HESI HEALTH ASSESSMENT LATEST ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

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. - ANSWERS,A The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a combination drug regimen. The client complains about taking "so many pills." What information should the RN provide to the client about the prescribed treatment? A. The development of resistant strains of TB are decreased with a combination of drugs. B. Compliance to the medication regimen is challenging but should be maintained. C. Side effects are minimized with the use of a single medication but is less effective. D. The treatment time is decreased from 6 months to 3 months with this standard regimen. - ANSWERS,A The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance test (OGTT). which laboratory result should the RN assess as a normal value for the two hour postprandial result? A. 140 mg/dl B. 160 mg/dl C. 180 mg/dl D. 200 mg/dl - ANSWERS,A After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned the care of the client. Which nursing intervention is most important for the RN to implement? 3 A. Position the client on the left side with pillow placed under the costal margin. B. Assist the client with voiding immediately after the procedure. C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the procedure. D. Ambulate client 3 times in first hour with pillow held at abdomen. - ANSWERS,C The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations, of a change in the client's condition. Over the past hour, the client's respiratory pattern has changed to a Cheyne Stokes pattern. After receiving this information, the client's spouse begins vacuuming around the bed. Which stage of grief is the spouse displaying during the visit? A. Acceptance B. Denial C. Bargaining D. Depression - ANSWERS,B The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic complaining of a sprained ankle. Which therapeutic response should the RN anticipate? A. Reduced pain and minimized bruising. B. Lowering of body core temperature. C. Increased circulation around injury. D. Reabsorption of edema at injury. - ANSWERS,