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Exam (elaborations)

HESI 700 499 TO 814 TO PRINT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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HESI 700 499 TO 814 TO PRINT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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Uploaded on
September 2, 2024
Number of pages
41
Written in
2024/2025
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HESI 700 499 TO 814 TO PRINT
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
TheBnurseBisBassessingBaBmiddle-
agedBadultBwhoBisBdiagnosedBwithBosteoarthritis.BWhichBfactorBinBthisBclient'sBhistoryBisBaBcontributorBtoBt
heBosteoarthritis?B-BANSWERBLongBdistanceBrunnerBsinceBhighBschool.



heBnurseBmanagerBisBconductingBanBin-
servicesBeducationBprogramBonBtheBfireBevacuationBofBtheBnewbornBrecovery.BWhatBinterventionBshouldBt
heBnurseBmanagerBdisseminateBtoBtheBstaff?B-BANSWERBEvacuateBeachBinfantBwithBmotherBviaBwheelchair



ABclientBwithBsevereBfull-
thicknessBburnsBisBscheduledBforBanBallograftingBprocedure.BWhichBinformationBshouldBtheBnurseBprovideB
theBclientB-BANSWERBHumanBsourceBgraftsBrequireBmonitoringBforBsignsBofBgraftBrejection



nBadultBmanBreportsBthatBheBrecentlyBexperiencedBanBepisodeBofBchestBpressureBandBbreathlessnessBwhen
BheBwasBjoggingBinBtheBneighborhood.BHeBexpressesBconcernBbecauseBbothBofBhisBdeceasedBparentsBhadBh

eartBdiseaseBandBhisBfatherBwasBaBdiabetic.BHeBlivesBwithBhisBmaleBpartner,BisBaBvegetarian,BandBtakesBaten
ololBwhichBmaintainBhisBbloodBpressureBatB138/74.BWhichBriskBfactorsBshouldBtheBnurseBexploreBfurtherBwi
thBtheBclient?BSelectBallBthatBapplyB-BANSWERBHistoryBofBhypertension.

B FamilyBheathBhistory



TheBnursingBstaffBonBaBmedicalBunitBincludesBaBregisteredBnurseB(RN),BpracticalBnurseB(LPN),BandBunlicense
dBassistantBpersonnelB(UAP).BWhichBtaskBshouldBtheBchargeBnurseBassignBtoBtheBRN?B-
BANSWERBSupervisedBaBnewlyBhiredBgraduateBnurseBduringBanBadmissionBassessment




TheBnurseBisBadministeringBaB750BmlBcleansingBenemaBtoBanBadultBclient.BAfterBapproximately150BmlBofBen
emaBhasBinformed,BtheBclientBstates,B'stopBIBcan'tBholdBanymore."BWhatBactionBshouldBtheBnurseBtakeB-
BANSWERBClampBtheBtubingBandBinstructBtheBclientBtoBbreatheBdeeplyBbeforeBcontinuing.




TheBnurseBrequestsBaBmealsBtrayBforBaBclientBfollowsBMormonBbeliefsBandBwhoBisBonBclearBliquidBdietBfollo
wingBabdominalBsurgery.BWhichBmealBitemBshouldBtheBnurseBrequestBforBthisBclient?B(SelectBallBthatBapply)
B-BANSWERBAppleBjuice



B ChickenBbroth

,FollowingBbreakfast,BtheBnurseBisBpreparingBtoBadministerB0900BmedicationsBtoBclientsBonBaBmedicalBfloor.B
WhichBmedicationBshouldBbeBheldBuntilBaBlaterBtime?B-
BANSWERBTheBmucosalBbarrier,BsucralfateB(Carafate),BforBaBclientBdiagnosedBwithBpepticBulcerBdisease




TheBfatherBofB4-year-
oldBhasBbeenBbattlingBmetastaticBlungBcancerBforBtheBpastB2Byears.BAfterBdiscussingBtheBremainingBoptionsB
withBhisBhealthcareBprovider,BtheBclientBrequestsBthatBallBtreatmentBstopBandBthatBnoBheroicBmeasuresBbeB
takenBtoBsaveBhisBlife.BWhenBtheBclientBisBtransferredBtoBtheBpalliativeBcareBunit,BwhichBactionBisBmostBimpo
rtantBforBtheBnurseBworkingBonBtheBpalliativeBcareBunitBtoBtakeBinBfacilitatingBcontinuityBofBcare?B-
BANSWERBObtainBaBdetailedBreportBfromBtheBnurseBtransferringBtheBclient.




