HESI Case Study: Guillain-Barré
Syndrome Exam Questions and Answers
100% Pass
1. What information from the client would support the diagnosis of Guillain-
BarrÉ syndrome? - ANSWER-Any type of cold or stomach virus in the last
month.
2. Which assessment intervention will the nurse implement specifically for the
diagnosis of Guillain-Barré syndrome? - ANSWER-Assess deep tendon reflexes.
3. Which intervention will the nurse implement prior to this procedure? -
ANSWER-Obtain informed consent.
4. Which intervention should the nurse implement post-procedure? - ANSWER-
Increase client's fluid intake.
5. Which action indicates the nurse understands his Muslim food and beverage
preferences? - ANSWER-Notify the dietary department that the client cannot eat
any pork.
The nurse asks client, "How can the healthcare team best support your faith while
you are in the hospital?"
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, 6. Which statement by the client reflects his Muslim faith? - ANSWER-I must be
able to pray 5 times a day.
The nurse is transcribing the healthcare provider's admitting orders. The nurse is
having difficulty reading one of the orders.
7. Which action should the nurse implement? - ANSWER-Notify the HCP
immediately to clarify the order.
Later during the shift, the nurse enters client's room and meets his brother and
client's spouse. Client's brother states, "My brother tells me he has a syndrome but
can't explain to me what is going on, can you tell me what is wrong with him?"
8. How should the nurse respond? - ANSWER-Report that the client has muscle
weakness that is traveling up his body and that it may get worse.
9. Which problem area will take priority for client as the syndrome progresses? -
ANSWER-Respiratory issues due to progressive muscle weakness.
The nurse includes the identified problem for safety due to muscle weakness and
fall risk in the plan of care.
10. Which long-term goal is applicable for this issue? - ANSWER-The client will
have minimal muscle atrophy?
Two days after admission, client starts complaining of difficulty breathing. His
numbness is ascending up his body and affecting his respiratory muscles. He is
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Syndrome Exam Questions and Answers
100% Pass
1. What information from the client would support the diagnosis of Guillain-
BarrÉ syndrome? - ANSWER-Any type of cold or stomach virus in the last
month.
2. Which assessment intervention will the nurse implement specifically for the
diagnosis of Guillain-Barré syndrome? - ANSWER-Assess deep tendon reflexes.
3. Which intervention will the nurse implement prior to this procedure? -
ANSWER-Obtain informed consent.
4. Which intervention should the nurse implement post-procedure? - ANSWER-
Increase client's fluid intake.
5. Which action indicates the nurse understands his Muslim food and beverage
preferences? - ANSWER-Notify the dietary department that the client cannot eat
any pork.
The nurse asks client, "How can the healthcare team best support your faith while
you are in the hospital?"
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, 6. Which statement by the client reflects his Muslim faith? - ANSWER-I must be
able to pray 5 times a day.
The nurse is transcribing the healthcare provider's admitting orders. The nurse is
having difficulty reading one of the orders.
7. Which action should the nurse implement? - ANSWER-Notify the HCP
immediately to clarify the order.
Later during the shift, the nurse enters client's room and meets his brother and
client's spouse. Client's brother states, "My brother tells me he has a syndrome but
can't explain to me what is going on, can you tell me what is wrong with him?"
8. How should the nurse respond? - ANSWER-Report that the client has muscle
weakness that is traveling up his body and that it may get worse.
9. Which problem area will take priority for client as the syndrome progresses? -
ANSWER-Respiratory issues due to progressive muscle weakness.
The nurse includes the identified problem for safety due to muscle weakness and
fall risk in the plan of care.
10. Which long-term goal is applicable for this issue? - ANSWER-The client will
have minimal muscle atrophy?
Two days after admission, client starts complaining of difficulty breathing. His
numbness is ascending up his body and affecting his respiratory muscles. He is
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
