HESI RN
HESI RN CAT Exam Quizlet Questions
Question 1 of 5
The healthcare provider is caring for a client with jaundice. Which serum laboratory value is likely to be elevated for this client?
Correct Answer: D
Rationale: Bilirubin is a key serum laboratory value that is likely to be elevated in clients with jaundice. Jaundice is characterized by a yellowish discoloration of the skin and eyes due to an excess of bilirubin, a breakdown product of hemoglobin. Elevated amylase levels are associated with pancreatic conditions, not specifically jaundice. Creatinine and blood urea nitrogen are markers of kidney function and are not directly related to jaundice.
Question 2 of 5
A client who is 32-weeks pregnant is diagnosed with partial placenta previa. Which instruction should the nurse include in this client¢â‚¬â„¢s teaching plan?
Correct Answer: C
Rationale: The correct answer is C) Refrain from sexual intercourse until your next appointment. Explanation: For a client with partial placenta previa at 32 weeks of pregnancy, it is crucial to avoid activities that can potentially disrupt the placenta and cause bleeding. Sexual intercourse can lead to trauma to the cervix, increasing the risk of bleeding in cases of placenta previa. This instruction is essential to prevent complications and ensure the safety of both the mother and the baby. Why others are wrong: A) Wearing a tight abdominal binder can increase pressure on the placenta, potentially leading to bleeding. It is not recommended in cases of placenta previa. B) Taking a daily laxative is unrelated to the management of partial placenta previa and may not be necessary or safe during pregnancy. D) Restricting fluids to less than 1000 ml per day can lead to dehydration, which is not advisable during pregnancy, especially with a condition like placenta previa that requires close monitoring of fluid status and blood loss. Educational context: Understanding the management of complications during pregnancy, such as placenta previa, is crucial for nurses in providing safe and effective care to pregnant clients. Educating clients about lifestyle modifications and activities to avoid is essential in preventing adverse outcomes and promoting maternal and fetal well-being. Nurses play a key role in patient education and must ensure that clients comprehend the rationale behind these instructions to comply with them effectively.
Question 3 of 5
A client with cirrhosis is taking lactulose (Cephulac). Which finding indicates that the lactulose is having the desired effect?
Correct Answer: A
Rationale: The correct answer is A: 'Two to three soft bowel movements per day.' Lactulose is prescribed to produce soft, regular bowel movements to reduce ammonia levels in clients with cirrhosis. This helps in preventing hepatic encephalopathy. Option B is incorrect because increased serum ammonia levels would indicate that lactulose is not effectively reducing ammonia levels. Option C is incorrect because lactulose does not directly affect white blood cell counts. Option D is incorrect because soft, formed stools twice a day may not be frequent enough to effectively reduce ammonia levels in clients with cirrhosis.
Question 4 of 5
The healthcare provider prescribes a diet high in vitamin C for a client with a leg wound. Which food should the nurse encourage the client to eat?
Correct Answer: D
Rationale: Tomatoes and lettuce are high in vitamin C, making them suitable choices for a diet prescribed for wound healing. Bananas and pineapple (Choice A) are not particularly high in vitamin C compared to tomatoes and lettuce. Cottage cheese and crackers (Choice B) as well as peanut butter and jelly (Choice C) do not provide significant amounts of vitamin C, which is essential for wound healing.
Question 5 of 5
The nurse enters the room of a client with a nasogastric tube who is receiving continuous feeding. The nurse observes that the client is coughing and that the infusion pump is alarming. What action should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first in this situation is to stop the feeding infusion. Coughing in a client with a nasogastric tube can indicate aspiration, which can be a serious complication. By stopping the feeding infusion immediately, the nurse can prevent further aspiration and related complications. Auscultating breath sounds or turning the client to the side may be necessary actions but addressing the feeding infusion is the priority. Notifying the healthcare provider can be done after the immediate issue of potential aspiration is managed.