LATEST HESI LIVE REVIEW (200 Questions with Verified Answers-Grade A+) 2022

LATEST HESI LIVE REVIEW (200 Questions with Verified Answers-Grade A+) 2022 Question:-A client reports to the nurse he has not had a BM in 2 days. Which intervention should the nurse implement first? A. instruct caregiver to offer a glass of prune juice B. notify HCP and request script for stool softener C. Assess clients med rec and see normal BM pattern D. Instruct caregiver to increase clients fluids to five 8 ounce glasses per day. {{{Answer}}} (C!! Always assess first. You dont know enough to ask for stool softener) Question:-A client who has COPD is resting in semi fowlers w/ O2 BNC 2L. The client develops dyspnea. What action does the nurse take first? A. Call HCP B. Obtain bedside pulse ox C. Raise HOB D. Assess clients vital signs {{{Answer}}} (C!! B and D are the same-- that is a flag) Question:-A client who has hyperparathyroidism is scheduled to receive a prescribed dose of oral phosphate. The RN notes that the clients serum calcium level is 12.5mg/dL. What action should to nurse take? A. hold the phosphate and notify the HCP B. review clients serum PTH C. Give PRN IV Ca D. Admin oral dose of PO4 {{{Answer}}} (D! Ca and PO4 have an inverse relationship) Question:-In completing a clients pre-op routine, the RN finds that the consent has not been signed. The clients begins to ask more questions about the surgical procedure. What action should the nurse take next? A. Witness the client's signature on the consent B. Answer the clients questions about the surgery C. Inform the HCP that the client has questions about the surgery. D. Reassure client that the surgeon will answer questions before anesthetic is administered. {{{Answer}}} (C! The nurses role with surgical consent is to witness-- the HCP needs to answer questions.) Question:-What foods do you avoid within 1 hour of taking iron? {{{Answer}}} (dairy and caffeine) Question:-Do you give injections to pt with edema? {{{Answer}}} (NO) Question:-living will {{{Answer}}} (a client documents his or her wishes regarding future care in the event of terminal illness.) Question:-durable power of attorney {{{Answer}}} (a client appoints a representative (healthcare proxy) to make healthcare decisions.) Question:-An awake and alert client with impending pulmonary edema is brought to the emergency department. The client provides the nurse with a copy of a living will that states that no invasive medical procedures should be used to keep her alive. the healthcare team is questioning whether the client should be intubated. What information should guide the teams decision? A. the living will removes the obligation to involve the client in any medical decision making. B. The client is awake and alert, which makes the living will irrelevant and nonbinding. C. Lifesaving measures do not need to be explained to the client because of the signed will. D. The family should be contacted to determine who has durable POA for healthcare for a client. {{{Answer}}} (B!! since the client is awake and alert, the living will is not indicated at the time.) Question:-A family member of a client who is in a posey vest restraint asks why the restraint was applied. How should the nurse respond? A. The restraint was prescribed. B. There are not enough staff to keep client safe at all times. C. The other clients are upset when the client wanders at night. D. The client's actions place her at high risk for harming herself. {{{Answer}}} (D!!) Question:-What nursing action has the highest priority when admitting a client to a psychiatric unit on an involuntary basis? A. Reassure the client that the admission is only for a limited time. B. Offer the client and family the opportunity to share their feelings about the admission. C. Determine the behaviors that resulted in the need for admission. D. Advise the client about the legal rights of all hospitalized clients. {{{Answer}}} (C!! SAFETY FIRST!! You need to know why they are there. What if they are there due to suicidal idealizations? you do not want to miss that.) Question:-The nurse enters the room of a preoperative client to obtain the client's signature on the surgical consent form. Which question is most important for the nurse to ask the client? A. "When did the surgeon explain the procedure to you?" B. "Is any member of your family going ot be here during surgery?" C. "Have