HESI Practice Test #1 Correct Questions & Answers(GRADED A)

The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care? a. Flush the tube with 50 mL of water q 8 hrs b. Check for tube placement and residual volume q4 hrs c. obtain a daily x-ray to verify tube placement d. position on left side with head of bed elevated 45 degrees - ANSWER b. Check for tube placement and residual volume q4 hrs A 77-year-old female client is admitted to the hospital. She is confused, has no appetite, is nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43 beats per minute. Which question is a priority for the nurse to ask this client or her family on admission? "Does the client a. haver her own teeth or dentures?" b. take aspirin and if so, how much?" c. take nitroglycerin?" d. take digitalis?" - ANSWER d. take digitalis?" During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving. What action should the nurse take first? a. use a laryngoscope to check for a foreign body lodged in the esophagus b. reposition the head to validate that the head is in the proper position to open the airway c. Turn the client to the side and administer three back blows d. Perform a finger sweep of the mouth to remove any vomitus - ANSWER b. reposition the head to validate that the head is in the proper position to open the airway A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority for this client? a. Fluid and electrolyte balance b. prevention of water toxicity c. Reduced glucose in the urine d. adequate cellular nourishment - ANSWER d. adequate cellular nourishment A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides definitive information that the nurse should report to the healthcare provider? a. lung tissue biopsy b. positive blood cultures c. magnetic resonance imaging d. computerized tomography (CT) of the thorax - ANSWER a. lung tissue biopsy What is the correct procedure for performing an ophthalmoscopic examination on a client's right retina?