HEALTH
ASSESSMENT
HESIRN
Q&A
, ADANCED HEALTH ASSESSMENT HESI RN
QUESTIONS AND ANSWERS
1. AnHantacidH(Maalox)HisHprescribedHforHaHclientHwithHpepticHulcerHdisease.HTheHnurseHkno
wsHthatHtheHpurposeHofHthisHmedicationHisHto
A. DecreaseHproductionHofHgastricHsecretions.
B. ProduceHanHadherentHbarrierHoverHtheHulcer.
C. CorrectHMaintainHaHgastricHpHHofH3.5HorHabove.
D. DecreaseHgastricHmotorHactivity.
2. InHevaluatingHtheHeffectsHofHlactuloseH(Cephulac),HwhichHoutcomeHwouldHindicateHthatHth
eHdrugHisHperformingHasHintended?
A. AnHincreaseHinHurineHoutput.
B. Correct.HTwoHorHthreeHsoftHstoolsHperHday.
C. Watery,HdiarrheaHstools
D. IncreasedHserumHbilirubin.
3. TheHhealthcareHproviderHprescribesHdigitalisH(Digoxin)HforHaHclientHdiagnosedHwithHcongestiv
eHheartHfailure.HWhichHinterventionHshouldHtheHnurseHimplementHpriorHtoHadministeringHtheHd
igoxin?HTheHhealthcareHproviderHprescribesHdigitalisH(Digoxin)HforHaHclientHdiagnosedHwithHc
ongestiveHheartHfailure.HWhichHinterventionHshouldHtheHnurseHimplementHpriorHtoHadminister
ingHtheHdigoxin?
a. ObserveHrespiratoryHrateHandHdepth.
b. CorrectHAssessHtheHserumHpotassiumHlevel.
c. ObtainHtheHclient'sHbloodHpressure.
d. MonitorHtheHserumHglucoseHlevel.
4. FollowingHtheHadministrationHofHsublingualHnitroglycerinHtoHaHclientHexperiencingHanHacut
eHanginalHattack,HwhichHassessmentHfindingHindicatesHtoHtheHnurseHthatHtheHdesiredHeffectH
hasHbeenHachieved?
A. CorrectHClientHstatesHchestHpainHisHrelieved.
B. Client'sHpulseHdecreasesHfromH120HtoH90.
C. Client'sHsystolicHbloodHpressureHdecreasesHfromH180HtoH90.
D. Client'sHSaO2HlevelHincreasesHfromH92%HtoH96%.
5. AHclientHwithHcongestiveHheartHfailureH(CHF)HisHbeingHdischargedHwithHaHnewHprescriptionHf
orHtheHangiotensin-
convertingHenzymeH(ACE)HinhibitorHcaptoprilH(Capoten).HTheHnurse'sHdischargeHinstructionH
shouldHincludeHreportingHwhichHproblemHtoHtheHhealthcareHprovider?