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HESI 700 Questions with Detailed Verified
Answers (100% Correct Answers) /Already
Graded A+
Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
Ans: Review with the client the need to avoid foods that are rich in milk and cream
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been taking the
prescribed medication because the drugs make him "feel bad". In explaining the
need for hypertension control, the nurse should stress that an elevated BP places
the client at risk for which pathophysiological condition?
Ans: Stroke secondary to hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement?
Ans: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up
Ans: Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan
,Page | 2
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Ans: Further evaluation involving surgery may be needed
A client who recently underwent a tracheostomy is being prepared for discharge
to home. Which instructions is most important for the nurse to include in the
discharge plan?
Ans: Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
client's respiratory rate is 14 breaths / minute. What action should the nurse
implement
Ans: Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's
respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
Ans: Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
Ans: Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take
first?
Ans: Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action should
the nurse take first
Ans: Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be referred to
by the employee health nurse for health insurance needs?
,Page | 3
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Ans: Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the
tetracycline?
Ans: Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
Ans: "I have a headache that gets worse when I sit up"
An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement
Ans: Obtain a clean catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
Ans: Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
preparation for this client. Which response should the circulating nurse provide?
Ans: Direct the nurse to continue the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
Ans: Bagel with jelly and skim milk
The charge nurse of a critical care unit is informed at the beginning of the shift
that less than the optimal number of registered nurses will be working that shift.
In planning assignments, which client should receive the most care hours by a
registered nurse (RN)
Ans: An 82-year-old client with Alzheimer's disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied
, Page | 4
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A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
Ans: Cleanse the foot with soap and water and apply an antibiotic ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been
no improvement." What instruction should the nurse provide?
Ans: Stop using the ointment and encourage complete drying of the feet and wearing clean
socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
Ans: Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea,
vomiting, yellow vision and palpitations. Which finding is most important for the
nurse to assess to the client?
Ans: Obtain a list of medications taken for cardiac history
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion
pump to deliver how many ml/hour? (Enter numeric value only.)
Ans: 75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000 mcg x
250 ml = 3/1 x 25 = 75 ml/hour
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply)
Ans: -Fluid shifts from intravascular to interstitial area due to decreased serum protein
-Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
-Increased circulating aldosterone levels that increase sodium and water retention
Click here for more: Preppass - Stuvia
HESI 700 Questions with Detailed Verified
Answers (100% Correct Answers) /Already
Graded A+
Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
Ans: Review with the client the need to avoid foods that are rich in milk and cream
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been taking the
prescribed medication because the drugs make him "feel bad". In explaining the
need for hypertension control, the nurse should stress that an elevated BP places
the client at risk for which pathophysiological condition?
Ans: Stroke secondary to hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement?
Ans: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up
Ans: Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan
,Page | 2
Click here for more: Preppass - Stuvia
Ans: Further evaluation involving surgery may be needed
A client who recently underwent a tracheostomy is being prepared for discharge
to home. Which instructions is most important for the nurse to include in the
discharge plan?
Ans: Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
client's respiratory rate is 14 breaths / minute. What action should the nurse
implement
Ans: Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's
respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
Ans: Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
Ans: Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take
first?
Ans: Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action should
the nurse take first
Ans: Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be referred to
by the employee health nurse for health insurance needs?
,Page | 3
Click here for more: Preppass - Stuvia
Ans: Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the
tetracycline?
Ans: Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
Ans: "I have a headache that gets worse when I sit up"
An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement
Ans: Obtain a clean catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
Ans: Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
preparation for this client. Which response should the circulating nurse provide?
Ans: Direct the nurse to continue the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
Ans: Bagel with jelly and skim milk
The charge nurse of a critical care unit is informed at the beginning of the shift
that less than the optimal number of registered nurses will be working that shift.
In planning assignments, which client should receive the most care hours by a
registered nurse (RN)
Ans: An 82-year-old client with Alzheimer's disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied
, Page | 4
Click here for more: Preppass - Stuvia
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
Ans: Cleanse the foot with soap and water and apply an antibiotic ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been
no improvement." What instruction should the nurse provide?
Ans: Stop using the ointment and encourage complete drying of the feet and wearing clean
socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
Ans: Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea,
vomiting, yellow vision and palpitations. Which finding is most important for the
nurse to assess to the client?
Ans: Obtain a list of medications taken for cardiac history
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion
pump to deliver how many ml/hour? (Enter numeric value only.)
Ans: 75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000 mcg x
250 ml = 3/1 x 25 = 75 ml/hour
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply)
Ans: -Fluid shifts from intravascular to interstitial area due to decreased serum protein
-Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
-Increased circulating aldosterone levels that increase sodium and water retention
