HESI FINAL / HESI PHARMACOLOGY FINAL PRACTICE
EXAM 2024 (MOSTED TESTED QUESTIONS) A NEW
UPDATED VERSION ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH EXPLANATIONS
(100% VERIFIED SOLUTIONS) NEWEST 2024
|GUARANTEED PASS A+ (REVISED) BRAND NEW
Determine who is legally empowered to make decisions.
Rationale:
When death is impending, it is essential for the nurse to determine who is legally empowered to
make decisions regarding the use of life-saving measures for the client (D). (A) will be abnormal and
will worsen without dialysis, so are not of immediate concern. (B) may help improve the client's
quality of life prior to death, but is of less immediacy than determining whether actions should be
taken to save a client's life. If the nurse remains unable to determine who is empowered to make
decisions in this situation, the nurse may choose to contact the ethics committee (C) for a
resolution. - AnswerA 75-year-old client who has a history of end stage renal failure and advanced
lung cancer, recently had a stroke. Two days ago the healthcare provider discontinued the client's
dialysis treatments, stating that death is inevitable, but the client is disoriented and will not sign a
DNR directive. What is the priority nursing intervention?
Review the client's most recent laboratory reports.
Refer the client and family members for hospice care.
Notify the hospital ethics committee of the client situation.
Determine who is legally empowered to make decisions.
,Biofeedback allows the client to control involuntary responses to promote peripheral vasodilation.
Rationale
Biofeedback involves the use of various monitoring devices that help people become more aware
and able to control their own physiologic responses, such as heart rate, body temperature, muscle
tension, and brain waves. (D) is an accurate statement concerning its use for clients with Raynaud's
disease. (A, B, and C) do not provide correct information about biofeedback. - AnswerA client with
Raynaud's disease asks the nurse about using biofeedback for self-management of symptoms. What
response is best for the nurse to provide?
The responses to biofeedback have not been well established and may be a waste of time and
money.
Biofeedback requires extensive training to retrain voluntary muscles, not involuntary responses.
Although biofeedback is easily learned, it is most often used to manage exacerbation of symptoms.
Biofeedback allows the client to control involuntary responses to promote peripheral vasodilation.
Drape the top sheet and covers loosely over the bed cradle.
Rationale:
A bed cradle is used to keep the top bedclothes off the client, so the nurse should drape the top
sheet and covers loosely over the cradle (D). A client using a bed cradle may still be able to
ambulate independently (A) and does not require raised side rails (B). (C) causes the nurse to use
poor body mechanics. - AnswerWhen making the bed of a client who needs a bed cradle, which
action should the nurse include?
Teach the client to call for help before getting out of bed.
Keep both the upper and lower side rails in a raised position.
Keep the bed in the lowest position while changing the sheets.
Drape cthe ctop csheet cand ccovers cloosely cover cthe cbed ccradle.
,Ask cthe cclient cif cthis cdecision chas cbeen cdiscussed cwith chis chealthcare cprovider.
Advance cdirectives care cwritten cstatements cof ca cperson's cwishes cregarding cmedical ccare, cand cverbal
cdirectives cmay cbe cgiven cto ca chealthcare cprovider cwith cspecific cinstructions cin cthe cpresence cof ctwo
cwitnesses. cTo cobtain cthis cprescription, cthe cclient cshould cdiscuss chis cchoice cwith cthe chealthcare
cprovider c(B). c(A) cis cinsufficient cto cimplement cthe cclient's crequest cwithout clegal cconsequences.
cAlthough c(C cand cD) cprovide clegal cprotection cof cthe cclient's cwishes, cthe cpresent crequest cneeds
cadditional caction. c- cAnswerA cmale cclient cwith cacquired cimmunodeficiency csyndrome c(AIDS)
cdevelops ccryptococcal cmeningitis cand ctells cthe cnurse che cdoes cnot cwant cto cbe cresuscitated cif chis
cbreathing cstops. cWhat caction cshould cthe cnurse cimplement?
Document cthe cclient's crequest cin cthe cmedical crecord.
