EVOLVE COMPREHENSIVE EXAM(HESI)
WITH CORRECT ANSWERS
.
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? - CorreCt Answers -
Metoprolol Tartrate( Lopressor)
The nurse is giving discharge instructions to the parents of a newborn with
a prescription for home phototherapy. Which statement by a parent
indicates understanding of the phototherapy? - CorreCt Answers -"I will
keep the baby's eyes covered when the baby is under the light."
Neonatal jaundice is related to subcutaneous deposition of fat-soluble
(indirect) bilirubin, which is converted to a water-soluble form when the
skin is exposed to an ultraviolet light, so the infant's eyes should be
protected (C) by closing the eyes and placing patches over them before
placing the baby under the phototherapy light source. The baby's position
should be changed about every two hours, not (A), so that the light reaches
all areas of the body to promote conversion to a water-soluble form of
bilirubin, which is excreted in the urine. The infant can be removed from
the light for feedings and diaper changes, but should receive phototherapy
exposure for 18 hours a day (B). The baby should be naked or dressed in
only a diaper to expose as much skin as possible to the light (D).
A child is receiving maintainance intravenous (IV) fluids at the rate of 1000
mL for the first 10 kg of body weight, plus 50 mL/kg per day for each
kilogram between 10 and 20. How many milliliters per hour should the
nurse program the infusion pump for a child who weighs 19.5 kg? (Enter
,numeric value only. If rounding is required, round to the nearest whole
number.) - CorreCt Answers -61
The formula for calculating daily fluid requirements is: 0 to 10 kg, 100
mL/kg per day; or 10 to 20 kg, 1000 mL for the first 10 kg of body weight
plus 50 mL/kg per day for each kilogram between 10 and 20. To determine
an hourly rate, divide the total milliliters per day by 24. 19.5 kg x 50 mL/kg
= 475 mL + 1000 mL = 1475 mL / 24 hours = 61 mL/hour
The nurse is assessing a child's weight and height during a clinic visit prior
to starting school. The nurse plots the child's weight on the growth chart
and notes that the child's weight is in the 95th percentile for the child's
height. What action should the nurse take? - CorreCt Answers -Question
the type and quantity of foods eaten in a typical day.
The child is overweight for height, so assessment of the child's daily diet (C)
should be determined. The child does not need (A or B), both of which will
increase the child's weight. Poor nutrition (D) is commonly seen in
underweight children, not overweight.
The nurse is assessing a client and identifies a bruit over the thyroid. This
finding is consistent with which interpretation? - CorreCt Answers -
Hyperthyroidism
Hyperthyroidism (D) is an enlargement of the thyroid gland, often referred
to as a goiter, and a bruit may be auscultated over the goiter due to an
increase in glandular vascularity which increases as the thyroid gland
becomes hyperactive. A bruit is not common with (A, B, and C).
,The nurse plans a teaching session with a client but postpones the planned
session based on which nursing problem? - CorreCt Answers -Activity
intolerance related to postoperative pain
Pain, fatigue, or anxiety can interfere with the ability to pay attention and
participate in learning, so the nursing diagnosis in (A) indicates a need to
postpone teaching. (B, C, and D) indicate a need for instruction.
Two unlicensed assistive personnel (UAP) are arguing on the unit about
who deserves to take a break first. What is the most important basic
guideline that the nurse should follow in resolving the conflict? - CorreCt
Answers -Deal with issues and not personalities.
Dealing with the issues which are concrete, not personalities (A) which
include emotional reactions, is one of seven important key behaviors in
managing conflict. (B, C, and D) do not resolve the conflict when diverse
opinions are expressed emotionally.
What nursing delivery of care provides the nurse to plan and direct care of a
group of clients over a 24-hour period? - CorreCt Answers -Primary
nursing.
Primary nursing (B) is a model of delivery of care where a nurse is
accountable for planning care for clients around the clock. Functional
nursing (D) is a care delivery model that provides client care by assignment
of functions or tasks. Team nursing (A) is a care delivery model where
assignments to a group of clients are provided by a mixed-staff team. Case
management (C) is the delivery of care that uses a collaborative process of
assessment, planning, facilitation, and advocacy for options and services to
, meet an individual's health needs and promote quality cost-effective
outcomes.
The nurse manager is assisting a nurse with improving organizational skills
and time management. Which nursing activity is the priority in pre-
planning a schedule for selected nursing activities in the daily assignment? -
CorreCt Answers -Medication administration.
In developing organizational skills, medication administration is based on a
prescribed schedule that is time-sensitive in the delivery of nursing care
and should be the priority in scheduling nursing activities in a daily
assignment. Although suctioning a client's tracheostomy takes precedence
in providing care, the client's PRN need is less amenable to a preselected
schedule. (B and C) can be scheduled around time-sensitive delivery of
care.
A male client is angry and is leaving the hospital against medical advice
(AMA). The client demands to take his chart with him and states the chart
is "his" and he doesn' t want any more contact with the hospital. How
should the nurse respond? - CorreCt Answers -The chart is the property of
the hospital but I will see that a copy is made for you.
The chart is the property of the facility, but the client has a legal right to the
information in it, even if he is leaving AMA, so a copy of the record (D)
should be provided. The client does not lose his legal rights to his medical
record if he leaves AMA (A). The medical record is confidential, but the
hospital protects the client's privacy by not allowing unauthorized access to
the record, so the hospital may provide the client with a copy (B). The
hospital must maintain records of the care provided and should not release
the original record (C).
