Hesi V1 Quiz Questions with Complete Solutions

Hesi V1 Quiz Questions with Complete Solutions . RN needs to go 4 patients and which one needs to see first: A. The patient discharge yesterday and dehydrated B. The patient start a new medication and is incontinence C. The patient that doesn't want to take a shower - ANS: B. The patient start a new medication and is incontinence The nurse is reinforcing home care instructions with a client who is being discharged following transurethral resection of the prostate (TURP). Which intervention is most important for the nurse to include in the clients discharge instructions? A- Avoid strenuous activity for 6 weeks B- Report fresh blood in the urine C- Take acetaminophen for fever 101 D- Consume 6 to 8 glasses of water daily - ANS: B- Report fresh blood in the urine What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activity may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. administer eye ointment before applying eye drops - ANS: b. light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is SOB, febrile, and coughing green colored sputum. Which intervention should the nurse implement first? a. obtain a sputum sample for culture b. check his O2 saturation c. administer an oral antipyretic d. auscultate bilateral lung sounds - ANS: a. obtain a sputum sample for culture An elder male client tells the nurse that he is loosing sleep because he has to get up several times a night to go to the bathroom, that he has trouble starting his urinary stream and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement? a. collect a urine specimen for culture and sensitivity b. obtain a fingerstick blood glucose c. palpate the bladder above the symphysis pubis d. review the clients fluid intake - ANS: c. palpate the bladder above the symphysis pubis An adult client is admitted with diabetic ketoacidosis (DKA) and an UTI. Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum lab value warrants the most immediate intervention by the nurse? a. blood pH of 7.30 b. glucose of 350mg/dl c. WBC count of 15,000mm d. potassium of 2.5meq/l - ANS: d. potassium of 2.5meq/l A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed RBC. When notifying the HCP what information should the nurse provide first using the SBAR communication process? a. explain specific reason for urgent notification b. preface the report by stating the client's name and admitting diagnosis c. communicate the pre-transfusion temperatures d. obtain PRN prescription for acetaminophen for fever 101 F - ANS: a. explain specific reason for urgent notification An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what important aspect regarding his medication therapy should the nurse explain? a. AZT therapy must be stopped when IV erosol pentamine is being used b. IV pentamine will be given until oral pentamine can be tolerated c. it will be necessary to continue prophylactic doses of IV or aerosol pentamine every month. d. IV pentamine may offer protection to others aids related conditions such as kaposis sarcoma - ANS: c. it will be necessary to continue prophylactic doses of IV or aerosol pentamine every month. d. IV pentamine ma A clients subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse implement next? a. collect a clean catch specimen b. palpate the suprapubic region c. instruct to wipe from front to back d. inquire about recent sexual activity - ANS: a. collect a clean catch specimen A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated. How should the nurse respond? a. offer the client reassurance that this information indicates the the clients cancer cells are benign b. explain that these tissue cells often respond more effectively to radiation than to chemotherapy c. ask the client if the HCP has given her any information about the classification of her cancer d. help the client make plans to begin immediate treatment since her cancer is likely to spread quickly - ANS: c. ask the client if the HCP has given her any information about the classification of her cancer A client with CKD is treated on hemodialysis. During the first treatment the clients blood pressure drops from 150/90 to 80/30. Which action should the nurse take first? a. monitor bp q45 minutes b. lower head of the chair and elevate feet c. stop dialysis treatment