HESI 101

Hesi 101 latest exam 2024 actual exam

The nurse is planning care for a client who has a right hemispheric stroke. Which nursing diagnosis should the nurse include in the plan of care? A Impaired physical mobility related to right-sided hemiplegia. B Risk for injury related to denial of deficits and impulsiveness. C Impaired verbal communication related to speech-language deficits. D Ineffective coping related to depression and distress about disability. B) Risk for injury related to denial of deficits and impulsiveness. With...

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops Light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He i...

A 67-year-old woman who lives alone tripped on a rug in her home and fractured her hip. Which predisposing factor probably led to the fracture in the proximal end of her femur? 1. Failing eyesight resulting in an unsafe environment. 2. Renal osteodystrophy resulting from chronic renal failure. 3. Osteoporosis resulting from hormonal changes. 4 Cardiovascular changes resulting in small strokes which impair mental acuity. 3. Osteoporosis resulting from hormonal changes. Rationale: The mo...

Which statement made by a client with chronic pancreatitis indicates that further education is needed? I will cut back on smoking cigarettes daily. Correct I will avoid drinking caffeinated beverages. I will rest frequently and avoid vigorous exercise. Incorrect I will eat a bland, low-fat, high-protein diet. To prevent exacerbations of chronic pancreatitis, clients should be instructed to avoid nicotine entirely. Additional teaching includes avoiding caffeinated beverages, resting frequent...

A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? A) Check it again in one month, and if it is still there schedule an appointment. B) Most lumps are benign, but it is always best to come in for an examination. C) Try not to worry too much about it, because usually, most lumps are benign. D) If you are in your menstrual period it is not a good time to check for lumps. B) Most lumps are benign, but it is...

A nurse teaches a client with chronic renal failure that salt substitutes cannot be used in the diet. What is the rationale for the nurse's instruction? Salt substitutes usually contain potassium, which can lead to hyperkalemia; dysrhythmias are associated with hyperkalemia. A registered nurse writes a care plan for a client undergoing a renal scan. Which of the following interventions should the nurse include? A renal scan is performed to examine the structure, function, and perfusion of ...

A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? A) Check it again in one month, and if it is still there schedule an appointment. B) Most lumps are benign, but it is always best to come in for an examination. C) Try not to worry too much about it, because usually, most lumps are benign. D) If you are in your menstrual period it is not a good time to check for lumps. B) Most lumps are benign, but it is...

The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the client may have developed septic emboli? A. Cyanosis of the fingertips. B. Bradycardia and bradypnea. C. Presence of S3 and S4 heart sounds. D. 3+ pitting edema of the lower extremities. A. Cyanosis of the fingertips. Septic emboli secondary to meningitis commonly lodge in the small arterioles of the extremities, causing a decrease in circulation to the hands which may lead to gangrene. A 7...

Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? A: Respiratory effort. B: Unsteady gait. C: Intensity of pain. D: Ability to eat. A: Respiratory Effort (Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses upwards. As the condition progresses, the nurse must ensure that the client is able to breathe effectively.) A male client comes into t...