HESI EAQ || WITH ERROR-FREE SOLUTIONS.
The nurse is teaching a patient who underwent surgery for mandibular fracture with inner
maxillary fixation about self-care upon discharge. Which statement regarding self-management
made by the patient indicates effective learning?
1 "I will cut the wires if I vomit."
2 "I will not use an irrigating device."
3 "I will consume a semi-liquid only diet."
4 "I will do the rewiring as soon as possible." correct answers Correct 1
With inner maxillary fixation, bones are realigned and then wired in place with the closed bite.
If the patient vomits after an inner maxillary fixation, the patient should immediately cut the
wires to prevent aspiration. Irrigating devices are important for maintaining oral health because a
patient cannot brush after surgery until completely healed. The patient should consume only a
liquid diet, because chewing is not possible after surgery. Rewiring should be done only by the
licensed practitioner.
The nurse must obtain the height of a patient with a hip contracture. How does the nurse obtain
this assessment?
1 Measures the patient's height in millimeters for accuracy
2 Uses a sliding-blade knee height caliper
3 Uses the stick of a weight scale
4 Asks the patient to stand erect and look straight ahead correct answers Correct 2
The height of a patient with a hip contracture is measured using a sliding-blade knee height
caliper, which uses the distance between the patient's heel and patella to estimate the height.
Height is measured in inches or centimeters. The stick of a weight scale is used to determine the
height of a patient who can stand, which this patient cannot do.
A patient who has recently been diagnosed with renovascular disease asks the nurse, "What is
the cause of this disease?" What is the nurse's best response? Select all that apply.
1 "A blood clot in your vessels may cause this disease."
2 "A buildup of plaque in your vessels may cause this disease."
3 "The narrowing of your renal vessels may cause this disease."
4 "This disease is most likely caused by a genetic malformation."
5 "This disease is most likely caused by excess hormone secretion." correct answers Correct 1, 2,
3
Renovascular disease may be caused by thrombosis, atherosclerosis, or stenosis. A blood clot in
the vessels best describes thrombosis. A buildup of plaque in the vessels best describes
atherosclerosis. Narrowing of the vessels best describes stenosis. Renovascular disease is often
not caused by a genetic malformation and is not caused by excess hormone secretion.
A nurse is caring for a male patient with renal cell carcinoma. What statement made by the
patient is consistent with his diagnosis? Select all that apply.
1 My urine is cloudy all the time."
2 "I feel like my sex drive is decreased."
, 3 "I look more feminine than I used to."
4 "My blood pressure is high all the time."
5 "I feel cold all the time, even in summer." correct answers Correct 2 , 3, 4, 5
The hormones released by the renal cell carcinoma tumor may decrease the patient's sex drive
and change the patient's sexual characteristics. Hypertension occurs with this type of cancer due
to the systemic effects from the tumor. Patients with renal cell carcinoma usually do not have
cloudy urine and do not feel cold.
The nurse is caring for the following patients. Which patient should the nurse assess first?
1 A patient diagnosed with idiopathic pulmonary fibrosis on parenteral morphine
2 A patient diagnosed with sarcoidosis who just received a second dose of IV corticosteroids
3 A patient diagnosed with bronchiolitis obliterans organizing pneumonia (BOOP) who returned
from a biopsy 2 hours ago
4 A patent being evaluated for latency (allergic) asthma who received an inhaled corticosteroid 1
hour ago correct answers Correct 1
The patient with idiopathic pulmonary fibrosis receiving parenteral morphine is in the later stage
of the disease and likely will have hypoxemia even with high levels of oxygen. The patient with
sarcoidosis has had the necessary treatment and is not the priority. The patient with BOOP has
had a biopsy and is not the priority. The patient with latency asthma has no current exposure and
has received treatment; this patient is not the priority.
In which newly admitted patient situations does the nurse initiate a conversation about advance
directives? Select all that apply.
1 A patient with a non-life-threatening illness
2 A person who currently has advance directives
3 The patient with end-stage kidney disease
4 The comatose patient who was injured in an automobile crash
5 The laboring mother expecting her first child correct answers Correct 1, 2, 3, 5
All patients who are hospitalized need to be asked about advance directives by the nurse when
they are admitted to a hospital. This is a requirement of the Patient Self-Determination Act.
Many nurses feel uncomfortable discussing advance directives with "healthy" patients, but the
circumstances of admission do not relieve the nurse of this responsibility. The patient with
preexisting advance directives still needs to be questioned; it is possible that the patient's wishes
have changed since the documents were established. Patients who have potentially life-
threatening diseases or conditions should establish advance directives while they are able to do
so. The comatose patient is not considered capable of making decisions about his or her wishes
concerning advance directives.
The nurse is reviewing the reports of a patient suffering from septic shock. The investigation data
is given below. What would the nurse conclude based on these findings?
