HESI Exam 300 Questions with Answers and Explanations
Question: 1
The major electrolytes in the extracellular fluid are:
A. potassium and
... [Show More] chloride.
B. potassium and phosphate.
C. sodium and chloride.
D. sodium and phosphate.
Answer: C
Explanation:
Sodium and chloride are the major electrolytes in the extracellular fluid.Physiological
Adaptation
Question: 2
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and
transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode.
In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment
findings indicates a positive response to Heparin therapy?
A. increased platelet count
B. increased fibrinogen
C. decreased fibrin split products
D. decreased bleeding
Answer: B
Explanation:
Effective Heparin therapy should stop the process of intravascular coagulation and result in
increased availability of fibrinogen. Heparin administration interferes with thrombin-induced
conversion of fibrinogen to fibrin. Bleeding should cease due to the increased availability of
platelets and coagulation factors.
Physiological Adaptation
Question: 3
When obtaining a health history on a menopausal woman, which information should a nurse
recognize as a contraindication for hormone replacement therapy?
A. family history of stroke
B. ovaries removed before age 45
C. frequent hot flashes and/or night sweats
D. unexplained vaginal bleeding
Answer: D
Explanation:
Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family
history of stroke is not a contraindication for hormone replacement therapy. If the woman
herself had a history of stroke or other blood-clotting events, hormone therapy could be
contraindicated. Frequent hot flashes and/or night sweats can be relieved by hormone
replacement therapy. Health Promotion and Maintenance
Question: 4
The nurse is teaching parents of a newborn about feeding their infant. Which of the following
instructions should the nurse include? [Show Less]