HESI 799 RN Exit Exam with 105questions 100% verified
answers
The nurse is making a home visit to a male client who is in the moderate stage of
Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the
family plans to take turns caring for the client in their home, each keeping him for
two weeks at a time. How should the nurse respond?
a. Advise the client's spouse to consider inpatient hospice care as an alternative
b. Suggest that each rotation last one week, rather than two, to prevent caregiver
fatigue
c. Use active listening to allow the client and spouse to express their feelings about
the plan
d. Suggest enrolling the client in adult daycare instead of rotating among family. -
CORRECT ANSWERS b. Suggest enrolling the client in adult daycare instead of
rotating among family
Rationale: Suggesting a viable alternative, such as adult daycare provides an option
to allow the spouse respite the least disruption to routines and environment.
A young adult male was admitted 36 hours ago for a head injury that occurred as
the result of a motorcycle accident. In the last 4 hours, his urine output has
increased to over 200 ml/H. Before reporting the finding to the healthcare provider,
which intervention should the nurse implement?
a- Evaluate the urine osmolality and the serum osmolality values.
b- Obtain blood pressure and assess for dependent edema
c- Measure oral secretions suctioned during last hours
d- Obtain capillary blood samples q2 hours for glucose monitoring. - CORRECT
ANSWERS a. Evaluate the urine osmolality and the serum osmolality values.
Rationale: With a known head injury, sudden inadequate secretion of antidiuretic
hormone (ADH) can cause excessive output of diluted urine. Evaluating laboratory
results should de determined to identify findings of neurogenic diabetes insipidus
(DI), such as low urine osmolarity and normal serum osmolarity (A) prior to notify
the healthcare provider so that these finding can be included in the report. Massive
diuresis, dehydration, and thirst manifest hypotension, irregular tachycardia,
decrease skin turgor, but B or C are not related to DI.
,HESI 799 RN Exit Exam with 105questions 100% verified
answers
A male client has received a prescription for orlistat for weight and nutrition
management. In addition to the medication, the client states he plans to take a
multivitamin. What teaching should the nurse provide?
a. As a nutritional supplement, orlistat already contains all the recommended daily
vitamins and minerals.
b. Multivitamins are contraindicated. During treatment with weight-control
medications such as orlistat
c. Be sure to take the multivitamin and the medication at least two hours apart for
best absorption and effectiveness.
d. Following a well-balanced diet is a much healthier approach to good nutrition
than depending on a multivitamin. - CORRECT ANSWERS c. Be sure to take the
multivitamin and the medication at least two hours apart for best absorption and
effectiveness
A female client is taking alendronate, a bisphosphate, for postmenopausal
osteoporosis. The client tells the nurse that she is experiencing jaw pain. How
should the nurse respond?
a- Determine how the client is administering the medication
b- Confirm that this is a common symptom of osteoporosis
c- Report the client's jaw pain to the healthcare provider.
d- Advise the client to gargle with warm salt water twice daily. - CORRECT
ANSWERS c. Report the client's jaw pain to the healthcare provider.
Rationale: Bisphosponates, including alendronate, can cause osteonecrosis of jaw,
which should be reported to the healthcare provider © for evaluation. Incorrect
administration (A) such as failing to remain upright after taking the medication, can
contribute to esophageal reactions, but does not causes haw pain. Jaw pain is not a
symptom of osteoporosis and is not relieved with saline throat gargles.
Which intervention should the nurse implement for a client with a superficial (first
degree) burn?
,HESI 799 RN Exit Exam with 105questions 100% verified
answers
a. Spray an anesthetic agent over the burn every 3 to 4 hours
b. Position the burn victim in front of a cool fan to decrease discomfort
c. Apply ice pack for 30 mints to lower surface temperature
d. Place wet clothes on the burned areas for short periods of time. - CORRECT
ANSWERS d. Place wet cloths on the burned areas for short periods of time.
Rationale: D provides comfort and helps to relive the pain of a first degree burn,
which involves only the epidermal layer of the skin.
What is the primary goal when planning nursing care for a client with degenerative
joint disease (DJD)?
a. Obtain adequate rest and sleep
b. Achieve satisfactory pain control.
c. Improve stress management skills
d. Reduce risk for infection. - CORRECT ANSWERS b. Achieve satisfactory pain
control.
