1
HESI/Saunders Online Review-
Module 10-Physiological Health
Problems Questions and Answers
(100% Correct Answers) Already
Graded A+
© 2026 Assignment
A client who experienced a brain attack (stroke) exhibits right-
sided unilateral neglect. The nurse caring for this client plans
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to place the client's personal care items: Ans: B. Within the
Expert
client's reach on the right side
Rationale: Unilateral neglect is unawareness of one side of the
body. The client behaves as if that part is not there. The client
does not look at the paralyzed limb when moving about.
Unilateral neglect results in increased risk for injury. It is
possible for the client to relearn to look for and to move the
affected limb(s). Therefore in this condition the client's
personal care items are placed within the client's reach on the
right side. Hemiparesis is a weakness of the face, arm, and leg
on one side. The client with one-sided hemiparesis benefits
from having objects placed on the unaffected side and within
reach. This reduces client frustration and aids in ensuring
client safety because the client does not have to strain and
reach for needed items. The nurse adapts the client's
environment to the deficit by focusing on the client's
unaffected side and by placing the client's personal care items
on the affected side within reach. Placing items out of the
client's reach presents a risk of injury.
The emergency department nurse assesses a client who has a
diagnosis of left-sided heart failure. Which findings does the
, 2
nurse expect to note? Select all that apply. Ans: E. Crackles
on auscultation of the lungs.
Rationale: Signs of left-sided heart failure result from
decreased cardiac output and increased pulmonary venous
congestion, and the nurse would note signs related to the
respiratory system, such as cough, dyspnea, and crackles and
wheezes on auscultation of the lungs. Right-sided heart failure
is associated with increased systemic venous pressure and
congestion, and the nurse would note signs such as neck vein
distention, dependent edema, abdominal distention, and
© 2026 Assignment
weight gain.
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A home care nurse has provided instructions to the father of a
Expert
child with croup regarding treatment measures. Which
statement by the father indicates a need for further
instruction? Ans: A. "I should put a steam vaporizer in her
room."
Rationale: Steam from running water in a closed bathroom and
cool mist from a bedside humidifier or a freezer are effective
in reducing mucosal edema. A cool mist humidifier is
recommended over a steam vaporizer, which presents a danger
of scald burns. Taking the child out into the cool humid night
air may also relieve mucosal swelling.
A mother calls the clinic and tells the nurse that her newborn's
umbilical cord site looks red and swollen. The nurse should
tell the mother: Ans: B.To bring the newborn to the clinic.
Rationale: Symptoms of cord infection include moistness,
oozing, discharge, swelling, and a reddened base. If symptoms
of infection occur, the newborn must be seen by the healthcare
provider. Telling the mother to increase the number of times
that the cord is cleansed each day or to place an ice pack on
, 3
the umbilical cord site and stating that this is a normal
occurrence are inappropriate nursing interventions.
The wife of a client with angina pectoris calls the physician's
office and reports to the nurse that her husband is
experiencing chest pain and has taken 2 sublingual
nitroglycerin tablets 5 minutes apart, with no relief. The nurse
tells the client's wife to: Ans: D. Give her husband a third
tablet and, if no relief is obtained, call an ambulance to have
him transported to the ED.
© 2026 Assignment
Rationale: Chest pain that is unrelieved by rest and three doses
of nitroglycerin taken 5 minutes apart may be not typical
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anginal pain but instead a sign of myocardial infarction (MI).
Expert
Because the risk of sudden cardiac death is greatest in the 24
hours after MI, it is imperative that the client receive
emergency cardiac care. If the client needs to go to the ED, the
nurse must instruct the client's wife to call an ambulance to
transport her husband. The client's wife must not drive the
client, because the client should not exert energy and place an
increased workload on the heart and the client's wife would
not be able to provide care if an emergency arose during
transport to the hospital. Telling the wife that she will have to
discuss the situation with the physician, who will call her as
soon as he gets to his office, delays necessary interventions.
Having her husband rest delays necessary interventions; also,
the usual procedure is to have the client take three
nitroglycerin tablets before seeking medical attention.
