BSN366 EXIT HESI NOTES - HESI ACTUAL QUESTIONS & ANSWERS
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tum
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or. Which potential complication should the nurse monitor closely?
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A. Hypokalemia
B. Ketonuria.
C. Peripheral edema hj
D. Elevated blood pressure. hj hj
(Pituitary tumors that suppress antidiuretic hormone (ADH) result in diabetes insipidus, which
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causes massive polyuria and serum electrolyte imbalances, including hypokalemia, which can
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lead to lethal arrhythmias.)
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After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The fami
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ly wish to see the body before it is taken to the funeral home. Which interventions should the nu
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rse take to prepare the body before the family enters the room? (Select all that apply.)
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a. Take out dentures and place in a labeled cup
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b. Apply a body shroud hj hj hj
c. Place a small pillow under the head hj hj hj hj hj hj
d. Remove resuscitation equipment from the room hj hj hj hj hj
e. Gently close the eyes hj hj hj
When conducting diet teaching for a client who is on a postoperative full liquid diet, which foods sh
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ould the nurse encourage the client to eat? (Select all that apply.)
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a. Lentils
b. Potato soup hj
c. Tea
d. Cheese
The nurse is caring for a client who reports sudden right-
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sided numbness and weakness of the arm and leg. The nurse also observes a distinct right-
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sided facial droop. After reporting the findings to the healthcare provider, the nurse receives se
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veral prescriptions for the client, including a STAT computerized tomography scan of the head.
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After obtaining vital signs, the nurse should implement which intervention?
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A. Use Glasgow Coma Scale to assess level of consciousness prior to transport for imaging.
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B. Raise the head of the bed to 30 degrees keeping head and neck in neutral alignment.
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C. Verity prescribed laboratory tests include prothrombin time and platelet count.
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D. Initiate bilateral intermittent sequential pneumatic compression devices.
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The nurse is caring for four clients, Client A, who has emphysema and who's oxygen saturation i
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s 94%. Client B, with the postoperative hemoglobin of 8.2 mg/dL (82 g/L). Client C, newly ad
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mitted with a potassium level of 3.8 mEq/L (3.8 mmol/L) and Client D, scheduled for an appen
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dectomy who has a white blood cell (WBC) count of 14,000 mm3 (14 x 103/L). What intervent
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ion should the nurse implement?
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A. Move Client D into an isolation room 24 hours before surgery(WBC 4,500-11,000 normal)
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B. Increase Client A's oxygen to 4 L a minute per nasal cannula hj hj hj hj hj hj hj hj hj hj hj
C. Ask the dietitian to add a banana to Client C's breakfast tray(K=3.5-5 normal)
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D. Verify that Client B has two units of packed cells available(hemoglobin less than 11-13 =low)
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,The nurse is caring for a client who developed signs and symptoms of septic shock following a u
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rinary tract infection one week ago. the healthcare provider prescribes a sepsis protocol to be in
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itiated. Which intervention is most important for the nurse to include in the plan of care?
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a. Maintain strict intake and output. hj hj hj hj
b. Assess warmth of extremities. hj hj hj
c. Keep HOB elevated at 45 degree.
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d. Monitor blood sugar level. hj hj hj
The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. W
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hich expected outcome has the highest priority for this client?
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a. Identifies 2 treatments for constipation due to immobility
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b. Names 3 home safety hazards to be resolved immediately
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c. States 4 risk factors for the development of osteoporosis
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d. Lists five calcium rich foods to be added to her daily diet.
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Case study:
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The client is in the hospital after her house collapsed during a hurricane. She has been in the int
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ensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her re
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spiratory function and to complete intravenous antibiotic administration.
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Downloaded by Josephine
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QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tum
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
or. Which potential complication should the nurse monitor closely?
hj hj hj hj hj hj hj hj
A. Hypokalemia
B. Ketonuria.
C. Peripheral edema hj
D. Elevated blood pressure. hj hj
(Pituitary tumors that suppress antidiuretic hormone (ADH) result in diabetes insipidus, which
hj hj hj hj hj hj hj hj hj hj hj hj
causes massive polyuria and serum electrolyte imbalances, including hypokalemia, which can
hj hj hj hj hj hj hj hj hj hj
lead to lethal arrhythmias.)
hj hj hj hj
After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The fami
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ly wish to see the body before it is taken to the funeral home. Which interventions should the nu
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
rse take to prepare the body before the family enters the room? (Select all that apply.)
