MS2 Mod 3 HESI - Elsevier Adaptive Quizzing

The nurse is conducting a client interview. Which response by the nurse is an example of back channeling?

"All right, go on... "

A 50-year-old client seen for a routine physical asks why a stool specimen for occult blood testing has been ordered. Which is the correct nursing response?

"It is performed routinely starting at your age as part of an assessment for colon cancer."

How would the nurse respond to a client who expresses malignancy fears associated with the pending bone biopsy report?

"It is very upsetting to have to wait for a biopsy report."

Which statement indicates the nurse has a correct understanding of kidney ultrasonography?

"Kidney ultrasonography makes use of sound waves and has minimal risk."

During a health symposium the nurse teaches the group how to prevent food poisoning. Which statement by one of the participants indicates the teaching is understood?

"Meats and cream-based foods need to be refrigerated."

A client with chronic kidney disease selects treatment using continuous ambulatory peritoneal dialysis (CAPD). Which statement indicates the client understands the purpose of this therapy?

"The treatment uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."

Which instruction on infection prevention would the nurse include when providing discharge education to a client who received a cadaveric renal transplant? Select all that apply. One, some, or all responses may be correct.

-ALL- Avoid eating from buffets. Obtain annual flu vaccinations. Perform regular hand hygiene. Stay away from crowded areas. Report a temperature greater than 100.5°F

Which assessment parameter is used to determine the severity of blood loss in a client with an upper gastrointestinal (UGI) bleed? Select all that apply. One, some, or all responses may be correct.

-ALL- Hematocrit, Hemoglobin, Platelet count, Oxygen saturation, Blood urea nitrogen (BUN)

Arrange the sequence of events occurring during a fever in chronological order.

1. Pyrogens are destroyed. Incorrect2.Body temperature is increased.Incorrect3.Heat loss responses are initiated.Incorrect4.The set point of the hypothalamus is raised.Incorrect5.Immune system response is triggered. A true fever results from an alteration in the hypothalamic set point. Pyrogens act as antigens that trigger the immune system response. The hypothalamus reacts by raising the set point, thereby increasing the body temperature. Once the pyrogens are removed, the third phase of a febrile episode occurs. Heat loss responses are initiated when the hypothalamus set point drops.

The nurse is caring for a client with a bowel obstruction. Which assessment findings indicate the possible onset of peritonitis? Select all that apply. One, some, or all responses may be correct.

3. Rebound tenderness 4. Diminished bowel sounds 5. Rigid, boardlike abdomen

An older adult with chills arrived to the hospital. The nurse assesses the client's vital signs and determined the client has a fever. Which would be the client's rectal temperature?

38.5°C

The nurse suspects that a client has interacted with poison ivy because assessment findings reveal vesicles on the arms and legs. Which is the description of a vesicle?

A lesion filled with serous fluid

A client expresses a complete lack of interest in food. How would the nurse document this finding in the client's medical record?

Anorexia

Which description is common to zosteriform-type lesions?

Band-like distribution

The nurse is caring for a client admitted with peritonitis. Which finding in the medical record is most likely the cause?

Bowel obstruction

A client is admitted with a suspected malignant melanoma on the arm. When performing the physical assessment, which would the nurse expect to find?

Brown or black mole with red, white, or blue areas

Which collecting structure is located at the end of the renal papilla?

Calyx

A client with a high cholesterol level says to the nurse, "Why can't I take a medication that will eliminate all of the cholesterol in my body so it isn't a problem?" The nurse explains that some cholesterol is needed to perform which body function?

Cellular membrane structure

Which characteristic of urine changes in the presence of a urinary tract infection (UTI)?

Clarity

Which client's joint fluid examination report indicates a normal finding?

Client D: Transparent, Staw-colored fluid

Which is the sequence of techniques used while assessing the abdomen?

Correct 1. Inspection Correct2.Auscultation Correct3.Percussion Correct4.Palpation

Which information would the nurse provide a client with a new colostomy about managing the appliance?

Cut opening 1/8- to 1/16-inch larger than stoma

The client reports difficulty in breathing. The nurse auscultates lung sounds and assesses the respiratory rate. Which is the purpose of the nurse's action?

Data collection

Which report by the client post transrectal prostate biopsy needs to be communicated to the health care provider as a possible sign of infection?

