HESI Exam Questions

Question 51

HESI Exam Questions. An older adult client with a history of cataracts is recovering from intraocular lens implant (IOL) surgery to the left eye. In the immediate post procedure period, which intervention should the nurse implement?

A) Obtain vital signs every 2 hours during hospitalization.
B) Encourage deep breathing and coughing exercises.
C) Provide an eye shield to be worn while sleeping.
D) Teach a family member to administer eye drops.

Question 52

A client with acute pancreatitis is admitted with pain, nausea, and gray-blue discoloration of the flanks. Which intervention(s) should the nurse implement? Select all that apply.

A) Assist client to prone position.
B) Call the rapid response team immediately.
C) Complete a physical abuse assessment.
D) Monitor serum amylase and lipase levels.
E) Assess for signs of respiratory distress.

Question 53

A client who was found wandering on a residential street is brought to the emergency department by law enforcement. The client is incoherent and mumbles to an empty chair. Which intervention is most important for the nurse to implement? HESI Exam Questions

A) Isolate the client from other clients.
B) Orient the client to time, place, and person.
C) Determine if the client is hearing voices.
D) Establish a trusting relationship with the client.

Question 54

A client whose hyperthyroidism has not been responsive to medications is admitted for evaluation. During the admission assessment the client reports to the nurse of a sudden onset of feeling apprehensive and² the nurse notes the client is restless and very warm to touch. Which action should the nurse implement next?

A) Obtain a complete set of vital signs.
B) Encourage relaxation and slow deep breathing.
C) Initiate peripheral IV (PIV) access.
D) Access laboratory results to confirm a thyroid crisis.

Question 55

Which task should the nurse delegate to an unlicensed assistive personnel (UAP)? HESI Exam Questions

A) Evaluate a client’s urinary catheter for proper drainage.
B) Call the pharmacy to obtain a client’s next antibiotic dose.
C) Bring a sterile chest drainage unit from central supply to the unit.
D) Observe a client’s gait to determine the need for assistance.

Question 56

A male client in the final stages of terminal cancer tells his nurse that he wishes he could just be allowed to die. The client verbalizes that he is tired of fighting this illness and is only continuing treatments because his family wants him to live. Which action should the nurse take?

A) Arrange a meeting with the family, healthcare provider, and client.
B) Request a consultation with the hospital social worker.
C) Notify the family that treatments have been discontinued.
D) Ask the chaplain to discuss death issues with the client.

Question 57

The nurse reviews the postoperative laboratory findings for a client who had an emergency wrist fracture repair. The complete blood count (CBC) results reveal: red blood cell count (RBC) 5 \times 10^6/\mu\L ($5 \times 10 12L}), hemoglobin 15 g/dL (150 g/L), hematocrit 45 (0.45 volume fraction), white blood cell count (WBC) 15,800/\text{mm}^3(15.8 \times 10^9L), and platelet count 9,800/mm(9.8 \times 10^9L). Based on these laboratory findings, which action(s) should the nurse take? Select all that apply.

A) Use gentle pressure on venipuncture sites for at least 2 minutes.
B) Instruct all visitors about the need for strict handwashing and use of alcohol hand gel.
C) Set monitor alarm for oxygen saturation ($\text{O}_2 \text{ sat}$) levels at $92\%$.
D) Review admission records for history of medical conditions and medication profile.
E) Check client’s electronic medical record for an antibiotic prescription.

Question 58

The nurse suspects that the client has delirium and confirms with a “Confusion Assessment Method Screen.” For each client need, click to specify the potential nursing intervention that would be appropriate for the care of the client.

Rest and sleep:

Cluster care activities, especially at night

Sensory stimulation:

Keep window blinds open during the day and closed at night
Turn off the television and radio during the day

Pain control:

Add nonpharmacological methods to the current pain management plan

Question 59

The nurse is caring for a client who had a thoracentesis earlier in the day. Which finding should the nurse report to the healthcare provider?

