HESI PRACTICE EXAM AND QUESTIONS (TYPED UP)
** Bold indicates the question as well as the answer that goes with the question
** The nurse in the question is you as a practical nurse
01. The nurse is planning care for a client who has fourth degree midline laceration that occurred during vaginal
delivery of an 8 pound 10 ounce infant. What intervention has the highest priority for this client?
Administer prescribed stool softener
Administer prescribed PRN sleep medications
Encourage breastfeeding to promote uterine involution
Encourage use of prescribed analgesic perineal sprays
02. The nurse is palpating the right upper hypochondriac region of the abdomen of a client. What organ lies
underneath this area?
Duodenum
Gastric pylorus
Liver
Spleen
03. A client comes to the antepartal clinic and tells the nurse that she is 6 weeks pregnant. Which sign is she most
likely to report?
Decreased sexual libido
Amenorrhea
Quickening
Nocturia
04. A client's daughter phones the charge nurse to report that the night nurse did not provide good care for her
mother. What response should the nurse make?
Explain that all the staff are doing the best they can
Ask for a description of what happened during the night
Tell the daughter to talk to the unit's nurse manager
Reassure the daughter that the mother will get better care
05. A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "Mine". According to
Erikson's theory of psychosocial development, this child's behavior is a demonstration of which developmental
stage?
Autonomy vs. Shame and Doubt
Industry vs. Inferiority
Initiative vs. Guilt
Trust vs. Mistrust
06. Which action should the nurse implement in caring for a client following an electroencephalogram (EEG)?
Monitor the client's vital signs q4h
Assess for sensation in the client's lower extremities
Instruct the client to maintain bed rest for eight hours
Wash any paste from the client's hair and scalp
07. The nurse is caring for a 75-year-old male client who is beginning to form a decubitus ulcer at the coccyx.
Which intervention will be most helpful in preventing further development of the decubitus?
Encourage the client to eat foods high in protein
Assess the client with daily range of motion exercises
Teach the family how to perform sterile wound care
Ensure the IV fluids are administered as prescribed
08. What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a hypertonic fluid
space?
Filtration
Diffusion
Osmosis
Active transport
,09. The nurse is taking blood pressure of a client admitted with a possible myocardial infarction. When taking the
client's BP at the brachial artery, the nurse should place the client's arm in which position?
Slightly above the level of the heart
At the level of the heart
At a level of comfort for the client
Below the level of the heart
10. What are the final parameters that produce blood pressure? (Select all that apply)
Heart rate
Stroke volume
Peripheral resistance
Neuroendocrine hormones
Muscle tone
11. A client begins taking an antidepressant drug during the second day of hospitalization. Which assessment is
most important for the nurse to include in this client's plan of care while the client is taking the antidepressant?
Appetite
Mood
Withdrawal
Energy level
12. Based on the documentation in the medical record, which action should the nurse implement next?
(Click on each chart tab for additional information. Please be sure to scroll to the bottom right corner of each tab
to view all information contained in the client's medical record.)
Give the rubella vaccine subcutaneously
Observe the mother breastfeeding her infant
Call the nursery for the infant's blood type result
Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the nurse
implement to prevent complications associated with Pneumonia?
Encourage mobilization and ambulation
Encourage energy conservation with complete bed rest
Provide humidified oxygen per nasal cannula
Restrict PO and intravenous fluids
14. The practical nurse is preparing to administer a prescription for cefazolin (Kefzol) 600 mg IM every six hours.
The available vial is labeled, "Cefazolin (Kefzol) 1gram," and the instructions for reconstitution state, "For IM use
add 2ml sterile water for injection. Total volume after reconstitution = 2.5 ml." When reconstituted, how many
milligrams are in each mil of solution? (Enter numeric value only)
15
15. Which Nursing activity is within the scope of practice for the practical nurse?
Complete an admission assessment in the normal newborn nursery
Discontinue a central venous catheter that has become dislodged
Observe a client rotate the subcutaneous site for an insulin pump
Monitor a continuous narcotic epidural for a postoperative client
, 16. After morning dressing changes are completed, a male client who has paraplegia contaminates his ischial
decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to the unlicensed assistive
personnel?
Identify the need for additional supplies to provide an extra dressing change
Provide perianal care and collect clean linens for the dressing change
Document the diarrhea that necessitates an additional dressing change
Position the client for access to the decubiti sites and remove dressings
17. The nurse is planning to evaluate the effectiveness of several drugs administered by different routes. Arrange
the routes of administration in the order from fastest to slowest rate of absorption.
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-hour post dilation
and curettage (D&C), the nurse assesses vital signs and vaginal bleeding. The client begins to cry softly. How
should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of adoption
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
19. A terminally ill male client and his family are requesting hospice care after discharge from the hospital and ask
the nurse to explain what kind of care they should expect. The nurse should indicate that hospice philosophy
focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. Facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client
20. The nurse observes a wife shaving her husband’s beard with a safety razor by holding the skin taut and
shaving in the direction of the hair growth. What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
21. To assess pedal pulse what arterial sites should the nurse palpate? (Select all that apply)
A. Posterior tibialis artery
B. Popliteal artery
C. External femoral artery
D. Dorsalis pedis artery
E. Radial artery
22. The nurse is admitting a client who is diagnosed with Angina Pectoris. Which precipitating factor in this
client's history is likely to be related to the anginal pain?
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
