ANALYZED EXIT HESI 701 – 800 EXAM QUESTIONS AND ANSWERS

ANALYZED EXIT HESI 701 – 800 EXAM QUESTIONS AND ANSWERS 701. A client is admitted for cellulitis surrounding an insect bite on the lower, right arm and intravenous (IV) antibiotic therapy is prescribed. Which action should the nurse implement before performing venipuncture? - CORRECT ANSWER -Lower the left arm below the level of the heart. 702. Which assessment finding of a postmenopausal woman necessitates a referral by the nurse to the healthcare provider for evaluation of thyroid functioning? - CORRECT ANSWER -Cold sensitivity. 703. A client with hyperthyroidism is admitted to the postoperative after subtotal thyroidectomy. Which of the client's serum laboratory values requires intervention by the nurse? - CORRECT ANSWER -Total calcium 5.0 mg/dl. 704. A female client on the mental health unit frequently asks the nurse when she can be discharged. Then, becoming more anxious, she begins to pace the hallway. What intervention should the nurse implement first? - CORRECT ANSWER -Explore the client's reasons for wanting to be discharged. 705. The nurse is assessing a primigravida a 39-weeks gestation during a weekly prenatal visit. Which finding is most important for the nurse to report to the healthcare provider? - CORRECT ANSWER -Fetal heart rate of 200 beats/minute. 706. A female client receives a prescription for alendronate sodium (Fosamax) to treat her newly diagnose osteoporosis. What instruction should the nurse include in the client's teaching plan? - CORRECT ANSWER -Take on an empty stomach with a full glass of water. 707. The nurse is assessing a female client's blood pressure because she reported feeling dizzy. The blood pressure cuff is inflated to 140 mm hg and as soon as the cuff is deflated a korotkoff sound is heard. Which intervention should the nurse implement next? - CORRECT ANSWER -Wait 1 minute and palpate the systolic pressure before auscultating again. 708. After administering a proton pump inhibitor (PPI), which action should the nurse take to evaluate the effectiveness of the medication? - CORRECT ANSWER -Ask the client about gastrointestinal pain. 709. To reduce staff nurse role ambiguity, which strategy should the nurse-manager implement? - CORRECT ANSWER -Review the staff nurse job description to ensure that it is clear, accurate, and current. 710. A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49 mm/hg; HCO3 25 mEq/L; PaO2 95. What intervention should the nurse implement based on these results? - CORRECT ANSWER -Institute coughing and deep breathing protocols. 711. The healthcare provider explains through an interpreter the risks and benefits of a scheduled surgical procedure to a non-English speaking female client. The client gives verbal consent and the healthcare provider leaves, instructing the nurse to witness the signature on the consent form. The client and the interpreter then speak together in the foreign language for an additional 2 minutes until the interpreter concludes, "She says it is OK." What action should the nurse take next? - CORRECT ANSWER -Ask for a full explanation from the interpreter of the witnessed discussion. 712. While assisting a male client who has muscular dystrophy (MD) to the bathroom, the nurse observes that he is awkward and clumsy. When he expresses his frustration and complains of hip discomfort, which intervention should the nurse implement? - CORRECT ANSWER -Place a portable toilet next to the bed. 713. A client with hyperthyroidism who has not been responsive to medications is admitted for evaluation. What action should the nurse implement? (Click on each chart tab for additional information. Please scroll to the bottom right corner of each tab to view all information contained in the client's medical record.) - CORRECT ANSWER -Notify the healthcare provider.