Hesi Practice Exam 1 (Question With correct Answers)
1. A client with skin grafts covering full thickness burns on both arms and legs as scheduled for a
... [Show More]
dressing change. The client is nervous and requests that the dressing change be skipped this
time. What action is most important for the nurse to take?
Encourage the client to express any anxieties.
2. second a male client with angina pectoris is being discharged from the hospital. What instruction
should the nurse plan to include in his discharge teaching?
Avoid isometric exercises but walk regularly.
3. A client is admitted to the mental health unit after attempting suicide by taking a handful of
medications. In developing a plan of care for this client which goal has the highest priority
signs of no self-harm contract
4. A female client with cancer tells the home care nurse that she has a good appetite but
experiences nausea whenever she smells food cooking. What action should the nurse
implement.
Encourage family members to cook meals outdoors and bring the cook food inside.
5. Second when entering a client room to administer and oh 900 Ivy antibiotic, the nurse finds the
client is engaged in sexual activity with the visitor. Which action should the nurse implement?
Leave the room and close the door quietly.
6. the nurses conducting intake interviews of children at a city clinic. Which child is most
susceptible to contracting lead poisoning?
a 2-year-old child who plays on aging outdoor playground equipment.
7. Which instruction is most important for the nurse to provide a client who receives a new
prescription for risendronate sodium to treat osteoporosis?
Remain upright after taking the medication.
8. second client who is newly diagnosed with type 2 diabetes mellitus receives a prescription for
metformin 500 milligrams PO twice daily. One information should the nurse include in the
client's teaching plan. (Select all that apply).
Take metformin with the morning and evening meal.
use sliding scale insulin for finger stick glucose elevations.
recognize signs and symptoms of hypoglycemia.
9. the nurse assesses an older adult who is newly admitted to the long-term care facility. The client
has dry, flaky skin and long thickened fingernails. The client has a medical history of a stroke
which resulted in left sided paralysis and dysphasia. In planning care for the client, which task
should the nurse delegate to the uap?
Ambulate in the hallway.
10. What nursing intervention is particularly indicated for the second stage of Labor?
assisting the client to push effectively so that expulsion of the fetus can be achieved.
11. An older female client living in a low-income apartment complex tells a home health nurse that
she is concerned about her 81-year-old neighbor, a widow whose son recently assumed her
financial affairs. Lately, her neighbor has become reclusive, but is occasionally seen walking
outside wearing only a robe and slippers. What response should the nurse offer?
Turn the client to talk to the health care provider before reporting suspicion of neglect to
the authorities.
provide the number for adult Protective Services so the client can report any suspicion
of elder abuse.
12. in preparing a nursing care plan for a client admitted with a diagnosis of Guillain-Barre
syndrome, which nursing problem has the highest priority.
Ineffective breathing pattern related to ascending paralysis.
13. The mother of a school age child calls the school nurse to ask winter daughter can return to
school after treatment for a pediculosis capitus.
after the treatment kills all the live lice
14. a client with major depression who is taking fluoxetine caused the psychiatric clinic reporting
being more agitated, irritable and anxious than usual. Which intervention should the nurse
implement?
Instruct the client to seek medical attention immediately.
15. After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The
family wishes to see the body before it is taken to the Funeral Home. Which intervention should
the nurse take to prepare the body before the family member enters the room? Select all that
apply.
Place a small pillow under the head.
remove resuscitation equipment from the room.
Gently close the eyes
16. second after successful resuscitation, a client given propanol law and transferred to intensive
coronary care unit. On admission, magnesium sulfate 4 grams Ivy and 250 milliliters of G5W at 1
gram per hour period which assessment finding requires immediate intervention by the nurse?
Respiratory rate of 10 breast per minute and pulse oximetry of 90%
17. the nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which
problem?
Bloody emesis
18. a client with multiple sclerosis is experiencing scotomas (blind spots), second which are limiting
peripheral vision. What intervention should the nurse include in the client's plan of care?
alternate and eye patch from eye to eye every two hours.
19. A client with diabetes mellitus tells the nurse that she uses cranberry juice to help prevent
urinary tract infections. What instructions should the nurse provide?
Drinking cranberry juice does not prevent infection.
20. the health care provider explains through an interpreter the risks and benefits of a scheduled
surgical procedure to a non-English speaking female client. The client gives verbal consent and
the health care provider leaves, instructing a nurse to witness the signature on the consent form.
The client and the interpreter then speak together in the foreign language for an additional 2
minutes until the interpreter concludes, she says it is OK. what action should the nurse take
next? [Show Less]