m i
HESI Health Assessment Exam 2025/2026 Test Bank
100% Correct & Verified Answers
Be sure of Passing your exam with this test bank because it have coveredAll Hesi Health Assessment(The
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
test bank is 100% Verified with all correct Answers) pass your 2025 hesi health Assessment with Grade A+
mi mi mi mi mi mi mi mi mi mi mi mi m mi mi mi mi mi
Multiple Choices mi
For which clinical indicator associated with a complication of portal hypertension would the nurse assess
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the client?
mi mi
A. liver abscess mi
B. intestinal obstruction mi
C. perforation of the duodenum mi mi mi
D. hemorrhage from esophageal varices m i mi m i
{{Ans- c. mi
The increased pressure within the portal circulatory system causes increased pressure in areas of portal systemic
mi mi mi mi mi mi mi mi mi m i mi mi mi mi mi
collateral circulation (most importantly, in the distal esophagus and proximal stomach). Hemorrhage is a
mi mi m i mi m i mi mi mi mi mi mi m i m i mi
possible complication. Liver abscesses may occur as a complication of intestinal infections, not portal
mi m i m i mi m i mi mi mi mi m i mi mi m i mi
hypertension. Intestinal obstruction may be caused by manipulation of the bowel during surgery, peritonitis,
mi m i mi mi m i mi m i mi mi mi mi mi mi mi
neurological disorders, or organic obstruction, not portal hypertension. Perforation of the duodenum usually is
mi m i mi mi mi mi mi mi m i mi mi mi m i mi
caused by peptic ulcers; it is not a direct result of portal hypertension or cirrhosis.
mi mi mi mi mi mi mi mi mi mi mi mi mi m i mi
A client with schizophrenia takes ziprasidone. Which conditions in the client may indicate a need to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
discontinue the medication? Select all that apply. One, some, or all responses may be correct.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A. leukopenia
B. tachycardia
C. hypokalemia
D. hypomagnesemia
E. prolonged QT interval mi mi
{{Ans- a, c, e mi mi mi
Ziprasidone is a second-generation antipsychotic medication indicated for schizophrenia. The medication may
mi mi mi mi mi mi mi mi mi mi mi
cause leukopenia, hypokalemia, and hypomagnesemia. This medication may cause a prolonged QT interval,
mi mi m i m i mi m i mi m i mi mi mi mi mi
which indicates torsades de pointes. Bradycardia may occur in torsades de pointes but not tachycardia.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A client is prone to hyponatremia. Which factors would the nurse identify that can precipitate
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
hyponatremia? Select all that apply. One, some, or all responses may be correct.
mi mi mi mi mi mi mi mi mi mi mi mi mi
A. wound drainage mi
B. diuretic therapy mi
C. GI suction mi
D. parenteral infusion of 0.9% sodium chloride mi mi mi mi mi
E. inappropriate anti-diuretic hormone (ADH) secretions mi m i mi m i
{{Ans- a, b, c, e mi mi mi mi
,Wound drainage can result in hyponatremia from loss of sodium ions. Most diuretics interfere with sodium
mi mi mi mi mi m i mi mi mi mi mi mi mi mi mi
reabsorption in the nephrons and have the side effect of hyponatremia. Gastrointestinal fluids are rich in sodium
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
ions, which are lost by GI suction. With the syndrome of inappropriate antidiuretic hormone (SIADH), high levels
mi mi mi mi mi mi mi mi mi mi m i mi mi mi mi m i mi
of the antidiuretic hormone (ADH) are produced, causing the body to retain water instead of excreting it
mi mi mi mi m i mi mi m i mi mi mi mi mi mi mi mi m i
normally in the urine. Parenteral infusion of 0.9% sodium chloride, an isotonic solution, should be compatible
mi mi mi mi mi mi mi mi mi mi m i mi mi mi mi mi
with body fluids; if given in excess, it may lead to hypernatremia.
mi mi mi mi mi mi mi m i mi mi mi mi
Which statements made by the client identify regulatory functions of the kidney? Select all that apply.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
One, some, or all responses may be correct.
