VERIFIED ANSWERS 160 Q ANDA GRADED A +
PN Hesi
Exit V1
Question 1
A school-age client with diabetes is placed on an intermediate-
acting insulin and regular insulin before breakfast and before
dinner. She will receive a snack of milk and cereal at bedtime.
What does the nurse tell the client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia. Correct response:
• Prevent late night hypoglycemia.
Question 2
A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official’s electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
You Selected:
, • “Assessing the official’s medical record is a breach of
confidentiality.” Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic
leukemia. The white blood cell (WBC) count, especially the
neutrophil count, is low. What is the most important intervention the
nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance to
infection is decreased Correct response:
• Protect your child from infections because his resistance to
infection is decreased
Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:
•placing the client in isolation.
Correct response: • washing the hands
frequently.
,Question 5
A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is the
best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions Correct
response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
• cool, pale fingers Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client states
that she is glad that she will not be going through menopause as a
result of her surgery and is only having her uterus removed. The
nurse reviews the consent form and notes that the surgery is for a
total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Correct fresponse:
, • Contact f the f surgeon f to f explain f that f the f client f needs
f further fclarification fregarding fsurgery.
Question f8
A fyoung fclient fdiagnosed fwith fschizophrenia fis ftalking fwith fthe
nurse fand fsays, f"You fknow, fwhen fI fthought feveryone fwas fout fto
fget fme, fI fwas fstaying fin fmy fapartment fall fthe ftime. fNow, fI fwould
flike fto fget fout fand fdo fthings fagain." fWhat fis fthe fbest finitial
fresponse fby fthe fnurse?
You fSelected:
• "What factivities fdid fyou fenjoy fin fthe fpast?" fCorrect fresponse:
• "What factivities fdid fyou fenjoy fin fthe fpast?"
Question f9
A fclient fwith fanemia fhas fbeen fadmitted fto fthe fmedical-surgical funit.
Which fassessment ffindings fare fcharacteristic fof firon fdeficiency
fanemia?
You fSelected:
• nausea, fvomiting, fand fanorexia
Correct fresponse:
• dyspnea, ftachycardia, fand fpallor
Question f10
The fnurse fis fdiscontinuing fan fintravenous fcatheter fon fa f10-year-old
fclient fwith fhemophilia. fWhat fwould fbe fthe fmost fimportant
intervention ffor fthis fclient?
You fSelected:
• Apply ffirm fpressure fon fthe fsite ffor f5 fminutes fafter fremoval.
Correct fresponse:
• Apply ffirm fpressure fon fthe fsite ffor f5 fminutes fafter fremoval.