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
a. Take out dentures and place in a labeled cup
hj hj hj hj hj hj hj hj
b. Apply a body shroud hj hj hj
c. Place a small pillow under the head hj hj hj hj hj hj
d. Remove resuscitation equipment from the room hj hj hj hj hj
e. Gently close the eyes hj hj hj
When conducting diet teaching for a client who is on a postoperative full liquid diet, which foods sh
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ould the nurse encourage the client to eat? (Select all that apply.)
hj hj hj hj hj hj hj hj hj hj hj
a. Lentils
b. Potato soup hj
c. Tea
d. Cheese
The nurse is caring for a client who reports sudden right-
hj hj hj hj hj hj hj hj hj hj
sided numbness and weakness of the arm and leg. The nurse also observes a distinct right-
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
sided facial droop. After reporting the findings to the healthcare provider, the nurse receives se
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
veral prescriptions for the client, including a STAT computerized tomography scan of the head.
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
After obtaining vital signs, the nurse should implement which intervention?
hj hj hj hj hj hj hj hj hj
A. Use Glasgow Coma Scale to assess level of consciousness prior to transport for imaging.
hj hj hj hj hj hj hj hj hj hj hj hj hj
B. Raise the head of the bed to 30 degrees keeping head and neck in neutral alignment.
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
C. Verity prescribed laboratory tests include prothrombin time and platelet count.
hj hj hj hj hj hj hj hj hj
D. Initiate bilateral intermittent sequential pneumatic compression devices.
hj hj hj hj hj hj
The nurse is caring for four clients, Client A, who has emphysema and who's oxygen saturation i
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
s 94%. Client B, with the postoperative hemoglobin of 8.2 mg/dL (82 g/L). Client C, newly ad
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
mitted with a potassium level of 3.8 mEq/L (3.8 mmol/L) and Client D, scheduled for an appen
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
dectomy who has a white blood cell (WBC) count of 14,000 mm3 (14 x 103/L). What intervent
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ion should the nurse implement?
hj hj hj hj
A. Move Client D into an isolation room 24 hours before surgery(WBC 4,500-11,000 normal)
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B. Increase Client A's oxygen to 4 L a minute per nasal cannula hj hj hj hj hj hj hj hj hj hj hj
C. Ask the dietitian to add a banana to Client C's breakfast tray(K=3.5-5 normal)
hj hj hj hj hj hj hj hj hj hj hj hj
D. Verify that Client B has two units of packed cells available(hemoglobin less than 11-13 =low)
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,The nurse is caring for a client who developed signs and symptoms of septic shock following a u
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
rinary tract infection one week ago. the healthcare provider prescribes a sepsis protocol to be in
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
itiated. Which intervention is most important for the nurse to include in the plan of care?
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
a. Maintain strict intake and output. hj hj hj hj
b. Assess warmth of extremities. hj hj hj
c. Keep HOB elevated at 45 degree.
hj hj hj hj hj
d. Monitor blood sugar level. hj hj hj
The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. W
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
hich expected outcome has the highest priority for this client?
hj hj hj hj hj hj hj hj hj
a. Identifies 2 treatments for constipation due to immobility
hj hj hj hj hj hj hj
b. Names 3 home safety hazards to be resolved immediately
hj hj hj hj hj hj hj hj
c. States 4 risk factors for the development of osteoporosis
hj hj hj hj hj hj hj hj
d. Lists five calcium rich foods to be added to her daily diet.
hj hj hj hj hj hj hj hj hj hj hj
Case study:
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The client is in the hospital after her house collapsed during a hurricane. She has been in the int
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her re
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
spiratory function and to complete intravenous antibiotic administration.
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Downloaded by Josephine
,Downloaded by Josephine
, Downloaded by Josephine
