hesi health assessment test bank 2023

Correct Answer: A

Rationale: The correct answer is A because it demonstrates active listening and empathy by directly addressing the patient's concern. By asking the patient to point to where it hurts, the nurse can gather specific information to assess the location and severity of the pain. This helps in determining potential causes and appropriate interventions. Choice B is incorrect as it delays addressing the patient's immediate concern. Choice C focuses on dietary history, which may not be relevant to the current pain complaint. Choice D is unrelated to the current issue and does not address the patient's pain directly.

Correct Answer: A

Rationale: The correct answer is A: Administer IV fluids. In sepsis, early fluid resuscitation is crucial to prevent hypotension and organ dysfunction. IV fluids help restore perfusion and stabilize the client. Administering antibiotics (choice B) is important but comes after fluid resuscitation. Performing a blood culture (choice C) is essential but not the first priority. Performing an abdominal assessment (choice D) is not directly related to managing sepsis and should not be the initial priority.

Correct Answer: A

Rationale: The correct answer is A: Fever. Fever is an early indicator of infection as it is the body's natural response to fighting off pathogens. When the body detects an infection, it raises its temperature to create an inhospitable environment for the pathogens. Pain at the surgical site (B) is common post-operatively but may not necessarily indicate infection. Redness at the incision site (C) can be a sign of inflammation but is not specific to infection. Increased heart rate (D) can occur due to various reasons post-operatively, not just infection. Fever is a systemic response and a more reliable early indicator of infection in this context.

Correct Answer: A

Rationale: Correct Answer: A (Iron, folic acid, and B12) Rationale: 1. Iron: Renal failure patients often have anemia due to decreased erythropoietin production. 2. Folic acid and B12: Important for red blood cell production and maturation. 3. Corrects underlying causes of anemia in renal failure patients. Summary: B: Increasing protein doesn't directly address anemia in renal failure. C: Vitamin D and calcium are not primary treatments for anemia in renal failure. D: Calcium and folic acid alone do not address the specific deficiencies seen in renal failure anemia.

Correct Answer: A

Rationale: The correct answer is A: database. The patient's record, laboratory studies, objective data, and subjective data collectively form the database in healthcare. This term refers to a comprehensive collection of all pertinent information about a patient that is used for analysis, diagnosis, and treatment planning. The other choices are incorrect because B: admitting data specifically refers to information gathered at the time of admission, C: financial statement pertains to financial information, and D: discharge summary summarizes the patient's care and treatment at the time of discharge, not the entire patient record.