HESI LOTS OF EXAM 266 QUESTIONS AND
ANSWERS WITH 100% CORRECT ANSWERS
GRADED A+
QUESTIONS AND ANSWERS
QUESTIONS ANSWERS
- D Enjoys fat-free yogurt as an occasional Question 1 of 55
snack food. The nurse is evaluating a client's
understanding about the DASH (Dietary
Approaches to Stop Hypertension) eating
plan. Which behavior indicates that the
client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit
and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional
snack food.
- A Further decline in level of Question 2 of 55
consciousness. A client who has a history of
hypothyroidism was initially admitted with
lethargy and confusion. Which additional
finding warrants the most immediate
action by the nurse? [Hematocrit
(Reference Range: Male: 42% to 52% (0.42
to 0.52 volume fraction)]
- A Further decline in level of
consciousness.
- B Hematocrit of 30% (0.30 volume
fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
- B Full thickness. Question 3 of 55
The nurse is caring for a client with a burn
that is severely edematous with a wound
, bed that is brown and yellow in
appearance. The client expresses feeling no
pain. Which classification of burn depth
should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output. Question 4 of 55
- B Oxygen saturation.
- D Lung sounds.
Orthopneic position, sometimes called
tripod position, is a sitting position where
an individual leans slightly forward with
their arms propped up on an overbed table
or their knees.
Orthopnea is the sensation of
breathlessness in the recumbent (lying
down) position, relieved by sitting or
standing.
An older client who is agitated, dyspneic, - A Urinary output.
orthopneic, and using accessory muscles to
breathe is admitted for further treatment.
Initial assessment includes a heart rate 128
beats/minute and irregular, respirations 38
breaths/minute, blood pressure 168/100
mm Hg, wheezes and crackles in all lung
fields. An hour after the administration of
furosemide 60 mg intravenous (IV), which
assessment(s) should the nurse obtain to
determine the client's response to
treatment? (Select all that apply.)
- B Oxygen saturation. - C Pain scale.
- D Lung sounds. - E Skin elasticity.
- B Crohn's disease with colectomy. Question 5 of 55
A client is diagnosed with chronic kidney
Question # 5 disease and needs to begin dialysis. Which
Rationale - B Crohn's disease with condition entered on the client's medical
colectomy. record should the nurse recognize as a
The nurse should recognize that clients contraindication for peritoneal dialysis?
with extensive intra-abdominal surgical
history are not candidates for peritoneal - A Nephrotic syndrome history.
,dialysis, as these clients may have - B Crohn's disease with colectomy.
decreased peritoneal membrane surface - C Type 2 diabetes mellitus.
areas and scar tissue formation, which - D Latent hepatitis C.
would make it insufficient for adequate
dialysis exchange.
- D Hypoalbuminemia that results in a Question 6 of 55
decreased colloidal oncotic pressure. The nurse assesses a client with cirrhosis
and finds 4+ pitting edema of the feet and
The three main things that the liver legs, and massive ascites. Which
produces are albumin, bile (digestive mechanism contributes to edema and
enzymes), and prothrombin (clotting ascites in clients with cirrhosis?
factors). - A Decreased portacaval pressure with
Albumin plays many important roles greater collateral circulation.
including maintenance of appropriate - B Hyperaldosteronism causing an
osmotic pressure, binding and transport of increased sodium reabsorption in renal
various substances like hormones, drugs tubules.
etc. in blood, and neutralisation of free - C Decreased renin-angiotensin response
radicals. It prevents fluid from leaking out related to an increase in renal blood flow.
of blood vessels into your tissues. Albumin - D Hypoalbuminemia that results in a
is also responsible for transporting decreased colloidal oncotic pressure.
vitamins, enzymes and hormones
throughout your body. Albumin makes up
50% of the proteins found in your plasma.
- B Discuss approaches to chronic pain Question 7 of 55
control with the client. While assessing a client with degenerative
joint disease, the nurse observes
Heberden's nodes, large prominences on
the client's fingers that are reddened. The
client reports that the nodes are painful.
Which action should the nurse take?
- A Review the client's dietary intake of
high-protein foods.
- B Discuss approaches to chronic pain
control with the client.
- C Notify the healthcare provider of the
finding immediately.
- D Assess the client's radial pulses and
capillary refill time.
- B Minimize symptoms by wearing loose, Question 8 of 55
comfortable clothing. Which information should the nurse
include in the teaching plan of a client
diagnosed with gastroesophageal reflux
disease (GERD)?
- A Adjust food intake to three full meals
, per day and no snacks.
- B Minimize symptoms by wearing loose,
comfortable clothing.
- C Avoid participation in any aerobic
exercise programs.
- D Sleep without pillows at night to
maintain neck alignment.
- D Platelet count. Question 9 of 55
The nurse assesses a client with petechiae
and ecchymosis scattered across the arms
and legs. Which laboratory result should
the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
- A Family members can help with regular Question 10 of 55
foot exams. The nurse is providing teaching to a client
with Type 2 diabetes mellitus and
peripheral neuropathy. Which information
should the nurse provide?
- A Family members can help with regular
foot exams.
- B Heating pads are useful if on the lowest
setting.
- C Shoes should be worn outside the
house, but it is fine to be barefoot inside.
- D Aching feet may be soaked in
lukewarm water for one hour or more.
- A: Inspect ankles daily for areas of Question 11 of 55
darkening skin.
Regular inspection can help detect any
changes or worsening of the condition
early.
- C: Keep legs elevated when sitting or
lying down.
Elevation can help reduce swelling and
improve blood circulation.
- E: Eat a diet that is high in protein and
vitamins A and C.
A nutritious diet can support wound
healing and overall health.