-serum creatinine 2.5 mg/dl
-Blood Urea Nitrogen 35 mg/dl
-serum calcuim 7 mg/dl
1 Intrinsic acute kidney injury
2 Prerenal acute kidney injury
The nurse is teaching a patient who underwent surgery for mandibular fracture with inner
maxillary fixation about self-care upon discharge. Which statement regarding self-management
made by the patient indicates effective learning?
1 "I will cut the wires if I vomit."
2 "I will not use an irrigating device."
3 "I will consume a semi-liquid only diet."
4 "I will do the rewiring as soon as possible." correct answers Correct 1
With inner maxillary fixation, bones are realigned and then wired in place with the closed bite.
If the patient vomits after an inner maxillary fixation, the patient should immediately cut the
wires to prevent aspiration. Irrigating devices are important for maintaining oral health because a
patient cannot brush after surgery until completely healed. The patient should consume only a
liquid diet, because chewing is not possible after surgery. Rewiring should be done only by the
licensed practitioner.
The nurse must obtain the height of a patient with a hip contracture. How does the nurse obtain
this assessment?
1 Measures the patient's height in millimeters for accuracy
2 Uses a sliding-blade knee height caliper
3 Uses the stick of a weight scale
4 Asks the patient to stand erect and look straight ahead correct answers Correct 2
The height of a patient with a hip contracture is measured using a sliding-blade knee height
caliper, which uses the distance between the patient's heel and patella to estimate the height.
Height is measured in inches or centimeters. The stick of a weight scale is used to determine the
height of a patient who can stand, which this patient cannot do.
A patient who has recently been diagnosed with renovascular disease asks the nurse, "What is
the cause of this disease?" What is the nurse's best response? Select all that apply.
1 "A blood clot in your vessels may cause this disease."
2 "A buildup of plaque in your vessels may cause this disease."
3 "The narrowing of your renal vessels may cause this disease."
4 "This disease is most likely caused by a genetic malformation."
5 "This disease is most likely caused by excess hormone secretion." correct answers Correct 1, 2,
3
Renovascular disease may be caused by thrombosis, atherosclerosis, or stenosis. A blood clot in
the vessels best describes thrombosis. A buildup of plaque in the vessels best describes
atherosclerosis. Narrowing of the vessels best describes stenosis. Renovascular disease is often
not caused by a genetic malformation and is not caused by excess hormone secretion.
A nurse is caring for a male patient with renal cell carcinoma. What statement made by the
patient is consistent with his diagnosis? Select all that apply.
1 My urine is cloudy all the time."
2 "I feel like my sex drive is decreased."
, 3 "I look more feminine than I used to."
4 "My blood pressure is high all the time."
5 "I feel cold all the time, even in summer." correct answers Correct 2 , 3, 4, 5
The hormones released by the renal cell carcinoma tumor may decrease the patient's sex drive
and change the patient's sexual characteristics. Hypertension occurs with this type of cancer due
to the systemic effects from the tumor. Patients with renal cell carcinoma usually do not have
cloudy urine and do not feel cold.
The nurse is caring for the following patients. Which patient should the nurse assess first?
1 A patient diagnosed with idiopathic pulmonary fibrosis on parenteral morphine
2 A patient diagnosed with sarcoidosis who just received a second dose of IV corticosteroids
3 A patient diagnosed with bronchiolitis obliterans organizing pneumonia (BOOP) who returned
from a biopsy 2 hours ago
4 A patent being evaluated for latency (allergic) asthma who received an inhaled corticosteroid 1
hour ago correct answers Correct 1
The patient with idiopathic pulmonary fibrosis receiving parenteral morphine is in the later stage
of the disease and likely will have hypoxemia even with high levels of oxygen. The patient with
sarcoidosis has had the necessary treatment and is not the priority. The patient with BOOP has
had a biopsy and is not the priority. The patient with latency asthma has no current exposure and
has received treatment; this patient is not the priority.
In which newly admitted patient situations does the nurse initiate a conversation about advance
directives? Select all that apply.
1 A patient with a non-life-threatening illness
2 A person who currently has advance directives
3 The patient with end-stage kidney disease
4 The comatose patient who was injured in an automobile crash
5 The laboring mother expecting her first child correct answers Correct 1, 2, 3, 5
All patients who are hospitalized need to be asked about advance directives by the nurse when
they are admitted to a hospital. This is a requirement of the Patient Self-Determination Act.
Many nurses feel uncomfortable discussing advance directives with "healthy" patients, but the
circumstances of admission do not relieve the nurse of this responsibility. The patient with
preexisting advance directives still needs to be questioned; it is possible that the patient's wishes
have changed since the documents were established. Patients who have potentially life-
threatening diseases or conditions should establish advance directives while they are able to do
so. The comatose patient is not considered capable of making decisions about his or her wishes
concerning advance directives.
The nurse is reviewing the reports of a patient suffering from septic shock. The investigation data
is given below. What would the nurse conclude based on these findings?
-serum creatinine 2.5 mg/dl
-Blood Urea Nitrogen 35 mg/dl
-serum calcuim 7 mg/dl
1 Intrinsic acute kidney injury
2 Prerenal acute kidney injury
