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HESI Exit Practice Exam 2 (Questions
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HESI Exit Practice Questions and Rationale (2)
3
A TJR is also known as a total joint arthroplasty (TJA). The client must inform other
caregivers of the presence of the metal implant because certain tests and
procedures will need to be avoided. After total knee replacement, the client
should report signs and symptoms of infection and any changes in the shape of
the knee. These could indicate developing complications. With a metal implant,
the client may be on anticoagulant therapy and should report adverse effects of
this therapy, including bleeding from a variety of sources, and the client will need
antibiotic prophylaxis for invasive procedures.
The nurse has completed giving discharge instructions to a client who has had a
total joint replacement (TJR) of the knee with a metal prosthetic system. The
nurse determines that the client understands the instructions if the client makes
which statement?
1."Changes in the shape of the knee are expected."
2."Fever, redness, and increased pain are expected."
3."All caregivers should be told about the metal implant."
4."Bleeding gums or black stools may occur, but this is normal."
3, 4, 5
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The pressure in compartment syndrome, if unrelieved, will cause permanent
damage to nerve and muscle tissue distal to the pressure. Circulatory damage
may result in necrosis. Nerve and muscle damage may result in permanent
contractures, deformity of the extremity, and functional impairment. Normal
capillary refill time is 3 seconds or less. Pink appearance and a pulse indicate
adequate blood flow; swelling is expected after a fracture. Client report of severe,
deep, unrelenting pain; client report of numbness and tingling sensation; and
client report of pain as the nurse assesses finger movement are indicative of
development of compartment syndrome.
The nurse is caring for a client after the application of a plaster cast for a
fractured left radius. The nurse should suspect impairment with the
neurovascular status of the client's casted extremity if which findings are noted?
Select all that apply.
1.Capillary refill is less than 3 seconds 2.Pulses present and with swollen, pink
fingers
3.Client report of severe, deep, unrelenting pain
4.Client report of pain as nurse assesses finger movement
5.Client report of numbness and tingling sensation in the fingers
2, 3, 4, 5
Heat, analgesics, muscle relaxers, and traction all may be used to relieve the pain
of muscle spasm in the client with a vertebral fracture. Ice is applied to a painful
site only for the first 48 to 72 hours (depending on the health care provider's
preference) after an injury. Application of ice to the spine of a client could be
uncomfortable and could result in feelings of being chilled.
A client with a 4-day-old lumbar vertebral fracture is experiencing muscle spasms.
Which are interventions to aid the client in relieving the spasm? Select all that
apply.
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1.Ice
2.Heat
3.Analgesics
4.Muscle relaxers
5.Intermittent traction
1
Following surgery to repair a fractured hip using a posterior approach, client
education should include the following: avoiding crossing the legs at the ankle or
the knee, using an elevated toilet seat, placing a pillow between the legs while
lying down for the first 6 weeks, keeping the legs abducted from the midline, and
keeping the hip in a neutral position at all times.
The nurse is caring for a client who had surgery to repair a fractured left-sided hip
using a posterior approach. In implementing hip precautions, which action should
the nurse teach the client to avoid?
1.Crossing legs at the ankle
2.Using an elevated toilet seat 3.Placing a pillow between the legs 4.Keeping the
legs abducted from the midline
2
The client is most at risk for fractures as a result of osteoporosis. Although other
complications can occur, fracture is the greatest concern. Anemia and infection
HESI Exit Practice Exam 2 (Questions and Answers
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can occur with bone marrow disorders, and muscle sprains are unrelated to
osteoporosis.
An older client is diagnosed with osteoporosis. The nurse teaches the client about
self-care measures, knowing that the client is most at risk for which problem as a
result of this disorder of the bones?
1.Anemia
2.Fractures
3.Infection
4.Muscle sprains
1
Allopurinol is classified as an antigout medication. It decreases uric acid
production by inhibiting the xanthine oxidase enzyme, and it reduces uric acid
concentrations in both serum and urine. The other options are incorrect.
A client with a new medication prescription for allopurinol asks the nurse, "I know
this is for gout, but how does it work?" The nurse plans to reply based on which
medication action?
1.Allopurinol decreases uric acid production.
2.Allopurinol reduces the production of fibrinogen.
3.Allopurinol decreases the risk of sulfa crystal formation in the urine.
4.Allopurinol prevents influx of calcium ions during cell depolarization.
2
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HESI Exit Practice Exam 2 (Questions
and Answers with Rationale)
HESI Exit Practice Questions and Rationale (2)
3
A TJR is also known as a total joint arthroplasty (TJA). The client must inform other
caregivers of the presence of the metal implant because certain tests and
procedures will need to be avoided. After total knee replacement, the client
should report signs and symptoms of infection and any changes in the shape of
the knee. These could indicate developing complications. With a metal implant,
the client may be on anticoagulant therapy and should report adverse effects of
this therapy, including bleeding from a variety of sources, and the client will need
antibiotic prophylaxis for invasive procedures.
