Hesi 2
Study online at https://quizlet.com/_chu1h0
1. Following an open reduction of the tibia, D. Outline the area with ink and check it every
the nurse notes bleeding on the client's 15 minutes to see if the area has increased
cast. Which action should the nurse im-
plement?
A. No action is required since postopera-
tive bleeding can be expected
B. Lower the client's head while assess-
ing for symptoms of shock
C. Call the health care provider and pre-
pare to take the client back to the oper-
ating room
D. Outline the area with ink and check it
every 15 minutes to see if the area has
increased
2. A client with acute pancreatitis is com- A,B,C
plaining of pain and nausea. Which in-
terventions should the nurse implement Would need IV fluids, not oral
(Select all that apply) Placing them on their abdomen would cause
more pain
A.)Monitor heart, lung, and kidney func-
tion.
B.)Notify healthcare provider of serum
amylase and lipase levels.
C.)Review client's abdominal ultrasound
findings.
D.)Position client on abdomen to provide
organ stability
, Hesi 2
Study online at https://quizlet.com/_chu1h0
E.)Encourage an increased intake of clear
oral fluids
3. A nurse is caring for a client with Dia- A
betes Insipidus. Which assessment find-
ing warrants immediate intervention by Hypernatremia can occur due to unreplaced
the nurse? water that is lost from the urine in diabetes
insipidus.
A.)Hypernatremia
B.)Excessive thirst
C.)Elevated heart rate
D.)Poor skin turgor
4. In caring for a client receiving the Serum creatinine
amino glycoside antibiotic gentamicin, it
is most important for the nurse to moni- A mean old 'miacin', causes ototoxicity and
tor which diagnostic test? nephrotoxicity
5. The nurse weighs a 6-month-old infant A
during a well-baby check-up and de-
termines that the baby's weight has Birth weight should double by 6 months and
tripled compared to the birth weight of triple by 12 months. This baby is overweight.
7 pounds 8 ounces. The mother asks if
the baby is gaining enough weight. What
response should the nurse offer?
A.)What food does your baby usually eat
in a normal day?
B.)What was the baby's weight at the last
well-baby clinic visit?
, Hesi 2
Study online at https://quizlet.com/_chu1h0
C.)The baby is below the normal per-
centile for weight gain
D.)Your baby is gaining weight right on
schedule
6. A client who is at 36 weeks gestations is Urine output 20 ml/hour
admitted with severe preclampsia. After
a 6 gram loading dose of magnesium sul- Urine output should be 30 mL/hr
fate is administered, an intravenous in- Mag sulfate is used to prevent seizures
fusion of magnesium sulfate at a rate of
2 grams/hour is initiated. Which assess-
ment finding warrants immediate inter-
vention by the nurse?
A. Blood pressure 162/94
B. Complaint of headache
C. Urine output 20 ml/hr
D. Nausea and vomitting
7. What is the nurse's priority goal when C
providing care for a 2-year-old child ex-
periencing a seizure? The highest priority is maintaining a patent
airway
A.) Stop the seizure activity
B.) Decrease the temperature
C.) Manage the airway
D.) Protect the body from injury
8. The nurse is preparing to discharge an A. Report any muscle twitching or seziures
older adult female client who is at risk B. Take vitamin D with calcium daily
for hypocalcemia. What should the nurse D. Low fat yogurt is a good source of calcium
include with this client's discharge teach- E. Keep a diet record to monitor calcium intake
, Hesi 2
Study online at https://quizlet.com/_chu1h0
ing?
A.)Report any muscle twitching or
seizures
B.)Take vitamin D with calcium daily
C.)Low fat yogurt is a good source of cal-
cium
D.)Keep a diet record to monitor calcium
intake
E.)Avoid seafood, particularly selfish
9. The husband of a client with advanced The husband cannot sign the consent for the
ovarian cancer wants his wife to have client, her signature is required
every treatment available. When the hus-
band leaves, the client tells the nurse The client's specific wishes should be dis-
that she has had enough chemothera- cussed with her healthcare provider
py and wants to stop all treatments but
The healthcare team will formulate a plan of
knows her husband will sign the consent
care to keep the client comfortable
form for more treatment. The nurse's
response should include which informa-
tion?
10. The nurse is preparing a 50 ml dose C. Push the undiluted Dextrose slowly through
of 50% Dextrose IV for a client with in- the currently infusing IV
sulin shock. The nurse should administer
which medication? This option is the only option that can reverse
life-threatening insulin shock
A. Dilute the Dextrose in one liter of 0.9%
Normal Saline Solution
B. Mix the Dextrose in a 40 ml piggyback
for a total volume of 100 ml
C. Push the undiluted Dextrose slowly
Study online at https://quizlet.com/_chu1h0
1. Following an open reduction of the tibia, D. Outline the area with ink and check it every
the nurse notes bleeding on the client's 15 minutes to see if the area has increased
cast. Which action should the nurse im-
plement?
