B SN266 HESI Pr actice latest
u pdated ver sion w ith 132 exper t
cu r ated qu estions and an sw er s |
GUARANTEED SUCCESS
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum.
C. Encourage the client to consume plenty of warm liquids.
D. Send the specimen to the lab for analysis. - answer B. Observe
the color, consistency, and amount of sputum.
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to
obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
,D. Core body temperature - answer A. Breath sounds over
bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - answer A. Reorient client
to his room
A male client with heart failure (HF) calls the clinic and reports
that he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - answer B. Has his
weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness
,of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - answer D. Assist her to an
upright position
A client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with thickened
tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most
important for the nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation -
answer A. Increase the daily intake of oral fluids to liquefy
secretions
A cardiac catherterization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
, (LAD), 99% proximal circumflex, and ? % proximal right coronary
artery (RCA). The client later asks the nurse "what does all this
mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by atherosclerotic
lesions, which necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages
indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of
blood flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of
heart failure and fluid retention. - answer C. Three main arteries
have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle
A client who weighs 175 pounds is receiving IV bolus dose of
heparin 80 units/kg. The heparin is available in a 2 ml vial,
labeled 10,000 units/ml. How many ml should the nurse
administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.) - answer 0.6 ml
What information should the nurse include in the teaching plan of
a client diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
u pdated ver sion w ith 132 exper t
cu r ated qu estions and an sw er s |
GUARANTEED SUCCESS
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum.
C. Encourage the client to consume plenty of warm liquids.
D. Send the specimen to the lab for analysis. - answer B. Observe
the color, consistency, and amount of sputum.
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu)
bag. The nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the nurse to
obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
,D. Core body temperature - answer A. Breath sounds over
bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - answer A. Reorient client
to his room
A male client with heart failure (HF) calls the clinic and reports
that he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - answer B. Has his
weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness
,of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - answer D. Assist her to an
upright position
A client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with thickened
tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most
important for the nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation -
answer A. Increase the daily intake of oral fluids to liquefy
secretions
A cardiac catherterization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
, (LAD), 99% proximal circumflex, and ? % proximal right coronary
artery (RCA). The client later asks the nurse "what does all this
mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by atherosclerotic
lesions, which necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages
indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of
blood flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of
heart failure and fluid retention. - answer C. Three main arteries
have major blockages, with only 1 to 5% of blood flow getting
through to the heart muscle
A client who weighs 175 pounds is receiving IV bolus dose of
heparin 80 units/kg. The heparin is available in a 2 ml vial,
labeled 10,000 units/ml. How many ml should the nurse
administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.) - answer 0.6 ml
What information should the nurse include in the teaching plan of
a client diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
