hesi practice Questions And And Answers 2022/2023

A male client who is admitted the morning of his scheduled surgery tells the pn that he drank a glass of water last night. What interventions will the PN implement first? a Reassure the client that a small amount of water is not harmful b Determine the amount of water and exact time it was taken c Auscultate the client for bowel and ability to urinate d Notify the healthcare provider of the client's fluid intake - Answer - b Determine the amount of water and exact time it was taken The client receives ondansetron prior to chemotherapy therapy. How should the PN evaluate medication? a Determine if the client feels calm and relaxed before treatment b Observe the client for signs of pain and discomfort during the treatment c Monitor the client for nausea/ vomiting following the treatment d Assess for changes in vital signs during and after treatment - Answer - c Monitor the client for nausea/ vomiting following the treatment During morning rounds a client who is admitted with obsessive compulsive disorder is in the same table. What interventions should the PN implement when approaching? a Encourage the client to be calm and relax for a little while b Assist the client to identify stimuli that precipitates the activity c Provide time for the behavior then guide the client to other activities d Assist the client to a chair after taking away the cleaning materials - Answer - c Provide time for the behavior then guide the client to other activities The PN is caring for an older adult client who is confused and spends factor contributes to an increased risk for impaired skin integrity for this client? a Refuses to use a walker when ambulating b Likes to drink several cola drinks every day c No recorded bowel movement for several days d Has increasing episodes of urinary incontinence - Answer - d Has increasing episodes of urinary incontinence The PN determines that a client with cirrhosis is experiencing peripheral take? a Apply a heating pad to affected area b Assess the feet and legs for jaundice c Keep the clients feet elevated d Protect the client's feet from injury - Answer - d Protect the client's feet from injury A client is admitted to the postoperative surgical unit after a left lobectomy with two chest observes that the water sealed chambers set at the prescribed suction of 20 cm water and bubbling. What action should the PN implement? a Notify the RN of the malfunction b Apply a partial occlusive dressing to chest c Clamp the chest tube to see if activity stops d Maintain system integrity to promote lung reexpansion - Answer - d Maintain system integrity to promote lung reexpansion At the end of a 12 hour shift the PN observes the urine in a clients drainage action should PN take next? a Determine if the clients bladder feels distended b Offer to administer a prescribed PRN analgesic c Note the most recent WBC d Obtain a fingerstick capillary glucose level - Answer - c Note the most recent WBC A client with a compound fracture of the left ankle is being discharged with a below PN provide to the client prior to discharge? a Keep the left leg in a dependent position b Expect some increase in pain c Never scratch under the cast d Apply a cold pack to any hot spots on the cast - Answer - c Never scratch under the cast