HESI Remediation

"A client is being discharged following treatment for left-sided heart failure. The nurse is teaching the client the purpose, actions, adverse effects, and use of digoxin (Lanoxin) 0.25 mg daily and hydrochlorothiazide (HydroDIURIL) 50 mg, prescribed for daily use. Which statement by the client indicates that further discharge teaching is needed?" A) i should decrease my intake of foods high in potassium, such as bananas B) i should take my radial pulse before taking these medications C) these medications will cause an increase in urine output D) these medications should be taken in the morning rather than in the evening

A) i should decrease my intake of foods high in potassium, such as bananas

A nurse is monitoring a postoperative client for signs of a bowel obstruction. The nurse suspects early intestinal obstruction when which of the following is heard on auscultation of the bowel sounds? A) Absent bowel sounds in all four quadrants B) High-pitched tinkling sounds C) Diminished sounds D) Resonance

B) High-pitched tinkling sounds

"A postoperative client has been vomiting, has absent bowel sounds, and paralytic ileus has been diagnosed. The physician orders insertion of a nasogastric tube. The nurse explains the purpose of the tube and the insertion procedure to the client. The client says to the nurse, "I'm not sure I can take any more of this treatment." The nurse makes which statement to the client?" A) it is your right to refuse any treatment. I'll notify the physician B) You are feeling tired and frustrated with your recovery from surgery? C) If you don't have this tube put down, you will just continue to vomit. D) Let's just put the tube down so you can get well.

B) You are feeling tired and frustrated with your recovery from surgery?

A client with tuberculosis presents with cough, shortness of breath, and thick purulent secretions. The client reports that he stopped taking rifampin (Rifadin) and isoniazid (INH) because he was "feeling better" and states, "I need to get some sleep. I haven't slept in 3 days. I keep waking up coughing. Whatever is down there is stuck." Which nursing diagnosis is most important for the nurse to address? A) disabled family coping B) ineffective airway clearance C) disturbed sleep pattern D) noncompliance

B) ineffective airway clearance

A client has begun medication therapy with hydrochlorothiazide (Oretic). The nurse interprets that which item reported by the client indicates that the client is experiencing a side effect of the medication? A) weight loss of 4 pounds B) decreased blood pressure C) photosensitivity D) hypoglycemia

C) photosensitivity

A nurse reviews the plan of care for a child who is hospitalized with a diagnosis of human immunodeficiency virus (HIV). Which of the following nursing diagnoses would the nurse identify as the priority in caring for this child? A) interrupted family processes related to a terminal disease B) risk for imbalanced nutrition: less than body requirements C) risk for infection related to impaired body defenses D) impaired social interaction related to the social stigma of the disease

C) risk for infection related to impaired body defenses

A nurse admits a newborn infant to the nursery. On assessment of the infant, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse determines that this finding indicates: A) increased intracranial pressure B) dehydration C) decreased intracranial pressure D) a normal finding

D) a normal finding

"A client is admitted to a telemetry unit with a potassium (K+) level of 6.3 mEq/L. In analyzing the cardiac rhythm, the nurse would anticipate which of the following ECG changes?" A) a sinus rhythm with a depressed ST segment B) a sinus tachycardia with a prolonged QT interval C) a sinus tachycardia with an extra U wave D) a sinus rhythm with a peaked T wave

D) a sinus rhythm with a peaked T wave

"A nurse reviews a physician's orders and notes that a topical nitrate is prescribed. The nurse notes that acetaminophen (Tylenol) is also prescribed to be administered before the nitrate. The nurse plans to implement the order, knowing that the acetaminophen is prescribed because:" A) headache is a common side effect of nitrate B) it potentiates the therapeutic effect of nitrates C) It does not interfere with platelet action as acetylsalicylic acid (aspirin) does D) Fever usually accompanies myocardial infarction

A.) headache is a common side effect of nitrate

"After performing an initial abdominal assessment on a client with a diagnosis of cholelithiasis, the nurse documents that the bowel sounds are normal. Which of the following descriptions best describes this assessment finding?" A) waves of loud gurgles auscultated in all four quadrants B) very high-pitched loud rushes auscultated especially in one or two quadrants C) Soft gurgling or clicking sounds auscultated in all four quadrants D) low-pitched swishing sounds auscultated in one or two quadrants

C) Soft gurgling or clicking sounds auscultated in all four quadrants

A female adolescent client is admitted to the mental health unit after medical stabilization for an overdose of acetaminophen (Tylenol). The client's boyfriend broke up with her 2 weeks ago and the client stopped eating at that time and has lost 15 pounds. The nurse avoids which intervention when caring for a client? A) offer frequent, nutritious snacks B) provide meals on an isolation tray that contains no glass or metal utensils C) stand the client in front of a mirror to show her how thin she is D) offer bland, easily digestible foods

C) Stand the client in front of a mirror to show her how thin she is

The client with chronic renal failure who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril (Vasotec). The nurse plans to administer this medication: A) just before dialysis B) during dialysis C) upon return from dialysis D) the day after dialysis

C) upon return from dialysis

A client who is newly diagnosed with chronic renal failure is scheduled for hemodialysis this morning and asks the nurse why the daily dose of enalapril (Vasotec) has not been given. The nurse tells the client that this medication will be given: A) just before going to hemodialysis B) during the hemodialysis C) when dialysis is completed D) at bedtime

C) when dialysis is completed

A client is hospitalized for ingesting an overdose of acetaminophen (Tylenol). The nurse prepares to administer which specific antidote for this medication overdose? A) Protamine Sulfate B) Naloxone hydrochloride (narcan) C) Acetylcysteine (Mucomyst) D) Vitamin K (AquaMEPHYTON)

C. Acetylcysteine (mucomyst)

A client who has had an abdominal aortic aneurysm repair is one day postoperative. The nurse performs an abdominal assessment and notes the absence of bowel sounds. The nurse should: A) call the physician immediatley B) remove the nasogastric (NG) tube C) feed the client D) document the finding and continue to assess for bowel sounds

D) document the finding and continue to assess for bowel sounds

A nurse is monitoring a depressed female adolescent who may be suicidal. Which behavior observed by the nurse indicates that the client is at high risk for suicide? A) the client refuses to communicate B) the client attempts to manipulate another nurse C) the client argues with her parents when they visit D) the client gives a cherished book of poems to another client

D) the client gives a cherished book of poems to another client