HESI Review over 700 Exam Questions
HESI Review over 700 Exam Questions with 100% correct Answers. Legit
1. Following discharge teaching, a male
... [Show More] client with duodenal ulcer tells the nurse the he will
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the
best follow-up action by the nurse?
A. Review with the client the need to avoid foods that are rich in milk and cream
2. A male client with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
is 158/106 and he admits that he has not been taking the prescribed medication because
the drugs make him ―feel bad‖. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for which pathophysiological
condition?
A. Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is placing
soft pillows along the side rails. What action should the nurse implement?
A. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
A. Describes life without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse include
in the client’s teaching plan?
A. Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the nurse to include in the discharge plan?
A. Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the nurse implement?
A. Document the assessment data
B. Rational: reservoir bag should not deflate completely during inspiration and the
client’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs?
A. Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
action should the nurse take first?
A. Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
getting a headache. Which action should the nurse take first?lOMoAR cPSD|8944820
A. Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
sounds. To determine if an S3 heart sound is present, what action should the nurse take
first?
A. Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs?
A. Medicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
A. Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
A. “I have a headache that gets worse when I sit up”
B. ―I am having pain in my lower back when I move my legs‖
C. ―My throat hurts when I swallow‖
D. “I feel sick to my stomach and am going to throw up”
15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement?
A. Obtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
that are in keeping with the child’s dietary restrictions. Which foods are contraindicated
for this child?
A. Foods sweetened with aspartame
17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks
the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
client. Which response should the circulating nurse provide?
A. Direct the nurse to continue the surgical hand scrub for a 5 minute duration
18. Which breakfast selection indicates that the client understands the nurse’s instructions
about the dietary management of osteoporosis?
A. Bagel with jelly and skim milk
19. The charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse (RN)?
A. An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
. A young adult female client with recurrent pelvic pain for 3 year returns to the clinic for
relief of severe dysmenorrhea. The nurse reviews her medical record which indicates that the
client has endometriosis. Based on this finding, what information should the nurse provide this
client?
A) Oral contraceptives increase the symptoms of endometriosis.
B) The symptoms of endometriosis can increase with menopause.
C) An option to diagnose disease extent and provide therapeutic treatment is laparoscopy.
D) Infertile is successfully treated with removal of intra-abdominal endometrial lesions.
140. A 75-year-old female client is admitted to the orthopedic unit following an open reduction
and internal fixation of a hip fracture. On the second postoperative day, the client becomes
confused and repeatedly asks the nurse she is. What information for the nurse to obtain?
A. Use of sleeping medications.
B. History of alcohol use,
C. Use of antianxiety medications,
D. History of this behavior.
141. To reduce the risk of being named in malpractice lawsuit, which action is most important
for the nurse to take?
A. Establish a trusting nurse-client relationship.
B. Complete an incident report following a client injury.
C. Maintain current professional malpractice insurance,
D. Adhere consistently to standards of care.
142. A client with multiple sclerosis is receiving beta-1b interferon every other day. To assess for
possible bone marrow suppression caused by the medication, which serum laboratory test
findings should the nurse monitor? (Select all that apply)lOMoAR cPSD|8944820
A. Platelet count
B. Red blood cell count (RBC)
C. White blood cell count (WBC).
D. Albumin and protein
E. Sodium and potassium
143. Which assessment is more important for the nurse to include in the daily plan of care for a
client with a burned extremity?
Distal pulse intensity
VIDEO
144. The nurse is auscultating a client’s lung sounds. Which description should the nurse use to
document this sound?
(Please listen to the audio file to select the option that applies.)
https://www.youtube.com/watch?v=VGDdqtIhUdA
High pitched or fine crackles.
High pitched wheeze
Rhonchi
Stridor
151. The nurse needs to add a medication to a liter of 5% Dextrose in Water (D5W) that is
already infusing into a client. At what location should the nurse inject the medication?
Answer:lOMoAR cPSD|8944820
152. The nurse is assessing and elderly bedridden client. Which finding indicates that the turning
and positioning schedule is effective in protecting the client’s skin?
A. Reddened skin areas disappear within 15 minutes of being turned and positioned.
B. No complaints of pressure or pain are verbalized by the client after being turned
C. Only small areas of redness remain longer than 30 min after the client is turned.
D. The client verbalizes feeling better after being turned and positioned
153. A client with a liver abscess develops septic shock. A sepsis resuscitation bundle protocol is
initiated and the client receives a bolus of IV fluids. Which parameter should the nurse monitor
to assess effectiveness of the fluid bolus?
A. Mean arterial pressure (MAP)
B. White blood cell count
C. Blood culture
D. Oxygen saturation
154. A 17-year –old male is brought to the emergency department by his parents because he has
been coughing and running a fever with flu-like symptoms for the past 24 hours. Which
intervention should the nurse implement first?
A. Obtain a chest X-ray per protocol.
B. Place a mask on the client’s face.
C. Assess the client’s temperature.
D. Determine the client’s blood pressure
155. An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client’s
plan of care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed.
156. A client is scheduled to receive an IW dose of ondansetron (Zofran) eight hours after
receiving chemotherapy. The client has saline lock and is sleeping quietly without any
restlessness. The nurse caring for the client is not certified in chemotherapy administration. What
action should the nurse take?
Ask a chemotherapy-certified nurse to administer the Zofran
Administer the ondasentron (Zofran) after flushing the saline lock with saline
Hold the scheduled dose of Zofran until the client awakens
Awaken the client to assess the need for administration of the Zofran.
158. The nurse note a visible prolapse of the umbilical cord after a client experiences
spontaneous rupture of the membranes during labor. What intervention should the nurse
implement immediately?
Elevate the presenting part off the cord.lOMoAR cPSD|8944820
159. While visiting a female client who has heart failure (HF) and osteoarthritis, the home health
nurse determines that the client is having more difficulty getting in and out of the bed than she
did previously. Which action should the nurse implement first?
Inquire about an electric bed for the client’s home use
Submit a referral for an evaluation by a physical therapist.
Explain the usual progression of osteoarthritis and HF
Request social services to review the client’s resources.
160. A client is admitted to a 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?
B. Signs a no-self-harm contract.
B. Sleep at least 6 hours nightly.
C. Attends group therapy every day
D. Verbalizes a positive self-image.
The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in
the procedure, what actions should the nurse take before inserting the catheter?
(Select all that apply)
A. Ask the client to bear down as if voiding to relax the sphincter
B. Complete perianal care with soap and water
C. Gently palpate the client’s bladder for distention
D. Hold the catheter 3 – 4 inches (7.5 – 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame [Show Less]