Hesi Flashcards

The nurse has conducted a cancer prevention community education program in evaluating the participants understanding of the carcinogens which statement indicates an accurate understanding

A client with a right ulnar fracture and cast placement reports an increase in arm pain which action should the nurse take next

A client experiences residual effects following an acute attack of meniere's disease and receives a new prescription for an antihistamine which assessment finding indicates that the medication is effective

The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?

A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800 mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?

The nurse is providing dietary instructions for a client who is being discharged after passing a calcium oxalate renal stone. Which food should the nurse instruct the client to avoid?

The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?

A client reports to the nurse of recently visiting someone who has a shingles infection the client believes that having had chickenpox as a child will be protective against shingles how should the nurse respond SATA

The nurse is caring for a client with acute kidney injury (AKI) which assessment finding warrants immediate intervention

Which instruction should the nurse in the discharge teaching for a client who has gastroesophageal reflux

Following a motor vehicle collision a client with chest trauma receives a chest tube to relieve a hemothorax two hours following the chest tube insertion the nurse observes the water level in the water seal chamber is rising during inspiration and falling during expiration which action should the nurse implement

A client who was recently diagnosed with Raynaud's disease is concerned about pain management which nursing instruction should the nurse provide

The nurse is developing home care instructions for a client with peripheral artery disease (PAD) which intervention should the nurse include

A client with an external fixation device for a fractured left femur is troubled with left foot pain which intervention should the nurse implement first

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment which assessment finding indicates that the client has been overexposed to the treatment

A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA) which information should the nurse include in the discharge instructions

A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?

A client with chronic kidney disease on peritoneal dialysis exhibits redness tenderness and drainage around the catheter site of the abdominal wall while planning care the nurse is most concerned about preventing which complication related to these findings

While caring for a client with full thickness burns covering 40% of the body the nurse observes purulent drainage from the wounds before reporting this finding to the healthcare provider the nurse should evaluate which laboratory value

The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan which behavior indicates that the client is adhering to the eating plan

A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid the client develops a rigid abdomen with rebound tenderness which action should the nurse take

An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing when assessing this client which additional finding is the nurse likely to obtain

The nurse determines that an adult client who is admitted to the postanesthesia care unit(PACU) following abdominal surgery has a tympanic temperature of 94.6 F a heart rate of 88 beats/min a respiratory rate of 14 breaths/min and a blood pressure of 94/68mmHg which action should the nurse implement

A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH) which information should the nurse provide

While completing a health assessment for a young adult female with acute appendicitis the client informs the nurse that there is a chance that she may be pregnant the operating team is preparing to take the client to surgery which intervention should the nurse implement immediately

Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction

A client with a history of chronic indigestion is brought to the emergency department (ED) with acute abdominal pain and confusion the client reports constipation and frequent urination which of the client's serum laboratory value requires intervention by the nurse

Reference range:

Potassium (3.5-5.0)

Calcium 9 -10.5)(2.25-2.62 mmol/L)

Magnesium (1.3 - 2.1)( 0.65 to 1.05 mmol/L)

Hemoglobin (14-18) (8.7 to 11.2 mmol/L)

The nurse is admitting a client with possible tuberculosis (TB) the client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB

A client with metastatic cancer reports a pain level of 10 on a 0 to 10 scale twenty minutes after the nurse administers an IV analgesic the client states No pain relief yet which intervention is most important for the nurse to include in the client's plan of care

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder which assessment finding should the nurse expect this client to exhibit

Two weeks after returning home from traveling a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell the nurse obtains a nasal swab to test for covid -19 which action is most important for the nurse to take

The nurse is preparing an older client for a magnetic resonance imaging ( MRI) with contrast. Which laboratory value should the nurse report for the healthcare provider (HCP) before the scan is performed?

Reference range:

Glycosylated hemoglobin A!c (HbA1c) [Nondiabetic 4% to 5.9%]

Serum Creatinine [0.6 to 1.2 mg/dl)(53 to 106 umol/L)

Fasting blood sugar (70 - 110 mg/dL)(less than 6.1 mmol/L)

Blood Urea nitrogen (BUN)(10 - 20 mg/dL) (3.6 to 7.1 mmol?L)

A family suspects that AIDS dementia is occuring in their adult child who is HIV positive. Which symptom confirms the suspicion?

The nurse is providing teaching to a client newly diagnosed with type 2 Diabetes mellitus about disease management. Which information stated by the client indicates understanding

When teaching a client with Parkinson's disease, which rationale for the prescription of Carbidopa Levodopa should the nurse include?

A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?

A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?

A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Lactulose was prescribed two days ago for a client who was recently diagnosed with hepatic encephalopathy. The client is confused and experiencing frequent loose stools. Laboratory findings show an elevated serum ammonia (NH3) level of 200 mcg/dL (157.09 umol/L). WHich action should the nurse take?

Reference Range:

Ammonia [10 to 80 mcg/dL (6 to 47 umoL]

A client with chronic kidney disease on peritoneal disease exhibits redness, tenderness and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?