HESI-Focus on Adult Health
A nurse is monitoring a client who is taking spironolactone for the tx of
HTN. Which findings denote adverse effects of this med SATA
a) constipation
b) tall T waves
c) hyporeflexia
d) shallow resp
e) prolonged PR interval
f) hyperactive bowel sounds Correct answers b, e, f
a nurse is providing dietary instructions to a client with COPD who is
experiencing a loss of appetitie and complains of feeling "too full to eat".
What does the nurse encourage the client to do SATA
g) avoid drinking fluids before and during meal
h) eat a variety of dark-green vegetables such as broccoli
i) have snacks, such as crackers and cheese, b/w meals
j) select foods that are easy to chew and are not gas forming
k) consume high-calorie drinks, such as milkshakes b/w meals Correct
answers a, d
a nurse is interpreting a CVP reading from a client in whom right ventricular
failure has been diagnosed. From this dx, the nurse would expect that the
most likely results is a pressure of Correct answers 14 cm H2O
a nurse is caring for a client who has just undergone thyroidectomy. Which
technique is the best way for the nurse to assess the surgical site for
bleeding Correct answers checking for moisture on the back of the dressing
over the client's neck and shoulders
a client who sustained a major burn is beginning to take an oral diet again.
Which b/w meal menu selections meet the client's needs for wound healing
and tissue repair SATA
l) apple slices and skim milk
m)whole milk a shake and granola
n)baked potato topped with cheese
o) cheese and whole wheat crackers
p) cauliflower with low fat ranch dip Correct answers b-d
a client is found to have hypoparathyroidism. Which nutritional supplement
does the nurse, teaching the client about measures to manage the disorder,
tell the client to take on a daily basis Correct answers calcium carbonate
with vitamin D
A nurse participating in a free health screening at the local mall obtains a
random blood glucose level of 200 mg/dL on an otherwise healthy client.
The nurse tells the client to
, do which of the following as a next step? Correct answers call his HCP to
have these values rechecked ASAP
Levothyroxine sodium is prescribed for a client with hypothyroidism, and the
nurse provides information to the client about the med. Which occurrences
does the nurse tell the client to report to the HCP SATA
a) lethargy
b) chest pain
c) palpitations
d) weight gain
e) constipation
f) rapid heart rate Correct answers b, c, f
a nurse is developing a plan of care for an older client with diabetic
neuropathy of the lower extremities resulting from type 2 DM. Which
problem does the nurse recognize as the highest priority for this client
Correct answers increased risk for injury
the nurse is teaching a client with newly diagnosed DM who has been
prescribed NPH insulin how to recognize s/s of hypoglycemia. The client
states that he must look for certain s/s in the late afternoon, indicating to
the nurse that he has understood the instructions. What are these s/s SATA
g) shakiness
h) drowsiness
i) blurred vision
j) increased thirst
k) feelings of hunger
l) N&V Correct answers a, c, e
Glargine insulin is prescribed for a client with type 1 DM. What does the
nurse tell the client about this type of insulin SATA
m)it does not have a peak effect
n) it is usually given once daily, at bedtime
o) it usually has a 24 hour duration of action
p) it may be mixed in a syringe with regular insulin
q) its onset of action comes 4 hours after administration Correct answers
a-c
a client arrives in the ED after sustaining a chemical splash to the eye. The
nurse immediately flushes the eye with copious amounts of normal saline
sltn for 15min and then tests the pH of the eye, using litmus paper. The
nurse should continue the saline flushes until the pH test reads Correct
answers 7.40
a nurse educator conducts an informational session for ED nurses about
small pox.
Which statements by the nurse educator are correct SATA
r) small pox is transmitted by way of the enteric route
s) early manifestations include influenza like symptoms
t) vacinating within 3 days of exposure lowers the risk of active disease
A nurse is monitoring a client who is taking spironolactone for the tx of
HTN. Which findings denote adverse effects of this med SATA
a) constipation
b) tall T waves
c) hyporeflexia
d) shallow resp
e) prolonged PR interval
f) hyperactive bowel sounds Correct answers b, e, f
a nurse is providing dietary instructions to a client with COPD who is
experiencing a loss of appetitie and complains of feeling "too full to eat".
What does the nurse encourage the client to do SATA
g) avoid drinking fluids before and during meal
h) eat a variety of dark-green vegetables such as broccoli
i) have snacks, such as crackers and cheese, b/w meals
j) select foods that are easy to chew and are not gas forming
k) consume high-calorie drinks, such as milkshakes b/w meals Correct
answers a, d
a nurse is interpreting a CVP reading from a client in whom right ventricular
failure has been diagnosed. From this dx, the nurse would expect that the
most likely results is a pressure of Correct answers 14 cm H2O
a nurse is caring for a client who has just undergone thyroidectomy. Which
technique is the best way for the nurse to assess the surgical site for
bleeding Correct answers checking for moisture on the back of the dressing
over the client's neck and shoulders
a client who sustained a major burn is beginning to take an oral diet again.
Which b/w meal menu selections meet the client's needs for wound healing
and tissue repair SATA
l) apple slices and skim milk
m)whole milk a shake and granola
n)baked potato topped with cheese
o) cheese and whole wheat crackers
p) cauliflower with low fat ranch dip Correct answers b-d
a client is found to have hypoparathyroidism. Which nutritional supplement
does the nurse, teaching the client about measures to manage the disorder,
tell the client to take on a daily basis Correct answers calcium carbonate
with vitamin D
A nurse participating in a free health screening at the local mall obtains a
random blood glucose level of 200 mg/dL on an otherwise healthy client.
The nurse tells the client to
, do which of the following as a next step? Correct answers call his HCP to
have these values rechecked ASAP
Levothyroxine sodium is prescribed for a client with hypothyroidism, and the
nurse provides information to the client about the med. Which occurrences
does the nurse tell the client to report to the HCP SATA
a) lethargy
b) chest pain
c) palpitations
d) weight gain
e) constipation
f) rapid heart rate Correct answers b, c, f
a nurse is developing a plan of care for an older client with diabetic
neuropathy of the lower extremities resulting from type 2 DM. Which
problem does the nurse recognize as the highest priority for this client
Correct answers increased risk for injury
the nurse is teaching a client with newly diagnosed DM who has been
prescribed NPH insulin how to recognize s/s of hypoglycemia. The client
states that he must look for certain s/s in the late afternoon, indicating to
the nurse that he has understood the instructions. What are these s/s SATA
g) shakiness
h) drowsiness
i) blurred vision
j) increased thirst
k) feelings of hunger
l) N&V Correct answers a, c, e
Glargine insulin is prescribed for a client with type 1 DM. What does the
nurse tell the client about this type of insulin SATA
m)it does not have a peak effect
n) it is usually given once daily, at bedtime
o) it usually has a 24 hour duration of action
p) it may be mixed in a syringe with regular insulin
q) its onset of action comes 4 hours after administration Correct answers
a-c
a client arrives in the ED after sustaining a chemical splash to the eye. The
nurse immediately flushes the eye with copious amounts of normal saline
sltn for 15min and then tests the pH of the eye, using litmus paper. The
nurse should continue the saline flushes until the pH test reads Correct
answers 7.40
a nurse educator conducts an informational session for ED nurses about
small pox.
Which statements by the nurse educator are correct SATA
r) small pox is transmitted by way of the enteric route
s) early manifestations include influenza like symptoms
t) vacinating within 3 days of exposure lowers the risk of active disease
