1
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HESI comprehensive Questions and
Answers (100% Correct Answers) Already
Graded A+
A nurse taking the vital signs of a client immediately after she has
delivered a newborn notes that the client's heart rate is 110
beats/min. What should the nurse do first?
Recheck the heart rate in 1 hour
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Offer the client oral fluids
Check the uterus and amount of lochia discharge Correct
Document the findings [ Ans: ] If tachycardia is noted, the nurse
Guru01 - Stuvia
should first assess the location and firmness of the uterus and
amount of lochia. Additional assessments including blood
pressure, estimated blood loss at delivery, and hemoglobin and
hematocrit determinations should be carried out. After delivery,
the normal heart rate ranges from 60 to 90 beats/min.
Tachycardia may indicate excitement, fatigue, dehydration,
hypovolemia, pain, or infection. Although the nurse would
document the findings, it is most appropriate for the nurse to
assess the client to determine the cause of the tachycardia. Oral
fluids are important if the client is dehydrated, but further
assessment of the problem is required and dehydration would first
need to be confirmed. Rechecking the heart rate in 1 hour will
delay necessary interventions.
A nurse reviews the laboratory results of a hospitalized pregnant
client with a diagnosis of sepsis who is at risk for disseminated
intravascular coagulopathy (DIC). Which laboratory finding would
indicate to the nurse that DIC has developed in the client?
Shortened prothrombin time
Increased platelet count
, 2
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Positive result on d-dimer study Correct
Decreased fibrin-degradation products [ Ans: ] The d-dimer
study is used to confirm the presence of fibrin split products; a
positive result is indicative of DIC. DIC is a life-threatening defect in
coagulation. As plasma factors are consumed, the circulating
blood becomes deficient in clotting factors and unable to clot.
Even as anticoagulation is occurring, inappropriate coagulation is
also taking place in the microcirculation, and tiny clots form in the
smallest blood vessels, blocking blood flow to the organs and
causing ischemia. Laboratory studies help establish a diagnosis.
The fibrinogen value and platelet count are usually decreased,
prothrombin and activated partial thromboplastin times may be
© 2025 Assignment Expert
prolonged, and levels of fibrin degradation products (the most
sensitive measurement) are increased.
The nurse is assessing a client who has a history of Prinzmetal's
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angina. The nurse knows that what type of medication is given to
treat this condition?
Calcium channel blockers Correct
ACE inhibitors
Inotropes
Beta blockers [ Ans: ] Prinzmetal's, or variant, angina is prolonged
and severe and occurs at the same time each day, most often at
rest. The treatment of choice is usually a calcium channel blocker.
Calcium channel blockers relax and dilate the vascular smooth
muscle, thus relieving the coronary artery spasm in variant angina.
Inotropes, beta blockers, and angiotensin-converting enzyme
(ACE) inhibitors are not given to treat this disorder.
Ciprofloxacin hydrochloride is prescribed to a client with a urinary
tract infection. The nurse provides instruction about the
medication. What does the nurse tell the client about how best to
take the medication?
With aluminum hydroxide
With an antacid
, 3
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With milk
2 hours after meals Correct [ Ans: ] Ciprofloxacin hydrochloride is
an anti-infective in the fluoroquinolone family. It may be taken
without regard to meals, but the best dosing time is 2 hours after a
meal. Milk may affect absorption. Antacids (here, aluminum
hydroxide) may reduce absorption and should be administered 2
hours apart from the ciprofloxacin hydrochloride.
Ergotamine is prescribed to a client with cluster headaches. Which
occurrence does the nurse tell the client to report to the primary
health care provider if she experiences them while taking the
medication?
© 2025 Assignment Expert
Fatigue and lethargy
Dizziness and fatigue
Numbness and tingling of the fingers or toes Correct
Guru01 - Stuvia
Cough [ Ans: ] Ergotamine is an antimigraine medication.
Prolonged administration or an excessive dosage may produce
ergotamine poisoning (ergotism). Signs/symptoms include nausea,
vomiting, weakness in the legs, pain in the limb muscles, and
numbness and tingling of the fingers and toes. The client is
instructed to report these signs/symptoms to the primary health
care provider if they occur. Cough, fatigue, lethargy, and dizziness
are side effects and not adverse effects of the medication.
