QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six
months. The nurse should assess the woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause.
D. postmenopause.
Correct Answer: C
Section: (none)
Explanation
...
Number: HESI
Passing Score: 800
Time Limit: 120 min
File Version: 22.21
http://www.gratisexam.com/
The questions in the dump are fantastic, the test will take different versions of the questions and
display the answers differently.
The term 'brain dump' and the word 'braindump' are both becoming more and more popular amongst
bloggers and may not be related to the illegal braindump.
Good explanation provided and the references added most of the questions.
Pretty much all the questions we study that no answer in doubt.
Tip just read the questions carefully and you will make it... Thanks for this dump, it is a good guide....
,Exam A
QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six
months. The nurse should assess the woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause.
D. postmenopause.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function
diminishes, and menses become irregular. Perimenopause lasts approximately five years. Climacteric is a
term
applied to the period of life in which physiologic changes occur and result in cessation of a woman's
reproductive
ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause
are
interchangeable terms when used for females. Menopause is the period when permanent cessation of
menses has
occurred. Postmenopause refers to the period after the changes accompanying menopause are
complete.Health
Promotion and Maintenance
QUESTION 2
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a
contraindication for hormone replacement therapy?
A. family history of stroke
B. ovaries removed before age 45
C. frequent hot flashes and/or night sweats
D. unexplained vaginal bleeding
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family history of
stroke is not a contraindication for hormone replacement therapy. If the woman herself had a history of
stroke or
other blood-clotting events, hormone therapy could be contraindicated. Frequent hot flashes and/or night
sweats
can be relieved by hormone replacement therapy.Health Promotion and Maintenance
QUESTION 3
Teaching about the need to avoid foods high in potassium is most important for which client?
A. a client receiving diuretic therapy
B. a client with an ileostomy
C. a client with metabolic alkalosis
D. a client with renal disease
,Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium.
Choices 1, 2, and 3 are incorrect because clients receiving diuretics with ileostomy or with metabolic
alkalosis
are at risk for hypokalemia and should be encouraged to eat foods high in potassium.Physiological
Adaptation
QUESTION 4
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/
L?
A. metabolic alkalosis
B. homeostasis
C. respiratory acidosis
D. respiratory alkalosis
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
Explanation:
These ABG values are within normal limits. Choices 1, 3, and 4 are incorrect because the ABG values
indicate none of these acid-base disturbances.Physiological Adaptation
QUESTION 5
The major electrolytes in the extracellular fluid are:
http://www.gratisexam.com/
A. potassium and chloride.
B. potassium and phosphate.
C. sodium and chloride.
D. sodium and phosphate.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Sodium and chloride are the major electrolytes in the extracellular fluid.Physiological Adaptation
QUESTION 6
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry
tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the
, following nursing measures is most appropriate to meet the expected outcome of positive body image?
A. administering immune globulin intravenously
B. assessing the extremities for edema, redness and desquamation every 8 hours
C. explaining progression of the disease to the client and his or her family
D. assessing heart sounds and rhythm
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Teaching the client and family about progression of the disease includes explaining when symptoms can
be expected to improve and resolve. Knowledge of the course of the disease can help them understand
that no
permanent disruption in physical appearance will occur that could negatively affect body image.
Clients with
Kawasaki disease might receive immune globulin intravenously to reduce the incidence of coronary artery
lesions
and aneurysms. Cardiac effects could be linked to body image, but Choice 3 is the most direct link to body
image.
The nurse assesses symptoms to assist in evaluation of treatment and progression of the disease.Health
Promotion and Maintenance
QUESTION 7
Which of the following is most likely to impact the body image of an infant newly diagnosed with
Hemophilia?
A. immobility
B. altered growth and development
C. hemarthrosis
D. altered family processes
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Altered Family Processes is a potential nursing diagnosis for the family and client with a new diagnosis of
Hemophilia. Infants are aware of how their caregivers respond to their needs. Stresses can have an
immediate
impact on the infant's development of trust and how others relate to them because of their diagnosis.
The longterm
effects of hemophilia can include problems related to immobility. Altered growth and development could not
have developed in a newly diagnosed client. Hemarthrosis is acute bleeding into a joint space that is
characteristic
of hemophilia. It does not have an immediate effect on the body image of a newly diagnosed
hemophiliac.Health
Promotion and Maintenance
QUESTION 8
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine
woman be present in the examination room. Which of the following is an appropriate response by the
nurse?
A. "I will assist you in arranging to have a medicine woman present."
B. "We do not allow medicine women in exam rooms."
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