HESI COMPREHENSIVE EXAM 3 ACTUAL QUESTIONS AND VERIFIED ANSWERS

HESI COMPREHENSIVE EXAM 3 ACTUAL
QUESTIONS AND VERIFIED ANSWERS

AB38-year-
oldBfemaleBclientBisBadmittedBtoBtheBmentalBhealthBunitBafterBaBrecentBmanicBepisodeBofBspendingB
largeBamountsBofBmoneyBonBnewBfurniture,BmakingBexcessiveBlong-
distanceBphoneBcalls,BandBnotBsleepingBforBthreeBdays.BDuringBtheBadmissionBprocess,BtheBclientBis
BwearingBaBgreenBbathingBsuit.BWhatBinterventionBshouldBtheBnurseBimplement?B-


BCORRECTBANSWER-AssessBtheBclient'sBneedsBforBfood,Bliquids,BandBrest.



DuringBaBgroupBtherapyBsession,BaBclientBwithBhypomaniaBthreatensBtoBstrikeBanotherBclient.BWha
tBinterventionBisBbestBforBtheBnurseBtoBimplement?B-BCORRECTBANSWER-
FirmlyBinformBtheBclientBthatBactingBoutBangerBisBnotBacceptable.

ABclientBwhoBisBaBlaboratoryBtechnicianBandBhasBaBhistoryBofBallergicBrhinitis,Basthma,BandBmultiple
BfoodBallergiesBisBscheduledBforBsurgery.BWhichBactionBshouldBtheBnurseBimplement?B-


BCORRECTBANSWER-DocumentBaBpossibleBTypeBIBlatexBallergy.



InBreviewingBtheBmedicalBrecord,BtheBnurseBnotesBthatBaBclient'sBlastBeyeBexaminationBrevealedBan
BIOPBofB28BmmHg.BWhatBinformationBshouldBtheBnurseBaskBtheBclient?B-BCORRECTBANSWER-


UseBofBprescribedBeyeBdropsBsinceBlastBexamBbyBophthalmologist.

WhichBactionBshouldBtheBnurseBimplementBtoBassessBforBJVDBinBaBclientBwithBHF?B-
BCORRECTBANSWER-


ObserveBtheBverticalBdistentionBofBtheBveinsBasBtheBclientBisBgraduallyBelevatedBtoBanBuprightBpositi
on.

TheBnurseBidentifiesBaBclient'sBlaboratoryBresultsBandBidentifiesBanBelevatedBserumBammoniaBlevel
.BWhichBpathophysiologicalBprocessBcontributesBtoBthisBfinding?B-BCORRECTBANSWER-
FailureBofBtheBliverBtoBconvertBammoniaBabsorbedBfromBtheBbowelBtoBurea.

ABclientBwithBGERDBisBunconsciousBandBunresponsiveBtoBstimuli.BTheBnurseBplacesBtheBclientBinBaBsi
de-lyingBposition.BTheBnurseBshouldBmonitorBforBtheBriskBofBwhichBcomplication?B-
BCORRECTBANSWER-AspirationBpneumonia.



ABclientBreturnsBtoBtheBunitBafterBabdominalBNissenBfundoplicationBforBtreatmentBofBGERD.BAfterB4
Bhours,BtheBnurseBdeterminesBtheBclientBhasBnoBdrainageBfromBtheBNGTBandBhasBabsentBbowelBsou

, nds.BWhatBactionBshouldBtheBnurseBimplement?B-BCORRECTBANSWER-
IrrigateBtheBNGTBwithBnormalBsaline.

ABmaleBclientBwhoBisBadmittedBwithBaBbleedingBpepticBulcerBdevelopsBsudden,BsevereBupperBabdo
minalBpain.BTheBclientBbecomesBdiaphoreticBandBdrawsBhisBkneesBoverBhisBabdomen.BWhichBfindin
gBshouldBtheBnurseBreportBtoBtheBhealthcareBprovider?B-BCORRECTBANSWER-
ABrigid,BboardlikeBabdomen.

ABclientBreturnsBtoBtheBpostoperativeBunitBafterBaBgastroduodenostomyB(BillrothBI)BforBtreatmentB
ofBaBperforatedBulcer.BTheBhealthcareBprovider'sBprescriptionsBincludeBmorphineBwithBaBpatient-
controlledBanalgesiaB(PCA),BnasogastricBtubeB(NGT)BtoBlowBintermittentBnasogastricBsuction,BandBI
VBfluidsBandBantibiotics.BTheBclientBcomplainsBofBincreasingBabdominalBpainB12BhoursBafterBreturni
ngBtoBtheBsurgicalBunit.BTheBnurseBdeterminesBtheBclientBhasBnoBbowelBsounds,BandB200BmlBofBbrig
htBredBnasogastricBdrainageBisBinBtheBsuctionBcanisterBinBtheBpastBhour.BWhatBisBtheBpriorityBactionB
theBnurseBshouldBimplement?B-BCORRECTBANSWER-NotifyBtheBhealthcareBprovider.

ABpatientBreturnsBfromBsurgeryBfollowingBanBabdominal-
perinealBresectionBwithBaBsigmoidBcolostomyBandBabdominalBandBperinealBincisions.BTheBcolosto
myBisBdressedBwithBpetroleumBjellyBgauzeBandBdryBgauzeBdressings.BTheBperinealBincisionBisBpartial
lyBclosedBandBhasBtwoBdrainsBattachedBtoBJackson-
PrattBsuction.BOnBtheBfirstBpostoperativeBday,BtheBnurseBgivesBtheBhighestBpriorityBto

a.BteachingBaboutBaBlow-residueBdiet.

b.BmonitoringBdrainageBfromBtheBstoma.

c.BassessingBtheBperinealBdrainageBandBincision.

d.BencouragingBacceptanceBofBtheBcolostomyBsite.B-BCORRECTBANSWER-
MaintainBdryBperinealBdressings



CBAssessingBtheBperinealBdrainageBandBincision

WhatBinformationBinBaBclient'sBhistoryBindicatesBtheBhighestBriskBfactorBforBhepatitisBC?B-
BCORRECTBANSWER-IntravenousBdrugBabuse



ABclientBwithBadvancedBcirrhosisBandBhepaticBencephalopathyBisBmanifesting....B-
BCORRECTBANSWER-ApplyBaBpressure-relievingBmattressBunderBtheBclient.



ABfemaleBclientBarrivesBatBtheBclinicBbecauseBherBboyfriend....B-BCORRECTBANSWER-
GonorrheaBisBoftenBasymptomaticBinBwomenBbecauseBtheBinfectionBisBnotBvisible.