Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
A client is being prepared for a thoracentesis. The nurse should assist the client to
which position for the procedure?
a) Lying in bed on the affected side
b) Lying in bed on the unaffected side
c) Sims position with the head of the bed flat
d) Prone with the head turned to the side and supported by a pillow
- Correct answer- b) Lying in bed on the unaffected side
Rationale: To facilitate removal of fluid from the chest, the client is positioned
sitting at the edge of the bed leaning over the bedside table, with the feet
supported on a stool; or lying in bed on the unaffected side with the head of the
bed elevated 30 to 45 degrees. The prone and Sims positions are inappropriate
positions for this procedure.
The nurse is preparing to care for a client who has returned to the nursing unit
following cardiac catheterization performed through the femoral artery. The
nurse checks the health care provider's (HCP's) prescription and plans to allow
which client position or activity following the procedure?
a) Bed rest in high Fowler's position
b) Bed rest with bathroom privileges only
c) Bed rest with head elevation at 60 degrees
d) Bed rest with head elevation no greater than 30 degrees
, Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
- Correct answer- d) Bed rest with head elevation no greater than 30 degrees
Rationale: After cardiac catheterization, the extremity into which the catheter
was inserted is kept straight for 4 to 6 hours. The client is maintained on bed rest
for 4 to 6 hours (time for bed rest may vary depending on the HCP's preference
and on whether a vascular closure device was used) and the client may turn from
side to side. The head is elevated no more than 30 degrees (although some HCPs
prefer the flat position) until hemostasis is adequately achieved.
A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic
visit. The nurse provides instructions to the client regarding preparation for this
test. Which statement should the nurse include in the teaching?
a) The test is painless.
b) Fluids are restricted on the day of the test.
c) The test can be performed during menstruation.
d) Vaginal douching is required 2 hours before the test.
- Correct answer- a) The test is painless.
The nurse is caring for a client after pulmonary angiography with catheter
insertion via the left groin. Which assessment finding is related to an allergic
reaction to the contrast medium?
a) Hypothermia
b) Decreased blood pressure
, Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
c) Hematoma in the left groin
d) Discomfort in the left groin
- Correct answer- b) Decreased blood pressure
Rationale: Signs of allergic reaction to the contrast dye include early signs such as
localized itching and edema, which are followed by more severe symptoms such
as respiratory distress, stridor, and decreased blood pressure. Hypothermia,
discomfort in the left groin, and hematoma in the left groin are abnormal
assessment findings but are not related to allergic reaction to the contrast
medium.
The nurse assists a health care provider in performing a liver biopsy. After the
biopsy, the nurse should place the client in which position?
a) Prone
b) Supine
c) A left side-lying position with a small pillow or folded towel under the puncture
site
d) A right side-lying position with a small pillow or folded towel under the
puncture site
- Correct answer- d) A right side-lying position with a small pillow or folded
towel under the puncture site
Rationale: After a liver biopsy, the client is assisted to assume a right side-lying
position with a small pillow or folded towel under the puncture site for 3 hours.
, Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
This position compresses the liver against the chest wall at the biopsy site.
Therefore all other options are incorrect.
A client is scheduled for a fiberoptic gastrointestinal (GI) procedure. The nurse
instructs the client to remain on clear liquids the day before the test because a
clear liquid diet supports which action?
a) Stimulating peristalsis
b) Promoting a laxative action
c) Providing little or no residue
d) Providing minimal calories and nutrients
- Correct answer- c) Providing little or no residue
The nurse is preparing to collect a 24-hour urine specimen from the client. Which
is an inaccurate action in collecting the specimen?
a) Placing the specimen on ice or refrigerating it
b) Discarding the urine specimen at the start time
c) Asking the client to void, saving the specimen, and noting the start time
d) Asking the client to void at the end of the collection and adding this specimen
to the collection
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
A client is being prepared for a thoracentesis. The nurse should assist the client to
which position for the procedure?
a) Lying in bed on the affected side
b) Lying in bed on the unaffected side
c) Sims position with the head of the bed flat
d) Prone with the head turned to the side and supported by a pillow
- Correct answer- b) Lying in bed on the unaffected side
Rationale: To facilitate removal of fluid from the chest, the client is positioned
sitting at the edge of the bed leaning over the bedside table, with the feet
supported on a stool; or lying in bed on the unaffected side with the head of the
bed elevated 30 to 45 degrees. The prone and Sims positions are inappropriate
positions for this procedure.