An adult woman who is seen in the clinic with possible neuropathic pain of the right
leg rates her pain as a 7 on a 10 point scale. What action should the nurse take?
a. Elevate the foot and leg on two pillows
b. Measure the client's capillary glucose
c. Ask the client to dorsiflex the right foot.
d. Encourage the client to describe the pain. - CORRECT ANSWERS d. Encourage
the client to describe the pain.
Rationale: Neuropathic pain is caused by damage within the nervous system.
Description of the pain such as burning or numbness helps identify the pain as
neuropathic, allowing appropriate treatment to be initiated. Elevation is to unlikely
to impact the pain. Persons with diabetes mellitus may develop peripheral
neuropathy, nut there is no immediate need to measure this client's capillary
glucose. (C) is not a useful intervention in assessing or managing neuropathic pain.
, HESI 799 RN Exit Exam with 105questions 100% verified
answers
The nurse is caring for a client with an NG tube. Which task can the nurse delegate
to the UAP?
a- Replace the NG tube as prescribed by the healthcare provider
b- Secure the NG tube if it slides out of the client's nasal passage
c- Disconnect the NG suction so the client can ambulate in the hallway.
d- Reconnect the NG suction when the client returns form ambulating. - CORRECT
ANSWERS c. Disconnect the NG suction so the client can ambulate in the hallway
The nurse is conducting the initial assessment of an ill client who is from another
culture.... What response should the nurse provide?
a- Can you read the written instructions is English?
b- "What practices do you believe will help you heal?"
c- What prescriptions must be strictly followed to get well.
d- You must believe that the medications will help you. - CORRECT ANSWERS b.
What practices do you believe will help you heal?"
Which interventions should the nurse include in a long-term plan of care for a client
with COPD?
a- Reduce risk factors for infection
b- Administer high flow oxygen during sleep
c- Limit fluid intake to reduce secretions
d- Use diaphragmatic breathing to achieve better exhalation - CORRECT
ANSWERS a. Reduce risk factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be
included in the plan of care COPD client are at particular risk for respiratory
infection. Prevention and early detection of infections are necessary
answers
The nurse is making a home visit to a male client who is in the moderate stage of
Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the
family plans to take turns caring for the client in their home, each keeping him for
two weeks at a time. How should the nurse respond?
a. Advise the client's spouse to consider inpatient hospice care as an alternative
b. Suggest that each rotation last one week, rather than two, to prevent caregiver
fatigue
c. Use active listening to allow the client and spouse to express their feelings about
the plan
d. Suggest enrolling the client in adult daycare instead of rotating among family. -
CORRECT ANSWERS b. Suggest enrolling the client in adult daycare instead of
rotating among family
Rationale: Suggesting a viable alternative, such as adult daycare provides an option
to allow the spouse respite the least disruption to routines and environment.
A young adult male was admitted 36 hours ago for a head injury that occurred as
the result of a motorcycle accident. In the last 4 hours, his urine output has
increased to over 200 ml/H. Before reporting the finding to the healthcare provider,
which intervention should the nurse implement?
a- Evaluate the urine osmolality and the serum osmolality values.
b- Obtain blood pressure and assess for dependent edema
c- Measure oral secretions suctioned during last hours
d- Obtain capillary blood samples q2 hours for glucose monitoring. - CORRECT
ANSWERS a. Evaluate the urine osmolality and the serum osmolality values.
Rationale: With a known head injury, sudden inadequate secretion of antidiuretic
hormone (ADH) can cause excessive output of diluted urine. Evaluating laboratory
results should de determined to identify findings of neurogenic diabetes insipidus
(DI), such as low urine osmolarity and normal serum osmolarity (A) prior to notify
the healthcare provider so that these finding can be included in the report. Massive
diuresis, dehydration, and thirst manifest hypotension, irregular tachycardia,
decrease skin turgor, but B or C are not related to DI.