mi mi mi mi mi mi mi mi
A. erythropoiesis
B. acid base balance mi mi
C. vitamin D activation mi mi
D. blood pressure control mi mi
E. fluid and electrolyte balance mi mi mi
{{Ans- b, e mi mi
Maintaining the acid-base balance of the body by selectively reabsorbing and secreting certain substances from
mi mi mi mi mi mi mi mi m i mi mi mi mi mi
the blood is a regulatory function of the kidneys. The kidneys also perform the regulatory function of electrolyte
mi mi mi mi mi mi mi mi mi m i mi m i mi mi mi mi mi mi
balance by regulating the reabsorption of certain electrolytes while eliminating others depending on their levels
mi mi mi mi mi mi mi mi m i mi m i mi mi mi mi
in the serum. The kidneys perform hormonal function by secreting a hormone called erythropoietin that aids
mi mi mi mi m i mi mi mi mi mi m i mi mi m i mi mi
in synthesis of red blood cells (erythropoiesis). Activation of vitamin D is a hormonal function of the kidneys.
mi mi m i mi mi mi mi m i mi mi mi mi mi mi mi mi mi mi
The kidneys perform hormonal function by secreting the hormone renin that assists in blood pressure control.
m i mi m i mi mi mi mi mi mi mi mi mi mi mi mi m i
Which signs would the nurse expect to observe in a client with small ce ll carcinoma of the lung who
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
develops syndrome of inappropriate antidiuretic hormone (SIADH)? Select all that apply. One, some, or
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
m all responses may be correct.
i mi mi mi mi
1 Oliguria
2 Seizures
3 Vomiting
4 Polydipsia
5 Polyphagia
{{Ans- 1, 2, 3 mi mi mi
Cancerous cells of small cell lung cancer can produce antidiuretic hormone, which causes fluid retention,
mi m i mi m i mi mi mi mi mi mi mi mi m i mi
resulting in increased blood volume and decreased urine volume. Fluid retention associated with SIADH can
mi mi mi mi mi mi mi mi mi m i mi mi m i mi mi
cause cerebral edema, resulting in confusion and seizures. Fluid retention resulting in hyponatremia causes
mi mi mi mi mi mi mi mi m i m i mi mi mi mi
nausea and vomiting. The client will have nausea and vomiting, resulting in a decreased oral fluid and food
mi mi mi m i mi mi mi mi mi mi m i mi mi mi m i mi mi mi
intake.
mi
Which urinary diagnostic test does not require any dietary or activity restrictions for the clie nt before or
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
after the test?
mi mi mi
1 Renal scan mi
2 Renal biopsy mi
3 Renal arteriogram mi
4 Concentration test m i
,{{Ans- 1 mi
A renal scan does not require any dietary or activity restrictions. A renal biopsy requires bed rest for 24 hours after
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the procedure. A renal arteriogram requires the client to maintain bed rest with affected leg straight. A
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
concentration test requires the client to fast after a given time in the evening.
mi mi mi mi mi m i mi mi mi mi mi mi mi mi
The nurse identifies that a client's urinary output is less than 40 mL/h over the past 3 hours. Which
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
action would the nurse take?
