HESI EXAM ms
Exam Solution
ms
Evolve Ch. 35 36 38 Cardiac 2026 A+ GRADE ASSURED
ms ms ms ms ms ms ms ms ms ms
COMPLETE SOLUTIONS AND VERIFIED ANSWERS (B97 ms ms ms ms ms
F0)
QUESTION 1 ms
A client with heart failure is taking furosemide (Lasix). Which finding concerns the nu
ms ms ms ms ms ms ms ms ms ms ms ms ms
rse with this new prescription? Serum sodium level of 135 mEq/L Serum potassium le
ms ms ms ms ms ms ms ms ms ms ms ms ms
vel of 2.8 mEq/L Serum creatinine of 1.0 mg/dL Serum magnesium level of 1.9 mEq/L
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Serum potassium level of 2.8 mEq/L
ms ms ms ms ms
QUESTION 2 ms
Which diagnostic test result is consistent with a diagnosis of heart failure (HF)? Seru
ms ms ms ms ms ms ms ms ms ms ms ms ms
m potassium level of 3.2 mEq/L Ejection fraction of 60% B-
ms ms ms ms ms ms ms ms ms ms
type natriuretic peptide (BNP) of 760 ng/dL Chest x-
ms ms ms ms ms ms ms ms
ray report showing right middle lobe consolidation
ms ms ms ms ms ms
ANSWER
B-type natriuretic peptide (BNP) of 760 ng/dL
ms ms ms ms ms ms
QUESTION 3 ms
The nurse is caring for an 82-year-
ms ms ms ms ms ms
old client admitted for exacerbation of heart failure (HF). The nurse questions the clie
ms ms ms ms ms ms ms ms ms ms ms ms ms
nt about the use of which medication because it raises an index of suspicion as to the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
worsening of the client's HF? Ibuprofen (Motrin) Hydrochlorothiazide (HydroDIURIL)
ms ms ms ms ms ms ms ms ms
NPH insulin Levothyroxine (Synthroid)
ms ms ms
ANSWER
Ibuprofen (Motrin) ms
, QUESTION 4 ms
A client begins therapy with lisinopril (Prinivil, Zestril). What does the nurse consider
ms ms ms ms ms ms ms ms ms ms ms ms
at the start of therapy with this medication? The client's ability to understand medica
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tion teaching The risk for hypotension The potential for bradycardia Liver function te
ms ms ms ms ms ms ms ms ms ms ms ms
sts
ANSWER
The risk for hypotension
ms ms ms
QUESTION 5 ms
The nurse discusses the importance of restricting sodium in the diet for a client with
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
heart failure. Which statement made by the client indicates that the client needs furth
ms ms ms ms ms ms ms ms ms ms ms ms ms
er teaching? "I should avoid eating hamburgers." "I must cut out bacon and canned fo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ods." "I shouldn't put the salt shaker on the table anymore." "I should avoid lunchmea
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ts but may cook my own turkey."
ms ms ms ms ms ms
ANSWER
"I should avoid eating hamburgers."
ms ms ms ms
QUESTION 6 ms
Which medication, when given in heart failure, may improve morbidity and mortality?
ms ms ms ms ms ms ms ms ms ms ms
Dobutamine (Dobutrex) Carvedilol (Coreg) Digoxin (Lanoxin) Bumetanide (Bumex)
ms ms ms ms ms ms ms ms
ANSWER
Carvedilol (Coreg) ms
QUESTION 7 ms
Which nursing intervention for a client admitted today with heart failure will assist th
ms ms ms ms ms ms ms ms ms ms ms ms ms
e client to conserve energy? The client ambulates around the nursing unit with a walk
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
er. The nurse monitors the client's pulse and blood pressure frequently. The nurse ob
ms ms ms ms ms ms ms ms ms ms ms ms ms
tains a bedside commode before administering furosemide. The nurse returns the clie
ms ms ms ms ms ms ms ms ms ms ms
nt to bed when he becomes tachycardic.
ms ms ms ms ms ms
ANSWER
The nurse obtains a bedside commode before administering furosemide.
