HESI Comprehensive Exam Exam

HESI Comprehensive Exam / Exam Questions & Detailed Solutions

Quiz____?The nurse is monitoring neurological vital signs for a male client who lost consciousness after falling and hitting his head. Which assessment finding is the earliest and most sensitive indication of altered cerebral function?

• Unequal pupils.
• Loss of central reflexes.
• Inability to open the eyes.
• Change in level of consciousness. -

Answer✓✓ D Quiz____?A nurse is planning to teach self-care measures to a female client about prevention of yeast infections. Which instructions should the nurse provide?

• Use a douche preparation no more than once a month.
• Increase daily intake of fiber and leafy green vegetables.
• Select nylon underwear that is loose-fitting, white, and comfortable.
• Avoid tight-fitting clothing and do not use bubble-bath or bath salts. -

Answer✓✓ D Quiz____?A client who has active tuberculosis (TB) is admitted to the medical unit.What action is most important for the nurse to implement?Page 1 of 52 1 / 4

• Place an isolation cart in the hallway.
• Fit the client with a respirator mask.
• Don a clean gown for client care.
• Assign the client to a negative air-flow room. -

Answer✓✓ D Quiz____?The nurse is planning to conduct nutritional assessments and diet teaching to clients at a family health clinic. Which individual has the greatest nutritional and energy demands?

• A pregnant woman.
• A teenager beginning puberty.
• A 3-month-old infant.
• A school-aged child. -

Answer✓✓ A Quiz____?What nursing delivery of care provides the nurse to plan and direct care of a group of clients over a 24-hour period?

• Team nursing.
• Primary nursing.
• Case management.
• Functional nursing. -

Answer✓✓ B Page 2 of 52 2 / 4

Quiz____?Which approach should the nurse use when preparing a toddler for a procedure?

• Demonstrate the procedure using a doll.
• Avoid asking the child to make choices.
• Plan a teaching session to last about 20 minutes.
• Show equipment but prevent child from handling it. -

Answer✓✓ A Quiz____?The nurse is caring for a client who is the daughter of a local politician.When the nurse approaches a man who is reading the names on the hall doors, he identifies himself as a reporter for the local newspaper and requests information about the client's status. Which standard of nursing practice should the nurse use to respond?

• Caring.
• Veracity.
• Advocacy.
• Confidentiality. -

Answer✓✓ D Quiz____?A male client diagnosed with antisocial personality disorder is morbidly obese and is placed on a low fat, low calorie diet. At dinner the nurse Page 3 of 52 3 / 4

notes that he is trying to get other clients on the unit to give him part of their meals. What intervention should the nurse implement?

• Remove the client from the table and have him sit alone.
• Send the client back to his room and do not allow him to eat.
• Report the behavior to the on-call psychologist immediately.
• Confront the client about the consequences of the behavior. -

Answer✓✓ D Quiz____?Which information should the nurse give a client with chronic kidney disease (CKD)?

• Restrict calcium-rich foods.
• Obtain monthly B12 injections.
• Avoid salt substitutes.
• Increase daily intake of fiber. -

Answer✓✓ C Quiz____?The nurse is assessing a client who complains of weight loss, racing heart rate, and difficulty sleeping. The nurse determines the client has moist skin with fine hair, prominent eyes, lid retraction, and a staring expression. These findings are consistent with which disorder?

• Grave's disease.
• Cushing syndrome.
• Multiple sclerosis.
• Addison's disease. -

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