266- Hesi Final Study Guide
Questions and Answers
, The nurse is caring for a client diagnosed with psoriasis Vulgaris who is receiving psoralen and
ultraviolet light. Which finding indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
B. Tenderness upon palpation and generalized erythema
The nurse is preparing a client for surgery who was admitted to the emergency center following a
motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately
from the bone protrusion site. During the preoperative assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily. What is
the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
C. Notify the healthcare provider of the client's medication history
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the virus
eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is
the most important for the nurse to take?
A. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with
patient
B. Assist the client to recall everyone possibly exposed since onset of symptoms
C. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19 test
results.
D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
A client arrives to the emergency department reporting an intermittent fever and night sweats for
the past 3 weeks and has developed a productive cough containing small amounts of blood.
Which intervention should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
Questions and Answers
, The nurse is caring for a client diagnosed with psoriasis Vulgaris who is receiving psoralen and
ultraviolet light. Which finding indicates that the client has been overexposed to the treatment?
A. Thick skin plaques topped by silvery white scales
B. Tenderness upon palpation and generalized erythema
C. Brown, rough, greasy, wart-like papules on the face
D. Requires sunglasses because sunlight hurts eyes
B. Tenderness upon palpation and generalized erythema
The nurse is preparing a client for surgery who was admitted to the emergency center following a
motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately
from the bone protrusion site. During the preoperative assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily. What is
the priority nursing action?
A. Observe the heparin injection sites for signs of bruising
B. Ensure that the potential for bleeding is explained to the client
C. Notify the healthcare provider of the client's medication history
D. Have the client sign the surgical and transfusion permits
C. Notify the healthcare provider of the client's medication history
The nurse is preparing to obtain a rapid COVID-19 test for a client who was exposed to the virus
eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is
the most important for the nurse to take?
A. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with
patient
B. Assist the client to recall everyone possibly exposed since onset of symptoms
C. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19 test
results.
D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
A client arrives to the emergency department reporting an intermittent fever and night sweats for
the past 3 weeks and has developed a productive cough containing small amounts of blood.
Which intervention should the nurse prioritize?
A. Move into airborne isolation
B. Arrange transport for radiographic imaging
C. Collect specimens for blood cultures
