HESI Comprehensive Exam 2 STUDY BUNDLE 2023 PACK SOLUTION (Verified Answers)

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HESI Comprehensive Exam 2 Questions
and Answers 2023 (Verified Answers)
1.Which bony landmark is commonly used for central ray location an
an anteroposterior (AP) chest projection? ANS Jugular notch
2.A radiographer prepares to do an excretory urogram on a patient who has
a history of asthma. At this institution, policies are in place to select the
type of contrast used based on the needs of the patient. Which type of
contrast should be used in this situation? ANS Iodinated, nonionic

3. In conventional tomography, the radiographer is able to control the
   thick- ness of the tomographic slice by altering which of the following?
   A. Exposure angle
   B. Fulcrum height
   C.Tube trajectory ANS A. Exposure angle
   4.On a radiograph of a shoulder, the greater tubercle is visualized in
   profile. Which projection was taken? ANS Anteroposterior (AP), external
   rotation

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5.Which factor will increase x-ray beam quantity at the image receptor
(IR) without increasing heat units produced by the tube? ANS Decreased
filtration
6.Which position most accurately describes the Camp Coventry method for
demonstrating the intercondylar fossa of the knee? ANS Prone with the
femur par- allel to the image receptor
7.Which position of the elbow will clearly demonstrate the radial neck freeof ulnar superimposition? ANS Lateral oblique
8.What would a continuous, fine, horizontal white line across the
computed radiography image indicate? ANS Dirt on the light guide or
laser head
9.Where should the radiographer direct the central ray for a
posteroanterior (PA) chest? ANS Midsagittal plane and 18-20 cm below
the vertebral prominens
10.Why is it important for the radiographer to observe the milliampere seconds (mAs) readout at the end of each exposure when using automatic exposure control (AEC)? ANS This value may be used as a basis for

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calculating manual techniques
11.Pelvis routine calls for an anteroposterior (AP) with a perpendicular
central ray (CR), and an axial AP with a 40 degree cephalic angle. Using a
caliper measurement, the technique chart yields a perfect set of exposure
factors for the perpendicular AP. How will the necessary exposure factors
for the axial differ from the perpendicular AP? ANS Greater measurement, higher kilovolts peak (kVp) and milliampere-seconds (mAs)
12.Which characteristics are true of both x-rays and gamma rays? (Select
the three that apply.) ANS Are low linear energy transfer (LET) radiation,
Are electromag- netic radiation, Damage biologic tissues through
indirect action

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Hesi Comprehensive Exam 2 Questions
and Answers 2023 (Verified Answers)

1. 1. Which type of management style is a case management model for
   nursing care delivery?
   a. Patient focused and primary nursing.
   b. Clinically oriented and business oriented.
   c. Centralized and decentralized systems models.
   d. Clinical pathways and patient classifications ANS A
2. 2. The nurse is assessing a client with multiple trauma from a
   motorcycle crash who is being ventilated due to multiple organ dysfunction
   syndrome (MODS). Which system assessment should the nurse monitor as
   an indicator of MODS progression?
   a. Cardiac function.
   b. Renal function.
   c. Hepatic function.
   d. Coagulation system. ANS B
3. 3. A staff member tells the charge nurse that a float nurse assigned to

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work on the unit has made several medication errors in the past, but is
currently working with the education department to improve this skill. What
action is best for the charge nurse to take?
a. Dismiss the staff nurse’s report about the float nurse because it may be
just gossip.
b. Call the nursing supervisor and request a different employee be sent to
the unit.
c. Assign the float nurse to function as an unlicensed assistive
personnel (UAP) for the day.
d. Arrange for someone to be available to assess and assist the float nurse.
ANS D

4. 4. Parents of a toddler tell the nurse that their child eats little at
   mealtime, sits at the table with the family only briefly, and wants snacks
   “all the time.” What recommendation should the nurse provide?
   a. Give the toddler nutritious snacks.
   b. Offer rewards for eating at mealtimes.
   c. Avoid snacks so the child is hungry at mealtimes.
   d. Explain to the child in a firm manner what is expected. ANS A
5. 5. Which action should the nurse implement when implementing a
   physical assessment of an older client?

