HESI LIVE REVIEW QUESTIONS AND
ANSWERS 100% CORRECT!!
,A client reports to the nurse he has not had a BM in 2 days. Which intervention should
the nurse implement first?
A. instruct caregiver to offer a glass of prune juice
B. notify HCP and request script for stool softener
C. Assess clients med rec and see normal BM pattern
D. Instruct caregiver to increase clients fluids to five 8 ounce glasses per day. -
ANSWER C!! Always assess first. You dont know enough to ask for stool softener
A client who has COPD is resting in semi fowlers w/ O2 BNC 2L. The client develops
dyspnea. What action does the nurse take first?
A. Call HCP
B. Obtain bedside pulse ox
C. Raise HOB
D. Assess clients vital signs - ANSWER C!! B and D are the same-- that is a flag
A client who has hyperparathyroidism is scheduled to receive a prescribed dose of oral
phosphate. The RN notes that the clients serum calcium level is 12.5mg/dL. What
action should to nurse take?
A. hold the phosphate and notify the HCP
B. review clients serum PTH
C. Give PRN IV Ca
D. Admin oral dose of PO4 - ANSWER D! Ca and PO4 have an inverse relationship
In completing a clients pre-op routine, the RN finds that the consent has not been
signed. The clients begins to ask more questions about the surgical procedure. What
action should the nurse take next?
A. Witness the client's signature on the consent
B. Answer the clients questions about the surgery
C. Inform the HCP that the client has questions about the surgery.
D. Reassure client that the surgeon will answer questions before anesthetic is
administered. - ANSWER C! The nurses role with surgical consent is to witness-- the
HCP needs to answer questions.
What foods do you avoid within 1 hour of taking iron? - ANSWER dairy and caffeine
Do you give injections to pt with edema? - ANSWER NO
, living will - ANSWER a client documents his or her wishes regarding future care in the
event of terminal illness.
durable power of attorney - ANSWER a client appoints a representative (healthcare
proxy) to make healthcare decisions.
An awake and alert client with impending pulmonary edema is brought to the
emergency department. The client provides the nurse with a copy of a living will that
states that no invasive medical procedures should be used to keep her alive. the
healthcare team is questioning whether the client should be intubated. What information
should guide the teams decision?
A. the living will removes the obligation to involve the client in any medical decision
making.
B. The client is awake and alert, which makes the living will irrelevant and nonbinding.
C. Lifesaving measures do not need to be explained to the client because of the signed
will.
D. The family should be contacted to determine who has durable POA for healthcare for
a client. - ANSWER B!! since the client is awake and alert, the living will is not indicated
at the time.
A family member of a client who is in a posey vest restraint asks why the restraint was
applied. How should the nurse respond?
A. The restraint was prescribed.
B. There are not enough staff to keep client safe at all times.
C. The other clients are upset when the client wanders at night.
D. The client's actions place her at high risk for harming herself. - ANSWER D!!
What nursing action has the highest priority when admitting a client to a psychiatric unit
on an involuntary basis?
A. Reassure the client that the admission is only for a limited time.
B. Offer the client and family the opportunity to share their feelings about the admission.
C. Determine the behaviors that resulted in the need for admission.
D. Advise the client about the legal rights of all hospitalized clients. - ANSWER C!!
SAFETY FIRST!! You need to know why they are there. What if they are there due to
suicidal idealizations? you do not want to miss that.
The nurse enters the room of a preoperative client to obtain the client's signature on the
surgical consent form. Which question is most important for the nurse to ask the client?
A. "When did the surgeon explain the procedure to you?"
B. "Is any member of your family going ot be here during surgery?"
C. "Have you been instructed in postoperative activities and restrictions?"
ANSWERS 100% CORRECT!!
,A client reports to the nurse he has not had a BM in 2 days. Which intervention should
the nurse implement first?
A. instruct caregiver to offer a glass of prune juice
B. notify HCP and request script for stool softener
C. Assess clients med rec and see normal BM pattern
D. Instruct caregiver to increase clients fluids to five 8 ounce glasses per day. -
ANSWER C!! Always assess first. You dont know enough to ask for stool softener
A client who has COPD is resting in semi fowlers w/ O2 BNC 2L. The client develops
dyspnea. What action does the nurse take first?
A. Call HCP
B. Obtain bedside pulse ox
C. Raise HOB
D. Assess clients vital signs - ANSWER C!! B and D are the same-- that is a flag
A client who has hyperparathyroidism is scheduled to receive a prescribed dose of oral
phosphate. The RN notes that the clients serum calcium level is 12.5mg/dL. What
action should to nurse take?
A. hold the phosphate and notify the HCP
B. review clients serum PTH
C. Give PRN IV Ca
D. Admin oral dose of PO4 - ANSWER D! Ca and PO4 have an inverse relationship
In completing a clients pre-op routine, the RN finds that the consent has not been
signed. The clients begins to ask more questions about the surgical procedure. What
action should the nurse take next?
A. Witness the client's signature on the consent
B. Answer the clients questions about the surgery
C. Inform the HCP that the client has questions about the surgery.
D. Reassure client that the surgeon will answer questions before anesthetic is
administered. - ANSWER C! The nurses role with surgical consent is to witness-- the
HCP needs to answer questions.
What foods do you avoid within 1 hour of taking iron? - ANSWER dairy and caffeine
Do you give injections to pt with edema? - ANSWER NO
, living will - ANSWER a client documents his or her wishes regarding future care in the
event of terminal illness.
durable power of attorney - ANSWER a client appoints a representative (healthcare
proxy) to make healthcare decisions.
An awake and alert client with impending pulmonary edema is brought to the
emergency department. The client provides the nurse with a copy of a living will that
states that no invasive medical procedures should be used to keep her alive. the
healthcare team is questioning whether the client should be intubated. What information
should guide the teams decision?
A. the living will removes the obligation to involve the client in any medical decision
making.
B. The client is awake and alert, which makes the living will irrelevant and nonbinding.
C. Lifesaving measures do not need to be explained to the client because of the signed
will.
D. The family should be contacted to determine who has durable POA for healthcare for
a client. - ANSWER B!! since the client is awake and alert, the living will is not indicated
at the time.
A family member of a client who is in a posey vest restraint asks why the restraint was
applied. How should the nurse respond?
A. The restraint was prescribed.
B. There are not enough staff to keep client safe at all times.
C. The other clients are upset when the client wanders at night.
D. The client's actions place her at high risk for harming herself. - ANSWER D!!
What nursing action has the highest priority when admitting a client to a psychiatric unit
on an involuntary basis?
A. Reassure the client that the admission is only for a limited time.
B. Offer the client and family the opportunity to share their feelings about the admission.
C. Determine the behaviors that resulted in the need for admission.
D. Advise the client about the legal rights of all hospitalized clients. - ANSWER C!!
SAFETY FIRST!! You need to know why they are there. What if they are there due to
suicidal idealizations? you do not want to miss that.
The nurse enters the room of a preoperative client to obtain the client's signature on the
surgical consent form. Which question is most important for the nurse to ask the client?
A. "When did the surgeon explain the procedure to you?"
B. "Is any member of your family going ot be here during surgery?"
C. "Have you been instructed in postoperative activities and restrictions?"
