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HESI Comprehensive Exit Exam-Latest Update

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HESI Comprehensive Exit Exam-Latest Update 1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? A. Checking the client's blood pressure B. Checking the client's peripheral pulses C. Checking the most recent potassium level D. Checking the client's intake-and-output record for the last 24 hours - CORRECT ANSWERS-A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hypotension. Therefore the nurse would check the client's blood pressure immediately before administering each dose. Checking the client's peripheral pulses, the results of the most recent potassium level, and the intake and output for the previous 24 hours are not specifically associated with this mediation. 2-A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions to the client about the test. Which statement by the client indicates a need for further instruction? A. "The test will take about 30 minutes." B. "I need to fast for 8 hours before the test." C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test." D. "I need to take a laxative after the test is completed, because the liquid that I'll have to drink for the test can be constipating." - CORRECT ANSWERS-C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test." An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum by means of the use of a contrast medium. It involves swallowing a contrast medium (usually barium), which is administered in a flavored milkshake. Films are taken at intervals during the test, which takes about 30 minutes. No special preparation is necessary before a GI series, except that NPO status must be maintained for 8 hours before the test. After an upper GI series, the client is prescribed a laxative to hasten elimination of the barium. Barium that remains in the colon may become hard and difficult to expel, leading to fecal impaction. 3-A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a prescribed medication is higher than the normal dose. The nurse calls the

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JARVIS Health Assessment practice
questions: Chapters 1, 4, and 8-Latest
Update
The nurse is taking a family history. Important diseases or problems about which the
patient should be specifically asked include:
a. Emphysema.
b. Head trauma.
c. Mental illness.
d. Fractured bones. - CORRECT ANSWERS-c

The review of systems provides the nurse with:
a. Physical findings related to each system.
b. Information regarding health promotion practices.
c. An opportunity to teach the patient medical terms.
d. Information necessary for the nurse to diagnose the patient's medical problem. -
CORRECT ANSWERS-b

Which of these statements represents subjective data the nurse obtained from the
patient regarding the patient's skin?

a. Skin appears dry.
b. No lesions are obvious.
c. Patient denies any color change.
d. Lesion is noted on the lateral aspect of the right arm. - CORRECT ANSWERS-c

The nurse is obtaining a history from a 30-year-old male patient and is concerned about
health promotion activities. Which of these questions would be appropriate to use to
assess health promotion activities for this patient?
a. "Do you perform testicular self-examinations?"
b. "Have you ever noticed any pain in your testicles?"
c. "Have you had any problems with passing urine?"
d. "Do you have any history of sexually transmitted diseases?" - CORRECT
ANSWERS-a

Which of these responses might the nurse expect during a functional assessment of a
patient whose leg is in a cast?
a. "I broke my right leg in a car accident 2 weeks ago."
b. "The pain is decreasing, but I still need to take acetaminophen."
c. "I check the color of my toes every evening just like I was taught."
d. "I'm able to transfer myself from the wheelchair to the bed without help." - CORRECT
ANSWERS-d

,In response to a question about stress, a 39-year-old woman tells the nurse that her
husband and mother both died in the past year. Which response by the nurse is most
appropriate?
a. "This has been a difficult year for you."
b. "I don't know how anyone could handle that much stress in 1 year!"
c. "What did you do to cope with the loss of both your husband and mother?"
d. "That is a lot of stress; now let's go on to the next section of your history." -
CORRECT ANSWERS-c

In response to a question regarding the use of alcohol, a patient asks the nurse why the
nurse needs to know. What is the reason for needing this information?
a. This information is necessary to determine the patient's reliability.
b. Alcohol can interact with all medications and can make some diseases worse.
c. The nurse needs to be able to teach the patient about the dangers of alcohol use.
d. This information is not necessary unless a drinking problem is obvious. - CORRECT
ANSWERS-b

The mother of a 16-month-old toddler tells the nurse that her daughter has an earache.
What would be an appropriate response?
a. "Maybe she is just teething."
b. "I will check her ear for an ear infection."
c. "Are you sure she is really having pain?"
d. "Describe what she is doing to indicate she is having pain." - CORRECT ANSWERS-
d

During an assessment of a patient's family history, the nurse constructs a genogram.
Which statement best describes a genogram?
a. List of diseases present in a person's near relatives
b. Graphic family tree that uses symbols to depict the gender, relationship, and age of
immediate family members
c. Drawing that depicts the patient's family members up to five generations back
d. Description of the health of a person's children and grandchildren - CORRECT
ANSWERS-b

A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which
information should the nurse collect before this procedure?
a. Child's birth weight
b. Age at which he crawled
c. Whether the child has had the measles
d. Child's reactions to previous hospitalizations - CORRECT ANSWERS-d

As part of the health history of a 6-year-old boy at a clinic for a sports physical
examination, the nurse reviews his immunization record and notes that his last measles-
mumps-rubella (MMR) vaccination was at 15 months of age. What recommendation
should the nurse make?

, a. No further MMR immunizations are needed.
b. MMR vaccination needs to be repeated at 4 to 6 years of age.
c. MMR immunization needs to be repeated every 4 years until age 21 years.
d. A recommendation cannot be made until the physician is consulted. - CORRECT
ANSWERS-b

What type of database is most appropriate when rapid collection of data is required and
often compiled concurrently with lifesaving measures?
a. complete
b. focused
c. follow up
d. emergency - CORRECT ANSWERS-d

A nurse precepting a student nurse asks, "What's the most important step in the critical-
thinking process?"
a. clustering subjective and objective data
b. analyzing health data
c. using evidence based assessment techniques
d. prioritizing health concerns - CORRECT ANSWERS-c

An example of subjective data is
a. decreased range of motion
b. crepitation in left knee joint
c. arthritis
d. left knee has been swollen and hot for past 3 days - CORRECT ANSWERS-d

What type of database is most appropriate for an individual who is admitted to a long-
term care facility?
a. focused
b. complete
c. emergency
d. follow up - CORRECT ANSWERS-b

Which of the following is an example of objective data?
a. a sore throat
b. an earache
c. alert and oriented
d. dizziness - CORRECT ANSWERS-c

An example of objective data is

a. a report of impaired mobility from left knee pain as evidenced by an inability to walk,
swelling, and pain on passive range of motion.
b. a complaint of left knee pain.
c. crepitation in the left knee joint.
d. left knee has been swollen and hot for the past 3 days. - CORRECT ANSWERS-c

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