Discharge from the penis

Which clinical manifestation would the nurse expect when a client experiences fat embolism syndrome (FES)?

Dyspnea

Which diagnostic procedure is used to detect muscle weakness?

Electromyography

Before a client with syphilis can be treated, which issue must be addressed?

Existence of allergies

Which instrument is the nurse using in this image?

Goniometer

The nurse tells a client undergoing diuretic therapy to avoid working in the garden on hot summer days. Which condition is the nurse trying to prevent in this client?

Heatstroke

A client, transferred to the postanesthesia care unit after a transurethral resection of the prostate (TURP), has an intravenous (IV) line and a urinary retention catheter. During the immediate postoperative period, for which potentially critical complication would the nurse monitor?

Hemorrhage

While inspecting the external eye structure of a client, the nurse finds bulging of the eyes. Which condition would be suspected in the client?

Hyperthyroidism

Which type of breathing pattern is manifested with hypercarbia?

Hypoventilation

When would the nurse expect the client who has rheumatoid arthritis to experience the most joint pain and stiffness?

In the morning on awakening

Which is the correct order of steps of the nursing diagnostic process?

Incorrect 1. Cluster data. Incorrect2.Formulate nursing diagnoses. Correct3.Interpret the meaning of the data.Incorrect4.Identify the client's needs. Correct5.Look for defining characteristics.Incorrect6.Assess the client's health status.

The nurse is preparing to teach a community health program for senior citizens. Which physical findings would the nurse include that are typical in older adults?

Increased blood pressure and decreased cardiac outpu

A client reports giddiness, excessive thirst, and nausea. Which parameter assessed by the nurse confirms the diagnosis as a heat stroke?

Increased heart rate

To prevent the development of ureteral colic from renal calculi in the future, which strategy would the nurse include in the client's plan of care?

Instruct the client to drink at least 3 L of fluid daily

Which assessment is necessary for the nurse to complete in a client with chronic kidney disease receiving loop diuretics?

Intake and output measurement

Which part of the kidney produces the hormone bradykinin?

Juxtaglomerular cells of the arterioles

A client shows an increase in respiratory rate that is abnormally deep and regular. Which condition would the nurse expect?

Kussmaul's respiration

Which description describes a coalesced type of skin lesion configuration?

Lesions merge together and appear confluent.

Which disorder is a cause of systemic altered inflammatory response in impaired wound healing?

Leukemia

A pathology report states a client's urinary calculus is composed of uric acid. Which food item would the nurse instruct the client to avoid?

Liver

The nurse is assessing an older adult during a regular checkup. Which finding(s) during the assessment is/are normal? Select all that apply. One, some, or all responses may be correct.

Loss of tumor, Decreased night vision, Decreased Mobility of ribs

Which hormone is crucial for ovulation and complete maturation of the ovarian follicles?

Luteinizing hormone

A 55-year-old client reports cessation of menstrual periods for a year. Which term describes the client's condition?

Menopause

Which organism infestation is diagnosed with the help of the mineral oil test?

Mites

Which benign condition of the client's skin is associated with the grouping of normal cells derived from melanocytelike precursor cells?

Nevi

After numerous diagnostic tests, a client with jaundice receives the diagnosis of pancreatic cancer. Which rational explains the cause of the client's jaundice?

Obstruction of the common bile duct by the pancreatic neoplasm

On the third postoperative day after a subtotal gastrectomy, a client reports severe abdominal pain. The nurse palpates the client's abdomen and determines rigidity. Which action would the nurse perform first?

Obtain the client's vital signs.

Nurses care for clients in a variety of age groups. In which age group is the occurrence of chronic illness the greatest?

Older adults

Which is the first-line treatment for Paget's disease?

Oral alendronate

Which physical assessment maneuver is the nurse performing when placing the nurse's left hand under on the client's right lower back between the rib cage and the iliac crest?

Palpation

While assessing the skin of a client, the nurse identifies an elevated, solid lesion measuring 4 mm × 4 mm in size. Which type of lesion does the client have?

Papule

A client has a diagnosis of partial-thickness burns. While planning care, the nurse recalls that the client's burn is different than full-thickness burns. Which information did the nurse recall?

Partial-thickness burns are often painful, reddened, and have blisters.

The nurse is educating new parents about circumcision. Which structure of the penis would the nurse tell the parents is removed during circumcision?

