HESI RN CAT Exam Quizlet

Question 1 of 5

What instruction is most important for the nurse to provide a female client who has just been diagnosed with trichomoniasis?

A. Avoid douching B. Treat sexual partner(s) concurrently C. Avoid using moist washcloths when bathing D. Postpone becoming pregnant until the infection is treated

Correct Answer: B

Rationale: The most important instruction for a female client diagnosed with trichomoniasis is to treat sexual partner(s) concurrently. This is crucial to prevent reinfection and the spread of the infection.
Choice A, avoiding douching, is generally recommended for vaginal health but is not the most critical instruction in this case.
Choice C, avoiding moist washcloths when bathing, is not directly related to the transmission or treatment of trichomoniasis.
Choice D, postponing pregnancy until the infection is treated, is important but treating sexual partners concurrently takes precedence to prevent reinfection.

Question 2 of 5

The husband and adult children of a woman who abuses alcohol ask the nurse what approach to use when her drinking behavior disrupts family plans. Which response is best for the nurse to provide?

A. Destroy any hidden supplies of alcohol she has at home so she has to stay sober B. When she drinks, communicate how disruptive her behaviors are and the burden they inflict on the family C. Make her responsible for the consequences of her drinking behaviors D. Include her in family activities whether she is drinking or sober

Correct Answer: C

Rationale: The best approach for the nurse to suggest is to make the woman responsible for the consequences of her drinking behaviors. By holding her accountable, she is more likely to recognize the impact of her actions and potentially initiate change. Destroying hidden alcohol supplies (
Choice
A) might lead to conflict and further secretive behavior. Simply communicating the disruptions caused by her drinking (
Choice
B) may not effectively address the issue. Including her in family activities regardless of her drinking status (
Choice
D) could enable the behavior and not address the underlying problem.

Question 3 of 5

The nurse is assessing a client who has a new cast on the left arm. Which finding should the nurse report to the healthcare provider immediately?

A. Client reports itching under the cast B. Client reports pain at the cast site C. Client reports swelling of the fingers D. Client reports warmth over the casted area

Correct Answer: C

Rationale: Swelling of the fingers can indicate compromised circulation, which is a serious concern in a client with a new cast. It could suggest the development of compartment syndrome, a condition where increased pressure within the muscles can lead to impaired blood flow. This can result in tissue damage and should be addressed promptly. Itching under the cast, pain at the cast site, and warmth over the casted area are common findings after cast application and may not necessarily indicate an urgent issue requiring immediate reporting to the healthcare provider.

Question 4 of 5

A nurse is caring for a client with a new colostomy. Which instruction should the nurse include in the client's teaching plan?

A. Change the ostomy appliance daily B. Empty the ostomy pouch when it is one-third full C. Rinse the ostomy pouch with warm water D. Apply a skin barrier to the peristomal skin

Correct Answer: B

Rationale: The correct instruction the nurse should include in the client's teaching plan is to empty the ostomy pouch when it is one-third full. This practice helps prevent leakage and skin irritation by maintaining an appropriate pouching system. Changing the ostomy appliance daily (
Choice
A) is not necessary unless leakage or other issues occur. Rinsing the ostomy pouch with warm water (
Choice
C) is not a recommended practice as it may cause damage to the pouch. Applying a skin barrier to the peristomal skin (
Choice
D) is important but not the most crucial instruction in this scenario.

Question 5 of 5

A client who is HIV positive and taking lamivudine (Epivir) calls the clinic to report a cough and fever. What action should the nurse implement?

A. Advise the client to come to the clinic for an evaluation B. Advise the client to increase fluid intake C. Advise the client to take an over-the-counter cough suppressant D. Advise the client to rest and call if the fever persists

Correct Answer: A

Rationale: The correct action for the nurse to implement in this situation is to advise the client to come to the clinic for an evaluation. Given the client's HIV-positive status and medication, it is crucial to assess the cough and fever promptly to identify the underlying cause. Increasing fluid intake (choice
B) may be beneficial but does not address the need for evaluation. Taking an over-the-counter cough suppressant (choice
C) may not be appropriate without knowing the cause of the symptoms. Advising the client to rest and call if the fever persists (choice
D) delays the necessary evaluation and treatment.

Nurselytic

HESI RN

HESI RN