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HESI case study ASSESSMENT fall Exam
Questions And Answers (Guaranteed A+)
A client with progressive hearing loss appears distressed when the registered nurse asked open
ended questions about the clients health history. which forms of communication should the
nurse use? - answer✔Face to client so the client can see the RN's mouth; check if the clients
hearing aids are working properly; reduce environmental noise surrounding the client
The registered nurse assesses a client's results for an arterial blood gases who has emphysema.
Which finding is consistent with respiratory acidosis? - answer✔pH of 7.32, pCO2 of 46 mmHg,
HCO3 of 24 MEq/L
Rationale: normal pH ranges are 7.35-7.45 normal ranges of pCO2 35-45 mmHg normal ranges
of HCO3 21-28 MEq/L. Respiratory acidosis is characterized by low pH pCO2 higher than normal
and HCO3 within normal limits.
The registered nurse notifies the spouse of a client who is admitted to hospice with shallow
respirations, of a change in the clients condition. Over the past hour the clients respiratory
pattern has changed to a Cheyne stokes pattern. After receiving this information the client
1|Page
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ALL RIGHTS RESERVED.
spouse begins vacuuming around the bed. Which stage of grief is the spouse displaying during
the visit? - answer✔Denial
The registered nurse is assessing common complications related to a patient's recent diagnosis
systemic lupus erythemoatosus (SLE). Which symptom should the RN instruct the client to
report immediately? - answer✔Fever related to infection
Rationale: secondary infections are a major concern with SLE client states the use of
corticosteroids and chemotherapeutic agents (which suppresses the immune system) fever and
infection should be reported immediately
The registered nurse is interviewing a female client who states she has persistent productive
cough during the winter caused by bronchitis. Which additional findings should the RN assess
for bronchitis? - answer✔Phlegm production and wheezing
Rationale: A chronic seasonal cough related to bronchitis is likely accompanied with phlegm
production and wheezing. Although smoking can contribute to a chronic cough the typical
seasonal cough is an inflammatory reaction to seasonal changes
The registered nurse is teaching a client who is newly diagnosed with emphysema how to
perform pursed lip breathing. What is the primary reason for teaching a client this method of
breathing? - answer✔Promotes CO2 elimination
2|Page
ALL RIGHTS RESERVED.
HESI case study ASSESSMENT fall Exam
Questions And Answers (Guaranteed A+)
A client with progressive hearing loss appears distressed when the registered nurse asked open
ended questions about the clients health history. which forms of communication should the
nurse use? - answer✔Face to client so the client can see the RN's mouth; check if the clients
hearing aids are working properly; reduce environmental noise surrounding the client
The registered nurse assesses a client's results for an arterial blood gases who has emphysema.
Which finding is consistent with respiratory acidosis? - answer✔pH of 7.32, pCO2 of 46 mmHg,
HCO3 of 24 MEq/L
Rationale: normal pH ranges are 7.35-7.45 normal ranges of pCO2 35-45 mmHg normal ranges
of HCO3 21-28 MEq/L. Respiratory acidosis is characterized by low pH pCO2 higher than normal
and HCO3 within normal limits.
The registered nurse notifies the spouse of a client who is admitted to hospice with shallow
respirations, of a change in the clients condition. Over the past hour the clients respiratory
pattern has changed to a Cheyne stokes pattern. After receiving this information the client
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
spouse begins vacuuming around the bed. Which stage of grief is the spouse displaying during
the visit? - answer✔Denial
The registered nurse is assessing common complications related to a patient's recent diagnosis
systemic lupus erythemoatosus (SLE). Which symptom should the RN instruct the client to
report immediately? - answer✔Fever related to infection
Rationale: secondary infections are a major concern with SLE client states the use of
corticosteroids and chemotherapeutic agents (which suppresses the immune system) fever and
infection should be reported immediately
The registered nurse is interviewing a female client who states she has persistent productive
cough during the winter caused by bronchitis. Which additional findings should the RN assess
for bronchitis? - answer✔Phlegm production and wheezing
Rationale: A chronic seasonal cough related to bronchitis is likely accompanied with phlegm
production and wheezing. Although smoking can contribute to a chronic cough the typical
seasonal cough is an inflammatory reaction to seasonal changes
The registered nurse is teaching a client who is newly diagnosed with emphysema how to
perform pursed lip breathing. What is the primary reason for teaching a client this method of
breathing? - answer✔Promotes CO2 elimination
2|Page