,HESI 799 RN Exit Exam with 105questions 100% verified
answers
A male client has received a prescription for orlistat for weight and nutrition
management. In addition to the medication, the client states he plans to take a
multivitamin. What teaching should the nurse provide?
a. As a nutritional supplement, orlistat already contains all the recommended daily
vitamins and minerals.
b. Multivitamins are contraindicated. During treatment with weight-control
medications such as orlistat
c. Be sure to take the multivitamin and the medication at least two hours apart for
best absorption and effectiveness.
d. Following a well-balanced diet is a much healthier approach to good nutrition
than depending on a multivitamin. - CORRECT ANSWERS c. Be sure to take the
multivitamin and the medication at least two hours apart for best absorption and
effectiveness
A female client is taking alendronate, a bisphosphate, for postmenopausal
osteoporosis. The client tells the nurse that she is experiencing jaw pain. How
should the nurse respond?
a- Determine how the client is administering the medication
b- Confirm that this is a common symptom of osteoporosis
c- Report the client's jaw pain to the healthcare provider.
d- Advise the client to gargle with warm salt water twice daily. - CORRECT
ANSWERS c. Report the client's jaw pain to the healthcare provider.
Rationale: Bisphosponates, including alendronate, can cause osteonecrosis of jaw,
which should be reported to the healthcare provider © for evaluation. Incorrect
administration (A) such as failing to remain upright after taking the medication, can
contribute to esophageal reactions, but does not causes haw pain. Jaw pain is not a
symptom of osteoporosis and is not relieved with saline throat gargles.
Which intervention should the nurse implement for a client with a superficial (first
degree) burn?
,HESI 799 RN Exit Exam with 105questions 100% verified
answers
a. Spray an anesthetic agent over the burn every 3 to 4 hours
b. Position the burn victim in front of a cool fan to decrease discomfort
c. Apply ice pack for 30 mints to lower surface temperature
d. Place wet clothes on the burned areas for short periods of time. - CORRECT
ANSWERS d. Place wet cloths on the burned areas for short periods of time.
Rationale: D provides comfort and helps to relive the pain of a first degree burn,
which involves only the epidermal layer of the skin.
What is the primary goal when planning nursing care for a client with degenerative
joint disease (DJD)?
a. Obtain adequate rest and sleep
b. Achieve satisfactory pain control.
c. Improve stress management skills
d. Reduce risk for infection. - CORRECT ANSWERS b. Achieve satisfactory pain
control.
An adult woman who is seen in the clinic with possible neuropathic pain of the right
leg rates her pain as a 7 on a 10 point scale. What action should the nurse take?
a. Elevate the foot and leg on two pillows
b. Measure the client's capillary glucose
c. Ask the client to dorsiflex the right foot.
d. Encourage the client to describe the pain. - CORRECT ANSWERS d. Encourage
the client to describe the pain.
Rationale: Neuropathic pain is caused by damage within the nervous system.
Description of the pain such as burning or numbness helps identify the pain as
neuropathic, allowing appropriate treatment to be initiated. Elevation is to unlikely
to impact the pain. Persons with diabetes mellitus may develop peripheral
neuropathy, nut there is no immediate need to measure this client's capillary
glucose. (C) is not a useful intervention in assessing or managing neuropathic pain.
, HESI 799 RN Exit Exam with 105questions 100% verified
answers
The nurse is caring for a client with an NG tube. Which task can the nurse delegate
to the UAP?
a- Replace the NG tube as prescribed by the healthcare provider
b- Secure the NG tube if it slides out of the client's nasal passage
c- Disconnect the NG suction so the client can ambulate in the hallway.
d- Reconnect the NG suction when the client returns form ambulating. - CORRECT
ANSWERS c. Disconnect the NG suction so the client can ambulate in the hallway
The nurse is conducting the initial assessment of an ill client who is from another
culture.... What response should the nurse provide?
a- Can you read the written instructions is English?
b- "What practices do you believe will help you heal?"
c- What prescriptions must be strictly followed to get well.
d- You must believe that the medications will help you. - CORRECT ANSWERS b.
What practices do you believe will help you heal?"
Which interventions should the nurse include in a long-term plan of care for a client
with COPD?
a- Reduce risk factors for infection
b- Administer high flow oxygen during sleep
c- Limit fluid intake to reduce secretions
d- Use diaphragmatic breathing to achieve better exhalation - CORRECT
ANSWERS a. Reduce risk factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be
included in the plan of care COPD client are at particular risk for respiratory
infection. Prevention and early detection of infections are necessary
