266- Hesi Final Study Guide
Study online at https://quizlet.com/_cvo6jl
1. The nurse is caring for a client diagnosed with psori- B. Tenderness upon pal-
asis Vulgaris who is receiving psoralen and ultraviolet pation and generalized
light. Which finding indicates that the client has been erythema
overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythe-
ma
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
2. The nurse is preparing a client for surgery who was C. Notify the healthcare
admitted to the emergency center following a motor provider of the client's
vehicle collision. The client has an open fracture of the medication history
femur and is bleeding moderately from the bone pro-
trusion site. During the preoperative assessment, the
nurse determines that the client currently receives he-
parin sodium 5,000 units subcutaneously daily. What
is the priority nursing action?
A. Observe the heparin injection sites for signs of bruis-
ing
B. Ensure that the potential for bleeding is explained
to the client
C. Notify the healthcare provider of the client's medica-
tion history
D. Have the client sign the surgical and transfusion
permits
3. The nurse is preparing to obtain a rapid COVID-19 test D. Move the client to a pri-
for a client who was exposed to the virus eight days vate room, keep the door
ago. The client is experiencing fever, cough, and short-
, 266- Hesi Final Study Guide
Study online at https://quizlet.com/_cvo6jl
ness of breath. Which action is the most important for closed, and initiate droplet
the nurse to take? precautions.
A. Counsel family members to monitor for illness
symptoms for 2 weeks after last contact with patient
B. Assist the client to recall everyone possibly exposed
since onset of symptoms
C. Start an intravenous infusion for antiviral drug to be
administered for positive COVID-19 test results.
D. Move the client to a private room, keep the door
closed, and initiate droplet precautions.
4. A client arrives to the emergency department report- A. Move into airborne iso-
ing an intermittent fever and night sweats for the past lation
3 weeks and has developed a productive cough con-
taining small amounts of blood. Which intervention
should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
D. Obtain a sputum sample
5. The nurse is caring for a client with human immunode- D. Adminiter a topical
ficiency virus (HIV) who has developed oral thrush and analgesic
is experiencing burning and soreness in the mouth.
Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
D. Administer a topical analgesic
, 266- Hesi Final Study Guide
Study online at https://quizlet.com/_cvo6jl
6. While caring for a client with Amyotrophic Lateral Scle- A. Weakened cough effort
rosis (ALS), the nurse performs a neurological assess-
ment every four hours. Which assessment finding war-
rants immediate intervention by the nurse?
A. Weakened cough effort
B. Inappropriate laughter
C. Increasing anxiety
D. Asymmetrical weakness
7. A client is diagnosed with chronic kidney disease and C. Crohn's disease with
needs to begin dialysis. Which condition entered on colectomy
the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
A. Type 2 Diabetes Mellitus
B. Nephrotic syndrome history
C. Crohn's disease with colectomy
D. Latent hepatitis C
8. After falling down the basement steps, a client is D. Right foot pale with
brought to the emergency room. X-rays confirms that sluggish capillary refill
the client's right leg is fractured. Following application
of a leg cast, which assessment finding warrants im-
mediate intervention by the nurse?
A. Complaint of throbbing right leg pain
B. Circumferential edema of right foot
C. Increased temperature to lower extremity
D. Right foot pale with sluggish capillary refill
9. The nurse has conducted a cancer prevention commu-
nity education program. In evaluating the participants
Study online at https://quizlet.com/_cvo6jl
1. The nurse is caring for a client diagnosed with psori- B. Tenderness upon pal-
asis Vulgaris who is receiving psoralen and ultraviolet pation and generalized
light. Which finding indicates that the client has been erythema
overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythe-
ma
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
2. The nurse is preparing a client for surgery who was C. Notify the healthcare
admitted to the emergency center following a motor provider of the client's
vehicle collision. The client has an open fracture of the medication history
femur and is bleeding moderately from the bone pro-
trusion site. During the preoperative assessment, the
nurse determines that the client currently receives he-
parin sodium 5,000 units subcutaneously daily. What
is the priority nursing action?
A. Observe the heparin injection sites for signs of bruis-
ing
B. Ensure that the potential for bleeding is explained
to the client
C. Notify the healthcare provider of the client's medica-
tion history
D. Have the client sign the surgical and transfusion
permits
3. The nurse is preparing to obtain a rapid COVID-19 test D. Move the client to a pri-
for a client who was exposed to the virus eight days vate room, keep the door
ago. The client is experiencing fever, cough, and short-
, 266- Hesi Final Study Guide
Study online at https://quizlet.com/_cvo6jl
ness of breath. Which action is the most important for closed, and initiate droplet
the nurse to take? precautions.
A. Counsel family members to monitor for illness
symptoms for 2 weeks after last contact with patient
B. Assist the client to recall everyone possibly exposed
since onset of symptoms
C. Start an intravenous infusion for antiviral drug to be
administered for positive COVID-19 test results.
D. Move the client to a private room, keep the door
closed, and initiate droplet precautions.
4. A client arrives to the emergency department report- A. Move into airborne iso-
ing an intermittent fever and night sweats for the past lation
3 weeks and has developed a productive cough con-
taining small amounts of blood. Which intervention
should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
D. Obtain a sputum sample
5. The nurse is caring for a client with human immunode- D. Adminiter a topical
ficiency virus (HIV) who has developed oral thrush and analgesic
is experiencing burning and soreness in the mouth.
Which intervention should the nurse implement first?
A. Cleanse the mouth with swabs
B. Encourage frequent mouth care
C. Obtain a soft diet for the client
D. Administer a topical analgesic
, 266- Hesi Final Study Guide
Study online at https://quizlet.com/_cvo6jl
6. While caring for a client with Amyotrophic Lateral Scle- A. Weakened cough effort
rosis (ALS), the nurse performs a neurological assess-
ment every four hours. Which assessment finding war-
rants immediate intervention by the nurse?
A. Weakened cough effort
B. Inappropriate laughter
C. Increasing anxiety
D. Asymmetrical weakness
7. A client is diagnosed with chronic kidney disease and C. Crohn's disease with
needs to begin dialysis. Which condition entered on colectomy
the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
A. Type 2 Diabetes Mellitus
B. Nephrotic syndrome history
C. Crohn's disease with colectomy
D. Latent hepatitis C
8. After falling down the basement steps, a client is D. Right foot pale with
brought to the emergency room. X-rays confirms that sluggish capillary refill
the client's right leg is fractured. Following application
of a leg cast, which assessment finding warrants im-
mediate intervention by the nurse?
A. Complaint of throbbing right leg pain
B. Circumferential edema of right foot
C. Increased temperature to lower extremity
D. Right foot pale with sluggish capillary refill
9. The nurse has conducted a cancer prevention commu-
nity education program. In evaluating the participants