mi mi mi mi mi
1 Assess breath sounds and obtain vital signs. mi mi mi mi mi mi
2 Decrease the intravenous flow rate and increase oral fluids. mi mi mi mi mi mi mi mi
3 Insert an indwelling catheter to facilitate emptying of the bladder.
mi mi mi mi mi mi mi mi mi
4 Check for dependent edema by assessing the lower extremities
mi mi mi mi mi mi mi mi
{{Ans- 1 mi
The imbalance in intake and output, with a decreasing urinary output, may indicate kidney failure. The retention
mi mi mi mi mi mi mi mi mi mi mi mi mi mi m i mi
of excess body fluid can precipitate the development of heart failure. Assessing breath sounds and obtaining
mi mi m i mi mi mi m i mi m i mi mi mi m i mi mi mi
the vital signs are necessary when monitoring for these complications. In the presence of hypervolemia,
mi mi mi mi mi m i mi mi mi mi m i mi mi m i mi
oral and intravenous fluid intake should be decreased. There are no data to support a problem with the
m i mi mi mi mi mi mi mi m i mi mi mi mi mi mi mi mi mi
excretion of
mi m i
urine; the problem is with insufficient production. The insertion of a urinary retention catheter requires a health
mi mi mi mi mi m i mi mi mi mi mi mi mi mi mi mi
care provider's prescription. Checking for dependent edema by assessing the lower extremities is an appropriate
mi mi mi mi mi mi mi mi m i mi mi m i mi mi
assessment after respirations and vital signs are assessed.
mi m i mi mi mi mi mi mi
A client had a laparoscopic cholecystectomy. Postoperatively, the client experiences nausea
m i m i m i m i m i m i m i m i m i m i
and vomiting and is admitted overnight for observation and hydration. What would the nurse include in
m i mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the teaching plan when preparing this client for discharge? Select all that apply. One, some, or all
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
responses may be correct.
mi mi mi mi
1 Wash the puncture sites with strong soap and hot water daily.
mi mi mi mi mi mi mi mi mi mi
2 Call the health care provider for a fever of 100°F (37.8°C) or higher more for 2 days.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
3 Remove the tape strips over the puncture sites 1 week after surgery.mi mi mi mi mi mi mi mi mi mi mi
4 Check the puncture sites daily for redness, tenderness, swelling, heat, or drainage.
mi mi mi mi mi mi mi mi mi mi mi
5 Ease the discomfort from the gas used to insuflate the abdomen during surgery by applying a heating
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
m pad to the left shoulder.
i mi mi mi mi
{{Ans- 2, 4 mi mi
Which complication is most likely to occur in the immediate postoperative period after a client has had a
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
splenectomy?
mi
1 Infection
2 Peritonitis
3 Hemorrhage
4 Intestinal obstruction mi
{{Ans- 3 mi
Because the spleen is highly vascular, hemorrhage may occur in the immediate postoperative period. Although
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
risk for some types of infection is higher after splenectomy because of lower immunoglobulin levels,
mi mi mi mi mi mi m i mi mi mi m i m i mi mi m i
risk for immediate postoperative infection is not higher than usual after splenectomy. Peritonitis is possible
m i mi mi m i mi mi mi mi mi mi mi mi m i mi mi
after splenectomy, but it would not be apparent in the immediate postoperative period and is not a
mi mi m i mi mi mi mi mi mi mi mi m i mi mi mi mi mi
common
mi
, complication. The incidence of intestinal obstruction is not higher than for other abdominal surgery, and
m i mi m i mi mi mi mi mi mi mi mi mi mi mi
symptoms would not be apparent in the immediate postoperative period.
mi m i mi mi mi mi mi mi m i mi
A high school student arrives at the local blood drive center to donate blood for the first time. As the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
m site is being prepared for needle insertion, the student becomes agitated, starts to hyperventilate,
i mi mi mi mi mi mi mi mi mi mi mi mi mi
and complains of dizziness and tingling of the hands. Which would the nurse instruct the student to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
do?
mi
1 Breathe into cupped hands. mi mi mi
2 Pant using rapid, shallow breaths. mi mi mi mi
3 Use a rapid deep-breathing pattern. mi mi mi mi
4 Hold the breath for as long as possible. mi mi mi mi mi mi mi
{{Ans- 1 mi
Breathing into cupped hands allows carbon dioxide to reenter the lungs, which will increase the serum
mi mi mi mi mi mi mi mi mi mi mi mi mi m i mi
bicarbonate level, relieving the respiratory alkalosis that is occurring as a result of hyperventilation.
mi mi m i m i mi mi m i mi mi mi mi mi mi mi
Which major group of substances in human milk are of special importance to the newborn and cannot
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
be reproduced in a bottle formula?
