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Exam (elaborations)

HESI 700 Exam Questions and Answers 100% Pass

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HESI 700 Exam Questions and Answers 100% Pass Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? - Review with the client the need to avoid foods that are rich in milk and cream A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him "feel bad". In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? - Stroke secondary to hemorrhage The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? - Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows 2Katelyn Whitman, All Rights Reserved © 2025 An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up - Describes life without purpose A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client's teaching plan - Further evaluation involving surgery may be needed A client who recently underwent a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? - Teach tracheal suctioning techniques In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute. What action should the nurse implement - Document the assessment data Rational: reservoir bag should not deflate completely during inspiration and the client's respiratory rate is within normal limits. 3Katelyn Whitman, All Rights Reserved © 2025 During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate first? - Respiratory apnea of 30 seconds During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first? - Check the client for lacerations or fractures At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? - Inform the anesthesia care provider After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart sound is present, what action should the nurse take first - Listen with the bell at the same location A 66-year-old woman is retiring and will no longer have a health insurance through her place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs? - Medicare A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with th

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Institution
HESI 700
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HESI 700

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Uploaded on
January 23, 2025
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174
Written in
2024/2025
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HESI 700 Exam Questions and
Answers 100% Pass

Following discharge teaching, a male client with duodenal ulcer tells the nurse the he

will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.

What is the best follow-up action by the nurse? - ✔✔Review with the client the need to

avoid foods that are rich in milk and cream


A male client with hypertension, who received new antihypertensive prescriptions at

his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His

BP is 158/106 and he admits that he has not been taking the prescribed medication

because the drugs make him "feel bad". In explaining the need for hypertension control,

the nurse should stress that an elevated BP places the client at risk for which

pathophysiological condition? - ✔✔Stroke secondary to hemorrhage


The nurse observes an unlicensed assistive personnel (UAP) positioning a newly

admitted client who has a seizure disorder. The client is supine and the UAP is placing

soft pillows along the side rails. What action should the nurse implement? - ✔✔Instruct

the UAP to obtain soft blankets to secure to the side rails instead of pillows




Katelyn Whitman, All Rights Reserved © 2025 1

,An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)

for the past 12 days. Which assessment finding requires immediate follow-up -

✔✔Describes life without purpose


A 60-year-old female client with a positive family history of ovarian cancer has

developed an abdominal mass and is being evaluated for possible ovarian cancer. Her

Papanicolau (Pap) smear results are negative. What information should the nurse

include in the client's teaching plan - ✔✔Further evaluation involving surgery may be

needed


A client who recently underwent a tracheostomy is being prepared for discharge to

home. Which instructions is most important for the nurse to include in the discharge

plan? - ✔✔Teach tracheal suctioning techniques


In assessing an adult client with a partial rebreather mask, the nurse notes that the

oxygen reservoir bag does not deflate completely during inspiration and the client's

respiratory rate is 14 breaths / minute. What action should the nurse implement -

✔✔Document the assessment data


Rational: reservoir bag should not deflate completely during inspiration and the client's

respiratory rate is within normal limits.




Katelyn Whitman, All Rights Reserved © 2025 2

,During shift report, the central electrocardiogram (EKG) monitoring system alarms.

Which client alarm should the nurse investigate first? - ✔✔Respiratory apnea of 30

seconds


During a home visit, the nurse observed an elderly client with diabetes slip and fall.

What action should the nurse take first? - ✔✔Check the client for lacerations or fractures


At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the

client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid

getting a headache. Which action should the nurse take first? - ✔✔Inform the anesthesia

care provider


After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart

sounds. To determine if an S3 heart sound is present, what action should the nurse take

first - ✔✔Listen with the bell at the same location


A 66-year-old woman is retiring and will no longer have a health insurance through her

place of employment. Which agency should the client be referred to by the employee

health nurse for health insurance needs? - ✔✔Medicare


A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.

What snack should the nurse instruct the client to take with the tetracycline? -

✔✔Toasted wheat bread and jelly




Katelyn Whitman, All Rights Reserved © 2025 3

, Following a lumbar puncture, a client voices several complaints. What complaint

indicated to the nurse that the client is experiencing a complication? - ✔✔"I have a

headache that gets worse when I sit up"


An elderly client seems confused and reports the onset of nausea, dysuria, and urgency

with incontinence. Which action should the nurse implement - ✔✔Obtain a clean catch

mid-stream specimen


The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods

that are in keeping with the child's dietary restrictions. Which foods are contraindicated

for this child? - ✔✔Foods sweetened with aspartame


Before preparing a client for the first surgical case of the day, a part-time scrub nurse

asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for

this client. Which response should the circulating nurse provide? - ✔✔Direct the nurse

to continue the surgical hand scrub for a 5 minute duration


Which breakfast selection indicates that the client understands the nurse's instructions

about the dietary management of osteoporosis? - ✔✔Bagel with jelly and skim milk


The charge nurse of a critical care unit is informed at the beginning of the shift that less

than the optimal number of registered nurses will be working that shift. In planning

assignments, which client should receive the most care hours by a registered nurse (RN)




Katelyn Whitman, All Rights Reserved © 2025 4

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