Nur 208 HESI 1 EXAM QUESTIONS WITH
CORRECT ANSWERS
QUESTION
A |client |is |admitted |for |bipolar |disorder |and |alcohol |withdrawal, |depressive |phase. |Based |on |which
|assessment |finding |will |the |RN |withhold |the |clonidine |(Catapres) |prescription?
Answer:
Blood |pressure |readings |of |90/62 |mmHg |to |92/58 |mmHg.
QUESTION
The |RN |on |the |evening |shift |receives |report |that |a |client |is |scheduled |for |electroconvulsive
|treatment |(ECT) |in |the |morning. |Which |intervention |should |the |Rn |implement |the |evening |before
|the |scheduled |ECT?
Answer:
Keep |the |client |NPO |after |mid-night
QUESTION
A |client |with |Bulimia |and |depression |who |is |taking |phenelzine |(Nardil) |90 |mg |daily |is |admitted |to
|an |acute |care |hospital |for |uncontrolled |hypertension. |What |dietary |choices |should |the |RN |instruct
|the |client |to |avoid?
Answer:
Peperoni |pizza.
QUESTION
A |mental |health |worker |is |caring |for |a |client |with |escalating |aggressive |behavior. |Which |action
,by |the |mental |health |worker |warrants |immediate |intervention |by |the |RN?
Answer:
Is |attempting |the |physically |restrain |the |patient.
QUESTION
A |client |who |recently |experienced |the |death |of |a |significant |other |arrives |at |the |mental |health
|center. |The |client |reports |loss |of |interest |in |usual |activities, |expresses |a |wish |to |be |with |the
|decreased |significant |other, |has |been |eating |very |little, |and |has |not |slept |in |several |days. |Which
|client |statement |is |most |important |for |the |RN |to |explore |at |this |time?
Answer:
Not |sleeping |for |several |days.
QUESTION
A |middle |aged |adult |with |major |depressive |disorder |suffers |from |psychomotor |retardation,
|hypersomnia, |and |motivation. |Which |intervention |is |likely |to |be |most |effective |in |returning |this
|client |to |a |normal |level |of |functioning?
Answer:
Teach |the |client |to |develop |a |plan |for |daily |structured |activities.
QUESTION
When |developing |a |plan |of |care |for |a |client |admitted |to |the |psychiatric |unit |following |aspiration |of
|a |caustic |material |related |to |a |suicide |attempt, |which |nursing |problem |has |the |highest |priority?
Answer:
Ineffective |breathing |pattern
QUESTION
A |female |client |on |a |psychiatric |unit |is |sweating |profusely |while |she |vigorously |does |push-ups
|and |then |runs |the |length |of |the |corridor |several |times |before |crashing |into |furniture |in |the |sitting
|room. |Picking |herself |up, |she |begins |to |toss |chairs |aside, |looking |for |a |red |one |to |sit |in. |When
,another |client |objects |to |the |disturbance, |the |client |shouts, |"I |am |the |boss |here. |I |do |what |I |want."
|Which |nursing |problem |best |supports |these |observations?
Answer:
Risk |for |other |related |violence |related |to |disruptive |behavior.
QUESTION
A |RN |is |preparing |the |physical |environment |to |interview |a |new |client |for |admission |to |the |mental
health |unit. |Which |environmental |setting |facilitates |the |best |outcome |of |the |interview?
|
Answer:
Reduce |the |noise |level |in |the |room |by |turning |off |the |television |and |radio.
QUESTION
An |older |homeless |client |visits |the |psychiatric |clinic |to |obtain |a |prescription |renewal |for
|alprazolam |(Xanax). |During |the |health |assessment, |the |client |complains |of |chest |pain. |Which |action
|should |the |RN |take |first?
