HESI EXIT COMPREHENSIVE REVIEWB
100%COMPLETE WITH VERIFIED ANSWERS
LATEST VERSION (2024)Which information is most concerning to the nurse when caring
... [Show More] for an older client with bilateral
cataracts?
A.States having difficulty with color perception
B. Presents with opacity of the lens upon assessment
C.Complains of seeing a cobweb-type structure in the visual field
D.Reports the need to use a magnifying glass to see small print
Rationale:
Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which
constitutes a medical emergency. Clients with cataracts are at increased risk for retinal
detachment. Distorted color perception, opacity of the lens, and gradual vision loss are expected
signs and symptom of cataracts but do not need immediate attention.
2.When caring for a client hospitalized with Guillain-Barré syndrome, which information is
most important for the nurse to report to the primary health care provider?
A. Ascending numbness from the feet to the knees
B. Decrease in cognitive status of the client
C. Blurred vision and sensation changes
D. Persistent unilateral headache
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a possible need
to assist the client with mechanical ventilation. A primary health care provider will need to be
contacted immediately. Options A, C, and D are findings associated with Guillain-Barré
syndrome that should also be reported but are not as critical as the client's hypoxic status.
3. A client is admitted with a diagnosis of leukemia. Which assessment findings will the nurse
include in the client’s plan of care? (Select all that apply.)
A. Elevated platelets
B. Weight loss
C. Hyperplasia of the gums
D. Elevated white blood count
E. Weakness
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs of leukemia.
Options A, B, and D state incorrect information for symptoms of leukemia.
4. The nurse enters the examination room of a client who has been told by her health care
provider that she has advanced ovarian cancer. Which response by the nurse is likely to be most
supportive for the client?
A. "I know many women who have survived ovarian cancer."
B. "Let's talk about the treatments of ovarian cancer."
C. "In my opinion I would suggest ge [Show Less]