The nurse is preparing to care for a client who has returned to the nursing unit
following cardiac catheterization performed through the femoral artery. The
nurse checks the health care provider's (HCP's) prescription and plans to allow
which client position or activity following the procedure?
a) Bed rest in high Fowler's position
b) Bed rest with bathroom privileges only
c) Bed rest with head elevation at 60 degrees
d) Bed rest with head elevation no greater than 30 degrees
, Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
- Correct answer- d) Bed rest with head elevation no greater than 30 degrees
Rationale: After cardiac catheterization, the extremity into which the catheter
was inserted is kept straight for 4 to 6 hours. The client is maintained on bed rest
for 4 to 6 hours (time for bed rest may vary depending on the HCP's preference
and on whether a vascular closure device was used) and the client may turn from
side to side. The head is elevated no more than 30 degrees (although some HCPs
prefer the flat position) until hemostasis is adequately achieved.
A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic
visit. The nurse provides instructions to the client regarding preparation for this
test. Which statement should the nurse include in the teaching?
a) The test is painless.
b) Fluids are restricted on the day of the test.
c) The test can be performed during menstruation.
d) Vaginal douching is required 2 hours before the test.
- Correct answer- a) The test is painless.
The nurse is caring for a client after pulmonary angiography with catheter
insertion via the left groin. Which assessment finding is related to an allergic
reaction to the contrast medium?
a) Hypothermia
b) Decreased blood pressure
, Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
c) Hematoma in the left groin
d) Discomfort in the left groin
- Correct answer- b) Decreased blood pressure
Rationale: Signs of allergic reaction to the contrast dye include early signs such as
localized itching and edema, which are followed by more severe symptoms such
as respiratory distress, stridor, and decreased blood pressure. Hypothermia,
discomfort in the left groin, and hematoma in the left groin are abnormal
assessment findings but are not related to allergic reaction to the contrast
medium.
The nurse assists a health care provider in performing a liver biopsy. After the
biopsy, the nurse should place the client in which position?
a) Prone
b) Supine
c) A left side-lying position with a small pillow or folded towel under the puncture
site
d) A right side-lying position with a small pillow or folded towel under the
puncture site
- Correct answer- d) A right side-lying position with a small pillow or folded
towel under the puncture site
Rationale: After a liver biopsy, the client is assisted to assume a right side-lying
position with a small pillow or folded towel under the puncture site for 3 hours.
, Diagnostic Testing HESI prep- Adult Care: Exam Questions
and Correct Detailed Answers with Rationales (verified
answers) Good Score is Guaranteed |A+ Grade
This position compresses the liver against the chest wall at the biopsy site.
Therefore all other options are incorrect.
A client is scheduled for a fiberoptic gastrointestinal (GI) procedure. The nurse
instructs the client to remain on clear liquids the day before the test because a
clear liquid diet supports which action?
a) Stimulating peristalsis
b) Promoting a laxative action
c) Providing little or no residue
d) Providing minimal calories and nutrients
- Correct answer- c) Providing little or no residue
The nurse is preparing to collect a 24-hour urine specimen from the client. Which
is an inaccurate action in collecting the specimen?
a) Placing the specimen on ice or refrigerating it
b) Discarding the urine specimen at the start time
c) Asking the client to void, saving the specimen, and noting the start time
d) Asking the client to void at the end of the collection and adding this specimen
to the collection
