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Evolve HESI multidisciplinary practice quiz Questions and Answers (100% Correct Answers) Already Graded A+

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Evolve HESI multidisciplinary practice quiz
Questions and Answers (100% Correct
Answers) Already Graded A+
A client has myxedema, which results from a deficiency of thyroid
hormone synthesis in adults. The nurse knows that which
medication would be contraindicated for this client? [ ANS: ]
Pentobarbital sodium (Nembutal Sodium) for sleep.

The healthcare provider prescribes oxytocin (Pitocin) 0.5
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milliunits/minute for a client in labor. One liter Ringer's Lactate with
10 units of oxytocin (Pitocin) is infusing. The nurse should program
the infusion pump at how many ml/hour? [ ANS: ] 3
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The nurse is preparing to give an enema to a laboring client.
Which client would require the most caution when carrying out
this procedure? [ ANS: ] A 40-week primigravida who is at 6 cm
cervical dilatation and the presenting part is not engaged

A newborn, whose mother is HIV positive, is scheduled for follow-
up assessments. The nurse knows that the most likely presenting
symptom for a pediatric client with AIDS is [ ANS: ] A persistent
cold

A resident in a skilled nursing facility for short-term rehabilitation
after a hip replacement tells the nurse, "I don't want any more
blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical
record? [ ANS: ] Healthcare provider notified of client's refusal to
have blood specimens collected for testing.

A loading dose of acetylcysteine (Mucomyst) 8 grams, which is
available as a 20% solution (200 mg acetylcysteine per ml) is
prescribed by nasogastric tube for a client with acetaminophen

, 2
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toxicity. How many ml of diluent should be added to the
medication to obtain a 1:4 concentration? [ ANS: ] 120

The RN reviews the new prescription, phenelzine, a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with
depression. Which information is most important for the RN to
assess? [ ANS: ] Consumption of any alcohol or tyramine-rich
foods

Which symptoms are serious adverse effects of beta-adrenergic
blockers such as propranolol (Inderal)? [ ANS: ] Wheezing,
hypotension, and AV block
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The RN is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with
rectal bleeding. Which condition should the RN ask the client
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about his medical history? [ ANS: ] Ulcerative colitis

The nurse is caring for a woman with a previously diagnosed heart
disease who is in the second stage of labor. Which assessment
findings are of greatest concern? [ ANS: ] Edema, basilar rales
and an irregular pulse

The nurse is preparing to administer phenelzine sulfate (Nardil) to a
client on the psychiatric unit. Which complaint related to
administration of this drug would the nurse expect this client to
make [ ANS: ] "My mouth feels like cotton"

The nurse is planning the case for a 32-year-old male client with
acute depression. Which nursing intervention would be best in
helping this client deal with his depression [ ANS: ] Assist the client
in exploring feelings of shame, anger and guilt

During an initial clinic visit, the nurse is taking the history for a client
who wants to confirm her pregnancy. The client's last child has a
history of low-birth-weight (LBW). Which additional finding is most

, 3
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important for the nurse to consider [ ANS: ] African-american
ethnicity

A 35-year-old primigravida client with severe preeclampsia is
receiving magnesium sulfate via continuous IV infusion. Which
assessment data would indicate to the nurse that the client is
experiencing magnesium sulfate toxicity [ ANS: ] Blood pressure
140/90

A 64-year-old client is admitted to the hospital with a fractured
right hip. One of the concerns following surgical repair is to
promote dorsiflexion. Which intervention would a nurse implement
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[ ANS: ] Provide a foot board

The nurse is planning care for a client with newly diagnosed
diabetes mellitus that requires insulin. Which assessment should the
nurse identify before beginning the teaching session [ ANS: ]
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willingness of the client to learn the injection sites.

in evaluating the effects of lactulose (Cephulac), which outcome
would indicate that the drug is performing as intended [ ANS: ]
watery, diarrhea stools

the healthcare provider prescribes continuous intravenous infusion
of dextrose 5% and 0.45% sodium chloride with KCl 20mEq/1000 ml
to be delivered over 8 hours. The nurse should program the
infusion pump to deliver how many ml/hour [ ANS: ] 125

Which instructions should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for
treatment of trichomonas vaginalis [ ANS: ] -Inc fluid intake,
especially cranberry juice

-Avoid drinking alcohol while taking the medication

-Use condoms until treatment is completed

-Ensure that all sexual partners are treated at the same time

, 4
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A client is admitted for dehydration, weight loss, and a flat affect.
After reviewing the client's history, the registered nurse (RN)
discovers that the client's spouse died 2 weeks ago. Which nursing
interventions should the RN implement to help the client begin the
process of dealing with loss [ ANS: ] -establish trust by creating a
safe atmosphere for sharing

-help the client identify ways to adapt lifestyle to accommodate
loss

-explore ways to assist the client to make new emotional
investments
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An older woman asks the registered nurse how she can decrease
her chances of getting cystitis. What information should the RN
provide [ ANS: ] void and empty the bladder completely every 2
to 3 hours
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The nurse reviews the latest laboratory results for a child who
received chemotherapy last week and identifies a reduced
neutrophil count. Which nursing diagnosis has the highest priority
for this child [ ANS: ] Risk for infection

preoperative nursing care for a child with Wilms' tumor should
include which intervention [ ANS: ] put a sign on the bed reading,
"DO NOT PALPATE ABDOMEN"

A male adolescent is admitted with bipolar disorder after being
released from jail for assault with a deadly weapon. When the
nurse asks the teen to identify his reason for the assault, he replies,
"Because he made me mad!" which goal is best for the nurse to
include in the client's plan of care? The client will [ ANS: ] Control
impulsive actions toward self and others

While instructing a male client's wife in the performance of passive
range-of-motion exercises to his contracted shoulder, the nurse
observes that she is holding his arm above and below the elbow.

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