Mastitis is diagnosed in a client who recently gave birth. The
nurse tells the woman that: Ans: D. Moist heat will increase
circulation and may be used before the breasts are emptied.
Rationale: Antibiotic therapy and continued decompression of
the breasts, by means of breastfeeding or with a breast pump,
is prescribed for the client with mastitis. In most cases the
mother may continue to feed with both breasts. If the affected
, 4
breast is too sore, the mother may pump the breast gently.
Regular emptying of the breast is important in preventing
abscess formation. Antibiotic therapy helps resolve mastitis
within 24 to 48 hours. Additional supportive measures include
moist heat or ice packs, breast support, and analgesics. Moist
heat promotes comfort and increases circulation. A shower or
hot packs should be used before the breasts are emptied or
before feeding.
A nurse is conducting an assessment of a client with mild
preeclampsia. Which sign indicates improvement in the client's
© 2026 Assignment
condition? Ans: A. Trace protein in the urine.
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Rationale: Preeclampsia is considered mild when the systolic
Expert
blood pressure is 140 mm Hg or greater but less than 160 mm
Hg and the diastolic blood pressure is 90 mm Hg or greater but
less than 110 mm Hg, proteinuria is 1+ on a random dipstick,
and symptoms such as headache, visual disturbances, and
abdominal pain are absent. In addition, signs of kidney or liver
involvement are absent. An increased BUN level indicates
kidney damage, a result of the preeclampsia.
A nurse is assessing a child with increased intracranial
pressure who has been exhibiting decorticate posturing. The
nurse notes extension of the upper and lower extremities, with
internal rotation of the upper arms and wrists and the knees
and feet. The nurse determines that the child's condition:
Ans: C. Indicates deterioration in neurological function.
Rationale: In decorticate posturing, the upper extremities are
flexed and the lower extremities are extended. In decerebrate
posturing, the upper and lower extremities are extended and
the upper arms and wrists and the knees and feet are
internally rotated. The progression from decorticate to
decerebrate posturing usually indicates deteriorating
neurological function and warrants physician notification. The
remaining options are inaccurate interpretations.
HESI/Saunders Online Review-
Module 10-Physiological Health
Problems Questions and Answers
(100% Correct Answers) Already
Graded A+
© 2026 Assignment
A client who experienced a brain attack (stroke) exhibits right-
sided unilateral neglect. The nurse caring for this client plans
Guru01 - Stuvia
to place the client's personal care items: Ans: B. Within the
Expert
client's reach on the right side
Rationale: Unilateral neglect is unawareness of one side of the
body. The client behaves as if that part is not there. The client
does not look at the paralyzed limb when moving about.
Unilateral neglect results in increased risk for injury. It is
possible for the client to relearn to look for and to move the
affected limb(s). Therefore in this condition the client's
personal care items are placed within the client's reach on the
right side. Hemiparesis is a weakness of the face, arm, and leg
on one side. The client with one-sided hemiparesis benefits
from having objects placed on the unaffected side and within
reach. This reduces client frustration and aids in ensuring
client safety because the client does not have to strain and
reach for needed items. The nurse adapts the client's
environment to the deficit by focusing on the client's
unaffected side and by placing the client's personal care items
on the affected side within reach. Placing items out of the
client's reach presents a risk of injury.
The emergency department nurse assesses a client who has a
diagnosis of left-sided heart failure. Which findings does the
, 2
nurse expect to note? Select all that apply. Ans: E. Crackles
on auscultation of the lungs.
Rationale: Signs of left-sided heart failure result from
decreased cardiac output and increased pulmonary venous
congestion, and the nurse would note signs related to the
respiratory system, such as cough, dyspnea, and crackles and
wheezes on auscultation of the lungs. Right-sided heart failure
is associated with increased systemic venous pressure and
congestion, and the nurse would note signs such as neck vein
distention, dependent edema, abdominal distention, and
© 2026 Assignment
weight gain.
Guru01 - Stuvia
A home care nurse has provided instructions to the father of a
Expert
child with croup regarding treatment measures. Which
statement by the father indicates a need for further
instruction? Ans: A. "I should put a steam vaporizer in her
room."
