HESI - ELSEVIER ADAPTIVE QUIZZING #1 | LATEST 2026
| QUESTIONS AND 100% VERIFIED ANSWERS | GRADED
A+
Why is a multiple-gestation pregnancy considered a high risk?
Postpartum hemorrhage is an expected complication.
Perinatal mortality is two to three times more likely in multiple than in single births.
Optimal psychological adjustment after a multiple birth requires 6 months to 1 year.
Maternal mortality is higher during the prenatal period in the setting of multiple
gestation.
- ANSWER: Perinatal mortality is two to three times more likely in multiple than in
single births.
Perinatal morbidity and mortality rates are higher with multiple-gestation pregnancies,
because the greater metabolic demands and the possibility of malpositioning of one or
more fetuses increase the risk for complications. Although postpartum hemorrhage does
occur more frequently after multiple births, it is not an expected occurrence. Adjustment
to a multiple gestation and birth is individual; the time needed for adjustment does not
place the pregnancy at high risk. Maternal mortality during the prenatal period is not
increased in the presence of a multiple gestation.
Which area of the client's body would the nurse consider a high risk for developing a
pressure injury when caring for an older adult with Alzheimer type dementia who
consistently sleeps in a semi-Fowler position in bed?
Sacrum
Scapulae
Ischial spine
Greater trochanter
- ANSWER: Sacrum
The sacrum is the center of the greatest body mass; an elevated torso exerts pressure
toward this area. Although the scapulae are at risk, they do not bear the greatest body
weight as when the client is in the semi-Fowler position. The ischial spine bears the
,greatest pressure when the client is in an upright sitting position. Greater trochanter is at
risk when the client is in a side-lying position.
Which age-related effects on the immune system occur in the older client?
Increased autoantibodies
Increased expression of IL-2 receptors
Increased delayed hypersensitivity reaction
Increased primary and secondary antibody responses
- ANSWER: Increased autoantibodies
Rationale
The effects of aging on the immune system include increased autoantibodies. Expression
of IL-2 receptors, delayed hypersensitivity reaction, and primary and secondary antibody
responses decrease in older adults because of the effects of aging on the immune system.
Which property would the nurse understands that the medication is being used primarily
for when aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis?
Analgesic
Antipyretic
Anti-inflammatory
Antiplatelet
- ANSWER: Anti-inflammatory
The anti-inflammatory action of aspirin reduces joint inflammation. It can relieve pain
and prevent abnormal clotting; however, although these effects can be beneficial, these
are not the primary reasons that it is prescribed for rheumatoid arthritis. Aspirin reduces
fever, but this is not the rationale for prescribing it for clients with rheumatoid arthritis.
Planning to provide self-care health information for several clients, which client would
the nurse anticipate will be most motivated to learn?
A 55-year-old client who had a mastectomy and is very anxious about her body image
An 18-year-old client who smokes cigarettes and is in denial about the dangers of
smoking
, A 56-year-old client who had a heart attack last week and is requesting information about
exercise
A 47-year-old client who has a long-leg cast after sustaining a broken leg and is still
experiencing severe pain
- ANSWER: A 56-year-old client who had a heart attack last week and is requesting
information about exercise
A client who is requesting information is indicating a readiness to learn. When the nurse
is caring for a person who is coping with the diagnosis of cancer and a change in body
image, the nurse would encourage the expression of feelings, not engage in teaching.
People in denial are not ready to learn because they do not admit they have a problem. In
addition, many adolescents believe that they are invincible. A person who is in pain is
attempting to cope with a physiological need. This client is not a candidate for teaching
until the pain can be lessened; pain can preoccupy the client and prevent focusing on the
information being presented.
When evaluating fluid loss for a client with burns, which relationship between a client's
burned body surface area and fluid loss would the nurse consider ?
Equal
Unrelated
Inversely related
Directly proportional
- ANSWER: Directly proportional
There is greater extravasation of fluid into the tissues as the amount of tissue involved
increases. Thus the relationship of fluid loss to body surface area is directly proportional.
Formulas (e.g., Parkland [Baxter]) are used to estimate fluid loss based on percentage of
body surface area burned. Equal, unrelated, and inversely related options are incorrect;
the relationship is proportional.
Which guideline would the nurse consider when planning care for a hospitalized older
client with Alzheimer disease?
Physical contact will increase dependency needs.
Routines provide stability for clients with neurocognitive disorders.