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a. Avoid unnecessary touching while interacting with the client.
b. Apply additional pressure to palpate the hepatic edge.
c. Arrange the exam sequence to minimizes position changes.
d. Speak loudly and slowly when telling the client how to assist. ANS C

6. 6. When culturing a wound, the nurse should obtain the sample from
   which part of the wound?
   a.The outer edges of the wound.
   b. All necrotic sections of the wound.
   c. Areas containing purulent or pooled exudates.
   d. Any particularly painful area of the wound. ANS C
7. 7. An adult male with a history of heart failure tells the nurse that hislower extremities and feet swell when he sits at his computer all day. Whichresponse is best for the nurse to provide?
   a. Limit the amount of table salt that you add to your meals.
   b.Take a daily vitamin with minerals to correct imbalances.
   c. Get up and walk around frequently during the day.
   d. Elevate your feet every night to reduce swelling. ANS C
8. 8. A client is transferred to the postoperative unit after 2 hours in
   the postanesthesia care unit (PACU). What is the priority nursing
   action?

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a. Determine the client’s pain.
b.Take the client’s vital signs.
c. Calculate the IV infusion rate.
d. Check the postop prescriptions. ANS B

9. 9. The nurse is teaching a client how to self-administer a
   subcutaneous injection. To help ensure sterility of the procedure, which
   subject is most important for the nurse to include in the teaching plan?
   a. Hand washing prior to preparation of the injection.
   b. Method used to aspirate medication from a vial.
   c. Selection and rotation of injection sites.
   d. Proper disposal of injection equipment. ANS B
   10. The nurse observes an empty secondary infusion of diltiazem
       (Cardizem) is attached to the client’s IV pump, but realizes that this client
       has no prescription for Cardizem. In what sequence, from first to last,
       should the following interventions be implemented? (Place the first action
       on top and last action on the bottom.)
       

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HESI Comprehensive Exam 2 Practice Questions and Answers 2023 (Verified Answers)

1. Which biological practices are federally regulated for healthcare
   workers? (Select all that apply.)
   A. Standard precautions.
   B. N-95 tuberculosis standard.
   C. Blood-borne pathogen standard.
   D. Biological product exposure limit (BPEL).
   E. Resource Conservation and Recovery Act (RCRA).
   F.As Low as Reasonably Allowable standard (ALARA) ANS A, B, C, and E.
   Basic standards for healthcare workers, as delineated by Occupational
   Safety and Health Administration (OSHA), include standard precautions
   (A), droplet precau- tions using N-95 respiratory particulate masks (B)

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when caring for a client who
is positive for tuberculosis, and required annual updates for
healthcare workers about blood-borne pathogen transmission (C),
methods of minimizing exposure, and employee rights. (E) requires
labeling, storage, transportation, and disposal of biological waste
according to federal standards. (F) is an occupational health
concept implemented to minimize employee and environmentaexposures and may not be consistent with an OSHA recommendation(D) is not an applicable mandate. Category: Community Health

2. Which contextual factors are considered external environmental
   influences in the framework for occupational health programs and services?(Select all that apply.)
   A. Economics.
   B.Workforce.
   C.Technology.
   D. Interventions.
   E. Socio-economic status.
   F.Legislation/regulation ANS A, C, and F.

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(A) affects the health of the company and its workforce productivity, in
terms of profitability, growth, and expansion. (C) adds to an industry’s
capacity to develop and implement new or improved work processes.
(F) in the workplace, such as the blood-borne pathogen standard,
affects the workforce in terms of require- ments, administration, and
control strategies. Occupational safety programs are built around the
workforce (B) to strive for maximum internal productivity. (D) are
internal environmental influences of an occupational health and safety
program. (E)

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is a demographic variable commonly used in epidemiology. Category:
Community Health

3. A client with terminal pancreatic cancer is receiving hospice care at
   home and reports increasing shortness of breath and associated anxiety.
   Which prescription should the nurse implement first?
   A. Prednisone (Deltasone) 10 mg PO.
   B. Albuterol (Proventil) 0.5% solution per nebulizer.
   C. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
   D. Oxygen 2 to 6 liters per minute using a nasal cannula ANS C.
   Comfort and pain management using an effective analgesic-sedative
   such as mor- phine (C), is the most important standard of care therapy
   in hospice home care to ensure comfort and enhance the quality of life
   for a client with a life expectancy
   of less than six months, as in this case. Adjunct therapy that promotes asense of well-being, including prednisone (A), and provides adequate
   oxygenation (B and D) work to supplement morphine in easing a client’sdiscomfort, associated shortness of breath, and anxiety during a