A nurse working the evening shift is helping clients get ready for
sleep. A female client diagnosed with mania is hyperactive and
pacing the hallway. What is the most appropriate action the nurse
can take?
Tell the client that other clients are trying to sleep and that she is
being disruptive
Take the client to the bathroom and provide her with a warm
bath Correct
Stay with the client and observe her behavior
Tell the client that it is time for sleep and that she needs to go to
her room [ Ans: ] At bedtime, the nurse should take the client to
, 4
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the bathroom and provide warm baths, soothing music, and
medication when indicated. For the client with mania, the nurse
needs to promote relaxation, rest, and sleep and to minimize
manic behavior. The nurse should encourage frequent rest periods
during the day and keep the client in areas of low stimulation. The
client should not consume products containing caffeine. Staying
with the client and observing her behavior, telling the client that it
is time to go to sleep and to go to her room, and telling the client
that other clients are trying to sleep and that she is being
disruptive do not address the client's needs and are not measures
that will help the client relax and sleep.
A client diagnosed with type 1 diabetes mellitus has just been told
© 2025 Assignment Expert
that she is 6 weeks pregnant. The nurse provides information to the
client about dietary and insulin needs. What comment by the
client suggests an understanding of the information?
Guru01 - Stuvia
"I know I will have to increase my insulin during this time period."
"My insulin needs should decrease during the first trimester."
Correct
"Needs for insulin will not change during the first 3 months of
pregnancy."
"I will have to double up on the insulin dose during this time span."
[ Ans: ] Insulin needs generally decrease during the first trimester
of pregnancy because the secretion of placental hormones
antagonistic to insulin remains low. An increase in insulin need,
lack of change in insulin need, and doubling of insulin need are all
incorrect.
A nurse develops a list of home care instructions for a client who is
wearing a halo fixation device after sustaining a cervical fracture.
Which instructions should the nurse include? Select all that apply.
Do not drive, because full range of vision is impaired with the
device. Correct
Avoid sexual activity while the vest is in place.
Apply powder under the vest to prevent irritation.
For Expert help and assignment solutions, +254707240657
HESI comprehensive Questions and
Answers (100% Correct Answers) Already
Graded A+
A nurse taking the vital signs of a client immediately after she has
delivered a newborn notes that the client's heart rate is 110
beats/min. What should the nurse do first?
Recheck the heart rate in 1 hour
© 2025 Assignment Expert
Offer the client oral fluids
Check the uterus and amount of lochia discharge Correct
Document the findings [ Ans: ] If tachycardia is noted, the nurse
Guru01 - Stuvia
should first assess the location and firmness of the uterus and
amount of lochia. Additional assessments including blood
pressure, estimated blood loss at delivery, and hemoglobin and
hematocrit determinations should be carried out. After delivery,
the normal heart rate ranges from 60 to 90 beats/min.
Tachycardia may indicate excitement, fatigue, dehydration,
hypovolemia, pain, or infection. Although the nurse would
document the findings, it is most appropriate for the nurse to
assess the client to determine the cause of the tachycardia. Oral
fluids are important if the client is dehydrated, but further
assessment of the problem is required and dehydration would first
need to be confirmed. Rechecking the heart rate in 1 hour will
delay necessary interventions.
A nurse reviews the laboratory results of a hospitalized pregnant
client with a diagnosis of sepsis who is at risk for disseminated
intravascular coagulopathy (DIC). Which laboratory finding would
indicate to the nurse that DIC has developed in the client?
Shortened prothrombin time
Increased platelet count
, 2
For Expert help and assignment solutions, +254707240657
Positive result on d-dimer study Correct
Decreased fibrin-degradation products [ Ans: ] The d-dimer
study is used to confirm the presence of fibrin split products; a
positive result is indicative of DIC. DIC is a life-threatening defect in
coagulation. As plasma factors are consumed, the circulating
blood becomes deficient in clotting factors and unable to clot.
Even as anticoagulation is occurring, inappropriate coagulation is
also taking place in the microcirculation, and tiny clots form in the
smallest blood vessels, blocking blood flow to the organs and
causing ischemia. Laboratory studies help establish a diagnosis.
The fibrinogen value and platelet count are usually decreased,
prothrombin and activated partial thromboplastin times may be
© 2025 Assignment Expert
prolonged, and levels of fibrin degradation products (the most
sensitive measurement) are increased.
