HESI Version 2 questions and answers latest.

HESI Version 2 questions and answers latest. The onurse oassumes ocare oof oa opostoperative oadult oclient owith odiabetes omellitus oand olearns othat othe oclient ohas oa ocurrent oblood oglucose olevel oof o720 omg. oWhen oassessing othe oclient owhat ois othe opriority? A. oAssess ofor ovital osigns oof ofluid ovolume odeficit. B. oObserve owound odrainage ocharacteristics. C. oMeasure othe olevel oof oacute opain. D. oDetermine owhen othe oclient olast oate. o- o o o ocorrect oanswer.A. oAssess ofor ovital osigns oof ofluid ovolume odeficit. A omale oclient otells othe onurse othat ohe ois oconcerned othat ohe omay ohave oa ostomach oulcer obecause ohe ois oexperiencing oheartburn oand oa odull ognawing opain. oWhich ois othe o*best* oresponse oby othe onurse? o A. oEncourage othe oclient oto oobtain oa ocomplete ophysical oexam osince othese osymptoms oare oconsistent owith oan oulcer. B. oAssure othe oclient othat ohis osymptoms omay oonly oreflect oreflux, osince oulcer opain ois onot orelieved owith ofood. C. oInstruct othe oclient othat othese omild osymptoms ocan ogenerally obe ocontrolled owith ochanges oin ohis odiet. D. oAdvise othe oclient othat ohe oneeds oto oseek oimmediate omedical oevaluation oand otreatment ofor othese osymptoms. o- o o o ocorrect oanswer.A. oEncourage othe oclient oto oobtain oa ocomplete ophysical oexam osince othese osymptoms oare oconsistent owith oan oulcer. A omale oclient owith ostomach ocancer oreturns oto othe ounit ofollowing oa ototal ogastrectomy. oHe ohas oa onasogastric otube oto osuction oand ois oreceiving oLactated oRinger' oIV. oOne ohour oafter oadmission oto othe ounit, othe onurse onotes o300 omL oof oblood oin othe osuction ocanister, othe oclient's oheart orate ois o155 obeats/minute. oIn oaddition oto oreporting othe ofindings oto othe osurgeon, owhich oaction oshould othe onurse oimplement o*first?* A. oMeasure oand odocument othe oclient's ourinary ooutput. o B. oRequest othe oclient's oreserved ounit oof opacked ored oblood ocells. o C. oPrepare ofor othe oplacement oof ocentral ovenous ocatheter. o D. oIncrease othe oinfusion orate oof oLactated oRinger's osolution. o- o o o ocorrect oanswer.D. oIncrease othe oinfusion orate oof oLactated oRinger's osolution. A oheparin oinfusion ois oprescribed ofor oa oclient owho oweighs o220 opounds. oAfter oadministering oa obolus odose oof o80 ounits/kg othe onurse ocalculates oinfusion orate ofor othe oheparin osolution oat o18 ounits/kg/hour. oThe oavailable osolution ois oHeparin oSodium o25,000 oUnits oin o5% oDextrose oInjection o250 omL. oThe onurse oshould oprogram othe oinfusion opump oto ohow omany omL/hour? o- o o o ocorrect oanswer.18 An oadult omale owho ofell o20 ofeet ofrom othe oroof oof ohis ohome ohas omultiple oinjuries, oincluding oa oright opneumothorax. oChest otubes owere oinserted oin othe oemergency odepartment oprior oto ohis otransfer oto othe ointensive ocare ounit o(ICU). oThe onurse onotes othat othe osuction ocontrol ochamber ois obubbling oat othe o-10 ocm oH2O omark owith ofluctuation oin othe owater oseal, oand oover othe opast ohour o75 omL oof obright ored oblood ois omeasured oin othe ocollection ochamber. oWhich ointervention oshould othe onurse oimplement? A. oAdd osterile owater oto othe osuction ocontrol ochamber o B. oGive oblood ofrom othe ocollection ochamber oas oautotransfusion o C. oManipulate oblood oin otubing oto odrain ointo othe ochamber o D. oIncrease owall osuction oto oeliminate ofluctuation oin owater oseal o- o o o ocorrect oanswer.A. oAdd osterile owater oto othe osuction ocontrol ochamber. An oadult omale owas