Ask cthe cclient cif cthis cdecision chas cbeen cdiscussed cwith chis chealthcare cprovider.
Inform cthe cclient cthat ca cwritten, cnotarized cadvance cdirective, cis crequired cto cwithhold cresuscitation
cefforts.
Advise cthe cclient cto cdesignate ca cperson cto cmake chealthcare cdecisions cwhen cthe cclient cis cunable cto
cdo cso.
Ineffective ccoping crelated cto cresponse cto cpositive cbiopsy ctest cresults.
Rationale
The cfirst cpart cof cthe cnursing cdiagnosis cstatement cis cthe c"diagnostic clabel" cand cis cfollowed cby
c"related cto" cthe ccause, cwhich cshould cdirect cthe cnurse cto cthe cappropriate cinterventions. c(D) cbest
cfits cthis ccriteria. c(A cand cB) ccontain ca cmedical cdiagnosis. c(C) cincludes can cobservable ccause, cbut c(D)
cfocuses con cthe cclient's c"response," cwhich cthe cnurse ccan cprovide csupport, creflection, cand cdialogue.
c- cAnswerWhich cstatement cis can cexample cof ca ccorrectly cwritten cnursing cdiagnosis cstatement?
Altered ctissue cperfusion crelated cto ccongestive cheart cfailure.
Altered curinary celimination crelated cto curinary ctract cinfection.
Risk cfor cimpaired ctissue cintegrity crelated cto cclient's crefusal cto cturn.
Ineffective ccoping crelated cto cresponse cto cpositive cbiopsy ctest cresults.
, Foods cand cliquids cconsumed cduring cthe cpast c24 chours.
Rationale
A cclient's cdietary chabits cshould cbe cdetermined cfirst cby cthe cclient's cdietary crecall c(B) cbefore
csuggesting cprotein csources cor csupplements c(A cand cC) cas coptions cin cthe cclient's cdiet. cAlthough
cgrains cand clegumes c(D) ccontain cincomplete cproteins cthat creduces cthe cessential camino cacid cpools
cinside cthe ccells, cthe cclient's ccultural cpreferences cshould cbe celicited cafter cconfirming cthe cclient's
cdietary chistory. c- cAnswerA c73-year-old cHispanic cclient cis cseen cat cthe ccommunity chealth cclinic cwith ca
chistory cof cprotein cmalnutrition. cWhat cinformation cshould cthe cnurse cobtain cfirst?
Amount cof cliquid cprotein csupplements cconsumed cdaily.
Foods cand cliquids cconsumed cduring cthe cpast c24 chours.
Usual cweekly cintake cof cmilk cproducts cand cred cmeats.
Grains cand clegume ccombinations cused cby cthe cclient.
Instruct cthe cclient cto ctake cslow cdeep cbreaths cand cstop cbearing cdown.
During cadministration cof ca crectal csuppository, cthe cclient cis casked cto ctake cslow cdeep cbreaths cthrough
cthe cmouth cto crelax cthe canal csphincter c(D). cBearing cdown c(A) cwill cpush cthe csuppository cout cof cthe
crectum, cso cthe csuppository cshould cnot cbe cinserted cwhile cthe cclient cis cbearing cdown c(B). cFurther
cdata cis cneeded cbefore cperforming can cinvasive cdigital cexam cto ccheck cfor cfecal cimpaction c(C). c-
cAnswerWhile cpreparing cto cinsert ca crectal csuppository cin ca cmale cadult cclient, cthe cnurse cobserves
cthat cthe cclient cis cholding chis cbreath cwhile cbearing cdown. cWhat caction cshould cthe cnurse
cimplement?
Advise cthe cclient cto ccontinue cto cbear cdown cwithout cholding chis cbreath.
Gently cinsert cthe clubricated csuppository cfour cinches cinto cthe crectum.
Perform ca cdigital cexam cto cdetermine cif ca cfecal cimpaction cis cpresent.
Instruct cthe cclient cto ctake cslow cdeep cbreaths cand cstop cbearing cdown.
Flush cthe clumen cwith cthe csaline csolution cand cadminister cthe cmedication cthrough cthe clumen.