A. Hemoptysis.
B. Absent gag reflex.
C. Bradycardia.
D. Nasal congestion.

Question 60

A client arrives to the emergency department with chest pain after taking sildenafil. Based on the client’s history, which medication should the nurse withhold?

A. Heparin.
B. Morphine.
C. Aspirin.
D. Nitroglycerin.

Question 61

When preparing to measure urinary output from a client’s ileal conduit, which item(s) should the nurse bring to the room? Select all that apply.

A. Sterile specimen cup.
B. Examination gloves.
C. Needleless 10 mL syringe.
D. Normal saline solution.
E. Drainage container.

Question 62

The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

A. Yogurt or buttermilk.
B. Avocados and cheese.
C. Fresh fruits.
D. Green leafy vegetables.

Question 63

An infant who has been vomiting and had diarrhea for the past 3 days is admitted with gastroenteritis and dehydration. Which intervention(s) should the nurse include in the plan of care? Select all that apply.

A. Encourage the parent to reintroduce regular foods.
B. Administer oral rehydration solutions (ORS) in small amounts.
C. Weigh infant daily and count number of weighed diapers.
D. Show siblings how to use personal protective equipment properly.
E. Teach all family members handwashing technique.

Question 64

An adult client was diagnosed with stage IV lung cancer three weeks ago. The client’s spouse approaches the nurse and asks, “How will I know that my husband’s death is imminent? Our two adult children want to be here when their father dies.” Which is the best response by the nurse?

A. Reassure the spouse that the healthcare provider (HCP) will notify when to call the children.
B. Offer to discuss the client’s health status with each of the adult children.
C. Gather information regarding how long it will take for the children to arrive.
D. Explain that the client will start to lose consciousness and the body systems will slow down. HESI Exam Questions

Question 65

A client with a history of alcohol addiction says, “My body feels fine when I abstain from alcohol consumption, but I miss my late night glasses of wine.” Which concept should the nurse discuss with the client?

A. Tolerance.
B. Craving.
C. Withdrawal.
D. Denial.

Question 66

When planning care for an adolescent with anorexia nervosa, which nursing problem has the highest priority?

A. Disturbed Body Image.
B. Noncompliance with treatment regimen.
C. Imbalanced Nutrition: less than body requirements.
D. Interrupted Family Processes.

Question 67

The nurse is caring for a client with a fractured femur. Following removal of traction and the application of a full leg cast, which action should the nurse prioritize?

A. Pain management.
B. Ambulation teaching.
C. Leg elevation.
D. Neurovascular checks.

Question 68

An older adult male client is admitted after falling while shopping, x-rays reveal a fractured left hip. The client is very independent, retired on a fixed income, and lives alone in a two story home with no immediate family in the area. The client is anxious and concerned about his pets. Which intervention(s) should the nurse include in the plan of care? Select all that apply. HESI Exam Questions

A. Contact social worker to assess home environment.
B. Monitor and document the distal pulses.
C. Begin education utilizing a walker.
D. Administer prescribed analgesics.
E. Inform the client he will need to install a handicap ramp.

Question 69

A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for the heparin solution at 18 units/kg/hour. The available solution is “Heparin Sodium 25,000 Units in 5% Dextrose Injection 250 mL”. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Answer: 18

Question 73 of 130

The nurse is planning care for a client who has a fourth degree midline laceration that occurred during vaginal delivery of an 8-pound 10-ounce (3674 grams) infant. Which intervention has the highest priority for this client?

A Encourage breastfeeding to promote uterine involution.
B Administer prescribed PRN sleep medications.
C Encourage use of prescribed analgesic perineal sprays.
D Administer prescribed stool softener.

Question 74 of 130

The nurse observes a decrease in a client’s level of consciousness. Which vital sign should the nurse obtain first?

A Blood pressure.
B Respiratory rate.
C Pulse rate.
D Temperature.

