HESI (MIXED RN QUESTIONS) QUESTIONS AND ANSWERS LATEST UPDATE
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HESI
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HESI
HESI (MIXED RN QUESTIONS) QUESTIONS AND ANSWERS LATEST UPDATE
While reviewing the laboratory reports of a client, the nurse finds that the client has low sodium levels. Which hormonal imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol
Cort...
HESI (MIXED RN QUESTIONS) QUESTIONS AND
ANSWERS LATEST UPDATE
While reviewing the laboratory reports of a client, the nurse finds that the client
has low sodium levels. Which hormonal imbalance should the nurse suspect in
the client?
Epinephrine
Glucagon
Calcitonin
Cortisol
Cortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that maintains sodium and
water balance. Therefore, reduced sodium levels in the client indicate a cortisol
imbalance. Additionally, depleted sodium levels in a client indicate hyponatremia.
Epinephrine is a catecholamine, which helps in maintaining homeostasis. Glucagon
increases blood glucose levels and does not play a role in maintaining electrolyte
balance. Calcitonin helps in regulating serum calcium levels.
A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The
nurse rushes to the scene and determines that the person is in cardiopulmonary
arrest. What should the nurse do first?
Multiple choice question
Feel for a pulse
,Begin chest compressions
Leave to call for assistance
Perform the abdominal thrust maneuver
chest compressions
According to the American Heart Association and Heart and Stroke Foundation of
Canada for CPR, the first step is to feel for a pulse after unresponsiveness is
established. In this case, it has been established the client has no pulse
(cardiopulmonary arrest); therefore chest compressions are initiated. Do not leave the
client to call for assistance. The abdominal thrust (Heimlich) maneuver is used to relieve
airway obstruction and is not appropriate in this instance.
nurse is caring for a client with glaucoma. Which rationale associated with the
need for treatment of this condition should the nurse include in a teaching
program?
Total blindness is inevitable.
Lost vision cannot be restored.
Use of both eyes usually is restricted.
Surgery will help the problem only temporarily.
Lost vision cannot be restored.
Retinal damage caused by the increased intraocular pressure of glaucoma is
progressive and permanent if the disease is not controlled; lost vision cannot be
restored. Early treatment may prevent blindness. One eye may be affected, and there is
,no restriction on the use of either eye. Surgery can open up drainage and permanently
reduce pressure.
A healthcare provider determines that a client has myasthenia gravis. Which
clinical findings does the nurse expect when completing a health history and
physical assessment? .
Multiple selection question
Double vision
Problems with cognition
Difficulty swallowing saliva
Intention tremors of the hands
Drooping of the upper eyelids
Nonintention tremors of the extremities
double vision, difficulty swallowing, drooping eyelids
Double vision occurs as a result of cranial nerve dysfunction. Facial muscles innervated
by the cranial nerves often are affected; difficulty with swallowing (dysphagia) is a
common clinical finding. Drooping of the upper eyelids (ptosis) occurs because of
cranial nerve III (oculomotor) dysfunction. Myasthenia gravis is a neuromuscular
disease with lower motor neuron characteristics, not central nervous system symptoms.
Intention tremors of the hands are associated with multiple sclerosis. Nonintention
tremors of the extremities are associated with Parkinson disease.
A nurse is caring for a client with right-sided heart failure. Which assessment
findings are key features of right-sided heart failure?
, Multiple selection question
Collapsed neck veins
Distended abdomen
Dependent edema
Urinating at night
Cool extremities
Distended abdomen
Dependent edema
Urinating at night
Right-sided heart failure is associated with increased systemic venous pressures and
congestion, as manifested by a distended abdomen, dependent edema, and urinating at
night. Distended, not collapsed, neck veins occur in right-sided heart failure. Cool
extremities are key features of left-sided heart failure.
A client is diagnosed with an eczematous eruption with well-defined and
geometric margins on the scalp. Which condition does the nurse anticipate in the
client?
Drug eruption
Atopic dermatitis
Contact dermatitis
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