HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
A child has experienced several episodes of vomiting. After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child. Which information should the nurse obtain about the popsicles?
Correct Answer: D
Rationale: Pulp or fruit is not suitable for clear liquid diet.
Question 2 of 5
An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. What action(s) should the nurse suggest to the client to help improve sleep?
Correct Answer: A,B
Rationale: Caffeine avoidance and sleep schedule improve sleep quality.
Question 3 of 5
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?
Correct Answer: C
Rationale: Inflate higher to detect true systolic pressure.
Extract:
History and physical
The client is a 52-year-old female with a history of obesity, type 2 diabetes mellitus, and hypertension. She is in the hospital for treatment of cellulitis of the right leg. The client has a peripherally inserted central catheter (PICC) in her right antecubital vein. She is currently on day 4 of her antibiotic course.
Nurses notes :
The client had a large, loose stool.
Laboratory Results
Laboratory Test Result Reference Range
Blood Glucose 104 mg/dL (5.8 mmol/L) 74 to 106 mg/dL. (4.1 to 5.9 mmol/L)
Orders:
• Vital signs every 4 hours
• Regular diet
• Cefazolin 1 g IV every 8 hours for 5 days
• Metformin 1,000 mg PO every 12 hours
• Point of care blood glucose check every 4 hours
Patient Data
Question 4 of 5
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Condition:
Osmotic diarrhea
osmotic diarrhea. This type of diarrhea is often caused by an imbalance in the osmolality of the intestinal contents, which can be due to certain medications or dietary factors. In this case, the client's recent antibiotic therapy and diet might contribute to this condition.
Actions to Take:
Collect stool for culture – This can help determine if there is an infectious or bacterial component contributing to the diarrhea.
Start a high fiber diet – Increasing dietary fiber can help in managing diarrhea by increasing stool bulk and improving consistency.
Parameters to Monitor:
Serum potassium – Osmotic diarrhea can lead to electrolyte imbalances, and monitoring potassium levels helps to detect potential deficiencies.
Serum ketones – This can help to evaluate if the client is in a state of ketosis due to potential malabsorption or significant diarrhea.
Extract:
Question 5 of 5
The healthcare provider prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, 'Streptomycin 1 gram/2.5 mL.' How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.5
Rationale: 200 mg = 0.5 mL from 1 g/2.5 mL vial.