HESI MANAGEMENT NEWEST EXAM 2025
WITH MULTIPLE CHOICE OF QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
AND 100% GUARANTEE PASS (JUST
RELEASED!!!!!!)
Which client is at greatest risk for respiratory depression while
receiving opioids for analgesia? - CORRECT ANSWER-Child with an
arm fracture and cystic fibrosis
At greatest risk are elderly clients, opiate-naive clients, and
those with underlying pulmonary disease. The child has two of
the three risk factors.
A client is crying and grimacing but denies pain and refuses
pain medication, because "my sibling is a drug addict and has
ruined our lives." What is the priority intervention for this
client? - CORRECT ANSWER-Encourage expression of fears and past
experiences.
This client has strong beliefs and emotions related to the issue
of the sibling's addiction. First, encourage expression. This
indicates to the client that the feelings are real and valid. It is
also an opportunity to assess beliefs and fears. Giving facts and
information is appropriate at the right time. Family
involvement is important, but it should be kept in mind that
their beliefs about drug addiction may be similar to those of the
client.
,The physician has ordered a placebo for a client with chronic
pain. You are a newly hired nurse and you feel very
uncomfortable administering the medication. What is the first
action that you should take? - CORRECT ANSWER-Contact the charge
nurse for advice.
Administering placebos is generally considered unethical.
Consult the charge nurse as a resource person who can help you
clarify the situation and locate and review the hospital policy. If
the physician is insistent, suggest that he or she could give the
placebo. (Note: Use "could," not "should" when talking to the
physician. This provides a small opportunity to rethink the
decision. "Should" is more commanding and elicits a more
defensive response.) While following your own ethical code is
correct, you must ensure that the client is not abandoned and
that care continues.
For a cognitively impaired client who cannot accurately report
pain, what is the first action that you should take? - CORRECT
ANSWER-Obtain baseline behavioral indicators from family
members.
Complete information should be obtained from the family
during the initial comprehensive history taking and assessment.
If this information is not obtained, the nursing staff will have to
rely on observation of nonverbal behavior and careful
documentation to determine pain and relief patterns.
Which patient is at greatest risk for pancreatic cancer? - CORRECT
ANSWER-An elderly African-American man who smokes
,Pancreatic cancer is more common in African-Americans,
males, and smokers. Other associated factors include alcohol
use, diabetes, obesity, history of pancreatitis, exposure to
organic chemicals, consumption of a high-fat diet, and previous
abdominal irradiation.
Patients receiving chemotherapy are at risk for
thrombocytopenia related to chemotherapy or disease
processes. Which actions are needed for patients who must be
placed on bleeding precautions? (Select all that apply.) - CORRECT
ANSWER-Mouthwash should not include alcohol, because it has a
drying action that leaves mucous membranes more vulnerable.
Insertion of suppositories, probes, or tampons into the rectal or
vaginal cavity is not recommended. All other options are
appropriate.
For care of a patient who has oral cancer, which task would be
appropriate to delegate to an LPN/LVN? - CORRECT ANSWER-Giving
antacids and sucralfate suspension as ordered
Giving medications is within the scope of practice of the
LPN/LVN. Assisting the patient in brushing and flossing should
be delegated to the UAP. Explaining contraindications is the
responsibility of the RN. Recommendations for saliva
substitutes should come from the physician or pharmacist.
When staff assignments are made for the care of patients who
are receiving chemotherapy, what is the major consideration
regarding chemotherapeutic drugs? - CORRECT ANSWER-During
preparation, drugs may be absorbed through the skin or
inhaled.
, Chemotherapy drugs should be given by nurses who have
received additional training in how to safely prepare and deliver
the drugs and protect themselves and others from exposure.
The other options express concerns, but the general principles
of drug administration apply.
You are monitoring your patient who is at risk for spinal cord
compression related to tumor growth. Which patient statement
is most likely to suggest an early manifestation? - CORRECT
ANSWER-"Last night my back really hurt, and I had trouble
sleeping."
Back pain is an early sign of spinal cord compression occurring
in 95% of patients. The other symptoms are later signs.
You are caring for an older woman with hepatic cancer. The
UAP informs you that the patient's level of consciousness is
diminished compared to earlier in the shift. Prioritize the steps
of assessment and intervention related to this patient's change
of mental status. - CORRECT ANSWER-Determine level of
consciousness and responsiveness, and changes from baseline.
Oxygen should be administered immediately in the presence of
respiratory distress or risk for decreased oxygenation and
perfusion. Pulse oximetry can be used for continuous
monitoring. Adequate pulse, blood pressure, and respirations
are required for cerebral perfusion. Increased temperature may
signal infection or sepsis. Blood glucose levels should be
checked even if the patient is not diabetic. Severe hypoglycemia
should be immediately treated per protocol. A patent IV line
may be needed for delivery of emergency drugs. Electrolyte and
ammonia levels are relevant data for this patient, and
WITH MULTIPLE CHOICE OF QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
AND 100% GUARANTEE PASS (JUST
RELEASED!!!!!!)
