246 HESI Study Guide Exam Questions and
Answers
1. A 29 year old male client informs the nurse that he came to the clinic
to see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the
nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for the last 6 weeks.
D.Young adult male presents with fears that he has "lung cancer"
correct answer: -ANSWER- Correct answer is B, an assessment process includes chief
complaint which is how the patient describe why he is here in the hospital or clinic and can't include
diagnosis.
2. A 75-year-old client with a recent history of a cerebrovascular
accident (CVA) presents with right hemiparesis. The nurse tests the
deep tendon reflexes
on the right side and elicits a brisk 4+ response. Which interpretation
of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron
disorder. correct answer: - ANSWER- Correct answer is D, brisk 4+ response is
correlated with hyperactive response
3. The nurse examines a client's abdomen. Which finding indicates
an abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
,246 HESI Study Guide Exam Questions and
Answers
C. Rebound tenderness with compression over right upper quadrant.
D. Firm mass palpated at bottom of left rib cage. correct answer: - ANSWER-
Correct answer is D. McBurney's point is related to appendicitis and not spleen
4. A male client arrives at the clinic for follow-up health assessment
after recent antibiotic treatment for pneumonia without
hospitalization. Which technique should the nurse implement to
assess for adventitious lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over
lower lobes.
B. Have the client lay flat while listening to the anterior surface of
the chest.
,246 HESI Study Guide Exam Questions and
Answers
C. Press the stethoscope's diaphragm firmly on the skin over each
lung field.
D.Shave all chest hair that may distort sounds heard through the
diaphragm. correct answer: - ANSWER- Correct answer is C. The nurse should listen to all
lungs fields during assessment and move from side to side during auscultation
5. A client with streptococcus pharyngitis reports high fever,
difficulty swallow- ing and a muffled voice. Which complication
should the nurse suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps. correct answer: . - ANSWER- Correct answer is C. Since infections are associated
with abscesses and pus
6. The nurse is obtaining a health history for a client prior to a
scheduled cholecystectomy. While interviewing the client, which
assessment technique should the nurse use when asking about the
client's use of illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated
history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Use the term illegal or illicit to describe street drugs correct answer: -
ANSWER- Correct answer is C. When interviewing the patient, questions should be clear and
specific
7. The nurse applies pressure over an area of the lower abdomen
where the client reports pain. The client denies pain upon
palpation, but reports pain when the pressure is released. What
action should the nurse implement?
A. Offer to administer a laxative prescribed for PRN use.
B. Obtain a prescription to catheterize the client's bladder.
,246 HESI Study Guide Exam Questions and
Answers
C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness correct
answer: - ANSWER- Correct answer is D. As this could be a sign of appendicitis
8. The nurse is assessing an ulcer on a client's lower extremity, which is
likely the result of either venous or arterial insufficiency. Which
assessment technique should the nurse use to differentiate the
pathophysiology causing the ulcer?
A. Measure the degree of join range of motion in the extremity.
B. Compare the skin turgor of the client's upper and lower leg.
Answers
1. A 29 year old male client informs the nurse that he came to the clinic
to see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the
nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for the last 6 weeks.
D.Young adult male presents with fears that he has "lung cancer"
correct answer: -ANSWER- Correct answer is B, an assessment process includes chief
complaint which is how the patient describe why he is here in the hospital or clinic and can't include
diagnosis.
2. A 75-year-old client with a recent history of a cerebrovascular
accident (CVA) presents with right hemiparesis. The nurse tests the
deep tendon reflexes
on the right side and elicits a brisk 4+ response. Which interpretation
of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron
disorder. correct answer: - ANSWER- Correct answer is D, brisk 4+ response is
correlated with hyperactive response
3. The nurse examines a client's abdomen. Which finding indicates
an abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
,246 HESI Study Guide Exam Questions and
Answers
C. Rebound tenderness with compression over right upper quadrant.
D. Firm mass palpated at bottom of left rib cage. correct answer: - ANSWER-
Correct answer is D. McBurney's point is related to appendicitis and not spleen
4. A male client arrives at the clinic for follow-up health assessment
after recent antibiotic treatment for pneumonia without
hospitalization. Which technique should the nurse implement to
assess for adventitious lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over
lower lobes.
B. Have the client lay flat while listening to the anterior surface of
the chest.
,246 HESI Study Guide Exam Questions and
Answers
C. Press the stethoscope's diaphragm firmly on the skin over each
lung field.
D.Shave all chest hair that may distort sounds heard through the
diaphragm. correct answer: - ANSWER- Correct answer is C. The nurse should listen to all
lungs fields during assessment and move from side to side during auscultation
5. A client with streptococcus pharyngitis reports high fever,
difficulty swallow- ing and a muffled voice. Which complication
should the nurse suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps. correct answer: . - ANSWER- Correct answer is C. Since infections are associated
with abscesses and pus
6. The nurse is obtaining a health history for a client prior to a
scheduled cholecystectomy. While interviewing the client, which
assessment technique should the nurse use when asking about the
client's use of illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated
history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Use the term illegal or illicit to describe street drugs correct answer: -
ANSWER- Correct answer is C. When interviewing the patient, questions should be clear and
specific
7. The nurse applies pressure over an area of the lower abdomen
where the client reports pain. The client denies pain upon
palpation, but reports pain when the pressure is released. What
action should the nurse implement?
A. Offer to administer a laxative prescribed for PRN use.
B. Obtain a prescription to catheterize the client's bladder.
,246 HESI Study Guide Exam Questions and
Answers
C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness correct
answer: - ANSWER- Correct answer is D. As this could be a sign of appendicitis
8. The nurse is assessing an ulcer on a client's lower extremity, which is
likely the result of either venous or arterial insufficiency. Which
assessment technique should the nurse use to differentiate the
pathophysiology causing the ulcer?
A. Measure the degree of join range of motion in the extremity.
B. Compare the skin turgor of the client's upper and lower leg.
