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Exam (elaborations)

hesi practice exam evolve

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hesi practice exam evolve

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Hesi Practice
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Institution
Hesi practice
Course
Hesi practice

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Uploaded on
April 28, 2025
Number of pages
43
Written in
2024/2025
Type
Exam (elaborations)
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hesi practice exam evolve
Study online at https://quizlet.com/_ar1g9x

1. An adult client who is hospitalized after surgery re- pulmonary embolism
ports sudden onset of chest pain and dyspnea. The
client appears anxious, restless, and mildly cyanotic.
The nurse should further assess the client for which
condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis

2. Which information should the nurse obtain when per- - quality of the pain
forming an initial assessment of a client who presents - signs of inflammation
to the emergency department with a painful ankle - ankle range of motion
injury? (Select all that apply.) - visible deformities of the
- quality of the pain joint
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint

3. Which description of pain is consistent with a diagno- joint pain is worse in
sis of rheumatoid arthritis? the morning and involves
- joint pain is worse in the morning and involves sym- symmetric joints
metric joints
- joint pain is better in the morning and worsens
throughout the day
- joint pain is consistent throughout the day and is
relieved by pain medication
- joint pain is worse during the day and involves uni-
lateral joints

4. hoarseness


, hesi practice exam evolve
Study online at https://quizlet.com/_ar1g9x

Which physical assessment finding should the
nurse anticipate in a client with long-term gastroe-
sophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss

5. A client presents with chronic venous insufficiency. bilateral lower leg stasis
Which assessment finding should the nurse antici- dermatitis
pate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis

6. A client has been hospitalized with a femur fracture assess neurovascular sta-
and is being treated with traction. Which action by the tus
nurse is the priority when caring for this client?
- assess neurovascular status
- change the client's position
- inspect the traction equipment
- review pain medication orders

7. Which statement made by a client with chronic pan- I will cut back on smoking
creatitis indicates that further education is needed? cigarettes daily
- I will cut back on smoking cigarettes daily (*avoid nicotine entirely)
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet

8. The nurse is teaching a female client who uses a con- - do not leave the di-
traceptive diaphragm about reducing the risk for toxic aphragm in place longer


, hesi practice exam evolve
Study online at https://quizlet.com/_ar1g9x

shock syndrome (TSS). Which information should the than 8 hours after inter-
nurse include? (Select all that apply.) course
- remove the diaphragm immediately after inter- - replace the old di-
course aphragm every 3 months
- wash the diaphragm with an alcohol solution
- use the diaphragm to prevent conception during the
menstrual cycle
- do not leave the diaphragm in place longer than 8
hours after intercourse
- replace the old diaphragm every 3 months

9. A male client who smokes two packs of cigarettes a - alcohol consumption can
day states he understands that smoking cigarettes is cause erectile dysfunc-
contributing to the difficulty that he and his wife are tion
having in getting pregnant and wants to know if other - low testosterone levels af-
factors could be contributing to their difficulty. What fect sperm production
information is best for the nurse to provide? (Select all - cessation of smoking im-
that apply.) proves general health and
- marijuana cigarettes do not affect sperm count fertility
- alcohol consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and
fertility
- obesity has no effect on sperm production

10. Twenty four hours after a client returns from surgi- lethargy
cal gastric bypass, the registered nurse (RN) observes
large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock?
- faint pedal pulses
- decrease in blood pressure


, hesi practice exam evolve
Study online at https://quizlet.com/_ar1g9x

- lethargy
- slow breathing

11. The registered nurse (RN) is assessing a male client ulcerative colitis
who arrives at the clinic with severe abdominal cramp-
ing, pain, tenesmus, and dehydration. The RN dis-
covers that the client has had 14 to 20 loose stools
with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to
obtain?
- irritable bowel syndrome
- diverticulitis
- crohn's disease
- ulcerative colitis

12. A client is newly diagnosed with diverticulosis. The chronic constipation caus-
registered nurse (RN) is assessing the client's basic es weakening of colon wall
knowledge about the disease process. Which state- which result in out-pouch-
ment by the client conveys an understanding of the ing sacs
etiology of diverticula?
- over use of laxatives for bowel regularity result in loss
of peristaltic tone
- inflammation of the colon mucosa cause growths
that protrude into the colon lumen
- diverticulosis is the result of high fiber diet and
sedentary life style
- chronic constipation causes weakening of colon wall
which result in out-pouching sacs

13. The registered nurse (RN) is assessing a client who sphygmomanometer
was discharged home after management of chron-
ic hypertension. Which equipment should the RN in-

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