HESI 266 practice Questions with
Verified Answers
Hypovolemia and electrocardiographic (ECG) changes. - ANSWERSA client who has
developed acute kidney injury (AKI) due to aminoglycoside
antibiotics has moved from the oliguric phase to the diuretic phase of AKI. Which
parameters are most important for the nurse to plan to carefully monitor?
a. Uremic irritation of mucous membranes and skin surfaces.
b. Hypovolemia and electrocardiographic (ECG) changes.
c. Side effects of total parental nutrition (TPN) and Intralipids.
d. Elevated creatinine and blood urea nitrogen (BUN).
Tenderness upon palpation and generalized erythema - ANSWERSThe nurse is caring
for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment. Which assessment
finding indicates that the client has been overexposed to the treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes
Strict IV fluid replacement - ANSWERSAn adult client who had a gastric bypass surgery
2 weeks ago, is admitted with
possible anastomosis leakage. The client's abdomen is tender to touch, and the
vital signs are temperature 101* F (38 3* C). heart rate 130 beats/minute,
respiratory rate 26 breaths/minute, and blood pressure 100/50 mmHg. Which
intervention is most important for the nurse to include in the client's plan of care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement.
d. Assess wound drainage daily.
Wearing gloves when handling cold items guards against painful
spasms - ANSWERSA client who was recently diagnosed with Raynaud's disease is
concerned
about pain management. Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments will be needed for IV pain medications.
c. Enrolling in a pain clinic can provide relief alternatives.
, d. Wearing gloves when handling cold items guards against painful
spasms
Eats a vegetarian diet with cheese 2 to 3 times a day - ANSWERSThe nurse is
obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for
renal calculi.?
Crohn's disease with colectomy - ANSWERSclient is diagnosed with chronic kidney
disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus
Hypoalbuminemia that results in a decreased colloidal onoctic
pressure - ANSWERSThe nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
a. Hypoalbuminemia that results in a decreased colloidal onoctic
pressure.
b. Hyperaldosteronism causing an increased sodium reabsorption in
renal tubules.
c. Decreased renin-angiotensin response related to an increase in
renal blood flow.
d. Decreased portacaval pressure with greater collateral circulation.
Morphine - ANSWERSA client presents to the emergency department reporting chest
pain that is
radiation to the left arm, shortness of breath, and diaphoresis. Which medication
should the nurse anticipate being prescribed by the healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine.
Maintain prescribed eye drop regimen - ANSWERSAn adult who was recently
diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind. Which nursing instruction is most important for the nurses to provide
Verified Answers
Hypovolemia and electrocardiographic (ECG) changes. - ANSWERSA client who has
developed acute kidney injury (AKI) due to aminoglycoside
antibiotics has moved from the oliguric phase to the diuretic phase of AKI. Which
parameters are most important for the nurse to plan to carefully monitor?
a. Uremic irritation of mucous membranes and skin surfaces.
b. Hypovolemia and electrocardiographic (ECG) changes.
c. Side effects of total parental nutrition (TPN) and Intralipids.
d. Elevated creatinine and blood urea nitrogen (BUN).
Tenderness upon palpation and generalized erythema - ANSWERSThe nurse is caring
for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment. Which assessment
finding indicates that the client has been overexposed to the treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes
Strict IV fluid replacement - ANSWERSAn adult client who had a gastric bypass surgery
2 weeks ago, is admitted with
possible anastomosis leakage. The client's abdomen is tender to touch, and the
vital signs are temperature 101* F (38 3* C). heart rate 130 beats/minute,
respiratory rate 26 breaths/minute, and blood pressure 100/50 mmHg. Which
intervention is most important for the nurse to include in the client's plan of care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement.
d. Assess wound drainage daily.
Wearing gloves when handling cold items guards against painful
spasms - ANSWERSA client who was recently diagnosed with Raynaud's disease is
concerned
about pain management. Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments will be needed for IV pain medications.
c. Enrolling in a pain clinic can provide relief alternatives.
, d. Wearing gloves when handling cold items guards against painful
spasms
Eats a vegetarian diet with cheese 2 to 3 times a day - ANSWERSThe nurse is
obtaining a health history from a new client who has a history of
kidney stones. Which statement by the client indicates an increased risk for
renal calculi.?
Crohn's disease with colectomy - ANSWERSclient is diagnosed with chronic kidney
disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis?
a. Nephrotic syndrome history.
b. Latent hepatitis C.
c. Crohn's disease with colectomy.
d. Type 2 diabetes mellitus
Hypoalbuminemia that results in a decreased colloidal onoctic
pressure - ANSWERSThe nurse assesses a client with cirrhosis and finds 4+ pitting
edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema and
ascites in clients with cirrhosis?
a. Hypoalbuminemia that results in a decreased colloidal onoctic
pressure.
b. Hyperaldosteronism causing an increased sodium reabsorption in
renal tubules.
c. Decreased renin-angiotensin response related to an increase in
renal blood flow.
d. Decreased portacaval pressure with greater collateral circulation.
Morphine - ANSWERSA client presents to the emergency department reporting chest
pain that is
radiation to the left arm, shortness of breath, and diaphoresis. Which medication
should the nurse anticipate being prescribed by the healthcare provider?
a. Fentanyl.
b. Hydromorphone.
c. Oxycodone.
d. Morphine.
Maintain prescribed eye drop regimen - ANSWERSAn adult who was recently
diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind. Which nursing instruction is most important for the nurses to provide