mi mi mi mi mi mi
1 Amino acids mi
2 Gamma globulins mi
3 Essential electrolytes mi
4 Complex carbohydrates mi
{{Ans- 2 mi
The gamma globulin antibodies in human milk provide the infant with immunity against all or most of the
mi m i mi mi mi mi m i mi mi mi mi m i mi mi mi mi mi
pathogens that the mother has encountered. Amino acids and essential electrolytes are present in commercial
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
formulas. Complex carbohydrates are not required by the infant.
mi m i m i mi mi mi mi mi mi
Which instruction on infection prevention would the nurse include when providing discharge education
mi mi mi mi mi mi mi mi mi mi mi mi
m to a client who received a cadaveric renal transplant? Select all that apply. One, some, or all responses
i mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
may be correct.
mi mi mi
1 Avoid eating from buffets. mi mi mi
2 Obtain annual flu vaccinations. mi mi mi
3 Perform regular hand hygiene. mi mi mi
4 Stay away from crowded areas. mi mi mi mi
5 Report a temperature greater than 100.5°F. mi mi mi mi mi
{{Ans- 1,2,3,4,5 mi
Clients who receive an organ transplant need to take immunosuppressant medications for the rest of their lives
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
to prevent organ rejection. These medications put the client at increased risk for infection. The nurse
mi mi mi mi m i m i m i mi mi mi mi m i mi mi m i mi
would provide infection prevention teaching to the client after renal transplant, which would include
mi mi mi mi m i mi mi mi mi mi mi mi mi mi
instructions to avoid eating from buffets, get an annual flu vaccine, practice regular hand hygiene, and avoid
m i mi mi mi mi mi mi mi mi mi mi m i m i mi mi m i mi
crowded areas. Clients would also be instructed t o report a temperature greater than 100.5°F to their health
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
care provider as it could indicate infection or organ rejection and requires treatment.
mi mi mi mi mi mi mi m i mi mi m i mi mi
Which malnourished condition may predispose a client to secondary immunodeficiency?
mi mi mi mi mi mi mi mi mi
m1 Cachexia i mi
HESI Health Assessment Exam 2025/2026 Test Bank
100% Correct & Verified Answers
Be sure of Passing your exam with this test bank because it have coveredAll Hesi Health Assessment(The
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
test bank is 100% Verified with all correct Answers) pass your 2025 hesi health Assessment with Grade A+
mi mi mi mi mi mi mi mi mi mi mi mi m mi mi mi mi mi
Multiple Choices mi
For which clinical indicator associated with a complication of portal hypertension would the nurse assess
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the client?
mi mi
A. liver abscess mi
B. intestinal obstruction mi
C. perforation of the duodenum mi mi mi
D. hemorrhage from esophageal varices m i mi m i
{{Ans- c. mi
The increased pressure within the portal circulatory system causes increased pressure in areas of portal systemic
mi mi mi mi mi mi mi mi mi m i mi mi mi mi mi
collateral circulation (most importantly, in the distal esophagus and proximal stomach). Hemorrhage is a
mi mi m i mi m i mi mi mi mi mi mi m i m i mi
possible complication. Liver abscesses may occur as a complication of intestinal infections, not portal
mi m i m i mi m i mi mi mi mi m i mi mi m i mi
hypertension. Intestinal obstruction may be caused by manipulation of the bowel during surgery, peritonitis,
mi m i mi mi m i mi m i mi mi mi mi mi mi mi
neurological disorders, or organic obstruction, not portal hypertension. Perforation of the duodenum usually is
mi m i mi mi mi mi mi mi m i mi mi mi m i mi
caused by peptic ulcers; it is not a direct result of portal hypertension or cirrhosis.
