HESI 799 RN Exit Exam part 3 (298 questions)with verified correct
answers
1. A young adult male was admitted 36 hours ago for a head injury that
|| || || || || || || || || || || || ||
|| occurred as the result of a motorcycle accident. In the last 4 hours, his urine
|| || || || || || || | || || || || | ||
|| output has increased to over 200 ml/H. Before reporting the finding to the
|| || || || || || || || || || || ||
|| healthcare provider, which intervention should the nurse implement?
|| || || || || || ||
a- Evaluate the urine osmolality and the serum osmolality values. || || || || || || || ||
b- Obtain blood pressure and assess for dependent edema
|| || || || || || ||
c- Measure oral secretions suctioned during last hours || || || || || ||
d- Obtain capillary blood samples q2 hours for glucose monitoring.: a.Evalu-
|| || || || || || || || | |
|| ate the urine osmolality and the serum osmolality values.
|| || || || || || || ||
Rationale:With a known head injury, sudden inadequate secretion of antidiuretic
| || || || || || || || || ||
|| hormone (ADH) can cause excessive output of diluted urine.Evaluating laboratory
|| || || || || || || || | ||
|| results should de determined to identify findings of neurogenic diabetes insipidus (D
|| || || || || || || || || || ||
suchaslowurineosmolarityandnormalserumosmolarity(A)priortonotifythe healthcare
| | | | | | | | | | | | | | ||
|| provider so that these finding can be included in the report.Massive di- uresis,
|| || || || || || || || || || | || ||
dehydration, and thirst manifest hypotension, irregular tachycardia, decrease skin turgo
| | | | | | | | || ||
|| but B or C are not related to DI.
|| || || || || || || ||
1 ||/ ||144
,2. A male client has received a prescription for orlistat for weight and nutrition
| | | | | | | | | | | |
|| management. In addition to the medication, the client states he plans to take a
|| || || || || || || || || || || || ||
|| multivitamin.What teaching should the nurse provide? | || || || || ||
a. As a nutritional supplement, orlistat already contains all the recommended
|| || || | || || || || ||
|| daily vitamins and minerals.
|| || ||
b. Multivitamins are contraindicated.During treatment with weight-control || || | || || ||
|| medications such as orlistat || || ||
c. Be sure to take the multivitamin and the medication at least two hours apart for
| | | | | | | | | | | | | ||
|| best absorption and effectiveness.
|| || ||
d. Following a well-balanced diet is a much healthier approach to good nutri-
|| || || || || || || || || || ||
|| tion than depending on a multivitamin.: c. Be sure to take the multivitamin and
|| || || || || || || || || || || || ||
the medication at least two hours apart for best absorption and effectiveness
|| || || || || || || || || || || ||
3. A female client is taking alendronate, a bisphosphate, for postmenopausal
|| || || || || || || || ||
|| osteoporosis. The client tells the nurse that she is experiencing jaw pain. How
| | | | | | | | | | | |
|| should the nurse respond? || || ||
a- Determine how the client is administering the medication || || || || || || ||
b- Confirm that this is a common symptom of osteoporosis
|| || || || || || || ||
c- Report the client's jaw pain to the healthcare provider.
|| || || || || || || ||
2 ||/ ||144
,d- Advise the client to gargle with warm salt water twice daily.: c.Report the
|| || || || || || || || || || | | ||
3 ||/ ||144
, client's jaw pain to the healthcare provider.
|| || || || || ||
Rationale:Bisphosponates, including alendronate, can cause osteonecrosis of jaw,
| | | | | | | |
|| which should be reported to the healthcare provider © for evaluation. Incorrect
|| || || || || || || || || || ||
|| administration (A) such as failing to remain upright after taking the medication, can || || || || || || || || || || || ||
|| contribute to esophageal reactions, but does not causes haw pain.Jaw pain is not a
|| || || || || || || || || | || || || ||
|| symptom of osteoporosis and is not relieved with saline throat gargles.
|| || || || || || || || || ||
4. Whichinterventionshouldthe nurseimplementfor aclientwithasuperficial
| | | | | | | | | | |
|| (first degree) burn?
|| ||
a. Spray an anesthetic agent over the burn every 3 to 4 hours
|| || || || || || || || || || ||
b. Position the burn victim in front of a cool fan to decrease discomfort|| || || || || || || || || || || ||
c. Apply ice pack for 30 mints to lower surface temperature
|| || || || || || || || ||
d. Placewetclothesontheburnedareasforshortperiodsoftime.:d.Placewet cloths
| | | | | | | | | | | | | | ||
|| on the burned areas for short periods of time.
|| || || || || || || ||
Rationale:D provides comfort and helps to relive the pain of a first degree burn, which
| || || || || || || || || || || || || || ||
|| involves only the epidermal layer of the skin.
