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Hesi Final Exam Test 1 Questions with Correct Solutions Exam Bundle
Hesi Final Exam Test 1 Questions with Correct Solutions Exam Bundle
[Montrer plus]Hesi Final Exam Test 1 Questions with Correct Solutions Exam Bundle
[Montrer plus]Healthcare workers must protect themselves against becoming infected with HIV. The Center for Disease Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines include which recommendation? 
A. Place HIV positive clients in strict isolation and limit v...
Aperçu 3 sur 27 pages
Ajouter au panierHealthcare workers must protect themselves against becoming infected with HIV. The Center for Disease Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines include which recommendation? 
A. Place HIV positive clients in strict isolation and limit v...
Moving a patient with a catheter. 
Priority action =secure IV bag before the move 
 
 
Chronic pain patient who reports only taking medication when "he feels pain." What should the nurse do? 
Nurse should recommend that the patient take his medication as prescribed. 
 
 
What should the nurse ask ...
Aperçu 2 sur 9 pages
Ajouter au panierMoving a patient with a catheter. 
Priority action =secure IV bag before the move 
 
 
Chronic pain patient who reports only taking medication when "he feels pain." What should the nurse do? 
Nurse should recommend that the patient take his medication as prescribed. 
 
 
What should the nurse ask ...
A client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid. Which is the most critical management issue for the client during the first 2 weeks of treatment? 
 
A. Ascertaining that the client is taking a full dose daily 
B. Ensuring the client's blood levels reach a therapeu...
Aperçu 4 sur 65 pages
Ajouter au panierA client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid. Which is the most critical management issue for the client during the first 2 weeks of treatment? 
 
A. Ascertaining that the client is taking a full dose daily 
B. Ensuring the client's blood levels reach a therapeu...
After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood samples to determine peak and trough levels. When are the best times to draw these samples? - 5 minutes before and 30 minutes after the next dose. 
 
The nurse is completing an admission interview and assess...
Aperçu 1 sur 4 pages
Ajouter au panierAfter the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood samples to determine peak and trough levels. When are the best times to draw these samples? - 5 minutes before and 30 minutes after the next dose. 
 
The nurse is completing an admission interview and assess...
After the fourth dose of gentamicin sulfate, the nurse plans to draw blood samples to determine peak and trough levels. When are the best times to draw these samples? - 5 minutes before and 30 minutes after 
 
The nurse is completing an admission interview and assessment on a client with a histor...
Aperçu 3 sur 16 pages
Ajouter au panierAfter the fourth dose of gentamicin sulfate, the nurse plans to draw blood samples to determine peak and trough levels. When are the best times to draw these samples? - 5 minutes before and 30 minutes after 
 
The nurse is completing an admission interview and assessment on a client with a histor...
A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? 
 
A. Pindolol (Visken). 
B. Carteolol (Ocupress). 
C. Metoprolol tartrate (Lopressor). 
D...
Aperçu 4 sur 36 pages
Ajouter au panierA client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? 
 
A. Pindolol (Visken). 
B. Carteolol (Ocupress). 
C. Metoprolol tartrate (Lopressor). 
D...
The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Barrel chest 
 
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper qua...
Aperçu 2 sur 11 pages
Ajouter au panierThe nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Barrel chest 
 
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper qua...
After a thyroidectomy, the nurse should monitor for signs of tetany which can be caused by trauma to the parathyroid gland. The signs of tetany include which of the following? 
 
check all answers that apply 
negative Chvostek's sign 
positive Trousseau's sign 
photophobia 
cardiac dysrhythmi...
Aperçu 3 sur 19 pages
Ajouter au panierAfter a thyroidectomy, the nurse should monitor for signs of tetany which can be caused by trauma to the parathyroid gland. The signs of tetany include which of the following? 
 
check all answers that apply 
negative Chvostek's sign 
positive Trousseau's sign 
photophobia 
cardiac dysrhythmi...
Adenoma - Tumor of a gland 
 
Adenitis - Inflammation of a gland 
 
Arthritis - Inflammation of a joint 
 
Biology - Study of life 
 
Biopsy - Removal of living tissue and examination under a microscope. 
 
Carcinoma - Cancerous tumor. 
 
Cardiology - Study of the heart. 
 
Ceph...
Aperçu 3 sur 19 pages
Ajouter au panierAdenoma - Tumor of a gland 
 
Adenitis - Inflammation of a gland 
 
Arthritis - Inflammation of a joint 
 
Biology - Study of life 
 
Biopsy - Removal of living tissue and examination under a microscope. 
 
Carcinoma - Cancerous tumor. 
 
Cardiology - Study of the heart. 
 
