HESI ADULT HEALTH EXAM NEWEST p p p p
ACTUAL EXAM (RATIONALES AVAILABLE) p p p p
WITH COMPLETE QUESTIONS AND DETAIL
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ED ANSWERS GRADED A | BRANDNEW!!!
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A client who is admitted to the coronary care unit with a myocard
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ial infarction (MI) begins to develop increased pulmonary conges
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tion, an increase in heart rate from 80 to 102beats per minute, an
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d cold, clammy skin. What action should the nurse implement?
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A. Notify the healthcare provider.
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B. Increase the IV flow rate. p p p p
C. Place the client in the supine position.
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D. Prepare the client for an emergency echocardiography.
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A. Notify the healthcare provider.
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Rationale
Increased pulmonary congestion, increased heart rate, and col
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d, clammy skin in a client with a myocardial infarction indicate i
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mpending cardiogenic shock related to heart failure,
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,a common complication of MI. The healthcare provider shouldb
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e notified immediately for emergency interventions of this life-
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threatening complication. p
A female client with type 2 diabetes mellitus reports dysuria.
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Which assessment finding is most important for the nurse tor
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eport to the healthcare provider?
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A. Suprapubic pain and distention. p p p
B. Bounding pulse at 100 beats/minute. p p p p
C. Fingerstick glucose of 300 mg/dl. p p p p
D. Small vesicular perineal lesions.
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C. Fingerstick glucose of 300 mg/dl.
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Rationale
Elevated fingerstick glucose levels needs to be reported to theh
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ealthcare provider, so a plan of care can be adjusted to treatthe
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elevated glucose level. Also elevated glucose levels, spills into t
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he urine and provide a medium for bacterial growth.
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,The nurse is teaching a client about precautions for a new prescri
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ption for lovastatin (Mevacor). Which symptom shouldthe nurse
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instruct the client to report to the healthcare provider immediat
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ely?
A. Terrible nightmares. p
B. Increased nocturia. p
C. Severe muscle pain. p p
D. Visual disturbances. p
C. Severe muscle pain.
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Rationale
A potential, serious side effect of statin therapy that is used tolo
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wer both LDL- p p
C and triglyceride levels is rhabdomyolysis, which is manifested
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by severe muscle pain and aching.
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A client who has just tested positive for human immunodeficienc
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y virus (HIV) does not appear to hear what thenurse is saying duri
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ng post- p
test counseling. Which information should the nurse offer to facil
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itate the client's adjustment to HIV infection?
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A. Inform the client how to protect sexual and needle-
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sharingpartners. p
, B. Teach the client about the medications that are available fortr
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eatment.
C. Identify the need to test others who have had risky contactw
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ith the client.
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D. Discuss retesting to verify the results, which will ensurec
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ontinuing contact. p
D. Discuss retesting to verify the results, which will ensureconti
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nuing contact. p
Rationale
Encouraging retesting supports hope and gives the client timet
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o cope with the diagnosis. Although post-
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test counseling should include education, retesting encourages
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the client to maintain medical follow-up and management.
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The home health nurse is assessing a client with terminal lungc
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ancer who is receiving hospice care. Which activity should beas
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signed to the hospice practical nurse (PN)?
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A. Administer medications for pain relief, shortness of breath,a
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nd nausea. p
B. Clarify family members' feelings about the meaning of clientb
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ehaviors and symptoms. p p
ACTUAL EXAM (RATIONALES AVAILABLE) p p p p
WITH COMPLETE QUESTIONS AND DETAIL
p p p p
ED ANSWERS GRADED A | BRANDNEW!!!
p p p p p p
A client who is admitted to the coronary care unit with a myocard
p p p p p p p p p p p p
ial infarction (MI) begins to develop increased pulmonary conges
p p p p p p p p
tion, an increase in heart rate from 80 to 102beats per minute, an
p p p p p p p p p p p p p
d cold, clammy skin. What action should the nurse implement?
p p p p p p p p p
A. Notify the healthcare provider.
p p p
B. Increase the IV flow rate. p p p p
C. Place the client in the supine position.
p p p p p p
D. Prepare the client for an emergency echocardiography.
p p p p p p
A. Notify the healthcare provider.
p p p p
Rationale
Increased pulmonary congestion, increased heart rate, and col
p p p p p p p
d, clammy skin in a client with a myocardial infarction indicate i
p p p p p p p p p p p
mpending cardiogenic shock related to heart failure,
p p p p p p
,a common complication of MI. The healthcare provider shouldb
p p p p p p p p p
e notified immediately for emergency interventions of this life-
p p p p p p p p
threatening complication. p
A female client with type 2 diabetes mellitus reports dysuria.
p p p p p p p p p p
Which assessment finding is most important for the nurse tor
p p p p p p p p p p
eport to the healthcare provider?
p p p p
A. Suprapubic pain and distention. p p p
B. Bounding pulse at 100 beats/minute. p p p p
C. Fingerstick glucose of 300 mg/dl. p p p p
D. Small vesicular perineal lesions.
p p p
C. Fingerstick glucose of 300 mg/dl.
p p p p p
Rationale
Elevated fingerstick glucose levels needs to be reported to theh
p p p p p p p p p p
ealthcare provider, so a plan of care can be adjusted to treatthe
p p p p p p p p p p p p p
elevated glucose level. Also elevated glucose levels, spills into t
p p p p p p p p p
he urine and provide a medium for bacterial growth.
p p p p p p p p
,The nurse is teaching a client about precautions for a new prescri
p p p p p p p p p p p
ption for lovastatin (Mevacor). Which symptom shouldthe nurse
p p p p p p p p p
instruct the client to report to the healthcare provider immediat
p p p p p p p p p
ely?
A. Terrible nightmares. p
B. Increased nocturia. p
C. Severe muscle pain. p p
D. Visual disturbances. p
C. Severe muscle pain.
p p p
Rationale
A potential, serious side effect of statin therapy that is used tolo
p p p p p p p p p p p p
wer both LDL- p p
C and triglyceride levels is rhabdomyolysis, which is manifested
p p p p p p p p p
by severe muscle pain and aching.
p p p p p
A client who has just tested positive for human immunodeficienc
p p p p p p p p p
y virus (HIV) does not appear to hear what thenurse is saying duri
p p p p p p p p p p p p p
ng post- p
test counseling. Which information should the nurse offer to facil
p p p p p p p p p
itate the client's adjustment to HIV infection?
p p p p p p
A. Inform the client how to protect sexual and needle-
p p p p p p p p
sharingpartners. p
, B. Teach the client about the medications that are available fortr
p p p p p p p p p p
eatment.
C. Identify the need to test others who have had risky contactw
p p p p p p p p p p p
ith the client.
p p
D. Discuss retesting to verify the results, which will ensurec
p p p p p p p p p
ontinuing contact. p
D. Discuss retesting to verify the results, which will ensureconti
p p p p p p p p p p
nuing contact. p
Rationale
Encouraging retesting supports hope and gives the client timet
p p p p p p p p p
o cope with the diagnosis. Although post-
p p p p p p
test counseling should include education, retesting encourages
p p p p p p
the client to maintain medical follow-up and management.
p p p p p p p p
The home health nurse is assessing a client with terminal lungc
p p p p p p p p p p p
ancer who is receiving hospice care. Which activity should beas
p p p p p p p p p p
signed to the hospice practical nurse (PN)?
p p p p p p
A. Administer medications for pain relief, shortness of breath,a
p p p p p p p p
nd nausea. p
B. Clarify family members' feelings about the meaning of clientb
p p p p p p p p p
ehaviors and symptoms. p p