Rationale: Steam from running water in a closed bathroom and
cool mist from a bedside humidifier or a freezer are effective
in reducing mucosal edema. A cool mist humidifier is
recommended over a steam vaporizer, which presents a danger
of scald burns. Taking the child out into the cool humid night
air may also relieve mucosal swelling.
A mother calls the clinic and tells the nurse that her newborn's
umbilical cord site looks red and swollen. The nurse should
tell the mother: Ans: B.To bring the newborn to the clinic.
Rationale: Symptoms of cord infection include moistness,
oozing, discharge, swelling, and a reddened base. If symptoms
of infection occur, the newborn must be seen by the healthcare
provider. Telling the mother to increase the number of times
that the cord is cleansed each day or to place an ice pack on
, 3
the umbilical cord site and stating that this is a normal
occurrence are inappropriate nursing interventions.
The wife of a client with angina pectoris calls the physician's
office and reports to the nurse that her husband is
experiencing chest pain and has taken 2 sublingual
nitroglycerin tablets 5 minutes apart, with no relief. The nurse
tells the client's wife to: Ans: D. Give her husband a third
tablet and, if no relief is obtained, call an ambulance to have
him transported to the ED.
© 2026 Assignment
Rationale: Chest pain that is unrelieved by rest and three doses
of nitroglycerin taken 5 minutes apart may be not typical
Guru01 - Stuvia
anginal pain but instead a sign of myocardial infarction (MI).
Expert
Because the risk of sudden cardiac death is greatest in the 24
hours after MI, it is imperative that the client receive
emergency cardiac care. If the client needs to go to the ED, the
nurse must instruct the client's wife to call an ambulance to
transport her husband. The client's wife must not drive the
client, because the client should not exert energy and place an
increased workload on the heart and the client's wife would
not be able to provide care if an emergency arose during
transport to the hospital. Telling the wife that she will have to
discuss the situation with the physician, who will call her as
soon as he gets to his office, delays necessary interventions.
Having her husband rest delays necessary interventions; also,
the usual procedure is to have the client take three
nitroglycerin tablets before seeking medical attention.
Mastitis is diagnosed in a client who recently gave birth. The
nurse tells the woman that: Ans: D. Moist heat will increase
circulation and may be used before the breasts are emptied.
Rationale: Antibiotic therapy and continued decompression of
the breasts, by means of breastfeeding or with a breast pump,
is prescribed for the client with mastitis. In most cases the
mother may continue to feed with both breasts. If the affected
, 4
breast is too sore, the mother may pump the breast gently.
Regular emptying of the breast is important in preventing
abscess formation. Antibiotic therapy helps resolve mastitis
within 24 to 48 hours. Additional supportive measures include
moist heat or ice packs, breast support, and analgesics. Moist
heat promotes comfort and increases circulation. A shower or
hot packs should be used before the breasts are emptied or
before feeding.
A nurse is conducting an assessment of a client with mild
preeclampsia. Which sign indicates improvement in the client's
© 2026 Assignment
condition? Ans: A. Trace protein in the urine.
Guru01 - Stuvia
Rationale: Preeclampsia is considered mild when the systolic
Expert
blood pressure is 140 mm Hg or greater but less than 160 mm
Hg and the diastolic blood pressure is 90 mm Hg or greater but
less than 110 mm Hg, proteinuria is 1+ on a random dipstick,
and symptoms such as headache, visual disturbances, and
abdominal pain are absent. In addition, signs of kidney or liver
involvement are absent. An increased BUN level indicates
kidney damage, a result of the preeclampsia.
A nurse is assessing a child with increased intracranial
pressure who has been exhibiting decorticate posturing. The
nurse notes extension of the upper and lower extremities, with
internal rotation of the upper arms and wrists and the knees
and feet. The nurse determines that the child's condition:
Ans: C. Indicates deterioration in neurological function.
Rationale: In decorticate posturing, the upper extremities are
flexed and the lower extremities are extended. In decerebrate
posturing, the upper and lower extremities are extended and
the upper arms and wrists and the knees and feet are
internally rotated. The progression from decorticate to
decerebrate posturing usually indicates deteriorating
neurological function and warrants physician notification. The
remaining options are inaccurate interpretations.