Ceph...
anatomical position 
erect, feet forward, arms at side with palms facing forward, head facing forward 
 
 
sagittal plane 
divides body into left and right 
 
 
frontal (coronal) plane 
divides body into front and back 
 
 
transverse plane 
line that divides the body into upper and lower sections 
...
Aperçu 4 sur 33 pages
Ajouter au panieranatomical position 
erect, feet forward, arms at side with palms facing forward, head facing forward 
 
 
sagittal plane 
divides body into left and right 
 
 
frontal (coronal) plane 
divides body into front and back 
 
 
transverse plane 
line that divides the body into upper and lower sections 
...
A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo & states that she's ready to go home to die. What intervention should the nurse initiate? - Evaluate the client's mental status for competence to refuse treatment 
 
Rationale: Competent clients have the rig...
Aperçu 2 sur 12 pages
Ajouter au panierA 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo & states that she's ready to go home to die. What intervention should the nurse initiate? - Evaluate the client's mental status for competence to refuse treatment 
 
Rationale: Competent clients have the rig...
A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. the child smells of chemicals on the hands, face, and on the front of the child's clothes. after ensuring the airway is patent, what action should the nurse imp...
Aperçu 4 sur 38 pages
Ajouter au panierA mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. the child smells of chemicals on the hands, face, and on the front of the child's clothes. after ensuring the airway is patent, what action should the nurse imp...
The nurse must follow HIPAA regulations and not talk about client or their families in inappropriate places. - What must the nurse do in regards to client confidentiality and how can the nurse protect it? 
 
The nurse should evaluate the patients level of consciousness, vital signs, and ability t...
Aperçu 2 sur 5 pages
Ajouter au panierThe nurse must follow HIPAA regulations and not talk about client or their families in inappropriate places. - What must the nurse do in regards to client confidentiality and how can the nurse protect it? 
 
The nurse should evaluate the patients level of consciousness, vital signs, and ability t...
The nurse is teaching a client about the manifestations and emergency treatment of hypoglycemia. In assessing the client's knowledge, the nurse asks the client what he or she should do if feeling hungry and shaky. Which response by the client indicates a correct understanding of hypoglycemia manage...
Aperçu 1 sur 4 pages
Ajouter au panierThe nurse is teaching a client about the manifestations and emergency treatment of hypoglycemia. In assessing the client's knowledge, the nurse asks the client what he or she should do if feeling hungry and shaky. Which response by the client indicates a correct understanding of hypoglycemia manage...
A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? - The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a be...
Aperçu 3 sur 22 pages
Ajouter au panierA client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? - The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a be...
Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? 
 
Respiratory effort. 
Unsteady gait. 
Intensity of pain. 
Ability to eat. - Respiratory effort. 
 
Guillain-Barre syndrome causes paralysis or wea...
Aperçu 4 sur 49 pages
Ajouter au panierWhich assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? 
 
Respiratory effort. 
Unsteady gait. 
Intensity of pain. 
Ability to eat. - Respiratory effort. 
 
Guillain-Barre syndrome causes paralysis or wea...
The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) - A.Frequent vital signs. 
B.Determine if the client is allergic to aspirin. 
D.Offer fluids of choice. 
...
Aperçu 2 sur 9 pages
Ajouter au panierThe nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) - A.Frequent vital signs. 
B.Determine if the client is allergic to aspirin. 
D.Offer fluids of choice. 
...
When making the bed of a client who needs to be cradle, which action should the nurse include? 
A - Teach the client to call for help before getting out of bed. 
B - Keep both the upper & lower side rails in a raised position. 
C - Keep the bed in the lowest position while changing the sheets. 
D -...
Aperçu 2 sur 13 pages
Ajouter au panierWhen making the bed of a client who needs to be cradle, which action should the nurse include? 
A - Teach the client to call for help before getting out of bed. 
B - Keep both the upper & lower side rails in a raised position. 
C - Keep the bed in the lowest position while changing the sheets. 
D -...
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO but is unable to swallow. The practical nurse (PN) should consult with the healthcare provider about which component of the prescription? 
 
a. Time of the dose. 
b. The prescribed dosage. 
c. The route of administration. 
d....
Aperçu 4 sur 51 pages
Ajouter au panierA client is receiving a daily prescription for furosemide (Lasix) 40 mg PO but is unable to swallow. The practical nurse (PN) should consult with the healthcare provider about which component of the prescription? 
 
a. Time of the dose. 
b. The prescribed dosage. 
c. The route of administration. 
d....
An older client is admitted with a diagnosis of bacterial pneumonia. Which symptom should the nurse report to the HCP after assessing the client? 
 