mi mi mi mi mi mi mi mi mi mi mi mi mi m i mi
A client with schizophrenia takes ziprasidone. Which conditions in the client may indicate a need to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
discontinue the medication? Select all that apply. One, some, or all responses may be correct.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A. leukopenia
B. tachycardia
C. hypokalemia
D. hypomagnesemia
E. prolonged QT interval mi mi
{{Ans- a, c, e mi mi mi
Ziprasidone is a second-generation antipsychotic medication indicated for schizophrenia. The medication may
mi mi mi mi mi mi mi mi mi mi mi
cause leukopenia, hypokalemia, and hypomagnesemia. This medication may cause a prolonged QT interval,
mi mi m i m i mi m i mi m i mi mi mi mi mi
which indicates torsades de pointes. Bradycardia may occur in torsades de pointes but not tachycardia.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A client is prone to hyponatremia. Which factors would the nurse identify that can precipitate
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
hyponatremia? Select all that apply. One, some, or all responses may be correct.
mi mi mi mi mi mi mi mi mi mi mi mi mi
A. wound drainage mi
B. diuretic therapy mi
C. GI suction mi
D. parenteral infusion of 0.9% sodium chloride mi mi mi mi mi
E. inappropriate anti-diuretic hormone (ADH) secretions mi m i mi m i
{{Ans- a, b, c, e mi mi mi mi
,Wound drainage can result in hyponatremia from loss of sodium ions. Most diuretics interfere with sodium
mi mi mi mi mi m i mi mi mi mi mi mi mi mi mi
reabsorption in the nephrons and have the side effect of hyponatremia. Gastrointestinal fluids are rich in sodium
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
ions, which are lost by GI suction. With the syndrome of inappropriate antidiuretic hormone (SIADH), high levels
mi mi mi mi mi mi mi mi mi mi m i mi mi mi mi m i mi
of the antidiuretic hormone (ADH) are produced, causing the body to retain water instead of excreting it
mi mi mi mi m i mi mi m i mi mi mi mi mi mi mi mi m i
normally in the urine. Parenteral infusion of 0.9% sodium chloride, an isotonic solution, should be compatible
mi mi mi mi mi mi mi mi mi mi m i mi mi mi mi mi
with body fluids; if given in excess, it may lead to hypernatremia.
mi mi mi mi mi mi mi m i mi mi mi mi
Which statements made by the client identify regulatory functions of the kidney? Select all that apply.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
One, some, or all responses may be correct.
mi mi mi mi mi mi mi mi
A. erythropoiesis
B. acid base balance mi mi
C. vitamin D activation mi mi
D. blood pressure control mi mi
E. fluid and electrolyte balance mi mi mi
{{Ans- b, e mi mi
Maintaining the acid-base balance of the body by selectively reabsorbing and secreting certain substances from
mi mi mi mi mi mi mi mi m i mi mi mi mi mi
the blood is a regulatory function of the kidneys. The kidneys also perform the regulatory function of electrolyte
mi mi mi mi mi mi mi mi mi m i mi m i mi mi mi mi mi mi
balance by regulating the reabsorption of certain electrolytes while eliminating others depending on their levels
mi mi mi mi mi mi mi mi m i mi m i mi mi mi mi
in the serum. The kidneys perform hormonal function by secreting a hormone called erythropoietin that aids
mi mi mi mi m i mi mi mi mi mi m i mi mi m i mi mi
in synthesis of red blood cells (erythropoiesis). Activation of vitamin D is a hormonal function of the kidneys.
mi mi m i mi mi mi mi m i mi mi mi mi mi mi mi mi mi mi
The kidneys perform hormonal function by secreting the hormone renin that assists in blood pressure control.
m i mi m i mi mi mi mi mi mi mi mi mi mi mi mi m i
Which signs would the nurse expect to observe in a client with small ce ll carcinoma of the lung who
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
develops syndrome of inappropriate antidiuretic hormone (SIADH)? Select all that apply. One, some, or
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
m all responses may be correct.