The nurse has completed giving discharge instructions to a client who has had a
total joint replacement (TJR) of the knee with a metal prosthetic system. The
nurse determines that the client understands the instructions if the client makes
which statement?
1."Changes in the shape of the knee are expected."
2."Fever, redness, and increased pain are expected."
3."All caregivers should be told about the metal implant."
4."Bleeding gums or black stools may occur, but this is normal."
3, 4, 5
HESI Exit Practice Exam 2 (Questions and Answers
1 ofwith
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The pressure in compartment syndrome, if unrelieved, will cause permanent
damage to nerve and muscle tissue distal to the pressure. Circulatory damage
may result in necrosis. Nerve and muscle damage may result in permanent
contractures, deformity of the extremity, and functional impairment. Normal
capillary refill time is 3 seconds or less. Pink appearance and a pulse indicate
adequate blood flow; swelling is expected after a fracture. Client report of severe,
deep, unrelenting pain; client report of numbness and tingling sensation; and
client report of pain as the nurse assesses finger movement are indicative of
development of compartment syndrome.
The nurse is caring for a client after the application of a plaster cast for a
fractured left radius. The nurse should suspect impairment with the
neurovascular status of the client's casted extremity if which findings are noted?
Select all that apply.
1.Capillary refill is less than 3 seconds 2.Pulses present and with swollen, pink
fingers
3.Client report of severe, deep, unrelenting pain
4.Client report of pain as nurse assesses finger movement
5.Client report of numbness and tingling sensation in the fingers
2, 3, 4, 5
Heat, analgesics, muscle relaxers, and traction all may be used to relieve the pain
of muscle spasm in the client with a vertebral fracture. Ice is applied to a painful
site only for the first 48 to 72 hours (depending on the health care provider's
preference) after an injury. Application of ice to the spine of a client could be
uncomfortable and could result in feelings of being chilled.
A client with a 4-day-old lumbar vertebral fracture is experiencing muscle spasms.
Which are interventions to aid the client in relieving the spasm? Select all that
apply.
HESI Exit Practice Exam 2 (Questions and Answers
2 ofwith
98https://online2pdf.com/remove-pdf-header-footer2https://online2pdf.com/remove-pdf-header-footer
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,HESI Exit Practice Exam 2 (Questions
HESI
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Answers
Practice
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1.Ice
2.Heat
3.Analgesics
4.Muscle relaxers
5.Intermittent traction
1
Following surgery to repair a fractured hip using a posterior approach, client
education should include the following: avoiding crossing the legs at the ankle or
the knee, using an elevated toilet seat, placing a pillow between the legs while
lying down for the first 6 weeks, keeping the legs abducted from the midline, and
keeping the hip in a neutral position at all times.
The nurse is caring for a client who had surgery to repair a fractured left-sided hip
using a posterior approach. In implementing hip precautions, which action should
the nurse teach the client to avoid?
1.Crossing legs at the ankle
2.Using an elevated toilet seat 3.Placing a pillow between the legs 4.Keeping the
legs abducted from the midline
2
The client is most at risk for fractures as a result of osteoporosis. Although other
complications can occur, fracture is the greatest concern. Anemia and infection
HESI Exit Practice Exam 2 (Questions and Answers
3 ofwith
98https://online2pdf.com/remove-pdf-header-footer3https://online2pdf.com/remove-pdf-header-footer
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, HESI Exit Practice Exam 2 (Questions
HESI
and
Exit
Answers
Practice
Page with
4 Exam
of Rationale).(exthttps://online2pdf.com/remove-pdf-header-footer)
98https://online2pdf.com/remove-pdf-header-footer
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can occur with bone marrow disorders, and muscle sprains are unrelated to
osteoporosis.
An older client is diagnosed with osteoporosis. The nurse teaches the client about
self-care measures, knowing that the client is most at risk for which problem as a
result of this disorder of the bones?
1.Anemia
2.Fractures
3.Infection
4.Muscle sprains
1
Allopurinol is classified as an antigout medication. It decreases uric acid
production by inhibiting the xanthine oxidase enzyme, and it reduces uric acid
concentrations in both serum and urine. The other options are incorrect.
A client with a new medication prescription for allopurinol asks the nurse, "I know
this is for gout, but how does it work?" The nurse plans to reply based on which
medication action?
1.Allopurinol decreases uric acid production.
2.Allopurinol reduces the production of fibrinogen.
3.Allopurinol decreases the risk of sulfa crystal formation in the urine.
4.Allopurinol prevents influx of calcium ions during cell depolarization.
2
HESI Exit Practice Exam 2 (Questions and Answers
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