HESI Questions

A client is receiving haloperidol for agitations, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extra-pyramidal tract effect?

-hypertensive crisis

The nurse receives an order to prepare the solution for administering a cleansing enema to a 3-year-old child. Which is the volume of solution the nurse would prepare?

250-350 mL

A client is crying after undergoing dilation and curettage after an early miscarriage (spontaneous abortion). Which response would the nurse give? A. "This must be a very difficult experience for you to deal with." B. "You'll have other children to take the place of the child you lost." C. "Of course you're sad now, but at least you know you can get pregnant." D. "I know how you feel, but when a woman miscarries, it's usually for the best."

A

The nurse is educating a client about managing hypoglycemia unawareness. Which information would the nurse provide? A. Refrain from alternative testing sites B. Use any available meter to monitor levels C. Initiate continuous blood glucose monitoring D. Calibrate the meter before managing hypoglycemia

A

Which component of the client's nephron acts as a receptor site for the anti-diuretic hormone to regulate water balance? A. Collecting ducts B. Bowman capsule C. Distal convoluted tubule D. Proximal convoluted tubule

A

Which conclusion would the nurse make about the assessment finding of a client's very pale-yellow-colored urine? A. Dilute urine B. Hematuria C. Concentrated urine D. Myoglobinuria

A

Which dietary restriction will the nurse expect to be included in the plan for a client with left ventricular failure? A. Sodium B. Calcium C. Potassium D. Magnesium

A

Which factors affect the stress that first responders feel after a mass casualty incident (MCI)? Select all that apply. A. Age B. Gender C. nature of event D. Coping mechanisms E. psychological history

A, C, D, E

According to Kübler-Ross' theory of death and dying, which stage is a terminally ill client displaying by gradually moving towards resolution of feelings about impending death?

Acceptance Stage

Which nursing intervention is the priority for a client with stroke who is transitioned from the emergency department (ED) to other settings?

Assessing the level of consciousness

A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline is started at 125 mL/h. One hour later, the client begins screaming, "I can't breathe!" How would the nurse respond? A. Discontinue the IV and notify the health care provider B. Elevate the head of the bed and obtain vital signs C. Assess the client for allergies and change the IV to an intermittent lock. D. Contact the health care provider to request a prescription for a sedative.

B

Which cation regulates intracellular osmolarity? A. Sodium B. Potassium C. Calcium D. Calcitonin

B

Which degree of edema will result in a 6-mm deep indentation upon pressure application? A. 4+ B. 3+ C. 2+ D. 1+

B

Which statement by the client who has major depressive disorder would alert the nurse to the possibility of a suicide attempt? A. "I don't feel too good today." B. "I feel much better, today is a lovely day." C. "I am a little better, but it probably won't last." D. "I'm really tired today, so I'll take things a little slower."

B

Which alternative therapy may be beneficial for the nurse to discuss with a client who has terminal bone cancer?

Biofeedback

How would the nurse help a child who has fluid restrictions cope with this limitation?

By offering fluids in medicine cups throughout the child's waking hours.

A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and a partial pressure of carbon dioxide (PCO2) of 60 mm Hg. Which complication would the nurse suspect the client is experiencing? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory Acidosis D. Respiratory alkalosis

C

When atrial blood gases done on a client who is being resuscitated after cardiac arrest show a low pH, which factor is the likely cause of the laboratory result? A. Ketoacidosis B. Irregular heartbeat C. Lactic acid production D. Sodium bicarbonate administration

C

Which education would the nurse provide the family of an infant who is human immunodeficiency virus (HIV) positive about the best long-term care environment? A. Pediatric Unit B. Critical Care Unit C. Home Environment D. Extended-care Facility

C

Which item would the nurse keep at the bedside in case of magnesium sulfate toxicity? A. Oxygen B. Naloxone C. Calcium gluconate D. Suction equipment

C

a client who has had a laparoscopic cholecystectomy reports pain in the shoulder. In which position would the nurse place the client? A. Prone B. Supine C. Left Sims D. Trendelenburg

C

Which finding during peritoneal dialysis would the nurse act on as a sign of infection?

