HESI Cardio Rationales 2026 100% Complete Solutions.

HESI Cardio Rationales 2026 100% Complete Solutions.

A client is discharged with a prescription for sustained-release nitroglycerin. What

should the nurse teach the client about sustained-release nitroglycerin?

Correct1

Swallow the capsule whole

2

Take milk with the medication

Hold the tablet under the tongue

4

Note a stinging feeling when the drug is under the tongue

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A client is admitted with thrombocytopenia. What specific nursing actions are

appropriate to include in the plan of care for this client? (Select all that apply.)

Avoid intramuscular injections.

2

Institute neutropenic precautions.

3

Monitor the white blood cell count.

Administer prescribed anticoagulants.

Confidence: Just a guess

1 140389948

Intramuscular injections should be avoided because of the increased risk of bleeding and

possible hematoma formation. Decreased platelets increase the risk of bleeding, which leads

to ecchymoses. Neutropenic precautions are for clients with decreased white blood cells

(WBCs), not platelets. Thrompbocytopenia refers to decreased platelets, not WBCs.

Anticoagulants are contraindicated because of the increased bleeding risk.

28%of students nationwide answered this question correctly.

A rectal temperature provides the most accurate temperature. Older adults have less

subcutaneous fat and inefficient temperature regulating mechanisms, which makes them

vulnerable to extremes in environmental temperature. The extremities are more distal sites

of circulation and are at increased risk for frostbite. Hypothermia decreases cerebral

perfusion, which will result in confusion and a decreased level of consciousness. Getting

client identification will help in learning more about the client's previous health history and

contacting family members. Massage is contraindicated because it may injure tissues that

have sustained frostbite.

30%of students nationwide answered this question correctly.

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An older adult is brought to the emergency department after being found in the

street without a coat during a snowstorm. What actions should the nurse

implement? (Select all that apply.)

Incorrect1

Massage extremities.

Correct2

Obtain a rectal temperature.

Correct3

Assess the fingers for areas of frostbite.

Correct4

Determine client's level of consciousness.

Correct5

Ask for client identification.

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Confidence: Nailed it

1 130038789

Examine the skin for ecchymotic areas.

Correct5

Malaise

Correct1

Correct4

Development of HIV-specific antibodies (seroconversion) is accompanied by a flulike

syndrome called acute retroviral syndrome. This syndrome includes malaise, swollen lymph

glands, fever, sore throat, headache, nausea, diarrhea, muscle/joint pain, or a diffuse rash. It

occurs one to three weeks after infection and may continue for several months. Acute

retroviral syndrome over time is followed by the early-chronic, intermediate-chronic, and

late-chronic stages of HIV infection. Development of HIV-specific antibodies, accompanied by

flulike syndrome, includes swollen lymph glands. Confusion is associated with the

intermediate-chronic and late-chronic stages of HIV infection when the individual develops

AIDS-dementia complex or opportunistic infection that affects the neurological system.

Diarrhea, not constipation, is associated with this syndrome. Oropharyngeal candidiasis

occurs during the intermediate-chronic stage of HIV infection.

Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when

four or five consecutive questions have the same letter or number for the correct answer.

29%of students nationwide answered this question correctly.

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A client comes to the emergency department reporting symptoms of the flu. When

the health history reveals intravenous drug use and multiple sexual partners, acute

retroviral syndrome is suspected, and a test for the human immunodeficiency virus

(HIV) is performed. Which clinical responses are associated most commonly with

this syndrome? (Select all that apply.)

2

Confusion

3

Constipation

Swollen lymph glands

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Confidence: Nailed it

1 140388480

Oropharyngeal candidiasis

Incorrect5

Confidence: Nailed it

1 140389944

Ferritin, a form of stored iron, is reduced with iron deficiency anemia. Platelets will be within

the expected range or increased with iron deficiency anemia. Red, not white, blood cells are

decreased with iron deficiency anemia. Total iron-binding capacity will be increased with iron

deficiency anemia.

Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by studying

often, not long. Spend at least 15 minutes every day reviewing the "old" material. This

action alone will greatly reduce anxiety. The more time you devote to reviewing past

material, the more confident you will feel about your knowledge of the topics. Start this

review process on the first day of the semester. Don't wait until the middle to end of the

semester to try to cram information.

47%of students nationwide answered this question correctly.

Incorrect1

A client develops iron deficiency anemia. Which of the client's laboratory test results

should the nurse expect to be decreased?

Correct1

3

White blood cell count

4

Total iron-binding capacity

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The nurse is conducting a nutrition class for a group of clients with congestive heart

failure (CHF). It would be most important for the nurse to explain the importance of:

Restricting fluid intake

Correct2

Choosing fresh or frozen vegetables instead of canned ones

3

Eating a low-calorie diet to reduce weight

Confidence: Nailed it

1 140420337

Platelet count

Incorrect2

Ferritin level

The key principle to teach CHF clients is the importance of decreasing sodium in

their diet and which foods contain sodium. If sodium is decreased, water retention will

decrease also. Fresh or frozen vegetables have less sodium than canned ones. If the client is

on a low-sodium diet and receiving diuretics but continues to be fluid overloaded, then fluid

restriction may be instituted. A low-calorie diet is not indicated for all CHF clients. Some are

very thin because of various factors, including the work of breathing and rapid heart rate. A

low-cholesterol diet is important for clients with coronary artery disease and for the

American population in general, but is not specifically related to CHF.

45%of students nationwide answered this question correctly.

Prolonged lack of oxygen to hair follicles results in hair loss. Prolonged lack of oxygen to the

toes results in yellow, thickened toenails. Arterial ulcers are painful because of the

interruption of blood supply to peripheral tissues. Inadequate arterial perfusion results in

diminished volume of blood flow to the lower extremities. Brown skin discoloration is

characteristic of venous ulcers; red blood cells break down and release ferrous sulfate into

the interstitial compartment.

17%of students nationwide answered this question correctly.