Hesi V1
Study online at https://quizlet.com/_br19r3
1. The nurse receives a report on an older adult client Was minimally responsive
with middle stage dementia. What information sug- to voice and touch
gests the nurse should do immediate follow up rather
than delegate care to the nursing assistant? The client
A) Has had a change in respiratory rate by an increase
of 2 breaths
B) Has had a change in heart rate by an increase of 10
beats
C) Was minimally responsive to voice and touch
D) Has had a blood pressure change by a drop in 8
mmHg systolic
2. Which information is a priority for the RN to reinforce Measure the urine output
to an older client after intravenous pyelography? for the next day and im-
A) Eat a light diet for the rest of the day mediately notify the health
B) Rest for the next 24 hours since the preparation and care provider if it should
the test is tiring. decrease
C) During waking hours drink at least 1 8-ounce glass
of fluid every hour for the next 2 days
D) Measure the urine output for the next day and
immediately notify the health care provider if it should
decrease
3. A client has altered renal function and is being treated weekly weight
at home. The nurse recognizes that the most accurate
indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
4.
, Hesi V1
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A client has been diagnosed with Zollinger-Ellison syn- It is critical to report
drome. Which information is most important for the promptly to your health
nurse to reinforce with the client? care provider any findings
A)It is a condition in which one or more tumors called of peptic ulcers
gastrinomas form in the pancreas or in the upper part
of the small intestine (duodenum)
B) It is critical to report promptly to your health care
provider any findings of peptic ulcers
c) Treatment consists of medications to reduce acid
and heal any peptic ulcers and, if possible, surgery to
remove any tumors
D) With the average age at diagnosis at 50 years the
peptic ulcers may occur at unusual areas of the stom-
ach or intestine
5. A primigravida in the third trimester is hospitalized for Have the client turn to the
preeclampsia. The nurse determines that the client's left side
blood pressure is increasing. Which action should the
nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
6. The nurse is caring for a client in atrial fibrillation. A cold, pale lower leg
The atrial heart rate is 250 and the ventricular rate
is controlled at 75. Which of the following findings is
cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
, Hesi V1
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7. The client with infective endocarditis must be as- Fever of 103 degrees F
sessed frequently by the home health nurse. Which (39.5 degrees C)
finding suggests that antibiotic therapy is not effec-
tive, and must be reported by the nurse immediately
to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Cel-
sius)
C) Diffuse macular rash
D) Muscle tenderness
8. A client who had a vasectomy is in the post recovery Until the health care
unit at an outpatient clinic. Which of these points is provider has determined
most important to be reinforced by the nurse? that your ejaculate doesn't
A) Until the health care provider has determined that contain sperm, continue
your ejaculate doesn't contain sperm, continue to use to use another form of
another form of contraception. contraception
B) This procedure doesn't impede the production of
male hormones or the production of sperm in the
testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to
be avoided for at least 48 hours. If your work doesn't
involve hard physical labor, you can return to your job
as soon as you feel up to it. The stitches generally
dissolve in seven to ten days.
D)The health care provider at this clinic recommends
rest, ice, an athletic supporter or over-the[1]counter
pain medication to relieve any discomfort.
9. A client who is to have antineoplastic chemotherapy The flow of life is believed
tells the nurses of a fear of being sick all the time to flow through major
, Hesi V1
Study online at https://quizlet.com/_br19r3
and wishes to try acupuncture. Which of these beliefs pathways or nerve clusters
stated by the client would be incorrect about acupunc- in your body.
ture?
A) Some needles go as deep as 3 inches, depending
on where they're placed in the body and what the
treatment is for. The needles usually are left in for 15
to 30 minutes.
B) In traditional Chinese medicine, imbalances in the
basic energetic flow of life — known as qi or chi — are
thought to cause illness.
C) The flow of life is believed to flow through major
pathways or nerve clusters in your body.
D) By inserting extremely fine needles into some of
the over 400 acupuncture points in various combina-
tions it is believed that energy flow will rebalance to
allow the body's natural healing mechanisms to take
over.
10. The nurse is discussing with a group of students the Kawasaki disease occurs
disease Kawasaki. What statement most often in boys, chil-
made by a student about Kawasaki disease is incor- dren younger than age 5
rect? and children of Hispanic
A) It also called mucocutaneous lymph node syn- descent
drome because it affects the mucous membranes
(inside the mouth, throat and nose), skin and lymph
nodes.