ANSWERS WITH 100% CORRECT ANSWERS
GRADED A+
QUESTIONS AND ANSWERS
QUESTIONS ANSWERS
- D Enjoys fat-free yogurt as an occasional Question 1 of 55
snack food. The nurse is evaluating a client's
understanding about the DASH (Dietary
Approaches to Stop Hypertension) eating
plan. Which behavior indicates that the
client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit
and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional
snack food.
- A Further decline in level of Question 2 of 55
consciousness. A client who has a history of
hypothyroidism was initially admitted with
lethargy and confusion. Which additional
finding warrants the most immediate
action by the nurse? [Hematocrit
(Reference Range: Male: 42% to 52% (0.42
to 0.52 volume fraction)]
- A Further decline in level of
consciousness.
- B Hematocrit of 30% (0.30 volume
fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
- B Full thickness. Question 3 of 55
The nurse is caring for a client with a burn
that is severely edematous with a wound
, bed that is brown and yellow in
appearance. The client expresses feeling no
pain. Which classification of burn depth
should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
- A Urinary output. Question 4 of 55
- B Oxygen saturation.
- D Lung sounds.
Orthopneic position, sometimes called
tripod position, is a sitting position where
an individual leans slightly forward with
their arms propped up on an overbed table
or their knees.
Orthopnea is the sensation of
breathlessness in the recumbent (lying
down) position, relieved by sitting or
standing.
An older client who is agitated, dyspneic, - A Urinary output.
orthopneic, and using accessory muscles to
breathe is admitted for further treatment.
Initial assessment includes a heart rate 128
beats/minute and irregular, respirations 38
breaths/minute, blood pressure 168/100
mm Hg, wheezes and crackles in all lung
fields. An hour after the administration of
furosemide 60 mg intravenous (IV), which
assessment(s) should the nurse obtain to
determine the client's response to
treatment? (Select all that apply.)
- B Oxygen saturation. - C Pain scale.
- D Lung sounds. - E Skin elasticity.
- B Crohn's disease with colectomy. Question 5 of 55
A client is diagnosed with chronic kidney
Question # 5 disease and needs to begin dialysis. Which
Rationale - B Crohn's disease with condition entered on the client's medical
colectomy. record should the nurse recognize as a
The nurse should recognize that clients contraindication for peritoneal dialysis?
with extensive intra-abdominal surgical
history are not candidates for peritoneal - A Nephrotic syndrome history.
,dialysis, as these clients may have - B Crohn's disease with colectomy.
decreased peritoneal membrane surface - C Type 2 diabetes mellitus.
areas and scar tissue formation, which - D Latent hepatitis C.
would make it insufficient for adequate
dialysis exchange.
- D Hypoalbuminemia that results in a Question 6 of 55
decreased colloidal oncotic pressure. The nurse assesses a client with cirrhosis
and finds 4+ pitting edema of the feet and
The three main things that the liver legs, and massive ascites. Which
produces are albumin, bile (digestive mechanism contributes to edema and
enzymes), and prothrombin (clotting ascites in clients with cirrhosis?
factors). - A Decreased portacaval pressure with
Albumin plays many important roles greater collateral circulation.
including maintenance of appropriate - B Hyperaldosteronism causing an
osmotic pressure, binding and transport of increased sodium reabsorption in renal
various substances like hormones, drugs tubules.
etc. in blood, and neutralisation of free - C Decreased renin-angiotensin response
radicals. It prevents fluid from leaking out related to an increase in renal blood flow.
of blood vessels into your tissues. Albumin - D Hypoalbuminemia that results in a
is also responsible for transporting decreased colloidal oncotic pressure.
vitamins, enzymes and hormones
throughout your body. Albumin makes up
50% of the proteins found in your plasma.
- B Discuss approaches to chronic pain Question 7 of 55
control with the client. While assessing a client with degenerative
joint disease, the nurse observes
Heberden's nodes, large prominences on
the client's fingers that are reddened. The
client reports that the nodes are painful.
Which action should the nurse take?
- A Review the client's dietary intake of
high-protein foods.
- B Discuss approaches to chronic pain
control with the client.
- C Notify the healthcare provider of the
finding immediately.
- D Assess the client's radial pulses and
capillary refill time.
- B Minimize symptoms by wearing loose, Question 8 of 55
comfortable clothing. Which information should the nurse
include in the teaching plan of a client
diagnosed with gastroesophageal reflux
disease (GERD)?
- A Adjust food intake to three full meals
, per day and no snacks.
- B Minimize symptoms by wearing loose,
comfortable clothing.
- C Avoid participation in any aerobic
exercise programs.
- D Sleep without pillows at night to
maintain neck alignment.
- D Platelet count. Question 9 of 55
The nurse assesses a client with petechiae
and ecchymosis scattered across the arms
and legs. Which laboratory result should
the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
- A Family members can help with regular Question 10 of 55
foot exams. The nurse is providing teaching to a client
with Type 2 diabetes mellitus and
peripheral neuropathy. Which information
should the nurse provide?
- A Family members can help with regular
foot exams.
- B Heating pads are useful if on the lowest
setting.
- C Shoes should be worn outside the
house, but it is fine to be barefoot inside.
- D Aching feet may be soaked in
lukewarm water for one hour or more.
- A: Inspect ankles daily for areas of Question 11 of 55
darkening skin.
Regular inspection can help detect any
changes or worsening of the condition
early.
- C: Keep legs elevated when sitting or
lying down.
Elevation can help reduce swelling and
improve blood circulation.
- E: Eat a diet that is high in protein and
vitamins A and C.
A nutritious diet can support wound
healing and overall health.