i mi mi mi mi
1 Oliguria
2 Seizures
3 Vomiting
4 Polydipsia
5 Polyphagia
{{Ans- 1, 2, 3 mi mi mi
Cancerous cells of small cell lung cancer can produce antidiuretic hormone, which causes fluid retention,
mi m i mi m i mi mi mi mi mi mi mi mi m i mi
resulting in increased blood volume and decreased urine volume. Fluid retention associated with SIADH can
mi mi mi mi mi mi mi mi mi m i mi mi m i mi mi
cause cerebral edema, resulting in confusion and seizures. Fluid retention resulting in hyponatremia causes
mi mi mi mi mi mi mi mi m i m i mi mi mi mi
nausea and vomiting. The client will have nausea and vomiting, resulting in a decreased oral fluid and food
mi mi mi m i mi mi mi mi mi mi m i mi mi mi m i mi mi mi
intake.
mi
Which urinary diagnostic test does not require any dietary or activity restrictions for the clie nt before or
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
after the test?
mi mi mi
1 Renal scan mi
2 Renal biopsy mi
3 Renal arteriogram mi
4 Concentration test m i
,{{Ans- 1 mi
A renal scan does not require any dietary or activity restrictions. A renal biopsy requires bed rest for 24 hours after
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the procedure. A renal arteriogram requires the client to maintain bed rest with affected leg straight. A
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
concentration test requires the client to fast after a given time in the evening.
mi mi mi mi mi m i mi mi mi mi mi mi mi mi
The nurse identifies that a client's urinary output is less than 40 mL/h over the past 3 hours. Which
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
action would the nurse take?
mi mi mi mi mi
1 Assess breath sounds and obtain vital signs. mi mi mi mi mi mi
2 Decrease the intravenous flow rate and increase oral fluids. mi mi mi mi mi mi mi mi
3 Insert an indwelling catheter to facilitate emptying of the bladder.
mi mi mi mi mi mi mi mi mi
4 Check for dependent edema by assessing the lower extremities
mi mi mi mi mi mi mi mi
{{Ans- 1 mi
The imbalance in intake and output, with a decreasing urinary output, may indicate kidney failure. The retention
mi mi mi mi mi mi mi mi mi mi mi mi mi mi m i mi
of excess body fluid can precipitate the development of heart failure. Assessing breath sounds and obtaining
mi mi m i mi mi mi m i mi m i mi mi mi m i mi mi mi
the vital signs are necessary when monitoring for these complications. In the presence of hypervolemia,
mi mi mi mi mi m i mi mi mi mi m i mi mi m i mi
oral and intravenous fluid intake should be decreased. There are no data to support a problem with the
m i mi mi mi mi mi mi mi m i mi mi mi mi mi mi mi mi mi
excretion of
mi m i
urine; the problem is with insufficient production. The insertion of a urinary retention catheter requires a health
mi mi mi mi mi m i mi mi mi mi mi mi mi mi mi mi
care provider's prescription. Checking for dependent edema by assessing the lower extremities is an appropriate
mi mi mi mi mi mi mi mi m i mi mi m i mi mi
assessment after respirations and vital signs are assessed.
mi m i mi mi mi mi mi mi
A client had a laparoscopic cholecystectomy. Postoperatively, the client experiences nausea
m i m i m i m i m i m i m i m i m i m i
and vomiting and is admitted overnight for observation and hydration. What would the nurse include in
m i mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the teaching plan when preparing this client for discharge? Select all that apply. One, some, or all
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
responses may be correct.
mi mi mi mi
1 Wash the puncture sites with strong soap and hot water daily.
mi mi mi mi mi mi mi mi mi mi
2 Call the health care provider for a fever of 100°F (37.8°C) or higher more for 2 days.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
3 Remove the tape strips over the puncture sites 1 week after surgery.mi mi mi mi mi mi mi mi mi mi mi
4 Check the puncture sites daily for redness, tenderness, swelling, heat, or drainage.
mi mi mi mi mi mi mi mi mi mi mi
5 Ease the discomfort from the gas used to insuflate the abdomen during surgery by applying a heating
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
m pad to the left shoulder.
i mi mi mi mi
{{Ans- 2, 4 mi mi
Which complication is most likely to occur in the immediate postoperative period after a client has had a
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
splenectomy?
