HESI Review

A client wit hhx of DVT was placed on Coumadin. THe pt INR should be how many times the normative value

1.5

To improve blood flow to a pt with CAD which should be encouraged

smoking cessation

Exercise can change the insulin demands in a diabetic pt

True

Your DMII is NPO for surgery there is no IVF ordered; the best way to prevent issues is

monitor BSG

Sclerotherapy is a tx option for esophageal varicose

True

A client is receiving a unit of PRBC and is experiencing low back pain and difficulty breathing what should the nurse do

Stop the infusion and run NSS

The pt undergoing a lumbar puncture should be monitored for which common side effect

Headache

To asses for resp. infection in a pt with chronic lung disease, the nurse would ask the pt all except

BLE edema

A common skin finding in clients with lupus is

Butterfly rash

A client on anticoags. should be educated on which of the following

shaving with an electric razor

The 6 p’s can be followed to monitor S/S and treatment of DVT

True

The following medications can be used for GERD, Gastritis, and Ulcers

Antacids, PPI’s, and H2 antagonists

A client with UC presents with S/S of a GI bleed. The nurses PRIORITY would be which of the following

Obtaining a full set of vital signs

A Type II Diabetic would have which test to monitor long-term management of disease

HgB A1C

Patient education following a lithotripsy would include

increasing water intake and straining urine

S/S of hypovolemic and septic shock include which of the following

Decreased BP, increased HR

You should suction a trach on the way in for 15 seconds

False

A pt with R-HF would present with which set of acronyms

HEAD

Which Nero disease would require an NPO diet with worsening muscle weakness

Guillain Barre and Myasthenia Gravies

A client with SIADH would expect to have which type of diet

high sodium and fluid restriction

This type of meningitis would present with cloudy CSF

Bacterial

This type of Hepatitis is contracted from eating contaminated fish/seafood

Hep A

PAD ulcers are wet angry looking and typically on the shin/calf

False

Pt with AIDS are at an increased r/o infection r/t which of the following

Immunocompromised state

The best way to prevent asthma attacks is to

avoid triggers

which medication would best help a client with lung disease during an exacerbation

bronchodilator

Hyperthyroidism is also know as graves disease

True

S/S of Left sided heart failure can be explained with which acronym

DOCHAP

Which of the following diseases would affect our life sustaining hormones

Addison’s disease

A client with hx of hyperparathyroidism is at risk of renal caliculi, how can we reduce this risk

Increase PO/IVF

A client being educated beginning radiation therapy should hear all of the following except

use antimicrobial soaps over radiation site to reduce r/o skin breakdown

education for sleep apnea should include which of the following

elevating HOB sleeping, lose weight, smoking cessation

which of the following disease processes would be described as achy heaviness in affected extremity

varicose veins

Clients affected by cancer and receiving chemo are at risk for which of the following

pancytopenia

Which of the following is a SE of both radiation and chemo that can increase pain and decrease nutritional status

stomatitis

A client presenting with flu like symptoms should receive which types of medication

Tylenol, IVF, and Motrin

Interpret: pH- 7.56 CO2- 29 HCO3- 26

Respiratory Alkalosis

A client undergoing a paracentesis should have a full bladder for better visualization

False

A Client undergoing a heart valve replacement should expect to be on which med lifelong

Anticoagulants

These types of ulcers are dry, well approximated, and usually distal on the lower extremity

arterial ulcers

A client being treated for DVT experiences SOB, confusion, and lower 02 levels, what should the RN do first

call a rapid response

Clients with HTN, varices, and which medication daily

stool softener

A client experiencing epistaxis should lean their head back and apply pressure to the nasal bridge

False

A client dx with Myasthenia Gravis should be asked about expose to which

Upper Resp and GI infections

You hear gurgling outside a client with a trach’s room what is the priority intervention

suction the client

A client is experiencing a Type 1 hypersensitivity reaction, which immunoglobulin would you expect

IgE

A client is having a seizure. All of the following should be done except

putting in a tongue blade

A client with HF will experience an increased cardiac output

False

A client undergoing a hypophysectomy should be educated on reducing which of the following

intracranial pressure

A client with neuropathy has cold feet, what should he use to warm his feet

thick wool socks

A client with HF is receiving diuretics, what is the best way to monitor effectiveness

Daily Weight

Kaposi Sarcoma is a common OI in meningitis pt

false

A client with late stage PKD would reduce which of the following electrolytes

sodium

This is a common infection found in clients undergoing chemo

candidiasis

A nurse caring for a client receiving radiation should wear which of the following

dosimeter

A client presents with abnormal with abnormal ABG’s, SOB, and tachycardia. the nurse would assume which

metabolic acidosis

Which is a treatment for hypoglycemia

15-15 rule

Clients with ALS will lose both mental and physical capabilites

False