odiagnosed owith ostage oIV olung ocancer othree oweeks oago. oHis owife oapproaches othe onurse oand oasks ohow oshe owill oknow othat oher ohusband's odeath ois oimminent obecause otheir otwo oadult ochildren owant oto obe othere owhen ohe odies. oWhich ois othe o*best* oresponse oby othe onurse? o A. oGather oinformation oregarding ohow olong oit owill otake ofor othe ochildren oto oarrive o B. oExplain othat othe oclient owill ostart oto olose oconsciousness oand othe obody osystems owill oslow odown. o C. oReassure othe ospouse othat othe ohealthcare oprovider owill onotify owhen oto ocall othe ochildren. o D. oOffer oto odiscuss othe oclient's ohealth ostatus owith oeach oof othe oadult ochildren. o- o o o ocorrect oanswer.B. oExplain othat othe oclient owill ostart oto olose oconsciousness oand othe obody osystems owill oslow odown. The ocharge onurse oof oa ocritical ocarry ounit ois oinformed oat othe obeginning oof othe oshift othat olesss othan othe ooptical onumber oof oregistered onurses owill obe oworking othat oshift oand oplanning oassignments owhich oclient oshould oreceive othe omost ocare ohours oby oregistered onurse o(RN)? A. o48 oyear oolds omarathon orunner owith oa ocentral ovenous ocatheter owho ois oexperiencing onausea oand ovomiting odue oto oelectrolyte odisturbance ofollowing oa orace B. o34 oyear oold oadmitted otoday oafter oan oemergency oappendectomy owho ohas oa operipheral ointravenous ocatheter oand oa oFoley ocatheter C. o63-year-old ochain osmoker oadmitted owith ochronic obronchitis owho ois oreceiving ooxygen ovia onasal ocannula oand ohas oa osaline-locked operipheral ointravenous ocatheter D. oAn o82-year-old's oclient owith oAlzheimer's odisease oand onewly ofractured ofemur owho ohas oa oFoley ocatheter oand osoft owrist orestraint osupplied o- o o o ocorrect oanswer.D. oAn o82-year-old's oclient owith oAlzheimer's odisease oand onewly ofractured ofemur owho ohas oa oFoley ocatheter oand osoft owrist orestraint osupplied The onurse ois opreparing oa odose oof o60 omcg oof oteriparatide. oThe omedication ois olabeled o"750 omg/2.4 omL." oHow omany omL oshould othe onurse oadminister? o- o o o ocorrect oanswer.0.2 In ocaring ofor oa oclient owith oCushing's osyndrome owhich oserum olaboratory ovalue ois omost oimportant ofor othe onurse oto omonitor? A. oCreatinine B. oLactate C. oGlucose D. oHemoglobin o- o o o ocorrect oanswer.C. oGlucose A oclient owho oreceived ohemodialysis oyesterday ois oexperiencing oa oblood opressure oof o200/100 ommHg, oheart orate o110 obeats/minute, oand orespiratory orate o36 obreaths/minute. oThe oclient ois omanifesting oshortness oof obreath obilateral o2+ opedal oedema oin oan ooxygen osaturation oon oa oroom oair oof o89% owhich oaction oshould othe onurse otake ofirst? A. oElevate othe ofoot oof othe obed B. oRestrict othe oclient's ofluids C. oBegin osupplemental ooxygen D. oPrepare oclient ofor ohemodialysis o- o o o ocorrect oanswer.C. oBegin osupplemental ooxygen When ocaring ofor oa oclient owith ofull othickness oburns oto oboth olower oextremities, owhich oassessment ofindings owarrant oimmediate oinvention? o(Select oall othat oapply) A. oSloughing otissue oaround owound oedges B. oComplaint oof oincreased opain oand opressure C. oChange oin othe oquality oof othe operipheral opulses. D. oLoss oof osensation oto othe oleft olower oextremity E. oWeeping oserosanguineous ofluid ofrom owounds o- o o o ocorrect oanswer.B. oComplaint oof oincreased opain oand opressure C. oChange oin othe oquality oof othe operipheral opulses. D. oLoss oof osensation oto othe oleft olower oextremity An oolder oclient ois oadmitted owith ofluid ovolume