Hesi Practice Exam 2 Questions With
100% Verified Answers
\.The nurse is assessing a client admitted from the emergency room with gastrointestinal
bleeding related to peptic ulcer disease (PUD). Which physiological factors can produce
ulceration? (Select all that apply.)
Select all that apply
Vagal stimulation.
An increased level of stress.
Decreased duodenal inhibition.
Hypersecretion of hydrochloric acid.
An increased number of parietal cells. - Answer-✔Vagal stimulation.
Decreased duodenal inhibition
Hypersecretion of hydrochloric acid.
An increased number of parietal cells.
\.The nurse obtains a client's history that includes right mastectomy and radiation therapy for
cancer of the breast 10 years ago. Which current health problem should the nurse consider is a
consequence of the radiation therapy?
Asthma.
Myocardial infarction.
Chronic esophagitis with gastroesophageal reflux.
Pathologic fracture of two ribs on the right chest. - Answer-✔Pathologic fracture of two ribs on
the right chest.
,\.A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a nonsteroidal anti-
inflammatory drug (NSAID). Which effect is characteristic of (NSAIDs) used for treating
rheumatoid arthritis?
Production of replacement cartilage is stimulated.
Further destruction of the articular cartilage is prevented.
Inflammation is reduced by inhibiting prostaglandin synthesis.
Bradykinin is inhibited, thereby reducing acute and chronic pain. - Answer-✔Inflammation is
reduced by inhibiting prostaglandin synthesis.
\.A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating
signs and symptoms of a febrile, nonhemolytic reaction. What assessment finding is most
important for the nurse to identify?
Increased anxiety since the transfusion began.
Drowsiness after receiving diphenhydramine (Benadryl).
Complaints of feeling cold.
Flushed skin and headache. - Answer-✔Flushed skin and headache.
\.A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is
most important for the nurse to include to prevent osteoporosis?
Take a multivitamin daily.
Use only low fat milk products.
Perform weight resistance exercises.
Bicycle for at least 3 miles every day. - Answer-✔Perform weight resistance exercises.
\.What assessment finding should the nurse identify that indicates a client with an acute asthma
exacerbation is beginning to improve after treatment?
Wheezing becomes louder.
Cough remains unproductive.
,Vesicular breath sounds decrease.
Bronchodilators stimulate coughing. - Answer-✔Wheezing becomes louder.
\.A client in the preoperative holding area receives a prescription for midazolam (Versed) IV. The
nurse determines that the surgical consent form needs to be signed by the client. Which action
should the nurse implement?
Give the drug and allow the client to read and sign the consent form.
Counter-sign the client's initials on the consent form after giving the drug.
Withhold the drug until the client validates understanding of the surgical procedure and signs
the consent form.
Call the healthcare provider to explain the surgical procedure before the client signs the
consent. - Answer-✔Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
\.A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for
surgical placement of a permanent pacemaker. The client asks the nurse how this device will
help him. How should the nurse explain the action of a synchronous pacemaker?
Ventricular irritability is prevented by the constant rate setting of pacemaker.
Ectopic stimulus in the atria is suppressed by the device usurping depolarization.
An impulse is fired every second to maintain a heart rate of 60 beats per minute.
An electrical stimulus is discharged when no ventricular response is sensed. - Answer-✔An
electrical stimulus is discharged when no ventricular response is sensed.
\.A client is admitted to the emergency department after being lost for four days while hiking in
a national forest. Upon review of the laboratory results, the nurse determines the client's serum
level for thyroid-stimulating hormone (TSH) is elevated. Which additional assessment should the
nurse make?
Body mass index.
Skin elasticity and turgor.
, Thought processes and speech.
Exposure to cold environmental temperatures. - Answer-✔Exposure to cold environmental
temperatures.
\.A young adult female reports that she is experiencing a lack of appetite, hypersomnia, stress
incontinence, and heart palpitations. Which symptom is characteristic of premenstrual
syndrome?
Heart palpitations.
Anorexia.
Hypersomnia.
Stress incontinence.
Submit - Answer-✔heart palpitations
\.The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other areas
of the client's urinary tract?
Wear a condom when having sexual intercourse.
Avoid consuming alcohol and caffeinated beverages.
Empty the bladder completely with each voiding.
Have intercourse or masturbate at least twice a week. - Answer-✔Have intercourse or
masturbate at least twice a week.
\.Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should prepare the
client for which treatment protocol?
Diuretic therapy.
Pacemaker implantation.
Anticoagulation therapy.
Cardiac catheterization. - Answer-✔Anticoagulation therapy.