A)Leukocytosis and febrile. 
B) Polycythemia and crackles. 
C) Pharyngitis and sputum production. 
D) Confusion and tachycardia. - D. 
The onset of ...
Aperçu 3 sur 28 pages
Ajouter au panierAn older client is admitted with a diagnosis of bacterial pneumonia. Which symptom should the nurse report to the HCP after assessing the client? 
 
A)Leukocytosis and febrile. 
B) Polycythemia and crackles. 
C) Pharyngitis and sputum production. 
D) Confusion and tachycardia. - D. 
The onset of ...
The nurse teaches sterile technique to a family member of a client who is to be discharged with a large abdominal wound that requires a dressing change twice a day. The nurse concludes that further teaching is needed when the family member performs what action during a return demonstration? 
1 
Sets...
Aperçu 3 sur 29 pages
Ajouter au panierThe nurse teaches sterile technique to a family member of a client who is to be discharged with a large abdominal wound that requires a dressing change twice a day. The nurse concludes that further teaching is needed when the family member performs what action during a return demonstration? 
1 
Sets...
What assessment finding should the nurse identify that indicates a client with an acute asthma exacerbation is beginning to improve after treatment? 
A. Vesicular breath sounds decrease 
B. Bronchodilators stimulate coughing 
C. Cough remains unproductive 
D. Wheezing becomes louder - Answer : Wh...
Aperçu 4 sur 67 pages
Ajouter au panierWhat assessment finding should the nurse identify that indicates a client with an acute asthma exacerbation is beginning to improve after treatment? 
A. Vesicular breath sounds decrease 
B. Bronchodilators stimulate coughing 
C. Cough remains unproductive 
D. Wheezing becomes louder - Answer : Wh...
1. A male client who had a transurethral resection of the prostate (TURP) today has a continuous bladder irrigation (CBI). The client requests pain medication for abdominal pain rated at "9" on a scale of 1 to 10. What action should the nurse take first? 
A. Administer prescribed PRN analgesic med...
Aperçu 4 sur 37 pages
Ajouter au panier1. A male client who had a transurethral resection of the prostate (TURP) today has a continuous bladder irrigation (CBI). The client requests pain medication for abdominal pain rated at "9" on a scale of 1 to 10. What action should the nurse take first? 
A. Administer prescribed PRN analgesic med...
A client with acute appendicitis is experiencing anxiety and loss of sleep about missing final examination week at college. Which outcome is most important for the nurse to include in the plan of care? 
 
 A. Sleeping six to eight hours. 
 B. Achieve a sense of control. 
 C. Utilize problem solvi...
Aperçu 4 sur 64 pages
Ajouter au panierA client with acute appendicitis is experiencing anxiety and loss of sleep about missing final examination week at college. Which outcome is most important for the nurse to include in the plan of care? 
 
 A. Sleeping six to eight hours. 
 B. Achieve a sense of control. 
 C. Utilize problem solvi...
describe the Glasgow Coma Scale. - LOC assessment based on a score of 3-15, with scores less than 7 indicative of coma 
 
List four nursing diagnosis for the comatose client in order of priority (remember Maslow's hierarchy of needs to help determine priorities) - Ineffective breathing patter...
Aperçu 2 sur 9 pages
Ajouter au panierdescribe the Glasgow Coma Scale. - LOC assessment based on a score of 3-15, with scores less than 7 indicative of coma 
 
List four nursing diagnosis for the comatose client in order of priority (remember Maslow's hierarchy of needs to help determine priorities) - Ineffective breathing patter...
1. A client who has been in active labor for 12 hours suddenly tells the nurse that she has a strong urge to have a bowel movement. What action should the nurse take? 
A. Allow the client to use a bedpan. 
B. Explain the fetal head is descending. 
C. Perform a sterile vaginal exam. 
D. Assist the c...
Aperçu 4 sur 37 pages
Ajouter au panier1. A client who has been in active labor for 12 hours suddenly tells the nurse that she has a strong urge to have a bowel movement. What action should the nurse take? 
A. Allow the client to use a bedpan. 
B. Explain the fetal head is descending. 
C. Perform a sterile vaginal exam. 
D. Assist the c...
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? 
a. Remind the client that it is also important to switch to decaffeinated cof...
Aperçu 4 sur 47 pages
Ajouter au panierFollowing discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? 
a. Remind the client that it is also important to switch to decaffeinated cof...
a client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. after unprotected intercourse, the client calls the clinic to ask about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of following response? - "I...
Aperçu 3 sur 26 pages
Ajouter au paniera client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. after unprotected intercourse, the client calls the clinic to ask about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of following response? - "I...
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