HESI RN
HESI Nutrition Proctored Exam Quizlet
1. In a client with chronic kidney disease having a serum potassium level of 6.5 mEq/L, which assessment is the most critical for the nurse to perform?
- A. Neurological status
- B. Cardiac status
- C. Respiratory status
- D. Gastrointestinal status
Correct answer: B
Rationale: Corrected Rationale: Assessing cardiac status is crucial in hyperkalemia as high potassium levels can result in life-threatening arrhythmias. Monitoring the heart rhythm and ECG findings is essential to prevent cardiac complications. Neurological status, respiratory status, and gastrointestinal status are important assessments too, but in the context of hyperkalemia, cardiac status takes precedence due to the immediate risk of cardiac arrhythmias.
2. When a client has suffered severe burns all over his body, the most effective method of monitoring the cardiovascular system is:
- A. Cuff blood pressure.
- B. Arterial pressure.
- C. Pulmonary artery pressure.
- D. Central venous pressure.
Correct answer: D
Rationale: Central venous pressure (CVP) monitoring is the most effective method to assess fluid status and the cardiovascular system in a client with severe burns. Severe burns can lead to significant fluid shifts and hemodynamic changes, making central venous pressure monitoring crucial for guiding fluid resuscitation and managing cardiovascular stability in these patients.
3. A client with hyperthyroidism is prescribed propranolol. The nurse explains that this medication is used to:
- A. Increase thyroid hormone production
- B. Decrease thyroid hormone production
- C. Relieve symptoms such as tachycardia and anxiety
- D. Prevent weight loss
Correct answer: C
Rationale: Propranolol is a beta-blocker that works by blocking the effects of adrenaline, which helps to reduce symptoms such as tachycardia (fast heart rate) and anxiety in individuals with hyperthyroidism. Choices A and B are incorrect because propranolol does not affect thyroid hormone production; it only addresses symptoms. Choice D is incorrect because propranolol does not prevent weight loss associated with hyperthyroidism.
4. During cellular respiration, glycolysis takes place in the cytosol and produces how many molecules of ATP, pyruvate, and NADH?
- A. two, two, two
- B. two, four, two
- C. two, four, four
- D. four, four, four
Correct answer: A
Rationale: Glycolysis, the first step of cellular respiration, takes place in the cytosol and produces two molecules each of ATP, pyruvate, and NADH. Therefore, the correct answer is A. Choice B is incorrect as glycolysis produces two ATP molecules, not four. Choice C is incorrect as it incorrectly states that glycolysis produces four molecules of pyruvate and NADH. Choice D is incorrect because glycolysis produces two molecules of ATP, not four.
5. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
- A. There are no such things as demons. What you saw were hallucinations.
- B. It is not possible for anyone to enter your room at night. You are safe here.
- C. You seem very upset. Please tell me more about what you experienced last night.
- D. That must have been very frightening, but we will check on you at night and you will be safe.
Correct answer: C
Rationale: Choice C is the most therapeutic response as it acknowledges the patient's feelings and encourages further exploration of their experience. By expressing empathy and inviting James to share more about what he experienced, it helps build trust and rapport. Choices A and B dismiss the patient's experience and can make them feel invalidated, which is not helpful in establishing a therapeutic relationship. Choice D acknowledges the fear but does not actively engage the patient in discussing their feelings and experiences, missing an opportunity for therapeutic communication.