Which client is at greatest risk for respiratory depression while
receiving opioids for analgesia? - CORRECT ANSWER-Child with an
arm fracture and cystic fibrosis
At greatest risk are elderly clients, opiate-naive clients, and
those with underlying pulmonary disease. The child has two of
the three risk factors.
A client is crying and grimacing but denies pain and refuses
pain medication, because "my sibling is a drug addict and has
ruined our lives." What is the priority intervention for this
client? - CORRECT ANSWER-Encourage expression of fears and past
experiences.
This client has strong beliefs and emotions related to the issue
of the sibling's addiction. First, encourage expression. This
indicates to the client that the feelings are real and valid. It is
also an opportunity to assess beliefs and fears. Giving facts and
information is appropriate at the right time. Family
involvement is important, but it should be kept in mind that
their beliefs about drug addiction may be similar to those of the
client.
,The physician has ordered a placebo for a client with chronic
pain. You are a newly hired nurse and you feel very
uncomfortable administering the medication. What is the first
action that you should take? - CORRECT ANSWER-Contact the charge
nurse for advice.
Administering placebos is generally considered unethical.
Consult the charge nurse as a resource person who can help you
clarify the situation and locate and review the hospital policy. If
the physician is insistent, suggest that he or she could give the
placebo. (Note: Use "could," not "should" when talking to the
physician. This provides a small opportunity to rethink the
decision. "Should" is more commanding and elicits a more
defensive response.) While following your own ethical code is
correct, you must ensure that the client is not abandoned and
that care continues.
For a cognitively impaired client who cannot accurately report
pain, what is the first action that you should take? - CORRECT
ANSWER-Obtain baseline behavioral indicators from family
members.
Complete information should be obtained from the family
during the initial comprehensive history taking and assessment.
If this information is not obtained, the nursing staff will have to
rely on observation of nonverbal behavior and careful
documentation to determine pain and relief patterns.
Which patient is at greatest risk for pancreatic cancer? - CORRECT
ANSWER-An elderly African-American man who smokes
,Pancreatic cancer is more common in African-Americans,
males, and smokers. Other associated factors include alcohol
use, diabetes, obesity, history of pancreatitis, exposure to
organic chemicals, consumption of a high-fat diet, and previous
abdominal irradiation.
Patients receiving chemotherapy are at risk for
thrombocytopenia related to chemotherapy or disease
processes. Which actions are needed for patients who must be
placed on bleeding precautions? (Select all that apply.) - CORRECT
ANSWER-Mouthwash should not include alcohol, because it has a
drying action that leaves mucous membranes more vulnerable.
Insertion of suppositories, probes, or tampons into the rectal or
vaginal cavity is not recommended. All other options are
appropriate.
For care of a patient who has oral cancer, which task would be
appropriate to delegate to an LPN/LVN? - CORRECT ANSWER-Giving
antacids and sucralfate suspension as ordered
Giving medications is within the scope of practice of the
LPN/LVN. Assisting the patient in brushing and flossing should
be delegated to the UAP. Explaining contraindications is the
responsibility of the RN. Recommendations for saliva
substitutes should come from the physician or pharmacist.
When staff assignments are made for the care of patients who
are receiving chemotherapy, what is the major consideration
regarding chemotherapeutic drugs? - CORRECT ANSWER-During
preparation, drugs may be absorbed through the skin or
inhaled.
, Chemotherapy drugs should be given by nurses who have
received additional training in how to safely prepare and deliver
the drugs and protect themselves and others from exposure.
The other options express concerns, but the general principles
of drug administration apply.
You are monitoring your patient who is at risk for spinal cord
compression related to tumor growth. Which patient statement
is most likely to suggest an early manifestation? - CORRECT
ANSWER-"Last night my back really hurt, and I had trouble
sleeping."
Back pain is an early sign of spinal cord compression occurring
in 95% of patients. The other symptoms are later signs.
You are caring for an older woman with hepatic cancer. The
UAP informs you that the patient's level of consciousness is
diminished compared to earlier in the shift. Prioritize the steps
of assessment and intervention related to this patient's change
of mental status. - CORRECT ANSWER-Determine level of
consciousness and responsiveness, and changes from baseline.
Oxygen should be administered immediately in the presence of
respiratory distress or risk for decreased oxygenation and
perfusion. Pulse oximetry can be used for continuous
monitoring. Adequate pulse, blood pressure, and respirations
are required for cerebral perfusion. Increased temperature may
signal infection or sepsis. Blood glucose levels should be
checked even if the patient is not diabetic. Severe hypoglycemia
should be immediately treated per protocol. A patent IV line
may be needed for delivery of emergency drugs. Electrolyte and
ammonia levels are relevant data for this patient, and