EXAM 2024 (MOSTED TESTED QUESTIONS) A NEW
UPDATED VERSION ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH EXPLANATIONS
(100% VERIFIED SOLUTIONS) NEWEST 2024
|GUARANTEED PASS A+ (REVISED) BRAND NEW
Determine who is legally empowered to make decisions.
Rationale:
When death is impending, it is essential for the nurse to determine who is legally empowered to
make decisions regarding the use of life-saving measures for the client (D). (A) will be abnormal and
will worsen without dialysis, so are not of immediate concern. (B) may help improve the client's
quality of life prior to death, but is of less immediacy than determining whether actions should be
taken to save a client's life. If the nurse remains unable to determine who is empowered to make
decisions in this situation, the nurse may choose to contact the ethics committee (C) for a
resolution. - AnswerA 75-year-old client who has a history of end stage renal failure and advanced
lung cancer, recently had a stroke. Two days ago the healthcare provider discontinued the client's
dialysis treatments, stating that death is inevitable, but the client is disoriented and will not sign a
DNR directive. What is the priority nursing intervention?
Review the client's most recent laboratory reports.
Refer the client and family members for hospice care.
Notify the hospital ethics committee of the client situation.
Determine who is legally empowered to make decisions.
,Biofeedback allows the client to control involuntary responses to promote peripheral vasodilation.
Rationale
Biofeedback involves the use of various monitoring devices that help people become more aware
and able to control their own physiologic responses, such as heart rate, body temperature, muscle
tension, and brain waves. (D) is an accurate statement concerning its use for clients with Raynaud's
disease. (A, B, and C) do not provide correct information about biofeedback. - AnswerA client with
Raynaud's disease asks the nurse about using biofeedback for self-management of symptoms. What
response is best for the nurse to provide?
The responses to biofeedback have not been well established and may be a waste of time and
money.
Biofeedback requires extensive training to retrain voluntary muscles, not involuntary responses.
Although biofeedback is easily learned, it is most often used to manage exacerbation of symptoms.
Biofeedback allows the client to control involuntary responses to promote peripheral vasodilation.
Drape the top sheet and covers loosely over the bed cradle.
Rationale:
A bed cradle is used to keep the top bedclothes off the client, so the nurse should drape the top
sheet and covers loosely over the cradle (D). A client using a bed cradle may still be able to
ambulate independently (A) and does not require raised side rails (B). (C) causes the nurse to use
poor body mechanics. - AnswerWhen making the bed of a client who needs a bed cradle, which
action should the nurse include?
Teach the client to call for help before getting out of bed.
Keep both the upper and lower side rails in a raised position.
Keep the bed in the lowest position while changing the sheets.
Drape cthe ctop csheet cand ccovers cloosely cover cthe cbed ccradle.
,Ask cthe cclient cif cthis cdecision chas cbeen cdiscussed cwith chis chealthcare cprovider.
Advance cdirectives care cwritten cstatements cof ca cperson's cwishes cregarding cmedical ccare, cand cverbal
cdirectives cmay cbe cgiven cto ca chealthcare cprovider cwith cspecific cinstructions cin cthe cpresence cof ctwo
cwitnesses. cTo cobtain cthis cprescription, cthe cclient cshould cdiscuss chis cchoice cwith cthe chealthcare
cprovider c(B). c(A) cis cinsufficient cto cimplement cthe cclient's crequest cwithout clegal cconsequences.
cAlthough c(C cand cD) cprovide clegal cprotection cof cthe cclient's cwishes, cthe cpresent crequest cneeds
cadditional caction. c- cAnswerA cmale cclient cwith cacquired cimmunodeficiency csyndrome c(AIDS)
cdevelops ccryptococcal cmeningitis cand ctells cthe cnurse che cdoes cnot cwant cto cbe cresuscitated cif chis
cbreathing cstops. cWhat caction cshould cthe cnurse cimplement?
Document cthe cclient's crequest cin cthe cmedical crecord.
Ask cthe cclient cif cthis cdecision chas cbeen cdiscussed cwith chis chealthcare cprovider.