A. No action is required since postopera-
tive bleeding can be expected
B. Lower the client's head while assess-
ing for symptoms of shock
C. Call the health care provider and pre-
pare to take the client back to the oper-
ating room
D. Outline the area with ink and check it
every 15 minutes to see if the area has
increased
2. A client with acute pancreatitis is com- A,B,C
plaining of pain and nausea. Which in-
terventions should the nurse implement Would need IV fluids, not oral
(Select all that apply) Placing them on their abdomen would cause
more pain
A.)Monitor heart, lung, and kidney func-
tion.
B.)Notify healthcare provider of serum
amylase and lipase levels.
C.)Review client's abdominal ultrasound
findings.
D.)Position client on abdomen to provide
organ stability
, Hesi 2
Study online at https://quizlet.com/_chu1h0
E.)Encourage an increased intake of clear
oral fluids
3. A nurse is caring for a client with Dia- A
betes Insipidus. Which assessment find-
ing warrants immediate intervention by Hypernatremia can occur due to unreplaced
the nurse? water that is lost from the urine in diabetes
insipidus.
A.)Hypernatremia
B.)Excessive thirst
C.)Elevated heart rate
D.)Poor skin turgor
4. In caring for a client receiving the Serum creatinine
amino glycoside antibiotic gentamicin, it
is most important for the nurse to moni- A mean old 'miacin', causes ototoxicity and
tor which diagnostic test? nephrotoxicity
5. The nurse weighs a 6-month-old infant A
during a well-baby check-up and de-
termines that the baby's weight has Birth weight should double by 6 months and
tripled compared to the birth weight of triple by 12 months. This baby is overweight.
7 pounds 8 ounces. The mother asks if
the baby is gaining enough weight. What
response should the nurse offer?
A.)What food does your baby usually eat
in a normal day?
B.)What was the baby's weight at the last
well-baby clinic visit?
, Hesi 2
Study online at https://quizlet.com/_chu1h0
C.)The baby is below the normal per-
centile for weight gain
D.)Your baby is gaining weight right on
schedule
6. A client who is at 36 weeks gestations is Urine output 20 ml/hour
admitted with severe preclampsia. After
a 6 gram loading dose of magnesium sul- Urine output should be 30 mL/hr
fate is administered, an intravenous in- Mag sulfate is used to prevent seizures
fusion of magnesium sulfate at a rate of
2 grams/hour is initiated. Which assess-
ment finding warrants immediate inter-
vention by the nurse?
A. Blood pressure 162/94
B. Complaint of headache
C. Urine output 20 ml/hr
D. Nausea and vomitting
7. What is the nurse's priority goal when C
providing care for a 2-year-old child ex-
periencing a seizure? The highest priority is maintaining a patent
airway
A.) Stop the seizure activity
B.) Decrease the temperature
C.) Manage the airway
D.) Protect the body from injury
8. The nurse is preparing to discharge an A. Report any muscle twitching or seziures
older adult female client who is at risk B. Take vitamin D with calcium daily
for hypocalcemia. What should the nurse D. Low fat yogurt is a good source of calcium
include with this client's discharge teach- E. Keep a diet record to monitor calcium intake
, Hesi 2
Study online at https://quizlet.com/_chu1h0
ing?
A.)Report any muscle twitching or
seizures
B.)Take vitamin D with calcium daily
C.)Low fat yogurt is a good source of cal-
cium
D.)Keep a diet record to monitor calcium
intake
E.)Avoid seafood, particularly selfish
9. The husband of a client with advanced The husband cannot sign the consent for the
ovarian cancer wants his wife to have client, her signature is required
every treatment available. When the hus-
band leaves, the client tells the nurse The client's specific wishes should be dis-
that she has had enough chemothera- cussed with her healthcare provider
py and wants to stop all treatments but
The healthcare team will formulate a plan of
knows her husband will sign the consent
care to keep the client comfortable
form for more treatment. The nurse's
response should include which informa-
tion?
10. The nurse is preparing a 50 ml dose C. Push the undiluted Dextrose slowly through
of 50% Dextrose IV for a client with in- the currently infusing IV
sulin shock. The nurse should administer
which medication? This option is the only option that can reverse
life-threatening insulin shock
A. Dilute the Dextrose in one liter of 0.9%
Normal Saline Solution
B. Mix the Dextrose in a 40 ml piggyback
for a total volume of 100 ml
C. Push the undiluted Dextrose slowly
