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Exam (elaborations)

HESI 700 Exam Practice Questions and Answers

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HESI 700 Exam Practice Questions and Answers Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? - Ans:-Review with the clien...

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  • October 23, 2024
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HESI 700 Exam Practice Questions and
Answers

Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of

dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the

nurse? - Ans:✔✔-Review with the client the need to avoid foods that are rich in milk and cream


A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns

to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he

has not been taking the prescribed medication because the drugs make him "feel bad". In explaining the

need for hypertension control, the nurse should stress that an elevated BP places the client at risk for

which pathophysiological condition? - Ans:✔✔-Stroke secondary to hemorrhage


The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has

a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What

action should the nurse implement? - Ans:✔✔-Instruct the UAP to obtain soft blankets to secure to the

side rails instead of pillows


An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12

days. Which assessment finding requires immediate follow-up - Ans:✔✔-Describes life without purpose



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A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal

mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are

negative. What information should the nurse include in the client's teaching plan - Ans:✔✔-Further

evaluation involving surgery may be needed


A client who recently underwent a tracheostomy is being prepared for discharge to home. Which

instructions is most important for the nurse to include in the discharge plan? - Ans:✔✔-Teach tracheal

suctioning techniques


In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag

does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute.

What action should the nurse implement - Ans:✔✔-Document the assessment data


Rational: reservoir bag should not deflate completely during inspiration and the client's respiratory rate

is within normal limits.


During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm

should the nurse investigate first? - Ans:✔✔-Respiratory apnea of 30 seconds


During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should

the nurse take first? - Ans:✔✔-Check the client for lacerations or fractures




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At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the

nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which

action should the nurse take first? - Ans:✔✔-Inform the anesthesia care provider


After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To

determine if an S3 heart sound is present, what action should the nurse take first - Ans:✔✔-Listen with

the bell at the same location


A 66-year-old woman is retiring and will no longer have a health insurance through her place of

employment. Which agency should the client be referred to by the employee health nurse for health

insurance needs? - Ans:✔✔-Medicare


A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack

should the nurse instruct the client to take with the tetracycline? - Ans:✔✔-Toasted wheat bread and

jelly


Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse

that the client is experiencing a complication? - Ans:✔✔-"I have a headache that gets worse when I sit

up"


An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with

incontinence. Which action should the nurse implement - Ans:✔✔-Obtain a clean catch mid-stream

specimen



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The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are in

keeping with the child's dietary restrictions. Which foods are contraindicated for this child? - Ans:✔✔-

Foods sweetened with aspartame


Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating

nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response should

the circulating nurse provide? - Ans:✔✔-Direct the nurse to continue the surgical hand scrub for a 5

minute duration


Which breakfast selection indicates that the client understands the nurse's instructions about the dietary

management of osteoporosis? - Ans:✔✔-Bagel with jelly and skim milk


The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal

number of registered nurses will be working that shift. In planning assignments, which client should

receive the most care hours by a registered nurse (RN) - Ans:✔✔-An 82-year-old client with Alzheimer's

disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied


A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician's office.

Upon inspection, the nurse notes that the nail went through the shoe and pierced the bottom of the

child's foot. Which action should the nurse implement first? - Ans:✔✔-Cleanse the foot with soap and

water and apply an antibiotic ointment


The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have been applying triple

antibiotic ointment for two days, but there has been no improvement." What instruction should the

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