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FREE NURSING AND STUDY GAMES ABOUT BSN266
WEEK7/8 HESI EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The nurse is caring for a client receiving tamoxifen (Nolvadex) for the treatment of breast cancer. Which action should the nurse include in the client's plan of care?
Answer:
Assist the client in coping with hot flashes.Question 2: The PET (positron emission tomography) scan is commonly used with oncology clients to provide for which diagnostic information?
Answer:
An image that describes metastatic sites of cancer.Question 3: When planning care for a client with right renal calculi, which nursing diagnosis has the highest priority?
Answer:
Acute pain related to movement of the stone.
Question 4: The nurse determines the client's serum potassium level is 4.5 mEq/L. What action should the nurse implement?
Answer:
Document the finding as the only action.Question 5: The nurse is providing postoperative instructions for a female client after a mastectomy. Which information should the nurse include in the teaching plan? (Select all that apply.)
Answer:
Report inflammation of the incision site or the affected arm.Avoid lifting more than 4.5 kg (10 lb) or reaching above her head Question 6: Which preexisting diagnosis places a client at greatest risk of developing superior vena cava syndrome?
Answer:
Metastatic cancer.Question 7: During the assessment of a client who is 24 hours post-hemicolectomy with a temporary colostomy, the nurse determines that the client's stoma is dry and dark red in color.What action should the nurse implement?
Answer:
Notify the surgeon.
Question 8: Which explanation best describes how they are different?
Answer:
Method of insertion.Question 9: A client who has a chronic cough with blood-tinged sputum returns to the unit after a bronchoscopy. What nursing interventions should be implemented in the immediate post-procedural period?
Answer:
Allow the client nothing by mouth until the gag reflex returns.Question 10: The nurse is caring for a client with end stage liver disease who is being assessed for the presence of asterixis. To assess the client for asterixis, what position should the nurse ask the client to demonstrate?
Answer:
Extend the arm, dorsiflex the wrist, and extend the fingers.
Question 11: The nurse is assessing a client with a chest tube that is attached to suction and a closed drainage system. Which finding is most important for the nurse to further assess?
Answer:
Upper chest subcutaneous emphysema.Question 12: A client with type II diabetes arrives at the clinic with a blood glucose of 50 mg/dL.The nurse provides the client with 6 ounces of orange juice. In 15 minutes the client's capillary glucose is 74 mg/dL. What action should the nurse take?
Answer:
Provide cheese and bread to eat.Question 13: The nurse is assessing a middle-aged male client for risk factors related to chronic illness. Which finding should the nurse assess further?
Answer:
Increase in abdominal fat deposits.Question 14: The nurse is providing discharge instructions to a client who has undergone a left orchiectomy for testicular cancer. Which statement indicates that the client understands his post-operative care and prognosis?
Answer:
"I should continue to perform testicular self-examination (TSE) monthly on my remaining testicle." Question 15: A client who returns to the unit after having a percutaneous transluminal coronary angioplasty (PTCA) complains of acute chest pain. What action should the nurse implement next?
Answer:
Give a sublingual nitroglycerin tablet.Question 16: A couple trying to cope with an infertility problem wants to know what can be done to preserve emotional equilibrium. What is the best response for the nurse to provide?
Answer:
"Get involved with a support group. I will give you some names." Question 17: Which finding should the nurse report to the healthcare provider for a client with a circumferential extremity burn?
Answer:
Slow capillary refill in the digits with absent distal pulse points.
Question 18: The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago. The nurse determines the client's lower abdomen is distended and assesses dullness to percussion. What is the priority nursing action?
Answer:
Determine the time the client last voided.Question 19: The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving chemotherapy. Laboratory results reveal a platelet count of 10,000/ml. What action should the nurse implement?
Answer:
Check stools for occult blood.Question 20: The nurse is assessing a client with a cuffed tracheostomy tube in place who is breathing spontaneously. To evaluate if the client can tolerate cuff deflation to promote speaking and swallowing, what action should the nurse implement?
Answer:
Observe the client for coughing colored sputum after drinking a small amount of colored water.Question 21: A male client with a prostatic stent is preparing for discharge. What should the nurse ensure the client understands?
Answer:
The client should not be catheterized through the stent for at least three months.Question 22: Which findings are within expected parameters of a normal urinalysis for an older adult? (Select all that apply.)
Answer:
pH 6.Specific gravity 1.015.Question 23: The nurse is caring for a client who returns to the unit following a colonoscopy.Which finding should the nurse report to the healthcare provider immediately?
Answer:
Increased abdominal pain with rebound tenderness.
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