NUR 2520 HESI ALL EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2023/2024 TOP RANKED A+ BEST EXAM
SOLUTION FOR NURSING
When assessing a recently delivered, multigravida client, the nurse finds that her
vaginal bleeding is more than expected. Which factor in this client's history is related
to this finding?
She received butorphanol 2 mg IVP during labor.
The second stage of labor lasted 10 minutes.
She is a gravida 6, para 5.
She is over 35 years of age.
That's right!
Rationale:
Repeated gravid experiences cause the uterus to lose muscle tone (uterine atony)
which is the most common cause of excessive bleeding following childbirth.
17s
points
,An unconscious client is admitted to the intensive care unit and is placed on a
ventilator. The ventilator alarms continuously and the client's oxygen saturation
level is 62%. Which action should the nurse take first?
Call respiratory therapy.
Begin manual ventilation immediately.
Monitor oxygen saturation levels every 5 minutes.
Silence the alarm and call the technician.
That's right!
Rationale:
Ventilators provide mechanical respirations. A constant alarm and low oxygen
saturation indicates a malfunction or problem with the respirations being provided.
The first action that must be taken is to begin manual ventilation until the problem
has been resolved.
15s
points
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high protein diet is encouraged to promote
wound healing. Which lunch choice by the client indicates that the teaching was
effective?
, A peanut butter sandwich with soda and cookies.
A tuna fish sandwich with chips and ice cream.
A salad with three kinds of lettuce and fruit.
Vegetable soup, crackers, and milk.
That's right!
Rationale:
In a high protein diet, a lunch with fish and dairy contains the highest amount of
protein. For instance, four ounces of tuna contains 11 grams of protein, and ice
cream 5 grams of protein per cup.
2m 2s
points
The nurse plans to collect a 24-hour urine specimen for a creatinine clearance test.
Which instruction should the nurse provide to the adult male client?
Cleanse around the meatus, discard first portion of voiding, and collect
the rest in a sterile bottle.
Urinate at a specified time, discard this urine, and collect all subsequent
urine during the next 24 hours.
For the next 24 hours, notify nurse when the bladder is full, and the nurse
will collect catheterized specimens.
, Urinate immediately into a urinal, and the lab will collect the specimen
every 6 hours, for the next 24 hours.
So close!
Rationale:
Voiding, discarding the sample, and beginning the collection are the correct steps for
collecting a 24-hour urine specimen. Discarding even one voided specimen during
the collection invalidates the test.
23s
points
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
Incorrectly administered too much insulin.
Skipped eating lunch.
Ate an extra peanut butter sandwich before gym class.
Had a cold and ear infection for the past two days.
NEW UPDATE 2023/2024 TOP RANKED A+ BEST EXAM
SOLUTION FOR NURSING
When assessing a recently delivered, multigravida client, the nurse finds that her
vaginal bleeding is more than expected. Which factor in this client's history is related
to this finding?
She received butorphanol 2 mg IVP during labor.
The second stage of labor lasted 10 minutes.
She is a gravida 6, para 5.
She is over 35 years of age.
That's right!
Rationale:
Repeated gravid experiences cause the uterus to lose muscle tone (uterine atony)
which is the most common cause of excessive bleeding following childbirth.
17s
points
,An unconscious client is admitted to the intensive care unit and is placed on a
ventilator. The ventilator alarms continuously and the client's oxygen saturation
level is 62%. Which action should the nurse take first?
Call respiratory therapy.
Begin manual ventilation immediately.
Monitor oxygen saturation levels every 5 minutes.
Silence the alarm and call the technician.
That's right!
Rationale:
Ventilators provide mechanical respirations. A constant alarm and low oxygen
saturation indicates a malfunction or problem with the respirations being provided.
The first action that must be taken is to begin manual ventilation until the problem
has been resolved.
15s
points
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high protein diet is encouraged to promote
wound healing. Which lunch choice by the client indicates that the teaching was
effective?
, A peanut butter sandwich with soda and cookies.
A tuna fish sandwich with chips and ice cream.
A salad with three kinds of lettuce and fruit.
Vegetable soup, crackers, and milk.
That's right!
Rationale:
In a high protein diet, a lunch with fish and dairy contains the highest amount of
protein. For instance, four ounces of tuna contains 11 grams of protein, and ice
cream 5 grams of protein per cup.
2m 2s
points
The nurse plans to collect a 24-hour urine specimen for a creatinine clearance test.
Which instruction should the nurse provide to the adult male client?
Cleanse around the meatus, discard first portion of voiding, and collect
the rest in a sterile bottle.
Urinate at a specified time, discard this urine, and collect all subsequent
urine during the next 24 hours.
For the next 24 hours, notify nurse when the bladder is full, and the nurse
will collect catheterized specimens.
, Urinate immediately into a urinal, and the lab will collect the specimen
every 6 hours, for the next 24 hours.
So close!
Rationale:
Voiding, discarding the sample, and beginning the collection are the correct steps for
collecting a 24-hour urine specimen. Discarding even one voided specimen during
the collection invalidates the test.
23s
points
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
Incorrectly administered too much insulin.
Skipped eating lunch.
Ate an extra peanut butter sandwich before gym class.
Had a cold and ear infection for the past two days.
