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HESI - Mid-Curricular exam questions and answers 2024
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HESI - Mid-Curricular exam questions and answers 2024
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HESI - Mid-Curricular examquestions and answers 2024
A young adult client, admitted to the emergency department
following a motor vehicle collision is receiving transfusion of 4 units
of packed red blood cells (PRBC). The client's pretransfusion
hematocrit is 17% (0.17 volume). How many hematocrit value
should the nurse expect the client to have after all of the PRBCs
have been transfused
Reference Range:
Hematocrit (42% to 52% (0.4Lto 0.52 volume fraction)]
A 9% (0.09 volume fraction).
B 39% (0.39 volume fraction).
C 19% (0.19 volume traction)
D 29% (0.29 volume fraction).
D 29% (0.29 volume fraction).
A female client on a psychiatric unit is sweating profusely while she
vigorously does push- ups and then runs the length of the corridor
several times before crashing into furniture in the sitting room.
Picking herself up, she begins to toss chairs aside, looking for a red
one to sit in. When another client objects to the disturbance, the
client shouts, "I am the boss here. I do what I want." Which nursing
problem best supports these observations?
• A Disturbed personal identity related to grandiosity.
• B Risk for activity intolerance related to hyperactivity.
• C Risk for other related violence related to disruptive behavior.
• D Deficient diversional activity related to excess energy level.
• C Risk for other related violence related to disruptive behavior.
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The antitubular drug isoniazid is prescribed for a client with active
tuberculosis. To evaluate the effectiveness of this medication, which
outcome can the nurse expect this client to exhibit?
A Decreased appetite and weight loss.
B A positive sputum smear and culture.
C Decreased cough and sputum.
D Vertigo and tinnitus.
C Decreased cough and sputum.
5 The nurse performs a routine assessment on a 12-hour-old infant.
Which finding requires the nurse to intervene?
• A Crying for more than 10 minutes.
• B Acrocyanosis with hands and feet cool to touch.
• C Respiratory rate of 73 breaths/minute.
• D No voiding or stooling since birth.
• C Respiratory rate of 73 breaths/minute.
→ infant is hyperventilating; should be 30-60 breaths/min
A client with acquired immunodeficiency syndrome (AIDS) has
impaired gas exchange from a respiratory infection. Which
assessment finding warrants immediate intervention by the nurse?
• A Diminished lung sounds.
, • B Generalized weakness.
• C Elevated temperature.
• D Pain when swallowing.
• A Diminished lung sounds.
A client who is terminally ill has an advance directive that stipulates
no resuscitative measures are to be taken. The client's death is
imminent and the family is in the client's room. The client is
currently exhibiting Cheyne-Stokes respirations and has a blood
pressure of 60/30 mm Hg. Which is the priority nursing action?
• A Allow privacy for the family and client to express their feelings
to one another.
• B. Elevate the head of the client's bed and apply oxygen using a
face mask.
• C Apply an automatic blood pressure cuff and take readings every
15 minutes.
• D Teach the client's family how to use an oral suction device to
clear the airway.
• A Allow privacy for the family and client to express their feelings
to one another.
A client with cirrhosis has ascites and reports feeling short of
breath. The client is in a Semi-Fowler's position with arms posit
Which action should the nurse implement?
A Reposition the client in a side-lying position and support his
abdomen with pillows.
B Raise the head of the bed to a Fowler's position and support his
arms with a pillow.
C Place the client in a shock position and monitor his vital signs at
frequent intervals.
D. Elevate the client's feet on a pillow while keeping the head of the
bed elevated.
B Raise the head of the bed to a Fowler's position and support his
arms with a pillow.
A school-aged child is admitted with status asthmaticus. The child is
receiving oxygen at 4 liters/minute per nasal cannula, but remains
dyspneic and is extremely anxious. Which intervention should the
nurse implement?
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