HESI Practice Flashcards
The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for weight loss and generalized weakness. Laboratory values show a white blood count (WBC) of 2,500/mm3 and a platelet countof 160,000/mm3. Which intervention is the primary focus in the client’s plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections.
Maintain strict protective precautions.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a combination drug regimen. The client complains about taking “so many pills.” What information should the RN provide to the client about the prescribed treatement?
The development of resistant strains of TB are decreased with a combination of drugs.
Compliance to the medication regimen is challenging but should be maintained.
Side effects are minimized with the use of a single medication but is less effective.
The treatment time is decreased from 6 months to 3 months with this standard regimen.
The development of resistant strains of TB are decreased with a combination of drugs.
A female client is recently diagnosed with Sarcoidosis. The client tells the registered nurse (RN) that she does not understand why she has this. When teaching about the occurrence of sarcoidosis, the RN should include that sarcoidosis most commonly occurs with which ethnic group of women?
African American women.
Caucasian women.
Asian women.
Hispanic women.
African American women.
The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic complaining of a sprained ankle. Which therapeutic response should the RN anticipate?
Reduced pain and minimized brusing.
Lowering of body core temperature.
Increased circulation around injury.
Reabsorption of edema at injury.
Reduced pain and minimized brusing.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin.
Serum troponin.
The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which assessment finding should the RN report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client’s wrist.
Rebound abdominal tenderness over right lower quadrant.
The registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.)
School-age female.
Older males.
Older females.
Adolescent males.
1.Older females.
2.School-age female.
3.Older males.
4. Adolescent males.
A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the family that he has an incomplete fracture of the humerus. The family ask the RN what this means. Which type of fracture should the RN explain from these findings?
Straignt fracture line that is also a simple, closed fracture.
Nondisplaced fracture line that wraps around the bone.
A complete fracture that also punctures the skin.
A fracture that bends or splinters part of the bone.
A fracture that bends or splinters part of the bone.
A client in an ambulatory clinic describes awaking in the middle of the night with difficulty breathing and shortness of breath related to paroxysmal nocturnal dyspnea. Which underlying condition should the registered nurse (RN) identify in the client’s history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis.
Heart failure (HF).
The registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask the client about his medical history?
Irritable bowel syndrome.
Diverticulitis.
Crohn’s disease.
Ulcerative colitis.
Ulcerative colitis.
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the client’s history, the registered nurse (RN) discovers that the client’s spouse died 2 weeks ago. Which nursing interventions should the RN implement to help the client begin the process of dealing with loss?
Select all that apply
Establish trust by creating an safe atmosphere for sharing.
Share personal stories about how other clients dealt with grief.
Help the client identify ways to adapt lifestyle to accommodate loss.
Assure the client that their grief will last a short period of time.
Explore ways to assist the client to make new emotional investments.
Establish trust by creating an safe atmosphere for sharing.
Help the client identify ways to adapt lifestyle to accommodate loss.
Explore ways to assist the client to make new emotional investments.
While reviewing the client’s electronic medical record (EMR), the registered nurse (RN) assesses a client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should the RN report to the healthcare provider concerning the OTC medication? (Select all that apply).
Select all that apply
Type I diabetes mellitus (DM).
Closed angle glaucoma.
Chronic hypertension.
Rheumatoid arthritis.
Crohn’s disease.
Closed angle glaucoma.
Chronic hypertension.
The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations, of a change in the client’s condition. Over the past hour, the client’s respiratory pattern has changed to a Cheyne Stokes pattern.After receiving this information, the client’s spouse begins vacuuming around the bed. Which stage of grief is the spouse displaying during the visit?
Acceptance.
Denial.
Bargaining.
Depression.
Denial.
The registered nurse (RN) assesses a client’s results for arterial blood gases who has emphysema. Which finding is consistent with respiratory acidosis?
pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
pH 7.45 , pCO2 37 mmHg, HCO3 24 mEq/L.
pH 7.34, pCO2 36 mmHg, HCO3 21 mEq/L.
pH 7.46, pCO2 35 mmHg, HCO3 28 mEq/L.
pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
While caring for a client who has esophageal varices, which nursing intervention is most important for the registered nurse (RN) to implement?
Monitor infusing IV fluids and any replacement blood products.
Prepare for esophagogastroduodenoscopy (EGD).
Maintain the client on strict bedrest.
Insert a nasogastric tube (NGT) for intermittent suction.
Monitor infusing IV fluids and any replacement blood products.
The registered nurse (RN) is interviewing a female client who states she has a persistent productive cough during the winter caused by bronchitis. Which additional finding should the RN assess for bronchitis?
Phlegm production and wheezing.
Smoking history.
Hemoptysis.
Night sweats.
Phlegm production and wheezing.
The registered nurse (RN) palpates a weak pedal pulse in the client’s right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation? (Select all that apply.)
Select all that apply
Diminished hair on legs.
Bruising on extremities.
Skin cool to touch.
Capillary refill less than 3 seconds.
Darkened skin on extremities.
Diminished hair on legs.
Skin cool to touch.
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN identify and document that is consistent with PUD? (Select all that apply).
Select all that apply
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
Intolerance of spicy foods.
Diarrhea and stearrhea.
Hematemesis.
Colic-like pain with fatty food ingestion.
Intolerance of spicy foods.
A registered nurse (RN) is performing a mini-mental state examination (MMSE) for a client who is being admitted to an assisted living community. Which communication techniques should the RN implement to decrease anxiety in the client? (Select all that apply.)
Select all that apply
Use simple sentences during the examination.
Move to another question if the client seems confused.
Reduce environmental detractors during the examination.
Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
Use simple sentences during the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during conversations. How should the RN assess this client’s response?
The client cannot understand the nurse.
The client is uncomfortable with the nurse.
The client is treating the nurse with respect.
The client is purposefully disrespecting the nurse.
The client is treating the nurse with respect.
