HESI 700+ Score Study Guide | High-Yield Questions
&Answers, Rationales |Frequently Most Tested
Questions , Graded A+ and Reviewed | Expert
Guarantee Pass and 100% Accurate| Verified and
Updated Exam | Latest Exam and Newest Version!!!!
Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee
and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might
select.
ANS:<<Review with the client the need to avoid foods that are rich in milk and
cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and
should be avoided.
Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
a. Egg whites, toast and coffee.
b. Bran muffin, mixed fruits, and orange juice.
c. Granola and grapefruit juice
d. Bagel with jelly and skim milk.
,ANS:<< Bagel with jelly and skim milk
Rationale: D includes dairy products which contain calcium and does not
include any foods that inhibit calcium absorption. The primary dietary
implication of osteoporosis is the need for increased calcium and reduction in
foods that decrease calcium absorption, such as caffeine and excessive fiber.
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
ANS:<< Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
hypertension, which can damage the blood vessel walls and cause the blood
vessel to leak or burst.
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
ANS:<< Foods sweetened with aspartame
Rationale: Aspartame should not be consumed by a child with PKU because it is
converted to phenylalanine in the body. Phenylalanine can cause intellectual
disabilities, brain damage, seizures and other problems in people with PKU.
Additionally, milk and milk products are contraindicated for children with PKU.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse
,implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
c. Assume responsibility for placing the pillows while the UAP completes
another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying
position.
ANS:<< Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with soft
blankest because the use of pillows could result in suffocation and would need
to be removed at the onset of the seizure. The nurse can delegate paddling the
side rails to the UAP
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
ANS:<< Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake
inhibitor that is known to increase the risk of suicidal thinking in adolescents
and young adults with major depressive disorder. B, C and D are side effects
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
, c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
ANS:<<Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer
should be evaluated carefully
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to include
in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
ANS:<< Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway,
which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
client's respiratory rate is 14 breaths / minute. What action should the nurse
implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
ANS:<< Document the assessment data
Rationale: reservoir bag should not deflate completely during inspiration and the
client's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
&Answers, Rationales |Frequently Most Tested
Questions , Graded A+ and Reviewed | Expert
Guarantee Pass and 100% Accurate| Verified and
Updated Exam | Latest Exam and Newest Version!!!!
Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee
and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might
select.
ANS:<<Review with the client the need to avoid foods that are rich in milk and
cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and
should be avoided.
Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
a. Egg whites, toast and coffee.
b. Bran muffin, mixed fruits, and orange juice.
c. Granola and grapefruit juice
d. Bagel with jelly and skim milk.
,ANS:<< Bagel with jelly and skim milk
Rationale: D includes dairy products which contain calcium and does not
include any foods that inhibit calcium absorption. The primary dietary
implication of osteoporosis is the need for increased calcium and reduction in
foods that decrease calcium absorption, such as caffeine and excessive fiber.
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
ANS:<< Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
hypertension, which can damage the blood vessel walls and cause the blood
vessel to leak or burst.
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
ANS:<< Foods sweetened with aspartame
Rationale: Aspartame should not be consumed by a child with PKU because it is
converted to phenylalanine in the body. Phenylalanine can cause intellectual
disabilities, brain damage, seizures and other problems in people with PKU.
Additionally, milk and milk products are contraindicated for children with PKU.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse
,implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
c. Assume responsibility for placing the pillows while the UAP completes
another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying
position.
ANS:<< Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with soft
blankest because the use of pillows could result in suffocation and would need
to be removed at the onset of the seizure. The nurse can delegate paddling the
side rails to the UAP
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
ANS:<< Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake
inhibitor that is known to increase the risk of suicidal thinking in adolescents
and young adults with major depressive disorder. B, C and D are side effects
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
, c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
ANS:<<Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer
should be evaluated carefully
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to include
in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
ANS:<< Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway,
which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
client's respiratory rate is 14 breaths / minute. What action should the nurse
implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
ANS:<< Document the assessment data
Rationale: reservoir bag should not deflate completely during inspiration and the
client's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
