hesi practice exam evolve questions with correct
answers
An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis Correct Answer-pulmonary embolism
Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (Select all that apply.)
- quality of the pain
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint Correct Answer-- quality of the pain
- signs of inflammation
- ankle range of motion
- visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
,- joint pain is worse in the morning and involves symmetric joints
- joint pain is better in the morning and worsens throughout the day
- joint pain is consistent throughout the day and is relieved by pain
medication
- joint pain is worse during the day and involves unilateral joints Correct
Answer-joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss Correct Answer-hoarseness
A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis Correct Answer-bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated
with traction. Which action by the nurse is the priority when caring for
this client?
- assess neurovascular status
,- change the client's position
- inspect the traction equipment
- review pain medication orders Correct Answer-assess neurovascular
status
Which statement made by a client with chronic pancreatitis indicates
that further education is needed?
- I will cut back on smoking cigarettes daily
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet Correct Answer-I will cut
back on smoking cigarettes daily
(*avoid nicotine entirely)
The nurse is teaching a female client who uses a contraceptive
diaphragm about reducing the risk for toxic shock syndrome (TSS).
Which information should the nurse include? (Select all that apply.)
- remove the diaphragm immediately after intercourse
- wash the diaphragm with an alcohol solution
- use the diaphragm to prevent conception during the menstrual cycle
- do not leave the diaphragm in place longer than 8 hours after
intercourse
- replace the old diaphragm every 3 months Correct Answer-- do not
leave the diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months
, A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that
he and his wife are having in getting pregnant and wants to know if
other factors could be contributing to their difficulty. What information
is best for the nurse to provide? (Select all that apply.)
- marijuana cigarettes do not affect sperm count
- alcohol consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
- obesity has no effect on sperm production Correct Answer-- alcohol
consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric
tube (NGT) cannister. Which assessment finding should the RN report
as early signs of hypovolemic shock?
- faint pedal pulses
- decrease in blood pressure
- lethargy
- slow breathing Correct Answer-lethargy
The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
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