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HESI RN · HESI Adult Health Nursing · Adult Health 2 HESI Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient is admitted to the emergency department with severe fatigue and confusion. Laboratory studies are done. Which laboratory value will require the most immediate action by the nurse?

A. Arterial blood pH is 7.32.
B. Serum calcium is 18 mg/dL.
C. Serum potassium is 5.1 mEq/L
D. Arterial oxygen saturation is 91%.

Expert Explanatory Rationale

Correct Answer: Serum calcium is 18 mg/dL.

Question 2 of 5

The nurse in the emergency department observes a colleague viewing the electronic health record (EHR) of a client who holds an elected position in the community. The client is not a part of the colleague's assignment. Which action should the nurse implement?

A. Communicate the colleague's actions to the unit charge nurse
B. Send an email to facility administration reporting the action
C. Write an anonymous complaint to a professional website
D. Post a comment about the action on a staff discussion board

Expert Explanatory Rationale

Correct Answer: Communicate the colleague's actions to the unit charge nurse

Question 3 of 5

The long-term care nurse is evaluating the effectiveness of protein supplements for an older resident who has a low serum total protein level. Which assessment finding indicates that the patient's condition has improved?

A. Hematocrit 28%
B. Absence of skin tenting
C. Decreased peripheral edema
D. Blood pressure 110/72 mm Hg

Expert Explanatory Rationale

Correct Answer: Decreased peripheral edema

Question 4 of 5

A client with bladder cancer had surgical placement of a ureteroileostomy (ileal conduit) yesterday. Which postoperative assessment finding should the nurse report to the healthcare provider immediately?

A. red and edematous stoma appearance
B. liquid brown drainage from stoma
C. stoma output of 40ml in the last hour
D. mucous strings floating in the drainage

Expert Explanatory Rationale

Correct Answer: stoma output of 40ml in the last hour

Question 5 of 5

The nurse is teaching the parent of a child newly diagnosed with a latex allergy. Which information by the parents indicates a need for further teaching?

A. Rubber-free toys, such as wooden building blocks, are good choices for the child.
B. Only foil balloons will be used for the child's birthday party.
C. A diet of healthy fruits, such as bananas and kiwis, is best for the child.
D. An epinephrine auto-injector will be on hand to treat allergic reactions.

Expert Explanatory Rationale

Correct Answer: A diet of healthy fruits, such as bananas and kiwis, is best for the child.

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