HESI EXAM vc
Exam Solution vc
HESI.Exit.exam.V1 7 2026 A+ GRADE ASSURED COMPLE vc vc vc vc vc vc
TE SOLUTIONS AND VERIFIED ANSWERS (E9E39)
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QUESTION 1 vc
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
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the past 12 days. Which assessment finding requires immediate follow-up
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a. Describes life without purpose
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b. Complains of nausea and loss of appetite
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c. States is often fatigued and drowsy
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d. Exhibits an increase in sweating.
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ANSWER
Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
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e inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults with
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major depressive disorder. B, C and D are side effects
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QUESTION 2 vc
A client who recently underwent a tracheostomy is being prepared for discharge to hom
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e. Which instructions is most important for the nurse to include in the discharge plan?
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a. Explain how to use communication tools.
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b. Teach tracheal suctioning techniques
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c. Encourage self-care and independence.
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d. Demonstrate how to clean tracheostomy site.
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ANSWER
Teach tracheal suctioning techniques Rationale: Suctioning helps to clear secretions and maintain an op
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en airway, which is critical.
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QUESTION 3 vc
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
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ch client alarm should the nurse investigate first?
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a. Respiratory apnea of 30 seconds
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,b. Oxygen saturation rate of 88%
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c. Eight premature ventricular beats every minute
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d. Disconnected monitor signal for the last 6 minutes.
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ANSWER
Respiratory apnea of 30 seconds Rationale: The priority is the client whose alarm indicating respiratory
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apnea that should be assessed first.
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QUESTION 4 vc
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wha
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t action should the nurse take first?
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a. Give the client 4 ounces of orange juice
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b. Call 911 to summon emergency assistance
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c. Check the client for lacerations or fractures
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d. Asses clients blood sugar level
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ANSWER
Check the client for lacerations or fractures Rationale: After the client falls, the nurse should immediatel
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y assess for the possibility of injuries and provide first aid as needed
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QUESTION 5 vc
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart s
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ounds. To determine if an S3 heart sound is present, what action should the nurse take fi
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rst
a. Side the stethoscope across the sternum.
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b. Move the stethoscope to the mitral site
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c. Listen with the bell at the same location
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d. Observe the cardiac telemetry monitor
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ANSWER
Listen with the bell at the same location Rationale: The nurse uses the bell of the stethoscope to hear lo
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w-
pitched sounds such as S3 and S4. The nurse listens at the same site using the diaphragm the diaphrag
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m and bell before moving systematically to the next sites.
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QUESTION 6 vc
A 66-year-
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old woman is retiring and will no longer have a health insurance through her place of e
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mployment. Which agency should the client be referred to by the employee health nurse
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for health insurance needs?
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a. Woman, Infant, and Children program
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b. Medicaid
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,c. Medicare
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d. Consolidated Omnibus Budget Reconciliation Act provision.
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ANSWER
Medicare Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provide m
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edical insurance for person more than 65 years or older, disable or with permeant kidney failure, WIC p
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rovides supplemental nutrition to meet the needs of pregnant of breastfeeding woman, infants and child
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ren up to age of 6. Medicaid provides financial assistance to pay for medical services for poor older adul
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ts, blind, disable and families with dependent children. COBRA(
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D) health benefit provisions is a limited insurance plan for those who has been laid off or become unem
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ployed.
QUESTION 7 vc
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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What snack should the nurse instruct the client to take with the tetracycline?
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a. Fruit-flavored yogurt.
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b. Cheese and crackers.
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c. Cold cereal with skim milk.
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d. Toasted wheat bread and jelly
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ANSWER
Toasted wheat bread and jelly Rationale: Dairy products decrease the effect of tetracycline, so the nurse
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instructs the client to eat a snack such as toast, which contains no dairy products and may decrease GI s
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ymptoms.
QUESTION 8 vc
Following a lumbar puncture, a client voices several complaints. What complaint indicat
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ed to the nurse that the client is experiencing a complication?
