HESI Compass
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1. The wife of a newly-diagnosed Explain that there are no known conventional, alterna-
client with Parkinson's disease tive, or complimentary therapies that cure Parkinson's
asks the nurse if alternative or disease.
complimentary medical therapies
might cure the disease. Which re- Rationale:
sponse should the nurse provide? The client's wife should be given truthful information
that there is no known cure for Parkinson's disease
Explain that there are no known available today.
conventional, alternative, or com-
plimentary therapies that cure
Parkinson's disease.
Tell the wife that her husband's
neurologist would know more
about alternative treatments to
cure Parkinsonism.
Encourage the wife to ventilate her
feelings about having a husband
with Parkinson's disease.
Compile a list of alternative med-
ications that are effective in curing
Parkinson's disease.
2. The nurse is preparing a teaching Names 3 home safety hazards to be resolved immedi-
plan for an older female client di- ately.
agnosed with osteoporosis. Which
expected outcome has the highest Rationale:
priority for this client? A major goal for an older client with osteoporosis is
Identifies 2 treatments for consti- maintenance of safety to prevent falls. The outcome
pation due to immobility. is stated with the client actions that are specific and
Names 3 home safety hazards to time oriented, such as the client names 3 home safety
be resolved immediately. hazards to be resolved immediately.
States 4 risk factors for the devel-
, HESI Compass
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opment of osteoporosis.
Lists 5 calcium-rich foods to be
added to her daily diet.
3. An adolescent client on a drug Range-of-motion and circulation.
treatment unit becomes angry
and pulls the refrigerator from Rationale:
the wall and then throws the While a client is in restraints, the nurse should assess
microwave. After the client fails and record findings related to range-of-motion and cir-
to respond to redirection, the culation, and these assessments should be performed
healthcare provider prescribes re- at regular intervals.
straints. Which assessment should
the nurse include in the client's
record while the client is in re-
straints?
Responsiveness to painful stimuli.
Pupils equal, round and reactive.
Range-of-motion and circulation.
Speech patterns and processes.
4. The nurse is planning to assess a Place the oximeter clip on the earlobe to obtain the
client's oxygen saturation to deter- oxygen saturation reading.
mine if additional oxygen is need-
ed via nasal cannula. The client Rationale:
has bilateral below-the-knee am- Pulse oximeter clips can be attached to the earlobe to
putations and radial pulses that obtain an accurate measurement of oxygen saturation.
are weak and thready. What action
should the nurse take?
Document that an accurate oxygen
saturation reading cannot be ob-
tained.
Elevate the client's hands for five
, HESI Compass
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minutes prior to obtaining a read-
ing from the finger.
Increase the oxygen based on
the client's breathing patterns and
lung sounds.
Place the oximeter clip on the ear-
lobe to obtain the oxygen satura-
tion reading.
5. The camp nurse is teaching adoles- Wear water shoes in the public shower.
cents about the prevention of tinea
pedis. Which instruction should Rationale:
the nurse include in the teaching Wearing water shoes prevents the transmission of tinea
plan? pedis (Athlete's Foot) in a public shower.
Wear water shoes in the public
shower.
Do not share a brush or comb with
anyone.
Use moisturizing creams to retain
skin moisture.
Avoid using cosmetics that block
sebaceous glands.
6. An antacid is prescribed for a "Antacids will neutralize the acid in your stomach."
client with gastroesophageal re-
flux (GERD). The client asks the Rationale:
nurse, "How does this help my Antacids neutralize hydrochloric acid in the stom-
GERD?" Which is the best response ach reducing the heartburn associated with gastroe-
by the nurse? sophageal reflux disease (GERD).
"Antacids decrease the production
of gastric secretions."
"It will improve the emptying of
, HESI Compass
Study online at https://quizlet.com/_eet91o
food through your stomach."
"Antacids will neutralize the acid in
your stomach."
"This medication will coat the lining
of your esophagus."
7. What instruction should the nurse Your child is overweight for his age and size, so help
provide the parents of a 3-year-old him select more healthy foods.
boy with a BMI-for-age at the 97th
percentile? Rationale:
Your child is tall for his age, so be Children with a BMI-for-age at or above the 95th per-
sure he gets plenty to eat to stay centile are considered overweight, and at risk for obe-
healthy. sity and all the associated health problems. The nurse
Your child is overweight for his age should offer recommendations for healthy eating and
and size, so help him select more exercise.
healthy foods.
Your child's weight is in the high
range, but is probably normal for
his body build.
Your child has very strong bones,
so continue to maintain the same
diet.
8. When should the nurse conduct an Just before arterial blood gasses are drawn peripher-
Allen's test? ally.