WITH CORRECT ANSWERS
.
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? - CorreCt Answers -
Metoprolol Tartrate( Lopressor)
The nurse is giving discharge instructions to the parents of a newborn with
a prescription for home phototherapy. Which statement by a parent
indicates understanding of the phototherapy? - CorreCt Answers -"I will
keep the baby's eyes covered when the baby is under the light."
Neonatal jaundice is related to subcutaneous deposition of fat-soluble
(indirect) bilirubin, which is converted to a water-soluble form when the
skin is exposed to an ultraviolet light, so the infant's eyes should be
protected (C) by closing the eyes and placing patches over them before
placing the baby under the phototherapy light source. The baby's position
should be changed about every two hours, not (A), so that the light reaches
all areas of the body to promote conversion to a water-soluble form of
bilirubin, which is excreted in the urine. The infant can be removed from
the light for feedings and diaper changes, but should receive phototherapy
exposure for 18 hours a day (B). The baby should be naked or dressed in
only a diaper to expose as much skin as possible to the light (D).
A child is receiving maintainance intravenous (IV) fluids at the rate of 1000
mL for the first 10 kg of body weight, plus 50 mL/kg per day for each
kilogram between 10 and 20. How many milliliters per hour should the
nurse program the infusion pump for a child who weighs 19.5 kg? (Enter
,numeric value only. If rounding is required, round to the nearest whole
number.) - CorreCt Answers -61
The formula for calculating daily fluid requirements is: 0 to 10 kg, 100
mL/kg per day; or 10 to 20 kg, 1000 mL for the first 10 kg of body weight
plus 50 mL/kg per day for each kilogram between 10 and 20. To determine
an hourly rate, divide the total milliliters per day by 24. 19.5 kg x 50 mL/kg
= 475 mL + 1000 mL = 1475 mL / 24 hours = 61 mL/hour
The nurse is assessing a child's weight and height during a clinic visit prior
to starting school. The nurse plots the child's weight on the growth chart
and notes that the child's weight is in the 95th percentile for the child's
height. What action should the nurse take? - CorreCt Answers -Question
the type and quantity of foods eaten in a typical day.
The child is overweight for height, so assessment of the child's daily diet (C)
should be determined. The child does not need (A or B), both of which will
increase the child's weight. Poor nutrition (D) is commonly seen in
underweight children, not overweight.
The nurse is assessing a client and identifies a bruit over the thyroid. This
finding is consistent with which interpretation? - CorreCt Answers -
Hyperthyroidism
Hyperthyroidism (D) is an enlargement of the thyroid gland, often referred
to as a goiter, and a bruit may be auscultated over the goiter due to an
increase in glandular vascularity which increases as the thyroid gland
becomes hyperactive. A bruit is not common with (A, B, and C).
,The nurse plans a teaching session with a client but postpones the planned
session based on which nursing problem? - CorreCt Answers -Activity
intolerance related to postoperative pain
Pain, fatigue, or anxiety can interfere with the ability to pay attention and
participate in learning, so the nursing diagnosis in (A) indicates a need to
postpone teaching. (B, C, and D) indicate a need for instruction.
Two unlicensed assistive personnel (UAP) are arguing on the unit about
who deserves to take a break first. What is the most important basic
guideline that the nurse should follow in resolving the conflict? - CorreCt
Answers -Deal with issues and not personalities.
Dealing with the issues which are concrete, not personalities (A) which
include emotional reactions, is one of seven important key behaviors in
managing conflict. (B, C, and D) do not resolve the conflict when diverse
opinions are expressed emotionally.
What nursing delivery of care provides the nurse to plan and direct care of a
group of clients over a 24-hour period? - CorreCt Answers -Primary
nursing.
Primary nursing (B) is a model of delivery of care where a nurse is
accountable for planning care for clients around the clock. Functional
nursing (D) is a care delivery model that provides client care by assignment
of functions or tasks. Team nursing (A) is a care delivery model where
assignments to a group of clients are provided by a mixed-staff team. Case
management (C) is the delivery of care that uses a collaborative process of
assessment, planning, facilitation, and advocacy for options and services to
, meet an individual's health needs and promote quality cost-effective
outcomes.
The nurse manager is assisting a nurse with improving organizational skills
and time management. Which nursing activity is the priority in pre-
planning a schedule for selected nursing activities in the daily assignment? -
CorreCt Answers -Medication administration.
In developing organizational skills, medication administration is based on a
prescribed schedule that is time-sensitive in the delivery of nursing care
and should be the priority in scheduling nursing activities in a daily
assignment. Although suctioning a client's tracheostomy takes precedence
in providing care, the client's PRN need is less amenable to a preselected
schedule. (B and C) can be scheduled around time-sensitive delivery of
care.
A male client is angry and is leaving the hospital against medical advice
(AMA). The client demands to take his chart with him and states the chart
is "his" and he doesn' t want any more contact with the hospital. How
should the nurse respond? - CorreCt Answers -The chart is the property of
the hospital but I will see that a copy is made for you.
The chart is the property of the facility, but the client has a legal right to the
information in it, even if he is leaving AMA, so a copy of the record (D)
should be provided. The client does not lose his legal rights to his medical
record if he leaves AMA (A). The medical record is confidential, but the
hospital protects the client's privacy by not allowing unauthorized access to
the record, so the hospital may provide the client with a copy (B). The
hospital must maintain records of the care provided and should not release
the original record (C).
