessment Test Questions And Answers

pt taking ipratropium reports nausea, blurred vision, has, insominia after using the inhaler. RN action to implement - ANSWER- withhold med and report symptoms primary reason for teahing pt pursed lip breathing - ANSWER- promote CO2 elimination additional finding that RN should assess for bronchitis - ANSWER- phlegm production and wheezing lung cancer s/sx - ANSWER- hypoptysis (new cough) or changes in persistent cough tuberculosis s/sx - ANSWER- night sweats s/sx of PUD - ANSWER- - hematemesis - gastric pain on an empty stomach - intolerance to spicy foods which finding should RN assess for a pt for a risk of DI (diabetes insipidus) - ANSWER- polydipsia forms of communication of RN to a hearing impaired pt - ANSWER- - face pt - rephrase information if pt misunderstood - check if pts hearing aids are working - reduce env noise surrounding the pt RN reviews new prx of MAOI for a pt w/ depression. Which info is most imp for RN to assess - ANSWER- - consumption of any alcohol or tyramine rich foods young pt having an oral tolerance tests (OGTT). which lab result should RN assess as normal value for the two hour postprandial result - ANSWER- - 140 mg/dl pt dx with acute pancreatitis. what lab value should the RN anticipate being elevated w/ dx - ANSWER- - amylase RN is teaching a pt being dx after treatment of TB. which cultural issues should the RN assess when preparing the pat - ANSWER- - native language - education level - type of lifestyle - financial resources incomplete fracture of the humerus - ANSWER- - fracture that bends or splinter part of the bone RN intervention w/ highest priority that should be anticipated by RN after removal of chest tube - ANSWER- prepare pt for chest xray at the bedside assessment findings to document that are consistent with diminished peripheral circulation - ANSWER- - diminished hair on legs - skin cool to touch muslim male pt refuses to let female RN listen to breath sounds. How should the RN respond - ANSWER- - request a male RN or HCP to perform exam RN assesss pt who is at risk for interaction w/ OTC decongestant. Which pt health history should the RN report to the HCP - ANSWER- - closed angle glaucoma - chronic hypertension OTC decongestants - ANSWER- - can increase IOP - can Increase HR and BP RN assessing pt who was discharged after management of chronic HTN. Which equipment should the RN instruct pt to use at home - ANSWER- - sphygmomanometer which statemnt by pt conveys understanding of etiology of diverticula - ANSWER- chronic constipation causes weakening of colon wall which result in out pouching sacs sarcoidosis most commonly occurs with which ehtnic group of women - ANSWER- african american women sarcoidosis - ANSWER- autoimmune inflammatory disease affecting multiple organs pt with acute asthma attack. beta 2 receptor agonist agent. which client response should the RN expect - ANSWER- - rapid resolution of wheezing - improved pulse oximetry values cardiac biomarker should RN anticipate to be elevated if pt experienced myocardial damage - ANSWER- serum troponin RN is administering haloperidol to a pt for the first time. What side effects should RN assess the client for during the initial dose - ANSWER- - dystonia dystonial - ANSWER- -sudden adverse reaction to haloperiodl, HCP should be notified immediately pt w/ SLE (lupus). which symptom should RN instruct the pt to report immediately - ANSWER- - fever related to infection pt with emphysema. Which finding is consistent w/ resp acidosis - ANSWER- - ph: 7.32 - CO2 - 46 mmhg - HCO3 - 24 pt awaking in the middle of the night with SOB (paroxymal nocturnal dyspnea). whcih condition should the RN identify in the pts history - ANSWER- - HF female pt inquires about possible rxn after taking amoxicillin for 5 days. Vaginal discomfort, itchin, white discharge. RN should discuss which action w/ the pt? - ANSWER- consult HCP about another treatment for this effect [d/t superinfection in the normal flora] RN caring for pt taking atenolol for 2 years. HCP changed medication to enalapril to manage BP. Which instructuib should the RN provide the pt regarding the new med? - ANSWER- - rise slowly when getting out of bed or chair RN is caring for an older pt who fracture pelvis from a fall. which assessment finding is most important for the RN to report HCP provider - ANSWER- dyspnea - d/t fat embolism to the lungs after liver biopsy is performed at the bedside. which RN intervention is most imp for RN to implement - ANSWER- evaluate vital signs q10 to 20 mins for 2 after procedure RN caring for pt bedridden for 2 weeks. Which assessment findings indicate to the RN that pt is developing complication r/t immobility - ANSWER- - stiffness in R ankle joint older pt admitted w/ severe diarrhea. RN completing assessme and note dry mucous membrane and poor skin turgor. assessment data should the RN gather to determine if the pt has fluid volume deficit - ANSWER- - orthostatic hypotension pt w/ cirrhosis of the liver asks RN how varicoce veins can occur in the esophagus - ANSWER- - increased portal pressure causes blood flow through the liver to be shunted to the esophageal vessels 24hrs after surgical gastric bypass. RN obserces large amounts of blood in NGT cannister. Which assessment finding should the RN report as early signs of hypovolemic shock - ANSWER- - lethargy RN places ice pack on pt w/ sprained anke. Which therapeutic response should the RN anticipate - ANSWER- - reduced pain and minimized bruising