HESI Quizlet Fundamentals

HESI RN · HESI Quizlet Fundamentals

Question 1 of 53

The client with cholecystitis is being instructed on dietary choices. Which meal best meets the dietary needs of this client?

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HESI RN · HESI Quizlet Fundamentals

Question 2 of 53

A client with a history of myocardial infarction (MI) is admitted with chest pain. Which laboratory test should the nurse expect to be ordered to determine if the client is experiencing another MI?

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HESI RN · HESI Quizlet Fundamentals

Question 3 of 53

A client is diagnosed with primary hypertension. Which assessment finding is most commonly associated with this diagnosis?

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HESI RN · HESI Quizlet Fundamentals

Question 4 of 53

The healthcare provider is aware that malnutrition is a common problem among clients served by a community health clinic for the homeless. Which laboratory value is the most reliable indicator of chronic protein malnutrition?

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HESI RN · HESI Quizlet Fundamentals

Question 5 of 53

Which intervention is most important to include in the plan of care for a client at high risk for the development of postoperative thrombus formation?

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HESI RN · HESI Quizlet Fundamentals

Question 6 of 53

When taking a client's blood pressure, the healthcare professional is unable to distinguish the point at which the first sound was heard. What is the best action for the healthcare professional to take?

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HESI RN · HESI Quizlet Fundamentals

Question 7 of 53

Which client is most likely to be at risk for spiritual distress?

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HESI RN · HESI Quizlet Fundamentals

Question 8 of 53

After receiving written and verbal instructions from a clinic nurse about a newly prescribed medication, a client asks the nurse what to do if questions arise about the medication after getting home. How should the nurse respond?

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HESI RN · HESI Quizlet Fundamentals

Question 9 of 53

The healthcare professional is using the Glasgow Coma Scale to perform a neurologic assessment. A comatose client winces and pulls away from a painful stimulus. What action should the healthcare professional take next?

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HESI RN · HESI Quizlet Fundamentals

Question 10 of 53

The nurse is completing a client's preoperative routine and finds that the operative permit is not signed. The client begins to ask more questions about the surgical procedure. Which action should the nurse take next?

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HESI RN · HESI Quizlet Fundamentals

Question 11 of 53

The nurse finds a client crying behind a locked bathroom door. The client will not open the door. Which action should the nurse implement first?

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HESI RN · HESI Quizlet Fundamentals

Question 12 of 53

When a health care provider diagnoses metastatic cancer and recommends a gastrostomy for an older female client in stable condition, the son tells the nurse that his mother must not be told the reason for the surgery because she 'can't handle' the cancer diagnosis. Which legal principle is the court most likely to uphold regarding this client's right to informed consent?

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HESI RN · HESI Quizlet Fundamentals

Question 13 of 53

Ten minutes after signing an operative permit for a fractured hip, an older client states, 'The aliens will be coming to get me soon!' and falls asleep. Which action should the nurse implement next?

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HESI RN · HESI Quizlet Fundamentals

Question 14 of 53

During a routine assessment, an obese 50-year-old female client expresses concern about her sexual relationship with her husband. Which is the best response by the nurse?

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HESI RN · HESI Quizlet Fundamentals

Question 15 of 53

An older client who had abdominal surgery 3 days earlier was given a barbiturate for sleep and is now requesting to go to the bathroom. Which action should the nurse implement?

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HESI RN · HESI Quizlet Fundamentals

Question 16 of 53

After informing an older client that an IV line needs to be inserted, the client becomes very apprehensive, loudly expressing a dislike for all healthcare providers and nurses. How should the nurse respond?

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HESI RN · HESI Quizlet Fundamentals

Question 17 of 53

An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care?

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HESI RN · HESI Quizlet Fundamentals

Question 18 of 53

A client is in the radiology department at 0900 when the prescription for levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement?

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HESI RN · HESI Quizlet Fundamentals

Question 19 of 53

Twenty minutes after beginning a heat application, the client states that the heating pad no longer feels warm enough. What is the best response by the nurse?

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HESI RN · HESI Quizlet Fundamentals

Question 20 of 53

The client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?

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HESI RN · HESI Quizlet Fundamentals

Question 21 of 53

The nurse is preparing a client for surgery. What action is most important for the nurse to take?

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HESI RN · HESI Quizlet Fundamentals

Question 22 of 53

What is the most important instruction for the nurse to provide a client with a new colostomy regarding stoma care?

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HESI RN · HESI Quizlet Fundamentals

Question 23 of 53

A client with a history of diabetes mellitus is admitted with a blood glucose level of 600 mg/dL. What type of insulin should the nurse prepare to administer to this client?

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HESI RN · HESI Quizlet Fundamentals

Question 24 of 53

A client with chronic kidney disease is receiving peritoneal dialysis. Which assessment finding should the nurse report to the healthcare provider immediately?

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HESI RN · HESI Quizlet Fundamentals

Question 25 of 53

A client with a diagnosis of deep vein thrombosis (DVT) is receiving anticoagulation therapy. Which statement by the client indicates a need for further teaching?

