HEALTH ASSESSMENT PRACTICE HESI #2
BSN 246 (WEEK 7: PRE-HESI PRACTICE
EXAM) SOLVED QUESTIONS AND
ANSWERS, ALREADY PASSED!!
1 of
29
Term
The registered nurse (RN) is caring for a client with acute
pancreatitis and assesses the admission laboratory results. What
laboratory value should the RN anticipate being elevated with this
diagnosis?
Triglyceride
s. Amylase.
Creatinine.
Uric acid.
,Give this one a try later!
Amylase - answer is more complex
Rationale
An elevated amylase level is associated with acute pancreatitis.
Step 1
1 of 2
Acute pancreatitis is an acute inflammation of the exocrine part
of the pancreas accompanied by severe pain in the upper
abdomen and an
elevated level of amylase and lipase in the serum. It is an
autodigestive disease in which pancreatic enzymes destroy its
tissue. It is characterized by severe pain that occurs in the
epigastrium and spreads to the back. The pain increases in the
lying position and is milder if the patient is sitting or
leaning forward. It most often occurs 6 to 10 hours after a heavy fatty
meal or heavy consumption of alcohol. It most often occurs in
chronic alcoholics and in people with cholelithiasis.
Result
2 of 2
Serum amylase and lipase
Attention to details.
Rationale
When conducting the MMSE and having the client count backwards by 7s; this
evaluates their ability to do simple calculations and is specific to the client's
attention to detail and staying focus and not getting distracted by external
stimuli.
Native language.
Education level.
Type of lifestyle.
Financial resources.
Rationale
To ensure compliance the client's native language, education level, lifestyle,
and financial resources should be considered when preparing the client's
discharge instructions about the continuation of treatment for TB.
, Stiffness in right ankle joint.
Rationale
Stiffness in joints is an early sign of contractures and muscle atrophy
related to inactivity and immobility.
Don't know?
2 of 29
Term
A client with progressive hearing loss appears distressed when
the registered nurse (RN) asks open-ended questions about the
client's health history. Which forms of communication should the
RN use?Select all that apply
Face the client so the client can see the RN's mouth.
Increase one's speech volume when interacting with
the client. Repeat information to the client if
misunderstood.
Check if the client's hearing aides are working
properly. Reduce environmental noise surrounding
the client.
Give this one a try later!
Face the client so the client can see the RN's
mouth. Check if the client's hearing aides are
working properly. Reduce environmental noise
surrounding the client.
Closed angle glaucoma.
, Chronic hypertension.
Rationale
BSN 246 (WEEK 7: PRE-HESI PRACTICE
EXAM) SOLVED QUESTIONS AND
ANSWERS, ALREADY PASSED!!
1 of
29
Term
The registered nurse (RN) is caring for a client with acute
pancreatitis and assesses the admission laboratory results. What
laboratory value should the RN anticipate being elevated with this
diagnosis?
Triglyceride
s. Amylase.
Creatinine.
Uric acid.
,Give this one a try later!
Amylase - answer is more complex
Rationale
An elevated amylase level is associated with acute pancreatitis.
Step 1
1 of 2
Acute pancreatitis is an acute inflammation of the exocrine part
of the pancreas accompanied by severe pain in the upper
abdomen and an
elevated level of amylase and lipase in the serum. It is an
autodigestive disease in which pancreatic enzymes destroy its
tissue. It is characterized by severe pain that occurs in the
epigastrium and spreads to the back. The pain increases in the
lying position and is milder if the patient is sitting or
leaning forward. It most often occurs 6 to 10 hours after a heavy fatty
meal or heavy consumption of alcohol. It most often occurs in
chronic alcoholics and in people with cholelithiasis.
Result
2 of 2
Serum amylase and lipase
Attention to details.
Rationale
When conducting the MMSE and having the client count backwards by 7s; this
evaluates their ability to do simple calculations and is specific to the client's
attention to detail and staying focus and not getting distracted by external
stimuli.
Native language.
Education level.
Type of lifestyle.
Financial resources.
Rationale
To ensure compliance the client's native language, education level, lifestyle,
and financial resources should be considered when preparing the client's
discharge instructions about the continuation of treatment for TB.
, Stiffness in right ankle joint.
Rationale
Stiffness in joints is an early sign of contractures and muscle atrophy
related to inactivity and immobility.
Don't know?
2 of 29
Term
A client with progressive hearing loss appears distressed when
the registered nurse (RN) asks open-ended questions about the
client's health history. Which forms of communication should the
RN use?Select all that apply
Face the client so the client can see the RN's mouth.
Increase one's speech volume when interacting with
the client. Repeat information to the client if
misunderstood.
Check if the client's hearing aides are working
properly. Reduce environmental noise surrounding
the client.
Give this one a try later!
Face the client so the client can see the RN's
mouth. Check if the client's hearing aides are
working properly. Reduce environmental noise
surrounding the client.
Closed angle glaucoma.
, Chronic hypertension.
Rationale
