A QUESTIONS AND ANSWERS APPROACH TO A+ IN HESI ADULT
HEALTH PRACTICE EXAM.
In preparing a discharge plan for a 22-year-old male client diagnosed with
Buerger's disease (thromboangiitis obliterans), which referral is most important?
Smoking cessation program
In preparing to administer intravenous albumin to a client following surgery,
which is the priority nursing intervention? (Select all that apply.)
Set the infusion pump to infuse the albumin within four hours.
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure every 15 minutes.
Administer through a large gauge catheter.
Monitor hemoglobin and hematocrit levels.
Assess for increased bleeding after administration
Set the infusion pump to infuse the albumin within four hours.
Administer through a large gauge catheter.
Monitor hemoglobin and hematocrit levels.
Assess for increased bleeding after administration.
A 32-year-old female client reports severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation.
Which additional history should the nurse obtain that is consistent with the
client's concerns?
Inability to get pregnant
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric joints.
The nurse working on a telemetry unit finds a client unconscious and in pulseless
ventricular tachycardia (VT). The client has an implanted automatic defibrillator.
Which action should the nurse implement?
Call a "code blue" and immediately begin CPR.
,The nurse is working with a 71-year-old obese client with bilateral osteoarthritis
(OA) of the hips. Which recommendation should the nurse make that
is most beneficial in protecting the client's joints?
Initiate a weight-reduction diet to achieve a healthy body weight.
A male client who smokes two packs of cigarettes a day states he understands
that smoking cigarettes is contributing to the difficulty that he and his wife are
having in getting pregnant and wants to know if other factors could be
contributing to their difficulty. Which information is best for the nurse to provide?
(Select all that apply.)
Marijuana cigarettes do not affect sperm count.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Cessation of smoking improves general health and fertility.
Obesity has no effect on sperm production.
Cessation of smoking improves general health and fertility.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Healthcare workers must protect themselves against becoming infected with HIV.
The Centers for Disease Control has issued guidelines for healthcare workers in
relation to protection from HIV. These guidelines include which recommendation?
Wear gloves when coming in contact with the blood or body fluids of any client.
The nurse is assessing a client with infective endocarditis. Which assessment
finding indicates the client may have developed splinter hemorrhages?
Black longitudinal streaks in the nail beds.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of which
substance?
Sodium
A 20-year-old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
"Most lumps are benign, but it is always best to come in for an examination."
, During an assessment of a client with amyotrophic lateral sclerosis (ALS), which
finding should the nurse identify when planning care for this client?
Muscle weakness.
A 58-year-old client, who has no health problems asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on
which information?
The immunization is administered once to older adults or persons with a history of
chronic illness.
The nurse is planning care to prevent complications for a client with multiple
myeloma. Which intervention is most important for the nurse to include?
Maintain a fluid intake of 3 to 4 L per day.
After the fourth dose of gentamicin sulfate IV, the nurse plans to draw blood
samples to determine peak and trough levels. When are the best times to draw
these samples?
5 minutes before and 30 minutes after the next dose.
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows the prognosis for gram-negative pneumonias (such
as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because?
Gram-negative organisms are more resistant to antibiotic therapy.
An adult client who is hospitalized after surgery reports the sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
Pulmonary embolism.
A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which
information should the nurse offer?
Calcium loss from bones can be slowed by increasing calcium intake and exercise.
What types of medications should the nurse expect to administer to a client
during an acute respiratory failure episode?
Bronchodilators and steroids.
HEALTH PRACTICE EXAM.
In preparing a discharge plan for a 22-year-old male client diagnosed with
Buerger's disease (thromboangiitis obliterans), which referral is most important?
Smoking cessation program
In preparing to administer intravenous albumin to a client following surgery,
which is the priority nursing intervention? (Select all that apply.)
Set the infusion pump to infuse the albumin within four hours.
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure every 15 minutes.
Administer through a large gauge catheter.
Monitor hemoglobin and hematocrit levels.
Assess for increased bleeding after administration
Set the infusion pump to infuse the albumin within four hours.
Administer through a large gauge catheter.
Monitor hemoglobin and hematocrit levels.
Assess for increased bleeding after administration.
A 32-year-old female client reports severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation.
Which additional history should the nurse obtain that is consistent with the
client's concerns?
Inability to get pregnant
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
Joint pain is worse in the morning and involves symmetric joints.
The nurse working on a telemetry unit finds a client unconscious and in pulseless
ventricular tachycardia (VT). The client has an implanted automatic defibrillator.
Which action should the nurse implement?
Call a "code blue" and immediately begin CPR.
,The nurse is working with a 71-year-old obese client with bilateral osteoarthritis
(OA) of the hips. Which recommendation should the nurse make that
is most beneficial in protecting the client's joints?
Initiate a weight-reduction diet to achieve a healthy body weight.
A male client who smokes two packs of cigarettes a day states he understands
that smoking cigarettes is contributing to the difficulty that he and his wife are
having in getting pregnant and wants to know if other factors could be
contributing to their difficulty. Which information is best for the nurse to provide?
(Select all that apply.)
Marijuana cigarettes do not affect sperm count.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Cessation of smoking improves general health and fertility.
Obesity has no effect on sperm production.
Cessation of smoking improves general health and fertility.
Alcohol consumption can cause erectile dysfunction.
Low testosterone levels affect sperm production.
Healthcare workers must protect themselves against becoming infected with HIV.
The Centers for Disease Control has issued guidelines for healthcare workers in
relation to protection from HIV. These guidelines include which recommendation?
Wear gloves when coming in contact with the blood or body fluids of any client.
The nurse is assessing a client with infective endocarditis. Which assessment
finding indicates the client may have developed splinter hemorrhages?
Black longitudinal streaks in the nail beds.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of which
substance?
Sodium
A 20-year-old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
"Most lumps are benign, but it is always best to come in for an examination."
, During an assessment of a client with amyotrophic lateral sclerosis (ALS), which
finding should the nurse identify when planning care for this client?
Muscle weakness.
A 58-year-old client, who has no health problems asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on
which information?
The immunization is administered once to older adults or persons with a history of
chronic illness.
The nurse is planning care to prevent complications for a client with multiple
myeloma. Which intervention is most important for the nurse to include?
Maintain a fluid intake of 3 to 4 L per day.
After the fourth dose of gentamicin sulfate IV, the nurse plans to draw blood
samples to determine peak and trough levels. When are the best times to draw
these samples?
5 minutes before and 30 minutes after the next dose.
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows the prognosis for gram-negative pneumonias (such
as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because?
Gram-negative organisms are more resistant to antibiotic therapy.
An adult client who is hospitalized after surgery reports the sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
Pulmonary embolism.
A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which
information should the nurse offer?
Calcium loss from bones can be slowed by increasing calcium intake and exercise.
What types of medications should the nurse expect to administer to a client
during an acute respiratory failure episode?
Bronchodilators and steroids.
