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HESI 266 Questions with Detailed Verified
Answers (100% Correct Answers) /Already
Graded A+
The nurse is evaluating a client's understanding about the DASH (Dietary
Approaches to Stop Hypertension) eating plan. Which behavior indicates that
the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
Ans: D Enjoys fat-free yogurt as an occasional snack food
A client who has a history of hypothyroidism was initially admitted with lethargy
and confusion. Which additional finding warrants the most immediate action by
the nurse? Hematocrit (Reference Range: Male: 42% to 52% (0.42 to 0.52
volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
Ans: A Further decline in level of consciousness.
The nurse is caring for a client with a burn that is severely edematous with a
wound bed that is brown and yellow in appearance. The client expresses feeling
no pain. Which classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
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- D Superficial partial-thickness.
Ans: B Full thickness.
An older client who is agitated, dyspneic, orthopneic, and using accessory
muscles to breathe is admitted for further treatment. Initial assessment includes a
heart rate 128 beats/minute and irregular, respirations 38 breaths/minute,
blood pressure 168/100 mm Hg, wheezes and crackles in all lung fields. An hour
after the administration of furosemide 60 mg intravenous (IV), which
assessment(s) should the nurse obtain to determine the client's response to
treatment? (Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity
Ans: A Urinary output.
B Oxygen saturation.
D Lung sounds.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.
Ans: B Crohn's disease with colectomy.
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet
and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation.
- B Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules.
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- C Decreased renin-angiotensin response related to an increase in renal blood
flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
Ans: - D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences on the client's fingers that are reddened.
The client reports that the nodes are painful. Which action should the nurse take?
- A Review the client's dietary intake of high-protein foods.
- B Discuss approaches to chronic pain control with the client.
- C Notify the healthcare provider of the finding immediately.
- D Assess the client's radial pulses and capillary refill time.
Ans: - B Discuss approaches to chronic pain control with the client.
Which information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
- C Avoid participation in any aerobic exercise programs.
- D Sleep without pillows at night to maintain neck alignment.
Ans: - B Minimize symptoms by wearing loose, comfortable clothing
The nurse assesses a client with petechiae and ecchymosis scattered across the
arms and legs. Which laboratory result should the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
Ans: - D Platelet count.
The nurse is providing teaching to a client with Type 2 diabetes mellitus and
peripheral neuropathy. Which information should the nurse provide?
Click here for more: Preppass - Stuvia
HESI 266 Questions with Detailed Verified
Answers (100% Correct Answers) /Already
Graded A+
The nurse is evaluating a client's understanding about the DASH (Dietary
Approaches to Stop Hypertension) eating plan. Which behavior indicates that
the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
Ans: D Enjoys fat-free yogurt as an occasional snack food
A client who has a history of hypothyroidism was initially admitted with lethargy
and confusion. Which additional finding warrants the most immediate action by
the nurse? Hematocrit (Reference Range: Male: 42% to 52% (0.42 to 0.52
volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
Ans: A Further decline in level of consciousness.
The nurse is caring for a client with a burn that is severely edematous with a
wound bed that is brown and yellow in appearance. The client expresses feeling
no pain. Which classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
,Page | 2
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- D Superficial partial-thickness.
Ans: B Full thickness.
An older client who is agitated, dyspneic, orthopneic, and using accessory
muscles to breathe is admitted for further treatment. Initial assessment includes a
heart rate 128 beats/minute and irregular, respirations 38 breaths/minute,
blood pressure 168/100 mm Hg, wheezes and crackles in all lung fields. An hour
after the administration of furosemide 60 mg intravenous (IV), which
assessment(s) should the nurse obtain to determine the client's response to
treatment? (Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity
Ans: A Urinary output.
B Oxygen saturation.
D Lung sounds.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse recognize
as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.
Ans: B Crohn's disease with colectomy.
The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet
and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
- A Decreased portacaval pressure with greater collateral circulation.
- B Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules.
, Page | 3
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- C Decreased renin-angiotensin response related to an increase in renal blood
flow.
- D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
Ans: - D Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
While assessing a client with degenerative joint disease, the nurse observes
Heberden's nodes, large prominences on the client's fingers that are reddened.
The client reports that the nodes are painful. Which action should the nurse take?
- A Review the client's dietary intake of high-protein foods.
- B Discuss approaches to chronic pain control with the client.
- C Notify the healthcare provider of the finding immediately.
- D Assess the client's radial pulses and capillary refill time.
Ans: - B Discuss approaches to chronic pain control with the client.
Which information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no snacks.
- B Minimize symptoms by wearing loose, comfortable clothing.
- C Avoid participation in any aerobic exercise programs.
- D Sleep without pillows at night to maintain neck alignment.
Ans: - B Minimize symptoms by wearing loose, comfortable clothing
The nurse assesses a client with petechiae and ecchymosis scattered across the
arms and legs. Which laboratory result should the nurse review?
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
Ans: - D Platelet count.
The nurse is providing teaching to a client with Type 2 diabetes mellitus and
peripheral neuropathy. Which information should the nurse provide?
