Adult Health Hesi Review Questions And Correct Verified Answers

ADULT HEALTH HESI REVIEW QUESTIONS
AND CORRECT VERIFIED ANSWERS
AA2centralA2venousA2catheterA2hasA2beenA2insertedA2viaA2aA2jugularA2vein,A2andA2aA2radio
graphA2hasA2confirmedA2placementA2ofA2theA2catheter.A2AA2prescriptionA2hasA2beenA2recei
vedA2forA2aA2medicationA2STAT,A2butA2IVA2fluidsA2haveA2notA2yetA2beenA2started.A2WhichA2
actionA2shouldA2theA2nurseA2takeA2priorA2toA2administeringA2theA2prescribedA2medication?

A.A2AssessA2forA2signsA2ofA2jugularA2venousA2distention.
A2
A2 B.A2ObtainA2theA2neededA2intravenousA2solution.
A2
A2 C.A2FlushA2theA2lineA2withA2heparinizedA2solution.
A2
A2 D.A2FlushA2theA2lineA2withA2normalA2saline.A2-A2Ans--Answer,A2D

Rationale-
A2MedicationA2canA2beA2administeredA2viaA2aA2centralA2lineA2withoutA2additionalA2IVA2fluids
.A2TheA2lineA2shouldA2firstA2beA2flushedA2withA2aA2normalA2salineA2solutionA2toA2ensureA2pa
tency.A2InsufficientA2evidenceA2existsA2onA2theA2effectivenessA2ofA2flushingA2cathetersA2wi
thA2heparin.A2OptionA2AA2willA2notA2affectA2theA2decisionA2toA2administerA2theA2medicationA
2andA2isA2notA2aA2priority.A2AdministrationA2ofA2theA2medicationA2STATA2isA2ofA2greaterA2pri
orityA2thanA2optionA2B.

AA2clientA2isA2readyA2forA2dischargeA2followingA2theA2creationA2ofA2anA2ileostomy.A2WhichA
2instructionA2shouldA2theA2nurseA2includeA2inA2dischargeA2teaching?
A.A2ReplaceA2theA2stomaA2applianceA2everyA2day.
A2
A2 B.A2UseA2warmA2tapA2waterA2toA2irrigateA2theA2ileostomy.
A2
A2 C.A2ChangeA2theA2bagA2whenA2theA2sealA2isA2broken.
A2
A2 D.A2MeasureA2andA2recordA2theA2ileostomyA2output.A2-A2Ans--Answer-A2C

Rationale-
A2AA2sealA2mustA2beA2maintainedA2toA2preventA2leakageA2ofA2irritatingA2liquidA2stoolA2ontoA
2theA2skin.A2OptionA2AA2isA2excessiveA2andA2canA2causeA2skinA2irritationA2andA2breakdown
.A2IleostomiesA2produceA2liquidA2fecalA2drainage,A2soA2optionA2BA2isA2notA2necessary.A2Op
tionA2DA2isA2notA2needed.

,AnA2olderA2maleA2clientA2comesA2toA2theA2outpatientA2clinicA2complainingA2ofA2painA2inA2hi
sA2leftA2calf.A2TheA2nurseA2noticesA2aA2reddenedA2areaA2onA2theA2calfA2ofA2hisA2rightA2legA2t
hatA2isA2warmA2toA2theA2touch,A2andA2theA2nurseA2suspectsA2thatA2theA2clientA2mayA2haveA
2thrombophlebitis.A2WhichA2additionalA2assessmentA2isA2mostA2importantA2forA2theA2nurse
A2toA2perform?


A.A2MeasureA2theA2client'sA2calfA2circumference.
A2
A2 B.A2AuscultateA2theA2client'sA2breathA2sounds.
A2
A2 C.A2ObserveA2forA2ecchymosisA2andA2petechiae.
A2
A2 D.A2ObtainA2theA2client'sA2bloodA2pressure.A2-A2Ans--Answer-A2B

Rationale-
A2AllA2theseA2techniquesA2provideA2usefulA2assessmentA2data.A2TheA2mostA2importantA2isA
2toA2auscultateA2theA2client'sA2breathA2soundsA2becauseA2theA2clientA2mayA2haveA2aA2pul
monaryA2embolusA2secondaryA2toA2theA2thrombophlebitis.A2OptionA2AA2mayA2provideA2dat
aA2thatA2supportA2theA2nurse'sA2suspicionA2ofA2thrombophlebitis.A2OptionA2CA2isA2theA2leas
tA2helpfulA2assessmentA2becauseA2bruisingA2isA2notA2aA2typicalA2findingA2associatedA2with
A2thrombophlebitis. A2OptionA2DA2isA2alwaysA2usefulA2inA2evaluatingA2theA2client'sA2respons
eA2toA2aA2problemA2butA2isA2ofA2lessA2immediateA2priorityA2thanA2breathA2soundA2auscultati
on.

