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266 HESI Lots of Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which
- Nephrotic syndrome history.
- Crohn's disease with colectomy.
- Type 2 diabetes mellitus.
- Latent hepatitis C.
condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?
Correct Answer: B (Crohn's disease with colectomy)
- A client who has a history of hypothyroidism was initially admitted with lethargy and
- Further decline in level of consciousness.
- Hematocrit of 30% (0.30 volume fraction).
- Cold and dry skin.
- Facial puffiness and periorbital edema.
confusion. Which additional finding warrants the most immediate action by the nurse?
Correct Answer: A (Further decline in level of consciousness)
- The nurse assesses a client with petechiae and ecchymosis scattered across the
- Red blood cell count.
- Hemoglobin levels.
- White blood cell count.
- Platelet count.
arms and legs. Which laboratory result should the nurse review?
Correct Answer: D (Platelet count)
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- The nurse is evaluating a client's understanding about the DASH (Dietary
- Uses only lactose-free dairy products.
- Carefully cleans and peels all fresh fruit and vegetables.
- No longer includes grains in daily diet.
- Enjoys fat-free yogurt as an occasional snack food.
Approaches to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan?
Correct Answer: D (Enjoys fat-free yogurt as an occasional snack food)
- While assessing a client with degenerative joint disease, the nurse observes
- Review the client's dietary intake of high-protein foods.
- Discuss approaches to chronic pain control with the client.
- Notify the healthcare provider of the finding immediately.
- Assess the client's radial pulses and capillary refill time.
Heberden's nodes, large prominences on the client's fingers that are reddened. The client reports that the nodes are painful. Which action should the nurse take?
Correct Answer: B (Discuss approaches to chronic pain control with the client)
- The nurse is providing teaching to a client with Type 2 diabetes mellitus and
- Family members can help with regular foot exams.
- Heating pads are useful if on the lowest setting.
- Shoes should be worn outside the house, but it is fine to be barefoot inside.
- Aching feet may be soaked in lukewarm water for one hour or more.
peripheral neuropathy. Which information should the nurse provide?
Correct Answer: A (Family members can help with regular foot exams)
- The nurse is caring for a client with a burn that is severely edematous with a wound
- Deep full-thickness.
- Full thickness.
bed that is brown and yellow in appearance. The client expresses feeling no pain.Which classification of burn depth should the nurse document?
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- Deep partial-thickness.
- Superficial partial-thickness.
Correct Answer: B (Full thickness)
- Which information should the nurse include in the teaching plan of a client
- Adjust food intake to three full meals per day and no snacks.
- Minimize symptoms by wearing loose, comfortable clothing.
- Avoid participation in any aerobic exercise programs.
- Sleep without pillows at night to maintain neck alignment.
diagnosed with gastroesophageal reflux disease (GERD)?
Correct Answer: B (Minimize symptoms by wearing loose, comfortable clothing)
- An older client who is agitated, dyspneic, orthopneic, and using accessory muscles
- Urinary output.
- Oxygen saturation.
- Pain scale.
- Lung sounds.
- Skin elasticity.
to breathe is admitted for further treatment. Initial assessment includes a heart rate 128 beats/minute and irregular, respirations 38 breaths/minute, blood pressure 168/100 mm Hg, wheezes and crackles in all lung fields. An hour after the administration of furosemide 60 mg intravenous (IV), which assessment(s) should the nurse obtain to determine the client's response to treatment? (Select all that apply.)
Correct Answer: A, B, D (Urinary output, Oxygen saturation, Lung sounds)
- The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet
- Decreased portacaval pressure with greater collateral circulation.
- Hyperaldosteronism causing an increased sodium reabsorption in renal tubules.
- Decreased renin-angiotensin response related to an increase in renal blood flow.
and legs, and massive ascites. Which mechanism contributes to edema and ascites in clients with cirrhosis?
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- Hypoalbuminemia that results in a decreased colloidal oncotic pressure.
Correct Answer: D (Hypoalbuminemia that results in a decreased colloidal oncotic pressure)
- The nurse is providing discharge teaching to an older adult client hospitalized for
- Inspect ankles daily for areas of darkening skin.
- Apply intermittent cold compresses four times daily.
- Keep legs elevated when sitting or lying down.
- Maintain bed rest as much as possible.
- Eat a diet that is high in protein and vitamins A and C.
treatment of venous leg ulcers. Which instruction(s) should the nurse include in the teaching plan? (Select all that apply.)
Correct Answer: A, C, E
- An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with
- Encourage regular turning.
- Assess wound drainage daily.
- Monitor skin for breakdown.
- Strict intravenous (IV) fluid replacement.
possible anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are: temperature 101° F (38.3° C), heart rate 130 beats/minute, respiratory rate 26 breaths/minute, and blood pressure 100/50 mm Hg. Which intervention is most important for the nurse to include in the client's plan of care?
Correct Answer: D (Strict intravenous (IV) fluid replacement)
- A client receives a prescription for 1 liter of 0.9% sodium chloride, USP
intravenously (IV) to be infused over 4 hours. The IV administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion?
