HESI Comprehensive RN Exam

HESI Comprehensive RN Exam

VERSION 9

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• Position the client with the affected extremity lower than the heart
• Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
• Administer acetaminophen
• Massage the affected extremity every 4 hr
• A nurse is reviewing assessment data from several clients. For which of the following

clients should the nurse recommend referral to a dietitian?

• An older adult client who has a BMI of 24(18.5-24.9)
• A client who has a nonhealing leg ulcer (diet isn’t good)
• An older adult client who has presbyopia (age related far-sightness)
• A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)

• A nurse is providing discharge teaching to a client who has a chronic kidney disease and is

receiving hemodialysis. Which of the following instructions should the nurse include in the teaching?

• Eat 1 g/kg of protein per day
• Take magnesium hydroxide for indigestion
• Drink at least 3 L of fluid daily-
• Consume foods high in potassium- restrict

• A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of

the following places the client at risk for aspiration?

• Sitting in a high-Fowler’s position during the feeding
• A history of gastroesophageal reflux disease
• Receiving a high osmolarity formula
• A residual of 65 mL 1 hr postprandial?

• ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The

nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation?

• Chorionic villus sampling- as early as 8 weeks
• Cervical cultures for chlamydia- 1

st appointment.

• Nonstress test -28 weeks
• Maternal serum alpha-fetoprotein- 16 to 18 weeks

• A nurse is caring for a client who is on bed rest. The nurse should recognize that which of

the following findings is a complication of immobility?

• Decreased serum calcium levels- increased serum calcium
• Increased blood pressure- hypotension
• Swollen area on calf 2 / 3

• Urinary frequency-

• A nurse in acute care mental health facility is participating in a medication-education group.

The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?

• The leader encourages group members to remain silent until questions are called for
• The leader lecture about medication adverse effects to the group members
• The leader allows the group to discuss whatever they would like to regarding their

medications

• The leader has group members vote on what they would like to learn about during

the session

• A nurse is providing teaching about digoxin administration to the parents of a toddler who

has heart failure. Which of the following statements should the nurse include in the teaching?

• “You can add the medication to a half-cup of your child’s favorite juice.”
• “Repeat the dose if your child vomits within 1 hour after taking medication.” X
• “Limit your child’s potassium intake while she is taking this medication.”
• “Have your child drink a small glass of water after swallowing the medication.”

• A nurse is providing teaching to a client who has a depressive disorder and a new

prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?

• Grapefruit
• Spinach
• Cottage cheese- cream cheese ok.
• Smoked salmon

TYRAMINE!

• A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has

prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the nurse include in the client’s dietary plan? (Round to the nearest whole number)

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• A nurse is planning care for a client who has bipolar disorder and is experiencing mania.

Which of the following interventions should the nurse include in the plan?

• Encourage the client to spend time in the day room
• Withdraw the client’s TV privileges if he does not attend group therapy
• Encourage the client to take frequent rest periods
• Place the client in seclusion when he exhibits signs of anxiety

• A parish nurse is leading a support group for clients whose family members have

committed suicide. Which of the following strategies should the nurse plan to use during the group session?

• Initiate a discussion with clients about ways to cope with changes in family

dynamics

• Encourage clients to establish a timeline for their own grieving process
• Discourage clients from sharing negative aspects of their relationship with the

deceased persons

• Assist clients in identifying ways suicide could have been prevented

• A nurse manager observes two staff nurses reviewing the computer records of a client who

is not under their care. Which of the following actions should the nurse manager take first?

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