TheA2nurseA2isA2caringA2forA2aA2criticallyA2illA2clientA2withA2cirrhosisA2ofA2theA2liverA2whoA2h
asA2aA2nasogastricA2tubeA2drainingA2brightA2redA2blood.A2TheA2nurseA2notesA2thatA2theA2cli
ent'sA2serumA2hemoglobinA2andA2hematocritA2levelsA2areA2decreased.A2WhichA2additional
A2changeA2inA2laboratoryA2dataA2shouldA2theA2nurseA2expect?
A.A2IncreasedA2serumA2albuminA2level
A2
A2 B.A2DecreasedA2serumA2creatinine
A2
A2 C.A2DecreasedA2serumA2ammoniaA2level
A2
A2 D.A2IncreasedA2liverA2functionA2testA2resultsA2-A2Ans--Answer-A2C

Rationale-
A2TheA2breakdownA2ofA2glutamineA2inA2theA2intestineA2andA2theA2increasedA2activityA2ofA2c
olonicA2bacteriaA2fromA2theA2digestionA2ofA2proteinsA2increaseA2ammoniaA2levelsA2inA2clie
ntsA2withA2advancedA2liverA2disease,A2soA2removalA2ofA2blood,A2aA2proteinA2source,A2from
A2theA2intestineA2resultsA2inA2aA2reducedA2levelA2ofA2ammonia.A2OptionsA2A,A2B,A2andA2DA2
willA2notA2beA2significantlyA2affectedA2byA2theA2removalA2ofA2blood.

, WhatA2isA2digoxinA2-A2Ans--BloodA2pressureA2medicationA2withA2highA2toxicity

SignsA2ofA2hyperkalemiaA2-A2Ans--Tall/
spikedA2TA2waves,A2prolongedA2QTA2interval,A2wideningA2QRSA2wave

TheA2breakdownA2ofA2glutamineA2inA2theA2intestineA2andA2theA2increasedA2activityA2ofA2col
onicA2bacteriaA2fromA2theA2digestionA2ofA2proteinsA2increaseA2ammoniaA2levelsA2inA2client
sA2withA2advancedA2liverA2disease,A2soA2removalA2ofA2blood,A2aA2proteinA2source,A2fromA2t
heA2intestineA2resultsA2inA2aA2reducedA2levelA2ofA2ammonia.A2OptionsA2A,A2B,A2andA2DA2wil
lA2notA2beA2significantlyA2affectedA2byA2theA2removalA2ofA2blood.

A.A2ReduceA2theA2dailyA2intakeA2ofA2animalA2fatA2toA210%A2ofA2theA2dietA2withinA26A2weeks.
A2
A2 B.A2ExhibitA2regular,A2soft-formedA2stoolA2withinA21A2month.
A2
A2 C.A2DemonstrateA2theA2irrigationA2procedureA2correctlyA2withinA21A2week.
A2
A2 D.A2AttendA2anA2ostomyA2supportA2groupA2withinA22A2weeks.A2-A2Ans--Answer-
A2 D,A2attendA2anA2ostomyA2supportA2groupA2withinA22A2weeks

Rationale-
A2AttendingA2aA2supportA2groupA2willA2beA2beneficialA2toA2theA2clientA2andA2shouldA2beA2en
couragedA2becauseA2adaptationA2toA2theA2ostomyA2canA2beA2difficult.A2ThisA2goalA2isA2atta
inableA2andA2isA2measurable.A2OptionA2AA2isA2notA2specificallyA2relatedA2toA2ileostomyA2ca
re.A2TheA2clientA2withA2anA2ileostomyA2willA2notA2beA2ableA2toA2accomplishA2optionA2B.A2Op
tionA2CA2isA2notA2necessary.

TheA2nurseA2isA2administeringA2aA2nystatinA2suspensionA2forA2stomatitis.A2WhichA2instructi
onA2willA2theA2nurseA2provideA2toA2theA2clientA2whenA2administeringA2thisA2medication?
A.A2"HoldA2theA2medicationA2inA2yourA2mouthA2forA2aA2fewA2minutesA2beforeA2swallowingA2
it."
A2
A2B.A2"DoA2notA2drinkA2orA2eatA2milkA2productsA2forA21A2hourA2priorA2toA2takingA2thisA2medic
ation."
A2
A2C.A2"DiluteA2theA2medicationA2withA2juiceA2toA2reduceA2theA2unpleasantA2tasteA2andA2odo
r."
A2
A2 D.A2"TakeA2theA2medicationA2beforeA2mealsA2toA2promoteA2increasedA2absorption."A2-
A2 Ans--Answer-A2A

Rationale-
A2NystatinA2suspensionA2isA2prescribedA2forA2fungalA2infectionsA2ofA2theA2mouth.A2TheA2cli