TheBhealthcareBproviderBprescribesBoxycodone/BaspirinB1BtabBPOBeveryB4hBasBneededBforBpain,BforBaBclient
BwithBpolycysticBkidneyBdisease.BBeforeBadministeringBthisBmedication,BwhichBcomponentBofBtheBprescripti

onBshouldBtheBnurseBquestion?B-BANSWERBAspirinBcontent.



TheBnurseBisBmakingBaBhomeBvisitBtoBaBmaleBclientBwhoBisBinBtheBmoderateBstageBofBAlzheimer'sBdiseases.B
TheBclient'sBwifeBisBexhaustedBandBtellsBtheBnurseBthatBtheBfamilyBplansBtoBtakeBturnsBcaringBforBtheBclientBi
nBtheirBhome,BeachBkeepingBhimBforBtwoBweeksBatBaBtime.BHowBshouldBtheBnurseBrespond?B-
BANSWERBSuggestBenrollingBtheBclientBinBadultBdaycareBinsteadBofBrotatingBamongBfamily




AByoungBadultBmaleBwasBadmittedB36BhoursBagoBforBaBheadBinjuryBthatBoccurredBasBtheBresultBofBaBmotorc
ycleBaccident.BInBtheBlastB4Bhours,BhisBurineBoutputBhasBincreasedBtoBoverB200Bml/H.BBeforeBreportingBtheBf
indingBtoBtheBhealthcareBprovider,BwhichBinterventionBshouldBtheBnurseBimplement?B-
BANSWERBEvaluateBtheBurineBosmolalityBandBtheBserumBosmolalityBvalues.




ABmaleBclientBhasBreceivedBaBprescriptionBforBorlistatBforBweightBandBnutritionBmanagement.BInBadditionBt
oBtheBmedication,BtheBclientBstatesBheBplansBtoBtakeBaBmultivitamin.BWhatBteachingBshouldBtheBnurseBprov
ide?B-
BANSWERBBeBsureBtoBtakeBtheBmultivitaminBandBtheBmedicationBatBleastBtwoBhoursBapartBforBbestBabsorpti

onBandBeffectiveness



ABfemaleBclientBisBtakingBalendronate,BaBbisphosphate,BforBpostmenopausalBosteoporosis.BTheBclientBtellsB
theBnurseBthatBsheBisBexperiencingBjawBpain.BHowBshouldBtheBnurseBrespondB-
BANSWERBReportBtheBclient'sBjawBpainBtoBtheBhealthcareBprovider.

,WhichBinterventionBshouldBtheBnurseBimplementBforBaBclientBwithBaBsuperficialB(firstBdegree)Bburn?B-
BANSWERBPlaceBwetBclothsBonBtheBburnedBareasBforBshortBperiodsBofBtime.




WhatBisBtheBprimaryBgoalBwhenBplanningBnursingBcareBforBaBclientBwithBdegenerativeBjointBdiseaseB(DJD)?B-
BANSWERBAchieveBsatisfactoryBpainBcontrol.




AnBadultBwomanBwhoBisBseenBinBtheBclinicBwithBpossibleBneuropathicBpainBofBtheBrightBlegBratesBherBpainBa
sBaB7BonBaB10BpointBscale.BWhatBactionBshouldBtheBnurseBtakeB-
BANSWERBEncourageBtheBclientBtoBdescribeBtheBpain.




ABclientBhasBbothBprimaryBIVBinfusionBandBaBsecondaryBinfusionBofBmedication.BAnBinfusionBpumpBisBnotBav
ailable.BTheBnurseBneedsBtoBdetermineBtheBcurrentBrateBofBinfusionBofBtheBprimaryBIV.BWhereBshouldBtheBn
urseBobserveBtoBdetermineBtheBrateBofBinfusion?B-BANSWERBdripBchamber



TheBnurseBisBcaringBaBclientBwithBNGBtube.BWhichBtaskBcanBtheBnurseBdelegateBtoBtheBUAPB-
BANSWERBDisconnectBtheBNGBsuctionBsoBtheBclientBcanBambulateBinBtheBhallway




TheBnurseBisBconductingBtheBinitialBassessmentBofBanBillBclientBwhoBisBfromBanotherBculture....BWhatBrespo
nseBshouldBtheBnurseBprovide?B-BANSWERBWhatBpracticesBdoByouBbelieveBwillBhelpByouBheal?"