Question 75

A client on the cardiac telemetry unit unexpectedly begins manifesting ventricular fibrillation and the advanced cardiac life support (ACLS) team defibrillates the client, restoring a normal sinus rhythm. Later in the day, a family member questions why the code was called, telling the nurse that the client has a living will. How should the nurse respond?

A. Seek clarification of the type of advance directive the client has.
B. Explain that living wills can not be followed by emergency personnel.
C. Check the client’s arm for a “Do Not Resuscitate” (DNR) bracelet.
D. Schedule a client and family conference to review the plan of care.

Question 76

Which is the primary purpose for initiating nursing interventions that promote good nutrition, rest and exercise, and stress reduction for clients diagnosed with an HIV infection?

A. Improve function of the immune system.
B. Increase ability to carry out activities of daily living.
C. Promote a feeling of general well-being.
D. Prevent spread of infection to others.

Question 77

A client is scheduled for an electronystagmography (ENG). Which instruction should the nurse include in the teaching?

A. Facial makeup can be used around the eyes the day of the procedure.
B. Electrodes will be placed behind the ears during the procedure.
C. Solid food intake should be avoided at least 4 hours before the test.
D. Caffeinated beverages can be consumed 24 hours before the test.

Question 78

A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to the unit for the third time in two months with a current fasting blood sugar (FBS) of 325 mg/dL (18 mmol/L). The client verbalizes to the nurse of not understanding why the blood glucose level continues to be out of control. Which intervention(s) should the nurse implement? Select all that apply.

A. Ask the client if they want a different manufacturer’s glucose monitoring device.
B. Have the client demonstrate technique used to monitor blood glucose levels.
C. Evaluate the client’s asthma medications that can elevate the blood glucose.
D. Have the client describe a typical day at work, home, and social activities.
E. Determine if the client is using a new insulin needle each administration. HESI Exam Questions

Question 80

A client with foul smelling drainage from an incision on the upper left arm is admitted with a suspected methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care (POC)? Select all that apply.

A. Monitor the client’s white blood cell count (WBC).
B. Send wound drainage for culture and sensitivity.
C. Explain the purpose of a low bacteria diet.
D. Institute contact precautions for staff and visitors.
E. Use standard precautions and wear a mask.

Question 81

A client who is receiving zidovudine reports the appearance of pinpoint, red, round spots on the skin. Which result should the nurse report to the healthcare provider (HCP)?

A. Skin biopsy.
B. Complete blood count.
C. Electromyography.
D. Allergy test.

Question 82

A client with cirrhosis of the liver is having numerous, liquid, incontinent stools, and continues to be confused. In reviewing the client’s laboratory studies, the nurse identifies an elevated serum ammonia level. Based on this finding, which prescription is most important for this client to receive?

A. Furosemide.
B. Intravenous (IV) human albumin.
C. Lactulose.
D. Loperamide.

Question 83 of 130

The nurse is caring for a client admitted with a spontaneous pneumothorax. Which action should the nurse include in this client’s plan of care (POC)?

A Give bronchodilators by endotracheal route.
B Administer antibiotics via la central venous IV catheter.
C Monitor bubbling of chest unit water seal chamber.
D Schedule client for hyperbaric oxygen therapy (HBOT).

Question 84 of 130

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.

Potential Condition:

Hypokalemia

Actions to Take:

Obtain a basic metabolic panel
Perform a 12 lead electrocardiogram (ECG)

Parameters to Monitor:

Skeletal muscular status
Electrocardiogram (ECG) rhythm

Question 85 of 130

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take? HESI Exam Questions

A Move the client to a private room, keep the door closed, and initiate droplet precautions.
B Assist the client to recall everyone possibly exposed since onset of symptoms.
C Place the nasal swab specimen for COVID-19 directly into a biohazard bag.
D Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus.

HESI Exam Questions

Isaura K

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