|| || || || || || ||
5. What is the primary goal when planning nursing care for a client with
|| || || || || || || || || || || ||
|| degenerative joint disease (DJD)? || || ||
4 ||/ ||144
answers
1. A young adult male was admitted 36 hours ago for a head injury that
|| || || || || || || || || || || || ||
|| occurred as the result of a motorcycle accident. In the last 4 hours, his urine
|| || || || || || || | || || || || | ||
|| output has increased to over 200 ml/H. Before reporting the finding to the
|| || || || || || || || || || || ||
|| healthcare provider, which intervention should the nurse implement?
|| || || || || || ||
a- Evaluate the urine osmolality and the serum osmolality values. || || || || || || || ||
b- Obtain blood pressure and assess for dependent edema
|| || || || || || ||
c- Measure oral secretions suctioned during last hours || || || || || ||
d- Obtain capillary blood samples q2 hours for glucose monitoring.: a.Evalu-
|| || || || || || || || | |
|| ate the urine osmolality and the serum osmolality values.
|| || || || || || || ||
Rationale:With a known head injury, sudden inadequate secretion of antidiuretic
| || || || || || || || || ||
|| hormone (ADH) can cause excessive output of diluted urine.Evaluating laboratory
|| || || || || || || || | ||
|| results should de determined to identify findings of neurogenic diabetes insipidus (D
|| || || || || || || || || || ||
suchaslowurineosmolarityandnormalserumosmolarity(A)priortonotifythe healthcare
| | | | | | | | | | | | | | ||
|| provider so that these finding can be included in the report.Massive di- uresis,
|| || || || || || || || || || | || ||
dehydration, and thirst manifest hypotension, irregular tachycardia, decrease skin turgo
| | | | | | | | || ||
|| but B or C are not related to DI.
|| || || || || || || ||
1 ||/ ||144
,2. A male client has received a prescription for orlistat for weight and nutrition
| | | | | | | | | | | |
|| management. In addition to the medication, the client states he plans to take a
|| || || || || || || || || || || || ||
|| multivitamin.What teaching should the nurse provide? | || || || || ||
a. As a nutritional supplement, orlistat already contains all the recommended
|| || || | || || || || ||
|| daily vitamins and minerals.
|| || ||
b. Multivitamins are contraindicated.During treatment with weight-control || || | || || ||
|| medications such as orlistat || || ||
c. Be sure to take the multivitamin and the medication at least two hours apart for
| | | | | | | | | | | | | ||
|| best absorption and effectiveness.
|| || ||
d. Following a well-balanced diet is a much healthier approach to good nutri-
|| || || || || || || || || || ||
|| tion than depending on a multivitamin.: c. Be sure to take the multivitamin and
|| || || || || || || || || || || || ||
the medication at least two hours apart for best absorption and effectiveness
|| || || || || || || || || || || ||
3. A female client is taking alendronate, a bisphosphate, for postmenopausal
|| || || || || || || || ||
|| osteoporosis. The client tells the nurse that she is experiencing jaw pain. How
| | | | | | | | | | | |
|| should the nurse respond? || || ||
a- Determine how the client is administering the medication || || || || || || ||
b- Confirm that this is a common symptom of osteoporosis
|| || || || || || || ||
c- Report the client's jaw pain to the healthcare provider.
|| || || || || || || ||
2 ||/ ||144
,d- Advise the client to gargle with warm salt water twice daily.: c.Report the
|| || || || || || || || || || | | ||
3 ||/ ||144
, client's jaw pain to the healthcare provider.
|| || || || || ||
Rationale:Bisphosponates, including alendronate, can cause osteonecrosis of jaw,
| | | | | | | |
|| which should be reported to the healthcare provider © for evaluation. Incorrect
|| || || || || || || || || || ||
|| administration (A) such as failing to remain upright after taking the medication, can || || || || || || || || || || || ||
|| contribute to esophageal reactions, but does not causes haw pain.Jaw pain is not a
|| || || || || || || || || | || || || ||
|| symptom of osteoporosis and is not relieved with saline throat gargles.
|| || || || || || || || || ||
4. Whichinterventionshouldthe nurseimplementfor aclientwithasuperficial
| | | | | | | | | | |
|| (first degree) burn?
|| ||
a. Spray an anesthetic agent over the burn every 3 to 4 hours
|| || || || || || || || || || ||
b. Position the burn victim in front of a cool fan to decrease discomfort|| || || || || || || || || || || ||
c. Apply ice pack for 30 mints to lower surface temperature
|| || || || || || || || ||
d. Placewetclothesontheburnedareasforshortperiodsoftime.:d.Placewet cloths
| | | | | | | | | | | | | | ||
|| on the burned areas for short periods of time.
|| || || || || || || ||
Rationale:D provides comfort and helps to relive the pain of a first degree burn, which
| || || || || || || || || || || || || || ||
|| involves only the epidermal layer of the skin.
|| || || || || || ||
5. What is the primary goal when planning nursing care for a client with
|| || || || || || || || || || || ||
|| degenerative joint disease (DJD)? || || ||
4 ||/ ||144