WhichBinterventionsBshouldBtheBnurseBincludeBinBaBlong-termBplanBofBcareBforBaBclientBwithBCOPDB-
BANSWERBReduceBriskBfactorsBforBinfection




TheBnurseBisBcollectingBaBsterileBurineBspecimenBusingBaBstraightBcatheterBtrayBforBculture....B(ArrangeBfrom
BfirstBactionBtoBlast).B-BANSWERB1.BDrapeBtheBclientBinBaBrecumbentBpositionBforBprivacy



2.BOpenBtheBurinaryBcatheterizationBtray

3.BDonBsterileBglovesBusingBasepticBtechnique

4.BUseBforcepsBandBswapsBtoBcleanBtheBurinaryBmeatus



TheBnurseBisBcaringBforBaBtoddlerBwithBaBsevereBbirthBanomalyBthatBisBdying.BTheBparents...BholdingBtheBchil
dBasBdeathBapproaches.BWhichBinterventionBisBmostBimportantBforBtheBnurse?B-
BANSWERBNotifyBnursingBsupervisorBandBhospitalBchaplainBofBtheBchild'sBimpendingBdeath.

, TheBnurseBisBassessingBaB4-year-
oldBboyBadmittedBtoBtheBhospitalBwithBtheBdiagnosisBofBpossibleBnephroticBsyndrome.BWhichBstatementBb
yBtheBparentsBindicatesBaBlikelyBcorrelationBtoBtheBchild'sBdiagnosisB-
BANSWERBIBcouldn'tBgetBmyBson'sBsocksBandBshoesBonBthisBmorning"




ABfemaleBclientBreportsBsheBhasBnotBhadBaBbowelBmovementBforB3Bdays,BbutBnowBisBdefecatingBfrequentBs
mallBamountBofBliquidBstool.BWhichBactionBshouldBtheBnurseBimplement?B-
BANSWERBDigitallyBcheckBtheBclientBforBaBfecalBimpaction




ABhealthBcareBproviderBcontinuouslyBdismissesBtheBnursingBcareBsuggestionsBmadeBbyBstaffBnurses.BAsBaBre
sult...dealingBwithBtheBhealthcareBprovider.BWhatBactionBshouldBtheBnurseBmanagerBimplement?B-
BANSWERBPlanBanBinterdisciplinaryBstaffBmeetingBtoBdevelopBstrategiesBtoBenhanceBclientBcare




AB2-year-
oldBgirlBisBbroughtBtoBtheBclinicBforBaBroutineBassessmentBandBallBfindingsBareBwithinBtheBnormalBlimits.BHo
wever,BtheBmomBexpressesBconcernBoverBherBdaughter'sBprotrudingBabdomenBandBtellsBtheBnurseBthatBsh
eBisBworryBthatBherBchildBisBbecomingBoverweight.BHowBshouldBtheBnurseBrespondBtoBtheBmother'sBcomm
ent?B-BANSWERBExplainBthatBaBprotrudingBabdomenBisBtypicalBforBtoddler



ABclientBadmittedBwithBanBacuteBcoronaryBsyndromeB(ACS)BreceivesBeptifibatide,BaBglycoproteinB(GP)BIIBBIII
ABinhibitor,BwhichBimportantBfindingBplacesBtheBclientBatBgreatestBrisk?B-
BANSWERBUnresponsiveBtoBpainfulBstimuli




ABtoddlerBpresentsBtoBtheBclinicBwithBaBbarkingBcough,Bstrider,BrefractionsBwithBrespiration,BtheBchild'sBskin
BisBpinkBwithBcapillaryBrefillBofB2Bseconds.BWhichBinterventionBshouldBtheBnurseBimplement?B-

BANSWERBAdministeredBNebulizedBEpinephrine




AnBAfrican-
AmericanBmanBcomeBintoBtheBhypertensionBscreeningBboothBatBaBcommunityBfair.BTheBnurseBfindsBthatBisB
bloodBpressureBisB170/94BmmHg.BTheBclientBtellsBtheBnurseBthatBheBhasBneverBbeenBtreatedBforBhighBblood
Bpressure.BWhatBresponseBshouldBtheBnurseBmake?B-

BANSWERBYourBbloodBpressureBisBaBlittleBhigh.BYouBneedBtoBhaveBitBrecheckedBwithinBoneBwee




TheBnurseBcaringBforBaBclientBwithBdysphagiaBisBattemptingBtoBinsertBanBNGBtube,BbutBtheBclientBwillBnotBsw
allowBandBisBnotBgagging.BWhatBactionBshouldBtheBnurseBimplementBtoBfacilitateBtheBNGTBpassageBintoBthe
Besophagus?B-BANSWERBFlexBtheBclient'sBheadBwithBchinBtoBtheBchestBandBinsert.

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