HESI 366 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A client saturation level is 88% via a pulse oximeter probe
placed on the clients figure of the left hand. which factors can
cause the nurse to question the accuracy of this value? Select All
A. Polish on the fingernails
B. Weak, Thready radial pulse
C. Low grade fever
D. BP of 120/72
E. Bruising on the hand Correct Answers A,B,E
A client who experiences recurrent episodes of depression tells
the nurse of a desired to discontinue the pres antidepressant. The
client describes feeling less depressed after taking the
medication for the past couple of weeks and the client does not
like the side effects of the medication? Which response is the
best for the nurse to provide?
A. inform the client that gradual tapering must be used to
discontinue the medication
B. Tell the client to discuss the medication side effects with the
healthcare provider
C. Remind the client that feeling better is the therapeutic effect
of the medication
D. Tell the client that the medication side effects will most likely
disappear over time Correct Answers A. inform the client that
gradual tapering must be used to discontinue the medication
A client who receives moderate sedation during and endoscopic
procedure is unable to cooperate with the nurses instructions to
turn and deep breath. the client is drowsy, confuse, and reports
, nausea. VS are HR 110, RR 10, BP 90/70, and O2 90%. Which
intervention(s) should the nurse implement? Select all
A. Administer an IV reversal medication per protocol
B. Turn the client to the side
C. Give IV antiemetic per protocol
D. Infuse 200Ml of saline as fast drip
E. Initiate supplemental oxygen at 2L per nasal cannula Correct
Answers A,B,E
A client with DM2 is admitted with acute heart failure (HF) and
SOB. Which medication(s) could the nurse withhold? Select all
A. Metformin
B. Propranolol
C. Zoldeprim
D. Potassium Chloride
E. Spironolactone
F. Levothyroxine Correct Answers A, B, C,
A client with leukemia is hospitalized for weakness, fatigue, and
anemia. The client is restless and tachycardic. Which
intervention is the most important for the nurse to include in the
plan of care?
A. Encourage diet supplements with meals
B. Maintain protective isolation
C. Monitor for signs of shock
D.Protect from noise , light , and temperatures. Correct
Answers B. Maintain protective isolation
A client with leukemia undergoes a bone marrow biopsy. the
client's laboratory values indicate the client has
SOLUTIONS
A client saturation level is 88% via a pulse oximeter probe
placed on the clients figure of the left hand. which factors can
cause the nurse to question the accuracy of this value? Select All
A. Polish on the fingernails
B. Weak, Thready radial pulse
C. Low grade fever
D. BP of 120/72
E. Bruising on the hand Correct Answers A,B,E
A client who experiences recurrent episodes of depression tells
the nurse of a desired to discontinue the pres antidepressant. The
client describes feeling less depressed after taking the
medication for the past couple of weeks and the client does not
like the side effects of the medication? Which response is the
best for the nurse to provide?
A. inform the client that gradual tapering must be used to
discontinue the medication
B. Tell the client to discuss the medication side effects with the
healthcare provider
C. Remind the client that feeling better is the therapeutic effect
of the medication
D. Tell the client that the medication side effects will most likely
disappear over time Correct Answers A. inform the client that
gradual tapering must be used to discontinue the medication
A client who receives moderate sedation during and endoscopic
procedure is unable to cooperate with the nurses instructions to
turn and deep breath. the client is drowsy, confuse, and reports
, nausea. VS are HR 110, RR 10, BP 90/70, and O2 90%. Which
intervention(s) should the nurse implement? Select all
A. Administer an IV reversal medication per protocol
B. Turn the client to the side
C. Give IV antiemetic per protocol
D. Infuse 200Ml of saline as fast drip
E. Initiate supplemental oxygen at 2L per nasal cannula Correct
Answers A,B,E
A client with DM2 is admitted with acute heart failure (HF) and
SOB. Which medication(s) could the nurse withhold? Select all
A. Metformin
B. Propranolol
C. Zoldeprim
D. Potassium Chloride
E. Spironolactone
F. Levothyroxine Correct Answers A, B, C,
A client with leukemia is hospitalized for weakness, fatigue, and
anemia. The client is restless and tachycardic. Which
intervention is the most important for the nurse to include in the
plan of care?
A. Encourage diet supplements with meals
B. Maintain protective isolation
C. Monitor for signs of shock
D.Protect from noise , light , and temperatures. Correct
Answers B. Maintain protective isolation
A client with leukemia undergoes a bone marrow biopsy. the
client's laboratory values indicate the client has