Cloudy return of dialysate

The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze. After stopping the infusion, which priority action will the nurse take? A. Notify the primary health care provider immediately about the clients condition B. Take the client's blood pressure C. Obtain the client's pulse oximetry D. Assess the client's respiratory status

D

The nurse providing postoperative care for a client who had kidney surgery reviews the client's urinalysis report. Which urinary finding indicates the need to notify the primary health care provider? A. Acidic pH B. Glucose negative C. Bacteria negative D. Presence of large proteins

D

To be a universal recipient, a person must have which blood type? A. A B. B C. O D. AB

D

Which clinical finding would the nurse associate with hypokalemia? A. edema B. muscle spasms C. Kussmaul respirations D. Muscle weakness

D

Which concern is most important after the initial crisis issues have been addressed? A. Nature of the precipitating factor B. Effect of the situation on significant others C. Client's ability to cope with successive crises D. client's potential to perform activities of daily living

D

Which gland is affected in aldosternoma? A. Kidney cortex B. Thyroid gland C. pituitary gland D. Adrenal cortex

D

The mother who has been separated from her spouse for 6 months reports that her 7-year-old child is falling behind in schoolwork and often cries. Which conclusion about the child would the nurse consider? A. Is feeling different from classmates B. May be happier living with the other parents C. Is working through feelings of shame D. May be experiencing self-blame for the parents' breakup.

D.

A client who recently was told by her primary health care provider that she has extensive terminal metastatic carcinoma of the breast tells the nurse that she believes an error has been made. She states that she does not have breast cancer, and she is not going to die. Which stage of death and dying is the client experiencing?

Denial

Place the five stages of grieving identified and described by Elisabeth Kübler-Ross in order of progression from first to last.

Denial Anger Bargaining Depression Acceptance

Which hormone aids in regulating intestinal calcium and phosphorus absorption?

Glucocorticoids

Which intervention is most important to assist a couple to cope with their feelings about the husband's terminal illness?

Helping the couple express to each other their feelings about his terminal illness.

Which clinical manifestation occurs in a client with vasopressin deficiency?

Hypotension

Which goal would the nurse include for a client who is wanting to learn more effective ways to handle stressful situations?

Identify unhealthy habits that need to be altered.

Which statement regarding calcitonin is correct?

Its actions are opposite to that of parathyroid hormone.

Which element excessively accumulates in the blood to precipitate the signs and symptoms associated with a diabetic coma?

Ketones as a result of rapid fat breakdown, causing acidosis.

Which ovulation stimulant would the nurse identify as being derived from the urine of postmenopausal women?

Menotropins

Which hormone regulates blood levels of calcium?

Parathyroid hormone (PTH)

Which factor is the most significant one that influences a client to cope with an unexpected hospitalization?

Past coping styles

Which key factor assists the nurse in assessing how a client will cope with the body image change after an above-the-knee amputation?

Personal perception of the change

Which interventions would the nurse perform while caring for an actively dying client? Select all that apply.

Provide client and family reassurance. Perform symptom management for the client.

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Relieve the client's discomfort.

Based on an electrocardiogram (ECG), a client is suspected to have hypokalemia. Which test will be used to confirm hypokalemia?

Serum potassium level

Which device would the nurse use to prevent foot-drop for a client on bed rest after a cerebrovascular accident?

Splints

Which behavior would be exhibited in a 2-year-old child after the death of a family member?

The child exhibits changes in eating and sleeping patterns

A client with myasthenia gravis asks the nurse, "What is going to happen to me and to my family?" Which information about the anticipated disease process would the nurse incorporate when responding to the client's question?

The disease is a chronic illness with exacerbation's and remissions.

Which is true about the effect of grief and loss in toddlers?

They express a sense of change in sleeping

Who is the universal blood donor?

Type O

Which blood gas result would the nurse expect an adolescent with diabetic ketoacidosis to exhibit?

pH 7.30 CO2 40 mm Hg HCO3-20 mEq/L (20 mmol/L)

In which parts of the kidney are glucose and amino acids reabsorbed?

proximal tubule