ms ms ms ms ms ms ms ms
QUESTION 8 ms
Which intervention best assists the client with acute pulmonary edema in reducing an
ms ms ms ms ms ms ms ms ms ms ms ms
xiety and dyspnea? Monitor pulse oximetry and cardiac rate and rhythm. Reassure the
ms ms ms ms ms ms ms ms ms ms ms ms
Exam Solution
ms
Evolve Ch. 35 36 38 Cardiac 2026 A+ GRADE ASSURED
ms ms ms ms ms ms ms ms ms ms
COMPLETE SOLUTIONS AND VERIFIED ANSWERS (B97 ms ms ms ms ms
F0)
QUESTION 1 ms
A client with heart failure is taking furosemide (Lasix). Which finding concerns the nu
ms ms ms ms ms ms ms ms ms ms ms ms ms
rse with this new prescription? Serum sodium level of 135 mEq/L Serum potassium le
ms ms ms ms ms ms ms ms ms ms ms ms ms
vel of 2.8 mEq/L Serum creatinine of 1.0 mg/dL Serum magnesium level of 1.9 mEq/L
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Serum potassium level of 2.8 mEq/L
ms ms ms ms ms
QUESTION 2 ms
Which diagnostic test result is consistent with a diagnosis of heart failure (HF)? Seru
ms ms ms ms ms ms ms ms ms ms ms ms ms
m potassium level of 3.2 mEq/L Ejection fraction of 60% B-
ms ms ms ms ms ms ms ms ms ms
type natriuretic peptide (BNP) of 760 ng/dL Chest x-
ms ms ms ms ms ms ms ms
ray report showing right middle lobe consolidation
ms ms ms ms ms ms
ANSWER
B-type natriuretic peptide (BNP) of 760 ng/dL
ms ms ms ms ms ms
QUESTION 3 ms
The nurse is caring for an 82-year-
ms ms ms ms ms ms
old client admitted for exacerbation of heart failure (HF). The nurse questions the clie
ms ms ms ms ms ms ms ms ms ms ms ms ms
nt about the use of which medication because it raises an index of suspicion as to the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
worsening of the client's HF? Ibuprofen (Motrin) Hydrochlorothiazide (HydroDIURIL)
ms ms ms ms ms ms ms ms ms
NPH insulin Levothyroxine (Synthroid)
ms ms ms
ANSWER
Ibuprofen (Motrin) ms
, QUESTION 4 ms
A client begins therapy with lisinopril (Prinivil, Zestril). What does the nurse consider
ms ms ms ms ms ms ms ms ms ms ms ms
at the start of therapy with this medication? The client's ability to understand medica
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tion teaching The risk for hypotension The potential for bradycardia Liver function te
ms ms ms ms ms ms ms ms ms ms ms ms
sts
ANSWER
The risk for hypotension
ms ms ms
QUESTION 5 ms
The nurse discusses the importance of restricting sodium in the diet for a client with
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
heart failure. Which statement made by the client indicates that the client needs furth
ms ms ms ms ms ms ms ms ms ms ms ms ms
er teaching? "I should avoid eating hamburgers." "I must cut out bacon and canned fo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ods." "I shouldn't put the salt shaker on the table anymore." "I should avoid lunchmea
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ts but may cook my own turkey."
ms ms ms ms ms ms
ANSWER
"I should avoid eating hamburgers."
ms ms ms ms
QUESTION 6 ms
Which medication, when given in heart failure, may improve morbidity and mortality?
ms ms ms ms ms ms ms ms ms ms ms
Dobutamine (Dobutrex) Carvedilol (Coreg) Digoxin (Lanoxin) Bumetanide (Bumex)
ms ms ms ms ms ms ms ms
ANSWER
Carvedilol (Coreg) ms
QUESTION 7 ms
Which nursing intervention for a client admitted today with heart failure will assist th
ms ms ms ms ms ms ms ms ms ms ms ms ms
e client to conserve energy? The client ambulates around the nursing unit with a walk
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
er. The nurse monitors the client's pulse and blood pressure frequently. The nurse ob
ms ms ms ms ms ms ms ms ms ms ms ms ms
tains a bedside commode before administering furosemide. The nurse returns the clie
ms ms ms ms ms ms ms ms ms ms ms
nt to bed when he becomes tachycardic.
ms ms ms ms ms ms
ANSWER
The nurse obtains a bedside commode before administering furosemide.
ms ms ms ms ms ms ms ms
QUESTION 8 ms
Which intervention best assists the client with acute pulmonary edema in reducing an
ms ms ms ms ms ms ms ms ms ms ms ms
xiety and dyspnea? Monitor pulse oximetry and cardiac rate and rhythm. Reassure the
ms ms ms ms ms ms ms ms ms ms ms ms
