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NUR HESI Edition COMPREHENSIVE REVIEW Exam
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NUR MISC HESI Edition 6 EXIT COMPREHENSIVE REVIEW A Exam Questions And Answers s Best Rated A+ Guaranteed Success Latest Update 2022/2023
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NUR MISC HESI Edition 6 EXIT COMPREHENSIVEREVIEW A Exam Questions And Answers Best Rated A+
Guaranteed Success Latest Update 2022/2023
A male client with Parkinson disease is prescribed the antiparkinsonian agent
amantadine HCl. Which action should the nurse take?
A. Encourage foods high in vitamin B6 such as meat or liver.
B. Teach client to change positions slowly.
C. Instruct client to take at the same time as prescribed beta blocker.
D. Notify client that development of a rash is a common side effect.
Rationale:
Amantadine can cause postural hypotension, so sudden position changes
should be avoided. Options A and C are contraindicated with this drug, and
option D is a sign of a possible allergic reaction, not a common side effect.
A client tells the nurse that he is suffering from insomnia. Which
information is most important for the nurse to obtain?
A. The client's usual sleeping pattern
B. Whether the client smokes
C. How much liquid the client consumes before bedtime
D. The amount of caffeine that the client consumes during the day
,Rationale:
The first thing to determine is the client's usual sleeping pattern and how it has
changed to become what the client describes as insomnia. Options B, C, and D
provide additional information after option A is ascertained.
A client has been on a mechanical ventilator for several days. What should the
nurse use to document and record this client's respirations?
A. The respiratory settings on the ventilator
B. Only the client's spontaneous respirations
C. The ventilator-assisted
respirations minus the
clienbt's independent
breaths
D. The ventilator setting for respiratory rate
and the client-initiated respirations
Rationale:
The nurse should count the client's respirations and document both the respiratory
rate set by the ventilator and the client's independent respiratory rate. Never rely
strictly on option A. Although the client's spontaneous breaths will be shallow and
machine-assisted breaths will be deep, it is important to record machine-assisted
breaths as well as the client's spontaneous breaths to get an overall respiratory
picture of the client.
Six hours following thoracic surgery, a client has the following arterial blood
gas (ABG) findings: pH, 7.50; PaCO2, 30 mm Hg; HCO3, 25 mEq/L; PaO2,
96 mm Hg. Which intervention should the nurse implement based on these
results?
, A. Increase the oxygen flow rate from 4 to 10 L/min per nasal cannula.
B. Assess the client for pain and administer pain medication as prescribed.
C. Encourage the client to take short shallow breaths for 5 minutes.
D. Prepare to administer sodium bicarbonate IV over 30 minutes.
Rationale:
These ABGs reveal respiratory alkalosis, and treatment depends on the underlying
cause. Because the client is only 6 hours postoperative, he or she should be
assessed for pain because treating the pain will correct the underlying problem. A
PaO2 of 96 mm Hg does not indicate the need for an increase in oxygen
administration. The PaCO2 indicates mild hyperventilation, so option C is not
indicated. In addition, it is very difficult to change one's breathing pattern. The use
of sodium bicarbonate is indicated for the treatment of metabolic acidosis, not
respiratory alkalosis.
A 77-year-old female client states that she has never been so large around the
waist and that she has frequent periods of constipation. Colon disease has been
ruled out with a flexible sigmoidoscopy. Which information should the nurse
provide to this client?
A. As women age, they often become rounder in the
middle because they do not exercise properly.
B. Further assessment is indicated because loss of
abdominal muscle tone and constipation do not
occur with aging.
C. With age, more fatty tissue develops in the
abdomen and decreased intestinal movement
can cause constipation.
D. Because there is no evidence of a diseased
, colon, there is no need to worry about
abdominal size.
Rationale:
With aging, the abdominal muscles weaken as fatty tissue is deposited around the
trunk and waist. Slowing peristalsis also affects the emptying of the colon, resulting
in constipation. Option A is not the primary reason for the changes in body
structure. Option B is not indicated because loss of muscle tone and constipation are
age-related changes. Option D dismisses the client's concerns and does not help her
understand the changes that she is experiencing.
A mother of a 12-year-old boy states that her son is short and she fears that he
will always be shorter than his peers. She tells the nurse that her grown
daughter only grew 2 inches after she was 12 years of age. To provide health
teaching, which question is most important for the nurse to ask this mother?
A. "Is your son's short stature a social embarrassment to him or the family?"
B. "What types of foods do both your children eat
now and what did they eat when they were
infants?"
C. "Did any significant trauma occur with the birth of your son?"
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