HESI Practice Questions and Answers Full Package (Complete Solutions)

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2...

A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline....

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activities may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. a...

When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that a. follows formalized plans b. has standardized content c. often occurs one-to-one d. addresses group needs Correct Answer C. Informal teaching is individualized one on one t...

An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain att...

A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? A. Administer the first dose of antibiotic therapy B. Observe the color, consistency, and amount of sputum C. Encourage the client to consume plenty of warm liquid...

The nurse is assessing a clients laboratory values following the administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome? A. Hemoglobin of 10 g/dl B. Serum calcium of 5mg/dl C. Serum PTT of 10 seconds D. Oxygen saturation ...

Which presentation of an infectious disease is acquired through an indirect transmission? +Syphilis contracted from a sexual partner. + Measles resulting from a daycare center outbreak. +Malaria following exposure in a mosquito-infested area. +Nosocomial influenza spreading rapidly in a lon...

Following discharge teaching, a male 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? Correct Answer Review with the client the need to avoid foods that are rich in...

The nurse completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus Which assessment evidence that the child is experiencing increased intracranial pressure (ICP) Correct Answer Sluggish and unequal pupillary responses A client with acute panc...

Suicide precautions are initiated for a child admitted to the mental health unit following an intentional narcotic overdose. After a visitor leaves, the nurse finds a package of cigarettes in the client's room. Which intervention is most important for the nurse to implement? Correct Answer Remove c...

Pt is experiencing hyperkalemia - in absence of symptoms and EKG changes it is sufficiency to Correct Answer switch captopril (an ACE inhibitor that promote K retention) to another (non-K sparing) htn drug such as amlodipine Pt is experiencing diplopia, dysphagia, descending muscle weakness and d...

The nurse reviews the laboratory results of a client during an annual physical examination and identifies a positive guar test of stool. Which additional serum laboratory test result should the nurse review? A. Glucose B. Platelet count C. White blood cell count D. Amylase Correct Answer B ...

A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain, which approach should the nurse use? Correct Answer Ask the patient to describe the pain The nurse is wearing personal protective equipment while caring for a pt. When exiting the...