Answer:
Determine |if |Xanax |was |taken |recently
QUESTION
Several |clients |with |chronic |mental |illness |and |multiple |substance |abuse |histories |live |in |a |group
|residential |home |and |attend |daycare |mental |health |facility |where |group |and |individual |therapies
|are |provided. |The |RN |finds |the |common |bathroom |at |the |facility |with |sputum |on |the |walls, |urine |in
|the |sink |and |on |the |floors, |and |the |toilet |stopped |up |with |tissue, |paper |towels, |and |feces. |What |is |the
|priority |issue |that |the |RN |should |address?
Answer:
Infection |control
QUESTION
A |client |with |schizophrenia |is |admitted |to |the |psychiatric |care |unit |for |aggressive |behavior,
, auditory |hallucinations, |and |potential |for |safe |harm. |The |client |has |not |been |taking |medications |as
|prescribed |and |insists |that |the |food |has |been |poisoned |and |refuses |to |eat. |What |intervention
|should |the |RN |implement?
Answer:
Provide |the |client |with |food |in |unopened |containers
QUESTION
The |RN |is |providing |education |about |strategies |for |a |safety |plan |for |a |female |client |who |is |a
|victim |of |intimate |partner |violence. |Which |strategies |should |be |included |in |the |safety |plan?
|(SOA)
Answer:
Establish |a |code |with |family |and |friends |to |signify |violence
|Have |a |bag |ready |that |has |extra |clothes |for |self |and |children. |Plan
|an |escape |route |to |use |if |the |abuser |blocks |the |main |exit
QUESTION
The |RN |is |admitting |a |male |client |who |take |lithium |carbonate |(Eskalith) |twice |a |day. |Which
|information |should |the |RN |report |to |the |HCP |immediately?
Answer:
Nausea |and |vomiting
QUESTION
A |male |client |who |is |admitted |with |delirium |tremens |is |dehydrated |and |experiencing |auditory
|hallucinations. |He |has |a |bruised, |swollen |tongue |and |is |confused. |In |developing |a |plan |of |care,
|which |action |should |the |RN |include |to |ensure |the |client |is |physiologically |stable?
Answer:
Monitor |vital |signs.
QUESTION
CORRECT ANSWERS
QUESTION
A |client |is |admitted |for |bipolar |disorder |and |alcohol |withdrawal, |depressive |phase. |Based |on |which
|assessment |finding |will |the |RN |withhold |the |clonidine |(Catapres) |prescription?
Answer:
Blood |pressure |readings |of |90/62 |mmHg |to |92/58 |mmHg.
QUESTION
The |RN |on |the |evening |shift |receives |report |that |a |client |is |scheduled |for |electroconvulsive
|treatment |(ECT) |in |the |morning. |Which |intervention |should |the |Rn |implement |the |evening |before
|the |scheduled |ECT?
Answer:
Keep |the |client |NPO |after |mid-night
QUESTION
A |client |with |Bulimia |and |depression |who |is |taking |phenelzine |(Nardil) |90 |mg |daily |is |admitted |to
|an |acute |care |hospital |for |uncontrolled |hypertension. |What |dietary |choices |should |the |RN |instruct
|the |client |to |avoid?
Answer:
Peperoni |pizza.
QUESTION
A |mental |health |worker |is |caring |for |a |client |with |escalating |aggressive |behavior. |Which |action
,by |the |mental |health |worker |warrants |immediate |intervention |by |the |RN?
Answer:
Is |attempting |the |physically |restrain |the |patient.
QUESTION
A |client |who |recently |experienced |the |death |of |a |significant |other |arrives |at |the |mental |health
|center. |The |client |reports |loss |of |interest |in |usual |activities, |expresses |a |wish |to |be |with |the
|decreased |significant |other, |has |been |eating |very |little, |and |has |not |slept |in |several |days. |Which
|client |statement |is |most |important |for |the |RN |to |explore |at |this |time?
Answer:
Not |sleeping |for |several |days.
QUESTION
A |middle |aged |adult |with |major |depressive |disorder |suffers |from |psychomotor |retardation,
|hypersomnia, |and |motivation. |Which |intervention |is |likely |to |be |most |effective |in |returning |this
|client |to |a |normal |level |of |functioning?
