HESI RN Comprehensive V1 questions and answers
1. A male client who lives in an area endemic with Lyme disease asks the nurse what to
... [Show More] do ID: 300946554 if he thinks he may have been exposed. Which response should the nurse provide? A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clearcenter. Correct
C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations.
2. The nurse is planning a wellness program aimed at primary prevention in the ID: 301007089 community. Which action should the nurse implement?
A. Immunizations that decrease occurrences of many contagious diseases. Correct
B. Blood pressure screenings to identify persons with high blood pressure.
C. Breast self-examination (BSE) for young women instead of a mammogram.
D. Home care monitoring for clients who are high-risk due to pregnancy.
3. The school nurse is reviewing health risks associated with extracurricular activities of ID: 301000576 grade-school children. Regular participation in which activity places the child at highest risk for developing external otitis?
A. Batting practice at a batting cage.
B. Soccer practice at an outdoor field.
C. Swimming lessons in an indoor pool. Correct
D. Roller skating at an indoor rink.
4. Which nursing intervention is an example of a competent performance criterion for an ID: 300962336 occupational and environmental health nurse?
A. Serves as a consultant to businesses and management.
B. Implements health programs for construction workers. Correct C. Designs quality improvement methods that measure health outcomes.
D. Conducts research studies that enhance health safety.
5. The nurse is planning to conduct nutritional assessments and diet teaching to clients at ID: 300944955 a family health clinic. Which individual has the greatest nutritional and energy demands?
A. A pregnant woman. Correct B. A teenager beginning puberty.
C. A 3-month-old infant.
D. A school-aged child.
6. Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The Demerol ID: 300981708 solution contains 50 mg/ml. How much solution should the nurse administer? A. 0.5 ml.
B. 1 ml.
C. 1.5 ml. Correct
D. 2 ml.
7. The nurse is preparing to administer IV fluid to a client with a strict fluid restriction. IV ID: 300948090 tubing with which feature is most important for the nurse to select? A. Micro drop factor.
B. Drop factor of 15 gtt/ml.
C. An intact inline filter.
D. A buretrol attachment. Correct
8. Which action should the nurse implement when administering a prescription drug that ID: 300940964 should be given on an empty stomach?
A. Administer after an eight-hour fast.
B. Give one hour before or two hours after a meal. Correct
C. Provide the dose after the client has missed a meal.
D. Take with liquids, but no solid foods.
9. The nurse is preparing to administer a prescribed dose of acetylcysteine (Mucomyst) ID: 300964354 600 mg PO. The 10 ml vial is labeled "Mucomyst 20% solution (20 grams/100 ml)." What volume of medication in milliliters should the nurse administer? (Enter numeric answer only.)
10. The nurse dons gown, mask with eyeshield, and gloves before entering a client's room ID: 300998364
that has airborne precautions. Upon leaving the client's room, in which sequence should the nurse remove the personal protective equipment (PPE)? (Arrange in order.)
11. A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per ID: 301001631 nasal cannula, and complains of dry mouth. Which action should the nurse implement? A. Put petroleum jelly on the lips and around the nasogastric tube.
B. Allow the client to drink water and record on the I and O record.
C. Offer the client ice chips and instruct client to spit out the water.
D. Apply a water soluble lubricant to the lips, oral mucosa and nares. Correct
12. A child is receiving maintenance intravenous (IV) fluids at the rate of 1000 ml for the ID: 301009198 first 10 kg of body weight, plus 50 ml/kg per day for each kilogram between 10 and 20. How many milliliters per hour should the nurse program the infusion pump for a child who weighs 19.5 kg? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
13. The nurse is caring for a client who is unable to void. The plan of care establishes an ID: 301078792 objective for the client to ingest at least 1000 ml of fluid between 7:00 am and 3:30 pm. Which client response should the nurse document that indicates a successful outcome? A. Demonstrates adequate fluid intake and output.
B. Voids at least 1000 ml between 7am and 3 pm.
C. Verbalizes abdominal comfort without pressure.
D. Drinks 240 ml of fluid five times during the shift. Correct
14. Which documentation indicates that the nurse correctly evaluated a pain medication's ID: 301007509 effectiveness after administration? The client
A. reports decrease in pain. Correct
B. complained of pain;; PRN pain medication given.
C. smiling while visiting with family members.
D. was talking on the phone 30 minutes after pain medication was given.
15. A client is brought into the emergency department following a sudden cardiac arrest. A ID: 301000578 full code is started. Five minutes later the family arrives with a durable power of attorney signed by the client requesting that no extraordinary measures be taken, including intubation, to save the client's life. What action should the nurse take?
A. Stop the code immediately. Correct
B. Continue the code according to protocol.
C. Ask the legal department if the code should be continued.
D. Assess the family's support for the durable power of attorney.
16. A client with metastatic cancer is preparing to make decisions about end-of-life issues. ID: 300956358 When the nurse explains a durable power of attorney for health care, which description is accurate?
A. It allows you to document your wishes regarding life-sustaining treatment if you can't speakfor yourself.
B. It will identify someone that can make decisions for your health care if you are in a coma orvegetative state. Correct
C. It is not legally binding, but helps the healthcare provider know exactly what medicaltreatments you want.
D. It is a form that all people must sign before admission to the hospital so that individualizedtreatment plans can be developed.
17. What information best supports the nurse's explanation for promoting the use of ID: 300931631 alternative or complementary therapies?
A. Focuses on the pathogenesis of the disease of an individual.
B. Replaces the conventional Western modality treatments.
C. Recognizes the value of a client's input into their own health care. Correct
D. Continues to be used by a limited number of Americans.
18. The nurse plans a teaching session with a client but postpones the planned session ID: 301009686 based on which nursing diagnosis?
A. Activity intolerance related to postoperative pain. Correct
B. Noncompliance with prescribed exercise plan.
C. Ineffective management of treatment regimen.
D. Knowledge deficit regarding impending surgery.
19. The nurse is interviewing a female client whose spouse is present. During the interview, ID: 301005344 the spouse answers most of the questions for the client. Which action is best for the nurse to implement?
A. Direct the questions to the spouse whenever possible.
B. Repeat each question and tell the client to speak up.
C. Ask another nurse to complete the interview.
D. Ask the spouse to step out for a few minutes. Correct
20. A nurse takes a female client to the examination room and asks her to remove her ID: 300948018 clothes and put on an examination gown with the front open. The woman states, "I have special undergarments that I do not remove for religious reasons." How should the nurse respond? A. "I will ask the healthcare provider to modify the examination."
B. "All clothing must be removed before the examination to provide full access to the area tobe assessed."
C. "What type of undergarments are you wearing?"
D. "Tell me about your undergarments so we can discuss how you can have your examinationcomfortably." Correct [Show Less]