MS HESI 160 Questions with Correct Answers.

The nurse reviews the laboratory results of a client during an annual physical examination and identifies a positive guar test of stool. Which additional serum laboratory test result should the nurse review? A. Glucose B. Platelet count C. White blood cell count D. Amylase Correct Answer B A client who had a bliliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse? A. Strong would smelling flatus B. Gastrooccult positive emesis C. Complaint of poor night vision D. Loose bowel movements Correct Answer B Patient had atrial fibrillation and then AED was used. One minute later, patient sudden goes into ventricular tachycardia. What should the nurse do? Correct Answer Administer Adenosine over 1-2 seconds IV An older adult with heart failure is hospitalized during an acute exacerbation. To reduce cardiac workload, which intervention should the nurse include in the client's plan of care? A. Assist with ambulation in the hallway B. Encourage active range of motion exercises C. Provide a bedside commode for toileting D. Teach to sleep in side lying position Correct Answer C External fixation device-what should the nurse do first? Correct Answer Assess for peripheral pulse at the foot An older adult man recently diagnosed with chronic obstructive pulmonary disease (COPD) is admitted with shortness fo breath. The nurse observes the client sitting upright and leaning over the bedside table, using accessory muscles to assist in breathing. What action should the nurse take? A. Assist the client to a high Fowler's position in bed B. Observe the client for the presence of a barrel chest C. Prepare to transfer the client to a critical care unit D. Instruct the client in pursed cup breathing techniques Correct Answer D