mi
1 Infection
2 Peritonitis
3 Hemorrhage
4 Intestinal obstruction mi
{{Ans- 3 mi
Because the spleen is highly vascular, hemorrhage may occur in the immediate postoperative period. Although
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
risk for some types of infection is higher after splenectomy because of lower immunoglobulin levels,
mi mi mi mi mi mi m i mi mi mi m i m i mi mi m i
risk for immediate postoperative infection is not higher than usual after splenectomy. Peritonitis is possible
m i mi mi m i mi mi mi mi mi mi mi mi m i mi mi
after splenectomy, but it would not be apparent in the immediate postoperative period and is not a
mi mi m i mi mi mi mi mi mi mi mi m i mi mi mi mi mi
common
mi
, complication. The incidence of intestinal obstruction is not higher than for other abdominal surgery, and
m i mi m i mi mi mi mi mi mi mi mi mi mi mi
symptoms would not be apparent in the immediate postoperative period.
mi m i mi mi mi mi mi mi m i mi
A high school student arrives at the local blood drive center to donate blood for the first time. As the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
m site is being prepared for needle insertion, the student becomes agitated, starts to hyperventilate,
i mi mi mi mi mi mi mi mi mi mi mi mi mi
and complains of dizziness and tingling of the hands. Which would the nurse instruct the student to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
do?
mi
1 Breathe into cupped hands. mi mi mi
2 Pant using rapid, shallow breaths. mi mi mi mi
3 Use a rapid deep-breathing pattern. mi mi mi mi
4 Hold the breath for as long as possible. mi mi mi mi mi mi mi
{{Ans- 1 mi
Breathing into cupped hands allows carbon dioxide to reenter the lungs, which will increase the serum
mi mi mi mi mi mi mi mi mi mi mi mi mi m i mi
bicarbonate level, relieving the respiratory alkalosis that is occurring as a result of hyperventilation.
mi mi m i m i mi mi m i mi mi mi mi mi mi mi
Which major group of substances in human milk are of special importance to the newborn and cannot
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
be reproduced in a bottle formula?
mi mi mi mi mi mi
1 Amino acids mi
2 Gamma globulins mi
3 Essential electrolytes mi
4 Complex carbohydrates mi
{{Ans- 2 mi
The gamma globulin antibodies in human milk provide the infant with immunity against all or most of the
mi m i mi mi mi mi m i mi mi mi mi m i mi mi mi mi mi
pathogens that the mother has encountered. Amino acids and essential electrolytes are present in commercial
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
formulas. Complex carbohydrates are not required by the infant.
mi m i m i mi mi mi mi mi mi
Which instruction on infection prevention would the nurse include when providing discharge education
mi mi mi mi mi mi mi mi mi mi mi mi
m to a client who received a cadaveric renal transplant? Select all that apply. One, some, or all responses
i mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
may be correct.
mi mi mi
1 Avoid eating from buffets. mi mi mi
2 Obtain annual flu vaccinations. mi mi mi
3 Perform regular hand hygiene. mi mi mi
4 Stay away from crowded areas. mi mi mi mi
5 Report a temperature greater than 100.5°F. mi mi mi mi mi
{{Ans- 1,2,3,4,5 mi
Clients who receive an organ transplant need to take immunosuppressant medications for the rest of their lives
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
to prevent organ rejection. These medications put the client at increased risk for infection. The nurse
mi mi mi mi m i m i m i mi mi mi mi m i mi mi m i mi
would provide infection prevention teaching to the client after renal transplant, which would include
mi mi mi mi m i mi mi mi mi mi mi mi mi mi
instructions to avoid eating from buffets, get an annual flu vaccine, practice regular hand hygiene, and avoid
m i mi mi mi mi mi mi mi mi mi mi m i m i mi mi m i mi
crowded areas. Clients would also be instructed t o report a temperature greater than 100.5°F to their health
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
care provider as it could indicate infection or organ rejection and requires treatment.
mi mi mi mi mi mi mi m i mi mi m i mi mi
Which malnourished condition may predispose a client to secondary immunodeficiency?
mi mi mi mi mi mi mi mi mi
m1 Cachexia i mi