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HESI RN · HESI Quizlet Fundamentals

Question 26 of 53

A client with a diagnosis of anemia is receiving epoetin alfa (Epogen). Which laboratory test should the nurse monitor to evaluate the effectiveness of this medication?

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Question 27 of 53

A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved?

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Question 28 of 53

A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend first?

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Question 29 of 53

A male client with unstable angina needs a cardiac catheterization. The healthcare provider explains the risks and benefits of the procedure and then leaves to set up for the procedure. When the nurse presents the consent form for signature, the client hesitates and asks how the wires will keep his heart going. Which action should the nurse take?

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HESI RN · HESI Quizlet Fundamentals

Question 30 of 53

When measuring vital signs, the healthcare provider observes that a client is using accessory neck muscles during respirations. What follow-up action should the healthcare provider take first?

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HESI RN · HESI Quizlet Fundamentals

Question 31 of 53

A client is 2 days post-op from thoracic surgery and is complaining of incisional pain. The client last received pain medication 2 hours ago. He is rating his pain as a 5 on a 1-10 scale. After calling the provider, what is the nurse's next action?

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HESI RN · HESI Quizlet Fundamentals

Question 32 of 53

The healthcare provider is providing wound care to a client with a stage 3 pressure ulcer that has a large amount of eschar. The wound care prescription states 'clean the wound and then apply collagenase.' Collagenase is a debriding agent. The prescription does not specify a cleaning method. Which technique should the healthcare provider use to cleanse the pressure ulcer?

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Question 33 of 53

A client with stage 4 lung cancer receiving in-home hospice care expresses concerns about pain while the nurse is arranging for discharge. What action should the nurse take?

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Question 34 of 53

While the nurse is discharging an adult woman who was hospitalized for 6 days for treatment of pneumonia and reviewing the prescribed medications, the client appears anxious. What action is most important for the nurse to implement?

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HESI RN · HESI Quizlet Fundamentals

Question 35 of 53

The client is being taught about the use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

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HESI RN · HESI Quizlet Fundamentals

Question 36 of 53

A Native American individual presents to the clinic with complaints of frequent abdominal cramping and nausea. They state that they have chronic constipation and have not had a bowel movement in five days, despite trying several home remedies. Which intervention is most important for the healthcare provider to implement?

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HESI RN · HESI Quizlet Fundamentals

Question 37 of 53

The client is reviewing the signed operative consent with a nurse, who is admitted for the removal of a lipoma on the left leg. The client states that the consent form should say the removal of a lipoma on the right leg. Which intervention should the nurse implement?

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HESI RN · HESI Quizlet Fundamentals

Question 38 of 53

A client in the early stages of Alzheimer's disease is very anxious and frequently asks about her deceased parents. Which intervention should the nurse implement to reduce the client's anxiety?

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Question 39 of 53

A client is admitted to the hospital with a diagnosis of pneumonia. Which laboratory test result should the nurse monitor to evaluate the client's respiratory function?

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Question 40 of 53

A client is receiving intravenous (IV) fluids postoperatively. Which assessment finding should prompt the nurse to stop the infusion and notify the healthcare provider?

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Question 41 of 53

The healthcare provider is providing passive range of motion (ROM) exercises to the hip and knee for a client who is unconscious. After supporting the client's knee with one hand, what action should the healthcare provider take next?

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Question 42 of 53

What intervention should the healthcare provider include in the plan of care for a client receiving treatment with an Unna's paste boot for leg ulcers due to chronic venous insufficiency?

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Question 43 of 53

The charge nurse observes that a demographic screen has been left open on a hallway computer by a nurse who is responding to a call light while the unlicensed assistive personnel (UAP) is involved in a personal phone call. Which action should the charge nurse take first?

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Question 44 of 53

A client is admitted to the hospital with intractable pain. What instruction should the nurse provide the unlicensed assistive personnel (UAP) who is preparing to assist this client with a bed bath?

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HESI RN · HESI Quizlet Fundamentals

Question 45 of 53

What is the most effective way to implement a teaching plan?

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Question 46 of 53

The client is being taught how to self-administer a subcutaneous injection. To ensure sterility of the procedure, which subject is most important for the instructor to include in the teaching plan?

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Question 47 of 53

During a sterile procedure at a client's bedside, a healthcare provider contaminates a sterile glove and the sterile field. What is the best action for the nurse to implement?

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Question 48 of 53

The daughter of an older woman who became depressed following the death of her husband asks, 'My mother was always well-adjusted until my father died. Will she tend to be sick from now on?' Which response is best for the nurse to provide?

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Question 49 of 53

When caring for a client in hemorrhagic shock, how should the nurse position the client?

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Question 50 of 53

During the suctioning of a tracheostomy tube, if the catheter appears to attach to the tracheal walls and creates a pulling sensation, what is the best action for the nurse to take?

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Question 51 of 53

The nurse is attempting to pass an indwelling catheter in an adult male and is having difficulty. What is the most appropriate action for the nurse?

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Question 52 of 53

An elderly patient has been living in a nursing home for several years. The nursing staff has begun to notice a change in her behavior. All of the following are symptoms of depression except:

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Question 53 of 53

How should the nurse prepare the body of a deceased adult for transfer to the mortuary?

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