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Comprehensive prep for HESI Health Assessment 246 Exam 2025
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Over 150 expert-verified questions and answers
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Focuses on health assessment concepts for nursing students
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Builds understanding for RN candidates
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Boosts confidence for exam success
Preview
The registered nurse (RN) is developing the plan of care for a client who is admitted for alcohol
detoxification. Which goal should be most important for the RN to primarily focus the client’s
care?
The client maintains optimal nutritional status.
The client will remain alert and oriented.
The client will remain free from injury.
The client will remain alcohol free during hospitalization. – – correct ans- -The client will remain
free from injury.
Rationale
The client is at highest risk for injury due to altered cognitive and sensory disturbances as well
as delirium tremors during withdrawal. Remaining free from injury is the most important goal
for the acute phase of alcohol withdrawal.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation
for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. – – correct ans- -Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is
more specific than CK-MB.
The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for
weight loss and generalized weakness. Laboratory values show a white blood count (WBC) of
2,500/mm3 and a platelet countof 160,000/mm3. Which intervention is the primary focus in the
client’s plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections. – – correct ans- -Maintain strict protective precautions.
Rationale
The client should be under strict protective transmission precautions because the WBC values
are low and normal WBC levels are 4,000-10,000/mm3, so the client is an increased high risk for
infection.
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