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a. "I am having pain in my lower back when I move my legs"
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b. "My throat hurts when I swallow"
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c. "I feel sick to my stomach and am going to throw up"
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d. I have a headache that gets worse when I sit up"
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ANSWER
"I have a headache that gets worse when I sit up" Rationale: A post-
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lumbar puncture headache, ranging from mild to severe, may occur as a result of leakage of cerebrospin
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al fluid at the puncture site. This complication is usually managed by bedrest, analgesic, and hydration.
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QUESTION 9 vc
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
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with incontinence. Which action should the nurse implement
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a. Auscultate for renal bruits
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, b. Obtain a clean catch mid-stream specimen
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c. Use a dipstick to measure for urinary ketone
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d. Begin to strain the client's urine.
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ANSWER
Obtain a clean catch mid- vc vc vc vc
stream specimen Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
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should obtain a clean catch mid-stream specimen to determine the causative agent so an anti-
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infective agent can be prescribed. vc vc vc vc
QUESTION 10 vc
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
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hat are in keeping with the child's dietary restrictions. Which foods are contraindicated f
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or this child?vc vc
a. Wheat products
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b. Foods sweetened with aspartame.
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c. High fat foods
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d. High calories foods.
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ANSWER
Foods sweetened with aspartame Rationale: Aspartame should not be consumed by a child with PKU be
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cause ut is converted to phenylalanine in the body. Additionally, milk and milk products are contraindic
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ated for children with PKU.
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QUESTION 11 vc
Which breakfast selection indicates that the client understands the nurse's instructions
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about the dietary management of osteoporosis?
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a. Egg whites, toast and coffee.
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b. Bran muffin, mixed fruits, and orange juice.
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c. Granola and grapefruit juice
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d. Bagel with jelly and skim milk.
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ANSWER
Bagel with jelly and skim milk Rationale: D includes dairy products which contain calcium and does not
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include any foods that inhibit calcium absorption. The primary dietary implication of osteoporosis is the
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need for increased calcium and reduction in foods that decrease calcium absorption, such as caffeine an
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d excessive fiber.
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QUESTION 12 vc
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
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ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver ho
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w many ml/hour? (Enter numeric value only.)
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Exam Solution vc
HESI.Exit.exam.V1 7 2026 A+ GRADE ASSURED COMPLE vc vc vc vc vc vc
TE SOLUTIONS AND VERIFIED ANSWERS (E9E39)
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QUESTION 1 vc
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
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the past 12 days. Which assessment finding requires immediate follow-up
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a. Describes life without purpose
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b. Complains of nausea and loss of appetite
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c. States is often fatigued and drowsy
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d. Exhibits an increase in sweating.
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ANSWER
Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
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e inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults with
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major depressive disorder. B, C and D are side effects
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QUESTION 2 vc
A client who recently underwent a tracheostomy is being prepared for discharge to hom
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e. Which instructions is most important for the nurse to include in the discharge plan?
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a. Explain how to use communication tools.
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b. Teach tracheal suctioning techniques
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c. Encourage self-care and independence.
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d. Demonstrate how to clean tracheostomy site.
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ANSWER
Teach tracheal suctioning techniques Rationale: Suctioning helps to clear secretions and maintain an op
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en airway, which is critical.
vc vc vc vc
QUESTION 3 vc
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
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ch client alarm should the nurse investigate first?
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a. Respiratory apnea of 30 seconds
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,b. Oxygen saturation rate of 88%
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c. Eight premature ventricular beats every minute
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d. Disconnected monitor signal for the last 6 minutes.
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ANSWER
Respiratory apnea of 30 seconds Rationale: The priority is the client whose alarm indicating respiratory
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apnea that should be assessed first.
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QUESTION 4 vc
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wha
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t action should the nurse take first?
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a. Give the client 4 ounces of orange juice
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b. Call 911 to summon emergency assistance
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c. Check the client for lacerations or fractures
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d. Asses clients blood sugar level
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ANSWER
Check the client for lacerations or fractures Rationale: After the client falls, the nurse should immediatel
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
y assess for the possibility of injuries and provide first aid as needed
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 5 vc
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ounds. To determine if an S3 heart sound is present, what action should the nurse take fi
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rst
a. Side the stethoscope across the sternum.
