HESI Comprehensive Exam with correct answers

The nurse is monitoring neurological vital signs for a male client who lost consciousness after falling and hitting his head. Which assessment finding is the earliest and most sensitive indication of altered cerebral function? a. Unequal pupils. b. Loss of central reflexes. c. Inability to open the eyes. d. Change in level of consciousness. - correct answer D A nurse is planning to teach self-care measures to a female client about prevention of yeast infections. Which instructions should the nurse provide? a. Use a douche preparation no more than once a month. b. Increase daily intake of fiber and leafy green vegetables. c. Select nylon underwear that is loose-fitting, white, and comfortable. d. Avoid tight-fitting clothing and do not use bubble-bath or bath salts. - correct answer D A client who has active tuberculosis (TB) is admitted to the medical unit. What action is most important for the nurse to implement? a. Place an isolation cart in the hallway. b. Fit the client with a respirator mask. c. Don a clean gown for client care. d. Assign the client to a negative air-flow room. - correct answer D The nurse is planning to conduct nutritional assessments and diet teaching to clients at a family health clinic. Which individual has the greatest nutritional and energy demands? a. A pregnant woman. b. A teenager beginning puberty. c. A 3-month-old infant.