QUESTIONS 2024 WITH DETAILED ANSWERS
AND | STUDY GUIDE INCLUDED AT THE END
The registered nurse (RN) is caring for a client with peptic ulcer disease
(PUD). What assessment should the RN identify that is consistent with
PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea
A. Hematemesis
B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
(A, B and D) correct. Manifestations of PUD include hematemesis (A),
gastric pain (B), and spicy food intolerance. (C) is consistent with
cholecystitis (D). (E) is not consistent with PUD.
A client is newly diagnosed with diverticulosis. The registered nurse
(RN) is assessing the client's basic knowledge about the disease
process. Which statement by the client conveys the client's
understanding of the etiology of diverticula?
A. Over use of laxatives for bowel regularity result in loss of peristaltic
tone.
B. Inflammation of the colon mucosa that cause growths that protrude into
the lumen.
C. Diverticulosis is the result of high fiber diet and sedentary life style.
D. Chronic constipation causes weakening of colon wall which result in
out-pouching sacs.
D.
A client who has chronic constipation (D) often strains to pass
,HESI HEALTH ASSESSMENT TEST BANK EXAM
QUESTIONS 2024 WITH DETAILED ANSWERS
AND | STUDY GUIDE INCLUDED AT THE END
constipated stool which increases intestinal pressure that weakens the
intestinal walls and causes out-pouching sacs, called diverticula which
commonly occur in the signmoid. Regular use of laxatives (A) can result
in the bowel's dependency on the laxative to stimulate intestinal motility,
but constipation due to lack
,HESI HEALTH ASSESSMENT TEST BANK EXAM
QUESTIONS 2024 WITH DETAILED ANSWERS
AND | STUDY GUIDE INCLUDED AT THE END
of fiver in diet, not (C), is a predisposing factor for formation of
diverticula. Growths that protrude into the colon lumen are polyps (B),
which are often pre-cancerous lesions.
The registered nurse (RN) is caring for an Asian client who refuses to
make eye contact during conversations. How should the RN assess this
client's response?
A. The client cannot understand the nurse.
B. The client is uncomfortable with the nurse.
C. The client is treating the nurse with respect.
D. The client is purposefully disrespecting the nurse.
C.
In some Asian cultures, it is not appropriate to look a person of authority
in the eyes, so the client is being respectful bu looking down while
speaking with the nurse (C). (A, B, and D) does not reflect behaviors
common to Asian culture.
The registered nurse (RN) is caring for a client who developed oliguria
and was diagnosed with sepsis and dehydration 48 hours ago. Which
assessment finding indicates to the RN that the client is stabilizing?
A. Urine output of 40 ml/hour
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands.
A.
A decrease in urine output is a sign of dehydration. When the urine
output returns to a normal range, 40 ml/hour (A), the client's kidneys
, HESI HEALTH ASSESSMENT TEST BANK EXAM
QUESTIONS 2024 WITH DETAILED ANSWERS
AND | STUDY GUIDE INCLUDED AT THE END
are perfusing adequately and indicates the client's status is stabilizing.
A blood pressure of 76/42 (B) and tented skin (D) are consistent with
dehydration and possible hypovolemia, however the client's urine
output is improving. Specific gravity of 1.001 is indicative of the
kidney's ability to concentrate urine adequately.
An older client is admitted to the hospital with severe diarrhea. The
registered nurse (RN) is completing an assessment and notes the client has
dry mucous membranes and poor skin turgor. Which assessment data
should the RN gather to determine if the client has fluid volume deficit?