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b. Move the stethoscope to the mitral site
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c. Listen with the bell at the same location
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d. Observe the cardiac telemetry monitor
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ANSWER
Listen with the bell at the same location Rationale: The nurse uses the bell of the stethoscope to hear lo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
w-
pitched sounds such as S3 and S4. The nurse listens at the same site using the diaphragm the diaphrag
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
m and bell before moving systematically to the next sites.
vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
A 66-year-
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old woman is retiring and will no longer have a health insurance through her place of e
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mployment. Which agency should the client be referred to by the employee health nurse
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for health insurance needs?
vc vc vc
a. Woman, Infant, and Children program
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b. Medicaid
vc
,c. Medicare
vc
d. Consolidated Omnibus Budget Reconciliation Act provision.
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ANSWER
Medicare Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provide m
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
edical insurance for person more than 65 years or older, disable or with permeant kidney failure, WIC p
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rovides supplemental nutrition to meet the needs of pregnant of breastfeeding woman, infants and child
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ren up to age of 6. Medicaid provides financial assistance to pay for medical services for poor older adul
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ts, blind, disable and families with dependent children. COBRA(
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D) health benefit provisions is a limited insurance plan for those who has been laid off or become unem
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ployed.
QUESTION 7 vc
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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What snack should the nurse instruct the client to take with the tetracycline?
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a. Fruit-flavored yogurt.
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b. Cheese and crackers.
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c. Cold cereal with skim milk.
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d. Toasted wheat bread and jelly
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ANSWER
Toasted wheat bread and jelly Rationale: Dairy products decrease the effect of tetracycline, so the nurse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
instructs the client to eat a snack such as toast, which contains no dairy products and may decrease GI s
c vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ymptoms.
QUESTION 8 vc
Following a lumbar puncture, a client voices several complaints. What complaint indicat
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ed to the nurse that the client is experiencing a complication?
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a. "I am having pain in my lower back when I move my legs"
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b. "My throat hurts when I swallow"
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c. "I feel sick to my stomach and am going to throw up"
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d. I have a headache that gets worse when I sit up"
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ANSWER
"I have a headache that gets worse when I sit up" Rationale: A post-
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lumbar puncture headache, ranging from mild to severe, may occur as a result of leakage of cerebrospin
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al fluid at the puncture site. This complication is usually managed by bedrest, analgesic, and hydration.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
with incontinence. Which action should the nurse implement
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a. Auscultate for renal bruits
vc vc vc vc
, b. Obtain a clean catch mid-stream specimen
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c. Use a dipstick to measure for urinary ketone
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d. Begin to strain the client's urine.
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ANSWER
Obtain a clean catch mid- vc vc vc vc
stream specimen Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
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should obtain a clean catch mid-stream specimen to determine the causative agent so an anti-
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infective agent can be prescribed. vc vc vc vc
QUESTION 10 vc
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hat are in keeping with the child's dietary restrictions. Which foods are contraindicated f
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or this child?vc vc
a. Wheat products
vc vc
b. Foods sweetened with aspartame.
vc vc vc vc
c. High fat foods
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d. High calories foods.
vc vc vc
ANSWER
Foods sweetened with aspartame Rationale: Aspartame should not be consumed by a child with PKU be
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
cause ut is converted to phenylalanine in the body. Additionally, milk and milk products are contraindic
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ated for children with PKU.
vc vc vc vc
QUESTION 11 vc
Which breakfast selection indicates that the client understands the nurse's instructions
vc vc vc vc vc vc vc vc vc vc vc
about the dietary management of osteoporosis?
vc vc vc vc vc
a. Egg whites, toast and coffee.
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b. Bran muffin, mixed fruits, and orange juice.
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c. Granola and grapefruit juice
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d. Bagel with jelly and skim milk.
vc vc vc vc vc vc
ANSWER
Bagel with jelly and skim milk Rationale: D includes dairy products which contain calcium and does not
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
include any foods that inhibit calcium absorption. The primary dietary implication of osteoporosis is the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
need for increased calcium and reduction in foods that decrease calcium absorption, such as caffeine an
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d excessive fiber.
vc vc
QUESTION 12 vc
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver ho
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
w many ml/hour? (Enter numeric value only.)
vc vc vc vc vc vc