B)In the second phase of the disease, findings include
peeling of the skin on the hands and
feet with joint and abdominal pain
C)Kawasaki disease occurs most often in boys, chil-
dren younger than age 5 and children of
Hispanic descent
Study online at https://quizlet.com/_br19r3
1. The nurse receives a report on an older adult client Was minimally responsive
with middle stage dementia. What information sug- to voice and touch
gests the nurse should do immediate follow up rather
than delegate care to the nursing assistant? The client
A) Has had a change in respiratory rate by an increase
of 2 breaths
B) Has had a change in heart rate by an increase of 10
beats
C) Was minimally responsive to voice and touch
D) Has had a blood pressure change by a drop in 8
mmHg systolic
2. Which information is a priority for the RN to reinforce Measure the urine output
to an older client after intravenous pyelography? for the next day and im-
A) Eat a light diet for the rest of the day mediately notify the health
B) Rest for the next 24 hours since the preparation and care provider if it should
the test is tiring. decrease
C) During waking hours drink at least 1 8-ounce glass
of fluid every hour for the next 2 days
D) Measure the urine output for the next day and
immediately notify the health care provider if it should
decrease
3. A client has altered renal function and is being treated weekly weight
at home. The nurse recognizes that the most accurate
indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
4.
, Hesi V1
Study online at https://quizlet.com/_br19r3
A client has been diagnosed with Zollinger-Ellison syn- It is critical to report
drome. Which information is most important for the promptly to your health
nurse to reinforce with the client? care provider any findings
A)It is a condition in which one or more tumors called of peptic ulcers
gastrinomas form in the pancreas or in the upper part
of the small intestine (duodenum)
B) It is critical to report promptly to your health care
provider any findings of peptic ulcers
c) Treatment consists of medications to reduce acid
and heal any peptic ulcers and, if possible, surgery to
remove any tumors
D) With the average age at diagnosis at 50 years the
peptic ulcers may occur at unusual areas of the stom-
ach or intestine
5. A primigravida in the third trimester is hospitalized for Have the client turn to the
preeclampsia. The nurse determines that the client's left side
blood pressure is increasing. Which action should the
nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
6. The nurse is caring for a client in atrial fibrillation. A cold, pale lower leg
The atrial heart rate is 250 and the ventricular rate
is controlled at 75. Which of the following findings is
cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
, Hesi V1
Study online at https://quizlet.com/_br19r3
7. The client with infective endocarditis must be as- Fever of 103 degrees F
sessed frequently by the home health nurse. Which (39.5 degrees C)
finding suggests that antibiotic therapy is not effec-
tive, and must be reported by the nurse immediately
to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Cel-
sius)
C) Diffuse macular rash
D) Muscle tenderness
8. A client who had a vasectomy is in the post recovery Until the health care
unit at an outpatient clinic. Which of these points is provider has determined
most important to be reinforced by the nurse? that your ejaculate doesn't
A) Until the health care provider has determined that contain sperm, continue
your ejaculate doesn't contain sperm, continue to use to use another form of
another form of contraception. contraception
B) This procedure doesn't impede the production of
male hormones or the production of sperm in the
testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to
be avoided for at least 48 hours. If your work doesn't
involve hard physical labor, you can return to your job
as soon as you feel up to it. The stitches generally
dissolve in seven to ten days.
D)The health care provider at this clinic recommends
rest, ice, an athletic supporter or over-the[1]counter
pain medication to relieve any discomfort.
9. A client who is to have antineoplastic chemotherapy The flow of life is believed
tells the nurses of a fear of being sick all the time to flow through major
, Hesi V1
Study online at https://quizlet.com/_br19r3
and wishes to try acupuncture. Which of these beliefs pathways or nerve clusters
stated by the client would be incorrect about acupunc- in your body.
ture?
A) Some needles go as deep as 3 inches, depending
on where they're placed in the body and what the
treatment is for. The needles usually are left in for 15
to 30 minutes.
B) In traditional Chinese medicine, imbalances in the
basic energetic flow of life — known as qi or chi — are
thought to cause illness.
C) The flow of life is believed to flow through major
pathways or nerve clusters in your body.
D) By inserting extremely fine needles into some of
the over 400 acupuncture points in various combina-
tions it is believed that energy flow will rebalance to
allow the body's natural healing mechanisms to take
over.
10. The nurse is discussing with a group of students the Kawasaki disease occurs
disease Kawasaki. What statement most often in boys, chil-
made by a student about Kawasaki disease is incor- dren younger than age 5
rect? and children of Hispanic
A) It also called mucocutaneous lymph node syn- descent
drome because it affects the mucous membranes
(inside the mouth, throat and nose), skin and lymph
nodes.
B)In the second phase of the disease, findings include
peeling of the skin on the hands and
feet with joint and abdominal pain
C)Kawasaki disease occurs most often in boys, chil-
dren younger than age 5 and children of
Hispanic descent