The nurse is assessing a client who has a history of Prinzmetal's
Guru01 - Stuvia
angina. The nurse knows that what type of medication is given to
treat this condition?
Calcium channel blockers Correct
ACE inhibitors
Inotropes
Beta blockers [ Ans: ] Prinzmetal's, or variant, angina is prolonged
and severe and occurs at the same time each day, most often at
rest. The treatment of choice is usually a calcium channel blocker.
Calcium channel blockers relax and dilate the vascular smooth
muscle, thus relieving the coronary artery spasm in variant angina.
Inotropes, beta blockers, and angiotensin-converting enzyme
(ACE) inhibitors are not given to treat this disorder.
Ciprofloxacin hydrochloride is prescribed to a client with a urinary
tract infection. The nurse provides instruction about the
medication. What does the nurse tell the client about how best to
take the medication?
With aluminum hydroxide
With an antacid
, 3
For Expert help and assignment solutions, +254707240657
With milk
2 hours after meals Correct [ Ans: ] Ciprofloxacin hydrochloride is
an anti-infective in the fluoroquinolone family. It may be taken
without regard to meals, but the best dosing time is 2 hours after a
meal. Milk may affect absorption. Antacids (here, aluminum
hydroxide) may reduce absorption and should be administered 2
hours apart from the ciprofloxacin hydrochloride.
Ergotamine is prescribed to a client with cluster headaches. Which
occurrence does the nurse tell the client to report to the primary
health care provider if she experiences them while taking the
medication?
© 2025 Assignment Expert
Fatigue and lethargy
Dizziness and fatigue
Numbness and tingling of the fingers or toes Correct
Guru01 - Stuvia
Cough [ Ans: ] Ergotamine is an antimigraine medication.
Prolonged administration or an excessive dosage may produce
ergotamine poisoning (ergotism). Signs/symptoms include nausea,
vomiting, weakness in the legs, pain in the limb muscles, and
numbness and tingling of the fingers and toes. The client is
instructed to report these signs/symptoms to the primary health
care provider if they occur. Cough, fatigue, lethargy, and dizziness
are side effects and not adverse effects of the medication.
A nurse working the evening shift is helping clients get ready for
sleep. A female client diagnosed with mania is hyperactive and
pacing the hallway. What is the most appropriate action the nurse
can take?
Tell the client that other clients are trying to sleep and that she is
being disruptive
Take the client to the bathroom and provide her with a warm
bath Correct
Stay with the client and observe her behavior
Tell the client that it is time for sleep and that she needs to go to
her room [ Ans: ] At bedtime, the nurse should take the client to
, 4
For Expert help and assignment solutions, +254707240657
the bathroom and provide warm baths, soothing music, and
medication when indicated. For the client with mania, the nurse
needs to promote relaxation, rest, and sleep and to minimize
manic behavior. The nurse should encourage frequent rest periods
during the day and keep the client in areas of low stimulation. The
client should not consume products containing caffeine. Staying
with the client and observing her behavior, telling the client that it
is time to go to sleep and to go to her room, and telling the client
that other clients are trying to sleep and that she is being
disruptive do not address the client's needs and are not measures
that will help the client relax and sleep.
A client diagnosed with type 1 diabetes mellitus has just been told
© 2025 Assignment Expert
that she is 6 weeks pregnant. The nurse provides information to the
client about dietary and insulin needs. What comment by the
client suggests an understanding of the information?
Guru01 - Stuvia
"I know I will have to increase my insulin during this time period."
"My insulin needs should decrease during the first trimester."
Correct
"Needs for insulin will not change during the first 3 months of
pregnancy."
"I will have to double up on the insulin dose during this time span."
[ Ans: ] Insulin needs generally decrease during the first trimester
of pregnancy because the secretion of placental hormones
antagonistic to insulin remains low. An increase in insulin need,
lack of change in insulin need, and doubling of insulin need are all
incorrect.
A nurse develops a list of home care instructions for a client who is
wearing a halo fixation device after sustaining a cervical fracture.
Which instructions should the nurse include? Select all that apply.
Do not drive, because full range of vision is impaired with the
device. Correct
Avoid sexual activity while the vest is in place.
Apply powder under the vest to prevent irritation.