100% Verified Answers
\.The nurse is assessing a client admitted from the emergency room with gastrointestinal
bleeding related to peptic ulcer disease (PUD). Which physiological factors can produce
ulceration? (Select all that apply.)
Select all that apply
Vagal stimulation.
An increased level of stress.
Decreased duodenal inhibition.
Hypersecretion of hydrochloric acid.
An increased number of parietal cells. - Answer-✔Vagal stimulation.
Decreased duodenal inhibition
Hypersecretion of hydrochloric acid.
An increased number of parietal cells.
\.The nurse obtains a client's history that includes right mastectomy and radiation therapy for
cancer of the breast 10 years ago. Which current health problem should the nurse consider is a
consequence of the radiation therapy?
Asthma.
Myocardial infarction.
Chronic esophagitis with gastroesophageal reflux.
Pathologic fracture of two ribs on the right chest. - Answer-✔Pathologic fracture of two ribs on
the right chest.
,\.A client with rheumatoid arthritis is prescribed piroxicam (Feldene), a nonsteroidal anti-
inflammatory drug (NSAID). Which effect is characteristic of (NSAIDs) used for treating
rheumatoid arthritis?
Production of replacement cartilage is stimulated.
Further destruction of the articular cartilage is prevented.
Inflammation is reduced by inhibiting prostaglandin synthesis.
Bradykinin is inhibited, thereby reducing acute and chronic pain. - Answer-✔Inflammation is
reduced by inhibiting prostaglandin synthesis.
\.A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating
signs and symptoms of a febrile, nonhemolytic reaction. What assessment finding is most
important for the nurse to identify?
Increased anxiety since the transfusion began.
Drowsiness after receiving diphenhydramine (Benadryl).
Complaints of feeling cold.
Flushed skin and headache. - Answer-✔Flushed skin and headache.
\.A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is
most important for the nurse to include to prevent osteoporosis?
Take a multivitamin daily.
Use only low fat milk products.
Perform weight resistance exercises.
Bicycle for at least 3 miles every day. - Answer-✔Perform weight resistance exercises.
\.What assessment finding should the nurse identify that indicates a client with an acute asthma
exacerbation is beginning to improve after treatment?
Wheezing becomes louder.
Cough remains unproductive.
,Vesicular breath sounds decrease.
Bronchodilators stimulate coughing. - Answer-✔Wheezing becomes louder.
\.A client in the preoperative holding area receives a prescription for midazolam (Versed) IV. The
nurse determines that the surgical consent form needs to be signed by the client. Which action
should the nurse implement?
Give the drug and allow the client to read and sign the consent form.
Counter-sign the client's initials on the consent form after giving the drug.
Withhold the drug until the client validates understanding of the surgical procedure and signs
the consent form.
Call the healthcare provider to explain the surgical procedure before the client signs the
consent. - Answer-✔Withhold the drug until the client validates understanding of the surgical
procedure and signs the consent form.
\.A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for
surgical placement of a permanent pacemaker. The client asks the nurse how this device will
help him. How should the nurse explain the action of a synchronous pacemaker?
Ventricular irritability is prevented by the constant rate setting of pacemaker.
Ectopic stimulus in the atria is suppressed by the device usurping depolarization.
An impulse is fired every second to maintain a heart rate of 60 beats per minute.
An electrical stimulus is discharged when no ventricular response is sensed. - Answer-✔An
electrical stimulus is discharged when no ventricular response is sensed.
\.A client is admitted to the emergency department after being lost for four days while hiking in
a national forest. Upon review of the laboratory results, the nurse determines the client's serum
level for thyroid-stimulating hormone (TSH) is elevated. Which additional assessment should the
nurse make?
Body mass index.
Skin elasticity and turgor.
, Thought processes and speech.
Exposure to cold environmental temperatures. - Answer-✔Exposure to cold environmental
temperatures.
\.A young adult female reports that she is experiencing a lack of appetite, hypersomnia, stress
incontinence, and heart palpitations. Which symptom is characteristic of premenstrual
syndrome?
Heart palpitations.
Anorexia.
Hypersomnia.
Stress incontinence.
Submit - Answer-✔heart palpitations
\.The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other areas
of the client's urinary tract?
Wear a condom when having sexual intercourse.
Avoid consuming alcohol and caffeinated beverages.
Empty the bladder completely with each voiding.
Have intercourse or masturbate at least twice a week. - Answer-✔Have intercourse or
masturbate at least twice a week.
\.Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should prepare the
client for which treatment protocol?
Diuretic therapy.
Pacemaker implantation.
Anticoagulation therapy.
Cardiac catheterization. - Answer-✔Anticoagulation therapy.