Regressive behavior should be interrupted immediately.
| QUESTIONS AND 100% VERIFIED ANSWERS | GRADED
A+
Why is a multiple-gestation pregnancy considered a high risk?
Postpartum hemorrhage is an expected complication.
Perinatal mortality is two to three times more likely in multiple than in single births.
Optimal psychological adjustment after a multiple birth requires 6 months to 1 year.
Maternal mortality is higher during the prenatal period in the setting of multiple
gestation.
- ANSWER: Perinatal mortality is two to three times more likely in multiple than in
single births.
Perinatal morbidity and mortality rates are higher with multiple-gestation pregnancies,
because the greater metabolic demands and the possibility of malpositioning of one or
more fetuses increase the risk for complications. Although postpartum hemorrhage does
occur more frequently after multiple births, it is not an expected occurrence. Adjustment
to a multiple gestation and birth is individual; the time needed for adjustment does not
place the pregnancy at high risk. Maternal mortality during the prenatal period is not
increased in the presence of a multiple gestation.
Which area of the client's body would the nurse consider a high risk for developing a
pressure injury when caring for an older adult with Alzheimer type dementia who
consistently sleeps in a semi-Fowler position in bed?
Sacrum
Scapulae
Ischial spine
Greater trochanter
- ANSWER: Sacrum
The sacrum is the center of the greatest body mass; an elevated torso exerts pressure
toward this area. Although the scapulae are at risk, they do not bear the greatest body
weight as when the client is in the semi-Fowler position. The ischial spine bears the
,greatest pressure when the client is in an upright sitting position. Greater trochanter is at
risk when the client is in a side-lying position.
Which age-related effects on the immune system occur in the older client?
Increased autoantibodies
Increased expression of IL-2 receptors
Increased delayed hypersensitivity reaction
Increased primary and secondary antibody responses
- ANSWER: Increased autoantibodies
Rationale
The effects of aging on the immune system include increased autoantibodies. Expression
of IL-2 receptors, delayed hypersensitivity reaction, and primary and secondary antibody
responses decrease in older adults because of the effects of aging on the immune system.
Which property would the nurse understands that the medication is being used primarily
for when aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis?
Analgesic
Antipyretic
Anti-inflammatory
Antiplatelet
- ANSWER: Anti-inflammatory
The anti-inflammatory action of aspirin reduces joint inflammation. It can relieve pain
and prevent abnormal clotting; however, although these effects can be beneficial, these
are not the primary reasons that it is prescribed for rheumatoid arthritis. Aspirin reduces
fever, but this is not the rationale for prescribing it for clients with rheumatoid arthritis.
Planning to provide self-care health information for several clients, which client would
the nurse anticipate will be most motivated to learn?
A 55-year-old client who had a mastectomy and is very anxious about her body image
An 18-year-old client who smokes cigarettes and is in denial about the dangers of
smoking
, A 56-year-old client who had a heart attack last week and is requesting information about
exercise
A 47-year-old client who has a long-leg cast after sustaining a broken leg and is still
experiencing severe pain
- ANSWER: A 56-year-old client who had a heart attack last week and is requesting
information about exercise
A client who is requesting information is indicating a readiness to learn. When the nurse
is caring for a person who is coping with the diagnosis of cancer and a change in body
image, the nurse would encourage the expression of feelings, not engage in teaching.
People in denial are not ready to learn because they do not admit they have a problem. In
addition, many adolescents believe that they are invincible. A person who is in pain is
attempting to cope with a physiological need. This client is not a candidate for teaching
until the pain can be lessened; pain can preoccupy the client and prevent focusing on the
information being presented.
When evaluating fluid loss for a client with burns, which relationship between a client's
burned body surface area and fluid loss would the nurse consider ?
Equal
Unrelated
Inversely related
Directly proportional
- ANSWER: Directly proportional
There is greater extravasation of fluid into the tissues as the amount of tissue involved
increases. Thus the relationship of fluid loss to body surface area is directly proportional.
Formulas (e.g., Parkland [Baxter]) are used to estimate fluid loss based on percentage of
body surface area burned. Equal, unrelated, and inversely related options are incorrect;
the relationship is proportional.
Which guideline would the nurse consider when planning care for a hospitalized older
client with Alzheimer disease?
Physical contact will increase dependency needs.
Routines provide stability for clients with neurocognitive disorders.
Regressive behavior should be interrupted immediately.