Prepuce

Which structure surrounding the male urethra would the nurse describe to a client scheduled for a dilation of the urethra?

Prostate gland

Which factor would the nurse explain as a reason why women are at a greater risk than men for contracting a urinary tract infection?

Proximity of urethra to anus

The nurse is performing a male reproductive system assessment of an older adult client. The nurse expects which age-related finding?

Reduced size of testes

While assessing a client with chills and fever, the nurse observes that the febrile episodes are followed by normal temperatures. These episodes are longer than 24 hours. Which fever pattern would the nurse anticipate?

Relapsing

Which process is a function of the kidney hormones?

Renin raises blood pressure because of angiotensin and aldosterone secretion.

The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction. Which tube would the nurse select?

Salem sump

Which site is best used to assess a client for jaundice?

Sclera

The nurse is developing a teaching plan for a client with lower extremity arterial disease (LEAD). Which directions will the nurse include in the teaching plan?

Seeking professional treatment for any minor injuries to the extremities

Which type of skin lesion has a wavy border?

Serpiginous

The nurse recognizes which mental process is associated with deterioration that accompanies aging?

Short-term memory

A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy outcome would the nurse expect with this client?

Shrinkage of the tumor when scanned

The nurse pulls up on the client's skin and releases it to determine whether the skin returns immediately to its original position. Which is the nurse assessing for?

Skin turgor

Which sites would be safer and less expensive for temperature measurement? Select all that apply. One, some, or all responses may be correct.

Skin, Axilla

A registered nurse (RN) is performing a physical examination of a client with chronic obstructive pulmonary disease. Which abnormal nail bed patterns would be expected in this client?

Softening of nail beds and flat nails

Where is the nurse positioned when performing a Romberg test?

Standing to the side of the client

A client is scheduled for a cholecystectomy and asks the primary nurse about the function of the gallbladder. Which explanation would the nurse give?

Stores and concentrates bile

The nurse assessed a client's pulse rate and recorded the score as 3+. Which describes the strength of the pulse?

Strong

Which integumentary finding is related to skin texture?

Surface character

A client experiencing chills and fever is admitted to the hospital. After assessing the client's vitals and medical history, the nurse concludes that the client's fever pattern is remittent. Which assessment finding led to this conclusion?

The client's fever spikes and falls without a return to normal temperature levels.

The nurse is assessing a client who had knee replacement surgery. Which assessment finding gathered by the nurse is an example of subjective data?

The client's pain is 7 on a scale of 1 to 10.

The nurse is developing a nursing diagnosis for a client after surgery. The nurse documents the "related to" factor as first-time surgery. Which assessment activity enabled the nurse to derive this conclusion?

The nurse asks the client to explain the surgery.

Which statement is true for collaborative problems in a client?

They are identified by the nurse during the nursing diagnosis stage.

Which hormone increases the rate of protein synthesis?

Thyroxine

Which fungal infection does the client refer to as jock itch?

Tinea cruris

Which assessment finding of the skin refers to elasticity?

Turgor

The nurse prepares a male client with a history of recurrent urinary tract infections (UTIs) for discharge after a ureterolithotomy. Which clinical manifestations of a UTI would the nurse teach this client to recognize?

Urgency or frequency of urination

Which condition is likely in a client who has an interruption of venous return?

Varicosity

While examining a client, the nurse finds a 0.6 cm circumscribed elevation of the skin filled with serous fluid on the cheek. Which would the nurse suspect the finding to be?

Vesicle

The nurse is assessing a client who underwent abdominal surgery 10 days ago. The client complains of pain in the abdomen. Which type of pain would the client experience?

Visceral pain

Which phrase describes a greenstick fracture?

Incomplete with one side bent

Which degree of edema will result in a 6-mm deep indentation upon pressure application?

3+

Which part of the kidney senses changes in blood pressure?

Macula densa

The nurse is preparing to initiate antibiotic therapy for a client who developed an incisional infection. Which task would the nurse ensure has been completed before starting the first dose of intravenous antibiotics?

Wound culture

Which joint is an example of a condyloid joint?

wrist joint

Which infection is caused due to fungus?

Dermatophytosis

Where is the blood pressure cuff placed on a client with a dialysis access fistula in the right arm?

On the left arm