Inform cthe cclient cthat ca cwritten, cnotarized cadvance cdirective, cis crequired cto cwithhold cresuscitation
cefforts.
Advise cthe cclient cto cdesignate ca cperson cto cmake chealthcare cdecisions cwhen cthe cclient cis cunable cto
cdo cso.
Ineffective ccoping crelated cto cresponse cto cpositive cbiopsy ctest cresults.
Rationale
The cfirst cpart cof cthe cnursing cdiagnosis cstatement cis cthe c"diagnostic clabel" cand cis cfollowed cby
c"related cto" cthe ccause, cwhich cshould cdirect cthe cnurse cto cthe cappropriate cinterventions. c(D) cbest
cfits cthis ccriteria. c(A cand cB) ccontain ca cmedical cdiagnosis. c(C) cincludes can cobservable ccause, cbut c(D)
cfocuses con cthe cclient's c"response," cwhich cthe cnurse ccan cprovide csupport, creflection, cand cdialogue.
c- cAnswerWhich cstatement cis can cexample cof ca ccorrectly cwritten cnursing cdiagnosis cstatement?
Altered ctissue cperfusion crelated cto ccongestive cheart cfailure.
Altered curinary celimination crelated cto curinary ctract cinfection.
Risk cfor cimpaired ctissue cintegrity crelated cto cclient's crefusal cto cturn.
Ineffective ccoping crelated cto cresponse cto cpositive cbiopsy ctest cresults.
, Foods cand cliquids cconsumed cduring cthe cpast c24 chours.
Rationale
A cclient's cdietary chabits cshould cbe cdetermined cfirst cby cthe cclient's cdietary crecall c(B) cbefore
csuggesting cprotein csources cor csupplements c(A cand cC) cas coptions cin cthe cclient's cdiet. cAlthough
cgrains cand clegumes c(D) ccontain cincomplete cproteins cthat creduces cthe cessential camino cacid cpools
cinside cthe ccells, cthe cclient's ccultural cpreferences cshould cbe celicited cafter cconfirming cthe cclient's
cdietary chistory. c- cAnswerA c73-year-old cHispanic cclient cis cseen cat cthe ccommunity chealth cclinic cwith ca
chistory cof cprotein cmalnutrition. cWhat cinformation cshould cthe cnurse cobtain cfirst?
Amount cof cliquid cprotein csupplements cconsumed cdaily.
Foods cand cliquids cconsumed cduring cthe cpast c24 chours.
Usual cweekly cintake cof cmilk cproducts cand cred cmeats.
Grains cand clegume ccombinations cused cby cthe cclient.
Instruct cthe cclient cto ctake cslow cdeep cbreaths cand cstop cbearing cdown.
During cadministration cof ca crectal csuppository, cthe cclient cis casked cto ctake cslow cdeep cbreaths cthrough
cthe cmouth cto crelax cthe canal csphincter c(D). cBearing cdown c(A) cwill cpush cthe csuppository cout cof cthe
crectum, cso cthe csuppository cshould cnot cbe cinserted cwhile cthe cclient cis cbearing cdown c(B). cFurther
cdata cis cneeded cbefore cperforming can cinvasive cdigital cexam cto ccheck cfor cfecal cimpaction c(C). c-
cAnswerWhile cpreparing cto cinsert ca crectal csuppository cin ca cmale cadult cclient, cthe cnurse cobserves
cthat cthe cclient cis cholding chis cbreath cwhile cbearing cdown. cWhat caction cshould cthe cnurse
cimplement?
Advise cthe cclient cto ccontinue cto cbear cdown cwithout cholding chis cbreath.
Gently cinsert cthe clubricated csuppository cfour cinches cinto cthe crectum.
Perform ca cdigital cexam cto cdetermine cif ca cfecal cimpaction cis cpresent.
Instruct cthe cclient cto ctake cslow cdeep cbreaths cand cstop cbearing cdown.
Flush cthe clumen cwith cthe csaline csolution cand cadminister cthe cmedication cthrough cthe clumen.