you been instructed in postoperative activities and restrictions?" D. "Have you received any preoperative pain medications?" {{{Answer}}} (D!! It is MOST IMPORTANT because the client cannot sign if they have had pain meds and she is there to obtain a signature.) Question:-The charge nurse confronts a staff nurse whose behavior has been resentful and negative behavior has been resentful and negative since a change in unit policy was announced. The staff nurse states, "Dont blame me; nobody likes this idea." What is the charge nurse's priority action? A. Confront the other staff members involved in the chane of unit policy B. Call a unit meting to review the reasons the change was made C. Develop a written unit policy for the expression of complaints D. Encourage the nurse to be accountable for he own behavior {{{Answer}}} (D!! the democratic process of implementing a new policy has already taken place and now it is time to address the nurses actions, not policy.) Question:-Which situation warrants an incident report by the nurse? A. A client refuses to take prescribed medication B. A client's status improves before completion of the course of medication C. A client has an allergic reaction to a prescribed medication. D. A client received medication prescribed for another client. {{{Answer}}} (D!! this could cause harm to the client and it was by nurse error.) Question:-A charge nurse is making assignments for 5 clients. The nursing team has an RN, a PN, and two UAPs. Which client would be assigned to the RN? A. A client from the previous shift with unstable angina. B. A client with a stage 3 pressure ulcer who needs a bed bath. C. A client with an enteral feeding absorbing at 30mL/hr. D. A cardiotomy client who is day 2 postop and who has chest tubes. E. A client with quadriplegia for whom urinary catheterization has been prescribed. {{{Answer}}} (A & D!!) Question:-72 yr old client returned from surgery 6 hours ago. Client received hydromorphone 2mg IV 30mins ago for a pain rating of 8/10. The family member requests the nurse check on the client immediately. On arrival, the nurse finds that the client is difficult to arouse, which a respiratory rate of 6. What is the priority nursing action? A. Elevate HOB B. Admin naloxone 0.4mg IV C. Assess breath sounds D. Check vital signs and pulse oximetry. {{{Answer}}} (B!! the nurse has already done assessments and narcan is indicated.) Question:-The changes in ____________causes fluid shifts. {{{Answer}}} (osmolarity) Question:-The ECF osmolarity is almost entirely due to {{{Answer}}} (sodium) Question:-The ICF osmolarity is related to many particles, but the main one is {{{Answer}}} (potassium) Question:-The client who is HIV positive, asks why it is necessary to have viral load study performed every 3 to 4 months. What would be the nurses best response? A. To determine the progression of the disease B. To evaluate the enzyme-liked immunobsorbent assay ELISA C. To monitor the effectiveness of the treatment D. To track the effectiveness of the vaccine {{Answer}}} (C!! this is asking about VIRAL LOAD, which you check with HAART every 3 to 4 months.) Question:-alkaline phosphatase blood levels will be elevated with {{{Answer}}} (liver disease or metastsis to the bone or liver) Question:-calcitonin may be elevated when {{{Answer}}} (cancer of thyroid, breast cancer, and oat cell cancer of the lung) Question:-The charge nurse is assigning rooms for four new clients. Only one private room available on the oncology unit. Which client should be placed in the private room. A. the client with ovarian cancer who is receiving chemotherapy B. The client with breast cancer who is receiving external beam radiation C. The client with prostate cancer who has just had a TURP D. The client with cervical cancer who is receiving intra-cavitary radiation. {{{Answer}}} (D!! someone with this is always exposing radiation to the external environment) Question:-The CBC results for a client receiving chemo are hgb 5 and hematocrit 32%; WBC count, 6.5X 109. which meal choice is best for this client? A. Grilled chicken, rice, fresh fruit, milk B. Broiled steak, whole wheat rolls, spinach salad, coffee C. Smoked ham, mashed potatoes, applesauce, iced tea D. Tuna noodle cassarole, garden salad, lemonade {{{Answer}}} (B!! they are anemic. This option gives iron in the meat and with the spinach to help bind.) .....