Answer:
Teach |the |client |to |develop |a |plan |for |daily |structured |activities.
QUESTION
When |developing |a |plan |of |care |for |a |client |admitted |to |the |psychiatric |unit |following |aspiration |of
|a |caustic |material |related |to |a |suicide |attempt, |which |nursing |problem |has |the |highest |priority?
Answer:
Ineffective |breathing |pattern
QUESTION
A |female |client |on |a |psychiatric |unit |is |sweating |profusely |while |she |vigorously |does |push-ups
|and |then |runs |the |length |of |the |corridor |several |times |before |crashing |into |furniture |in |the |sitting
|room. |Picking |herself |up, |she |begins |to |toss |chairs |aside, |looking |for |a |red |one |to |sit |in. |When
,another |client |objects |to |the |disturbance, |the |client |shouts, |"I |am |the |boss |here. |I |do |what |I |want."
|Which |nursing |problem |best |supports |these |observations?
Answer:
Risk |for |other |related |violence |related |to |disruptive |behavior.
QUESTION
A |RN |is |preparing |the |physical |environment |to |interview |a |new |client |for |admission |to |the |mental
health |unit. |Which |environmental |setting |facilitates |the |best |outcome |of |the |interview?
|
Answer:
Reduce |the |noise |level |in |the |room |by |turning |off |the |television |and |radio.
QUESTION
An |older |homeless |client |visits |the |psychiatric |clinic |to |obtain |a |prescription |renewal |for
|alprazolam |(Xanax). |During |the |health |assessment, |the |client |complains |of |chest |pain. |Which |action
|should |the |RN |take |first?
Answer:
Determine |if |Xanax |was |taken |recently
QUESTION
Several |clients |with |chronic |mental |illness |and |multiple |substance |abuse |histories |live |in |a |group
|residential |home |and |attend |daycare |mental |health |facility |where |group |and |individual |therapies
|are |provided. |The |RN |finds |the |common |bathroom |at |the |facility |with |sputum |on |the |walls, |urine |in
|the |sink |and |on |the |floors, |and |the |toilet |stopped |up |with |tissue, |paper |towels, |and |feces. |What |is |the
|priority |issue |that |the |RN |should |address?
Answer:
Infection |control
QUESTION
A |client |with |schizophrenia |is |admitted |to |the |psychiatric |care |unit |for |aggressive |behavior,
, auditory |hallucinations, |and |potential |for |safe |harm. |The |client |has |not |been |taking |medications |as
|prescribed |and |insists |that |the |food |has |been |poisoned |and |refuses |to |eat. |What |intervention
|should |the |RN |implement?
Answer:
Provide |the |client |with |food |in |unopened |containers
QUESTION
The |RN |is |providing |education |about |strategies |for |a |safety |plan |for |a |female |client |who |is |a
|victim |of |intimate |partner |violence. |Which |strategies |should |be |included |in |the |safety |plan?
|(SOA)
Answer:
Establish |a |code |with |family |and |friends |to |signify |violence
|Have |a |bag |ready |that |has |extra |clothes |for |self |and |children. |Plan
|an |escape |route |to |use |if |the |abuser |blocks |the |main |exit
QUESTION
The |RN |is |admitting |a |male |client |who |take |lithium |carbonate |(Eskalith) |twice |a |day. |Which
|information |should |the |RN |report |to |the |HCP |immediately?
Answer:
Nausea |and |vomiting
QUESTION
A |male |client |who |is |admitted |with |delirium |tremens |is |dehydrated |and |experiencing |auditory
|hallucinations. |He |has |a |bruised, |swollen |tongue |and |is |confused. |In |developing |a |plan |of |care,
|which |action |should |the |RN |include |to |ensure |the |client |is |physiologically |stable?
Answer:
Monitor |vital |signs.
QUESTION