When pulmonary artery pressures
are obtained. Rationale:
Prior to attempting a cardiac out- The Allen's test should be performed prior to punctur-
put calculation. ing the radial artery to obtain a blood gas specimen to
To assess for presence of a deep determine patency of the ulnar artery in the selected
vein thrombus in the leg. extremity. To perform an Allen's test the client's hand
is formed into a fist while the nurse compresses the
Study online at https://quizlet.com/_eet91o
1. The wife of a newly-diagnosed Explain that there are no known conventional, alterna-
client with Parkinson's disease tive, or complimentary therapies that cure Parkinson's
asks the nurse if alternative or disease.
complimentary medical therapies
might cure the disease. Which re- Rationale:
sponse should the nurse provide? The client's wife should be given truthful information
that there is no known cure for Parkinson's disease
Explain that there are no known available today.
conventional, alternative, or com-
plimentary therapies that cure
Parkinson's disease.
Tell the wife that her husband's
neurologist would know more
about alternative treatments to
cure Parkinsonism.
Encourage the wife to ventilate her
feelings about having a husband
with Parkinson's disease.
Compile a list of alternative med-
ications that are effective in curing
Parkinson's disease.
2. The nurse is preparing a teaching Names 3 home safety hazards to be resolved immedi-
plan for an older female client di- ately.
agnosed with osteoporosis. Which
expected outcome has the highest Rationale:
priority for this client? A major goal for an older client with osteoporosis is
Identifies 2 treatments for consti- maintenance of safety to prevent falls. The outcome
pation due to immobility. is stated with the client actions that are specific and
Names 3 home safety hazards to time oriented, such as the client names 3 home safety
be resolved immediately. hazards to be resolved immediately.
States 4 risk factors for the devel-
, HESI Compass
Study online at https://quizlet.com/_eet91o
opment of osteoporosis.
Lists 5 calcium-rich foods to be
added to her daily diet.
3. An adolescent client on a drug Range-of-motion and circulation.
treatment unit becomes angry
and pulls the refrigerator from Rationale:
the wall and then throws the While a client is in restraints, the nurse should assess
microwave. After the client fails and record findings related to range-of-motion and cir-
to respond to redirection, the culation, and these assessments should be performed
healthcare provider prescribes re- at regular intervals.
straints. Which assessment should
the nurse include in the client's
record while the client is in re-
straints?
Responsiveness to painful stimuli.
Pupils equal, round and reactive.
Range-of-motion and circulation.
Speech patterns and processes.
4. The nurse is planning to assess a Place the oximeter clip on the earlobe to obtain the
client's oxygen saturation to deter- oxygen saturation reading.
mine if additional oxygen is need-
ed via nasal cannula. The client Rationale:
has bilateral below-the-knee am- Pulse oximeter clips can be attached to the earlobe to
putations and radial pulses that obtain an accurate measurement of oxygen saturation.
are weak and thready. What action
should the nurse take?
Document that an accurate oxygen
saturation reading cannot be ob-
tained.
Elevate the client's hands for five
, HESI Compass
Study online at https://quizlet.com/_eet91o
minutes prior to obtaining a read-
ing from the finger.
Increase the oxygen based on
the client's breathing patterns and
lung sounds.
Place the oximeter clip on the ear-
lobe to obtain the oxygen satura-
tion reading.
5. The camp nurse is teaching adoles- Wear water shoes in the public shower.
cents about the prevention of tinea
pedis. Which instruction should Rationale:
the nurse include in the teaching Wearing water shoes prevents the transmission of tinea
plan? pedis (Athlete's Foot) in a public shower.
Wear water shoes in the public
shower.
Do not share a brush or comb with
anyone.
Use moisturizing creams to retain
skin moisture.
Avoid using cosmetics that block
sebaceous glands.
6. An antacid is prescribed for a "Antacids will neutralize the acid in your stomach."
client with gastroesophageal re-
flux (GERD). The client asks the Rationale:
nurse, "How does this help my Antacids neutralize hydrochloric acid in the stom-
GERD?" Which is the best response ach reducing the heartburn associated with gastroe-
by the nurse? sophageal reflux disease (GERD).
"Antacids decrease the production
of gastric secretions."
"It will improve the emptying of
, HESI Compass
Study online at https://quizlet.com/_eet91o
food through your stomach."
"Antacids will neutralize the acid in
your stomach."
"This medication will coat the lining
of your esophagus."
7. What instruction should the nurse Your child is overweight for his age and size, so help
provide the parents of a 3-year-old him select more healthy foods.
boy with a BMI-for-age at the 97th
percentile? Rationale:
Your child is tall for his age, so be Children with a BMI-for-age at or above the 95th per-
sure he gets plenty to eat to stay centile are considered overweight, and at risk for obe-
healthy. sity and all the associated health problems. The nurse
Your child is overweight for his age should offer recommendations for healthy eating and
and size, so help him select more exercise.
healthy foods.
Your child's weight is in the high
range, but is probably normal for
his body build.
Your child has very strong bones,
so continue to maintain the same
diet.
8. When should the nurse conduct an Just before arterial blood gasses are drawn peripher-
Allen's test? ally.
When pulmonary artery pressures
are obtained. Rationale:
Prior to attempting a cardiac out- The Allen's test should be performed prior to punctur-
put calculation. ing the radial artery to obtain a blood gas specimen to
To assess for presence of a deep determine patency of the ulnar artery in the selected
vein thrombus in the leg. extremity. To perform an Allen's test the client's hand
is formed into a fist while the nurse compresses the
