HESI RN
HESI Nutrition Exam Questions
Question 1 of 5
To prevent unnecessary hypoxia during suctioning of a tracheostomy, what must the nurse do?
Correct Answer: A
Rationale:
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must apply suction for no more than 10 seconds. Prolonged suctioning can lead to hypoxia by removing too much oxygen from the patient. Maintaining a sterile technique (choice
B) is important to prevent infection but does not directly relate to preventing hypoxia. Lubricating the catheter tip (choice
C) helps with the insertion process but does not specifically address hypoxia prevention. Withdrawing the catheter in a circular motion (choice
D) is not a standard practice during tracheostomy suctioning and does not contribute to preventing hypoxia.
Question 2 of 5
The nurse is caring for a client with a new diagnosis of diabetes mellitus. Which of these statements made by the client indicates a need for further teaching?
Correct Answer: C
Rationale:
Choice C indicates a need for further teaching because stopping medications when blood sugar levels are normal can lead to uncontrolled blood sugar levels if the individual does not understand the importance of medication adherence in managing diabetes.
Choices A, B, and D are correct statements that demonstrate good understanding of managing diabetes, such as monitoring blood glucose levels, following a meal plan, exercising regularly, and adhering to medication even when feeling better.
Question 3 of 5
Discharge instructions for a client taking alprazolam (Xanax) should include which of the following?
Correct Answer: B
Rationale: The correct answer is B. Alprazolam should not be stopped abruptly as it can cause rebound insomnia and nightmares; gradual tapering is necessary.
Choice A is incorrect as sedative hypnotics are not primarily used as analgesics.
Choice C is incorrect as caffeine can decrease the effects of sedative hypnotics rather than increase them.
Choice D is incorrect as there is no specific recommendation to avoid excessive exercise or high temperature related to alprazolam use.
Question 4 of 5
A client has altered renal function and is being treated at home. The nurse recognizes that the most accurate indicator of fluid balance during the weekly visits is:
Correct Answer: D
Rationale: In a client with altered renal function, monitoring fluid balance is crucial. Weekly weight is the most accurate indicator of fluid balance during the visits as it reflects cumulative changes in the body's fluid status. Changes in intake and output (
Choice
A) can provide valuable information, but weekly weight is a more direct measure of overall fluid retention or loss. Changes in mucous membranes (
Choice
B) and skin turgor (
Choice
C) can be influenced by factors other than fluid balance, making them less reliable indicators in this context.
Question 5 of 5
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in every other hour during the first 12 hours after admission?
Correct Answer: A
Rationale: The correct position for a client with viral pneumonia affecting 2/3 of the right lung is side-lying on the left with the head elevated 10 degrees. This position helps maximize lung expansion and oxygenation in cases of pneumonia affecting the right lung.
Choice B is incorrect as excessive elevation can put pressure on the lung, and choices C and D are incorrect as side-lying on the right would not be beneficial for a client with pneumonia in the right lung.