HESI - Nsg123 FINAL EXAM |2024 /2025 |ACTUAL COMPLETE
REAL EXAM QUESTIONS AND VERIFIED ANSWERS(CORRECT
SOLUTIONS) | 100% CORRECT!! ALREADY GRADED A+
A client with urolithiasis is preparing for discharge after
lithotripsy. Which intervention should the nurse include in the
client's postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output - ANSWER -D.
Monitor urinary stream for decrease in output
A fair-skinned female client who is an avid runner is diagnosed
with malignant melanoma, which is located on the lateral surface
of the lower leg. After wide margin resection, the nurse provides
discharge teaching. I t is most important for the nurse to
emphasize the need to observe for changes in which
characteristic?
A. Elasticity of the skin
B. Appearance of any moles
,C. Muscle aches and pains
D. Pigmentation of the skin - ANSWER -B. Appearance of any
moles
A healthcare worker with no known exposure to tuberculosis
has received a Mantoux tuberculosis skin test. The nurse's
assessment of the test after 62 hours indicates 5 mm of
erythema without induration. What is the best initial nursing
action? - ANSWER -Document negative results in the client's
medical record
The clinic nurse is reviewing strategies for blood glucose
monitoring with a client who is newly diagnosed with diabetes
mellitus. When helping the client select a blood glucose meter,
which client assessments should the nurse complete?
A. Manual dexterity and visual acuity
B. Capillary refill time and radial pulse volume
C. Deep tendon reflexes and skin color
D. Skin elasticity and hand grip strength. - ANSWER -A. Manual
dexterity and visual acuity
A client who is receiving chemotherapy is vomiting. Which
nursing intervention should the nurse implement first?
,A. Teach the client about the importance of hydration
B. Report the volume of emesis t the healthcare provider
C. Administer ondansetron hydrochloride (Zofran)
D. Encourage the client to limit the amount of movement -
ANSWER -C.
Administer ondansetron hydrochloride (Zofran)
The nurse calculates the body mass index (BMI) for an obese
adult. Which additional assessment finding places the client at
high risk for cardiac disease?
A. Large waist circumference with central fat
B. High serum insulin level
C. Hyperpigmentation on neck skin folds
D. Poor muscle tone - ANSWER -A. Large waist circumference
with central fat
An adult male client is admitted for Pneumocystis carinal
pneumonia (PCP) secondary to AIDSs. While hospitalized, he
receives IV pentamidine isethionate therapy. In preparing this
client for discharge, what important aspect regarding his
medication therapy should the nurse explain?
, A. IV pentamidine may offer protection to other AIDS-related
conditions, such as
Kaposi's sarcoma
B. It will be necessary to continue prophylactic doses of IV or
aerosol pentamidine every month
C. IV pentamidine will be given until oral pentamidine can be
tolerated D. AZT (Azidothymidine) therapy must be stopped
when IV or aerosol pentamidine is being used. - ANSWER -B.
It will be necessary to continue prophylactic doses of IV or
aerosol pentamidine every month
A male client with bilateral carpal tunnel syndrome reports to the
nurse that the pain and tingling he is experiencing worsens at
night. What client teaching should the nurse provide?
A. Elevate the hands on two pillows at night
B. Notify the healthcare provider as soon as possible
C. Wear braces as both writs during the night
D. Apply cold compresses for 30 min before bedtime - ANSWER -
C. Wear braces as both writs during the night
An adult female client is diagnosed with restless leg syndrome
and is referred to the sleep clinic. The healthcare provider
prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which
laboratory values should the nurse monitor?
REAL EXAM QUESTIONS AND VERIFIED ANSWERS(CORRECT
SOLUTIONS) | 100% CORRECT!! ALREADY GRADED A+
A client with urolithiasis is preparing for discharge after
lithotripsy. Which intervention should the nurse include in the
client's postoperative discharge instructions?
A. Report when hematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output - ANSWER -D.
Monitor urinary stream for decrease in output
A fair-skinned female client who is an avid runner is diagnosed
with malignant melanoma, which is located on the lateral surface
of the lower leg. After wide margin resection, the nurse provides
discharge teaching. I t is most important for the nurse to
emphasize the need to observe for changes in which
characteristic?
A. Elasticity of the skin
B. Appearance of any moles
,C. Muscle aches and pains
D. Pigmentation of the skin - ANSWER -B. Appearance of any
moles
A healthcare worker with no known exposure to tuberculosis
has received a Mantoux tuberculosis skin test. The nurse's
assessment of the test after 62 hours indicates 5 mm of
erythema without induration. What is the best initial nursing
action? - ANSWER -Document negative results in the client's
medical record
The clinic nurse is reviewing strategies for blood glucose
monitoring with a client who is newly diagnosed with diabetes
mellitus. When helping the client select a blood glucose meter,
which client assessments should the nurse complete?
A. Manual dexterity and visual acuity
B. Capillary refill time and radial pulse volume
C. Deep tendon reflexes and skin color
D. Skin elasticity and hand grip strength. - ANSWER -A. Manual
dexterity and visual acuity
A client who is receiving chemotherapy is vomiting. Which
nursing intervention should the nurse implement first?
,A. Teach the client about the importance of hydration
B. Report the volume of emesis t the healthcare provider
C. Administer ondansetron hydrochloride (Zofran)
D. Encourage the client to limit the amount of movement -
ANSWER -C.
Administer ondansetron hydrochloride (Zofran)
The nurse calculates the body mass index (BMI) for an obese
adult. Which additional assessment finding places the client at
high risk for cardiac disease?
A. Large waist circumference with central fat
B. High serum insulin level
C. Hyperpigmentation on neck skin folds
D. Poor muscle tone - ANSWER -A. Large waist circumference
with central fat
An adult male client is admitted for Pneumocystis carinal
pneumonia (PCP) secondary to AIDSs. While hospitalized, he
receives IV pentamidine isethionate therapy. In preparing this
client for discharge, what important aspect regarding his
medication therapy should the nurse explain?
, A. IV pentamidine may offer protection to other AIDS-related
conditions, such as
Kaposi's sarcoma
B. It will be necessary to continue prophylactic doses of IV or
aerosol pentamidine every month
C. IV pentamidine will be given until oral pentamidine can be
tolerated D. AZT (Azidothymidine) therapy must be stopped
when IV or aerosol pentamidine is being used. - ANSWER -B.
It will be necessary to continue prophylactic doses of IV or
aerosol pentamidine every month
A male client with bilateral carpal tunnel syndrome reports to the
nurse that the pain and tingling he is experiencing worsens at
night. What client teaching should the nurse provide?
A. Elevate the hands on two pillows at night
B. Notify the healthcare provider as soon as possible
C. Wear braces as both writs during the night
D. Apply cold compresses for 30 min before bedtime - ANSWER -
C. Wear braces as both writs during the night
An adult female client is diagnosed with restless leg syndrome
and is referred to the sleep clinic. The healthcare provider
prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which
laboratory values should the nurse monitor?