odeficit oand odehydration. oWhich oassessment ofinding ois othe obest oindicator oof ohydration othat othe onurse oshould oreport oto othe ohealthcare oprovider? A. oUrine ospecific ogravity ois o1.040 B. oSystolic oblood opressure odecreases o10 opoints owhen ostanding C. oThe oclient odenies obeing othirsty D. oSkin otenting ooccurs owhen othe oclients oforearm ois opinched o- o o o ocorrect oanswer.D. oSkin otenting ooccurs owhen othe oclients oforearm ois opinched The ohealthcare oprovider oprescribes omethylergonovine omaleate ofor oa opostpartum oclient owith outerine oatony. oWhat ofinding oshould oindicate oto othe onurse oto owithhold othe onext odose oof othe omedication? A. oDifficulty olocating othe outerine ofundus B. oExcessive olochia C. oSaturation oof omore othan oone opad oper ohour D. oHypertension o- o o o ocorrect oanswer.D. oHypertension After oan oinservice oabout oelectronic ohealth orecord o(EHR) osecurity oand osafeguarding oclient oinformation, othe onurse oobserves oa ocolleague ogoing ohome owith oprinted ocopies oof oclient oinformation oand oa ouniform opacket. oWhich oaction oshould othe onurse otake? A. oFile oa odetailed oincident oreport owith othe ospecific ohiring ofacility B. oWhy odid othe ocolleague othat otheir oactions oare ounprofessional C. oComment oanonymously oabout othe oaction oon oa ostaff odiscussion oboard D. oCommunicate othe ocolleague's oactions oto othe ounit ocharge onurse o- o o o ocorrect oanswer.A. oFile oa odetailed oincident oreport owith othe ospecific ohiring ofacility The onurse ois oevaluating oa otertiary oprevention oprogram ofor oclients owith ocardiovascular odisease oimplemented oin oa orural ohealth oclinic. oWhich ooutcomes oindicate othe oprogram ois oeffective? A. oAt orisk oclients oreceived oan oincrease onumber oof oroutine ohealth oscreenings B. oClients oreported ohaving onew oconfidence oin omaking ohealthy ofood ochoices C. oClients owho oincurred odisease ocomplications opromptly oreceived orehabilitation D. oClient orelapse orate oof o30% oin oa o5-year ocommunity-wide oanti-smoking ocampaign o- o o o ocorrect oanswer.C. oClients owho oincurred odisease ocomplications opromptly oreceived orehabilitation While ocaring ofor oa oclient's opostoperative odressing, othe onurse oobserves opurulent odrainage oat othe owound. oBefore oreporting othis ofinding oto othe ohealthcare oprovider othe onurse oshould oreview owhich oof othe oclient's olaboratory ovalues? A. oCulture ofor osensitive oorganisms B. oSerum oblood oglucose o(BG) olevel C. oCreatinine olevel D. oSerum oalbumin o- o o o ocorrect oanswer.A. oCulture ofor osensitive oorganisms A oclient ois oembedded owith oacute opancreatitis. oThe oclient oadmits oto odrinking oa opint oof obourbon odaily. oThe onurse omedicates othe oclient ofor opain oand omonitors ovital osigns oevery otwo ohours. oWhich ofinding oshould othe onurse oreport oimmediately oto othe ohealthcare oprovider? A. oAnorexia oand oabdominal odistention B. oAbdominal opain oand ovomiting C. oConfusion oand otremors D. oYellowing oand oitching oof oskin o- o o o ocorrect oanswer.C. oConfusion oand otremors A oclient owith oleukemia owho ois oreceiving oa omyelosuppressive ochemotherapy ohas oa oplatelet ocount oof o25,000/mm3 o(25 ox o103/L). oWhich ointervention ois omost oimportant ofor othe onurse oto oinclude oin othis oclient's oplan oof ocare? A. oAssess ourine oand ostool ofor ooccult oblood B. oMonitor ofor osigns oof oactivity ointolerance C. oRequire ovisitors oto owear orespiratory omasks D. oObtain oclients otemperature oq4 ohours o- o o o ocorrect oanswer.A. oAssess ourine oand ostool ofor ooccult oblood