Hesi Review Questions And Answers With Complete
Solutions
A 19-year-old primigravid client at 38 weeks' gestation is 7 cm
dilated, and the presenting part is at +1 station. The client tells
the nurse, "I need to push!" What should the nurse do next?
Correct Answers Instruct the client to use a pant blow pattern of
breathing
A 26-year-old primigravida visiting the prenatal clinic for her
regular visit at 34 weeks' gestation tells the nurse that she takes
mineral oil for occasional constipation. What should the nurse
should instruct the client to do? Correct Answers Avoid mineral
oil because it interferes with the absorption of fat soluble
vitamins
A 35-year-old client who is 28 weeks pregnant is admitted for
testing. After reading the nursing notes, which rationale best
explains why a pregnant client would lie on her left side when
resting or sleeping in the later stages of pregnancy? Correct
Answers To prevent compression of the vena cava
A 7-year-old has had an appendectomy on November 12. He has
had pain for the last 24 hours. There is a prescription to
administer acetaminophen with codeine every 3 to 4 hours as
needed. The nurse is beginning the shift, and the child is
requesting pain medication. The nurse reviews the chart below
for pain history. Based on the information in the medical record,
what should the nurse do next? Correct Answers • Administer
the acetaminophen with codeine.
,A 9-year-old client is brought to the emergency department with
a
sutured wound with purulent drainage. The area around the
wound is red and warm to the touch, and the child is febrile. The
parents want to know the significance of the purulent drainage.
What is the best response by the nurse? Correct Answers • "If a
wound heals on the surface but infection remains, it will open
and drain."
A child is receiving total parenteral nutrition (TPN). During
TPN therapy, the most important nursing action is: Correct
Answers 2. monitoring the blood glucose level closely.
A client has a soft wrist-safety device. Which assessment
finding should the nurse investigate further? Correct Answers
cool, pale fingers
A client has expressed her desire to give birth with minimal
intervention. She is now moving into the active phase of labor.
What intervention by the nurse would be the priority of care?
Correct Answers Offering support by reviewing the short pant
form of breathing
A client has several patches of vesicles over both arms. Which
care should the nurse provide to this client? Correct Answers -
Cover the draining areas with sterile gauze.
A client is admitted to the hospital because of threatening,
aggressive behavior toward his family. In the first group meeting
after the client is admitted, another client sits near the nurse and
says loudly, "I'm sitting here because I'm afraid of Ted. He's so
, big, and I heard him talk about hitting people." The nurse should
say to the client: Correct Answers • "It's frightening to have
new people on the unit. We're here to talk about things like
being afraid."
A client is frustrated and embarrassed by urinary incontinence.
Which measure should the nurse include in a bladder retraining
program? Correct Answers Assessing present voiding patterns
A client is newly diagnosed with asthma. While learning to use a
metered dose inhaler (MDI) for delivery of a short-term beta
agonist, the client asks if a spacer is appropriate to use with this
device. What is the nurse's best response? Correct Answers
"Yes, a spacer is recommended because it increases the amount
of medication that is delivered to the lungs."
A client is receiving chemotherapy that has the potential to
cause pulmonary toxicity. Which signs or symptoms indicates a
toxic response to the chemotherapy? Correct Answers Cough
and shortness of breath
A client is recovering from an infected abdominal wound.
Which foods should the nurse encourage the client to eat to
support wound healing and recovery from the infection? Correct
Answers chicken and orange slices
A client rates the pain level of a migraine an 8 on a scale of 1-
10. How would the nurse administer the medication to give the
client the quickest relief? Correct Answers Intravenous
Solutions
A 19-year-old primigravid client at 38 weeks' gestation is 7 cm
dilated, and the presenting part is at +1 station. The client tells
the nurse, "I need to push!" What should the nurse do next?
Correct Answers Instruct the client to use a pant blow pattern of
breathing
A 26-year-old primigravida visiting the prenatal clinic for her
regular visit at 34 weeks' gestation tells the nurse that she takes
mineral oil for occasional constipation. What should the nurse
should instruct the client to do? Correct Answers Avoid mineral
oil because it interferes with the absorption of fat soluble
vitamins
A 35-year-old client who is 28 weeks pregnant is admitted for
testing. After reading the nursing notes, which rationale best
explains why a pregnant client would lie on her left side when
resting or sleeping in the later stages of pregnancy? Correct
Answers To prevent compression of the vena cava
A 7-year-old has had an appendectomy on November 12. He has
had pain for the last 24 hours. There is a prescription to
administer acetaminophen with codeine every 3 to 4 hours as
needed. The nurse is beginning the shift, and the child is
requesting pain medication. The nurse reviews the chart below
for pain history. Based on the information in the medical record,
what should the nurse do next? Correct Answers • Administer
the acetaminophen with codeine.
,A 9-year-old client is brought to the emergency department with
a
sutured wound with purulent drainage. The area around the
wound is red and warm to the touch, and the child is febrile. The
parents want to know the significance of the purulent drainage.
What is the best response by the nurse? Correct Answers • "If a
wound heals on the surface but infection remains, it will open
and drain."
A child is receiving total parenteral nutrition (TPN). During
TPN therapy, the most important nursing action is: Correct
Answers 2. monitoring the blood glucose level closely.
A client has a soft wrist-safety device. Which assessment
finding should the nurse investigate further? Correct Answers
cool, pale fingers
A client has expressed her desire to give birth with minimal
intervention. She is now moving into the active phase of labor.
What intervention by the nurse would be the priority of care?
Correct Answers Offering support by reviewing the short pant
form of breathing
A client has several patches of vesicles over both arms. Which
care should the nurse provide to this client? Correct Answers -
Cover the draining areas with sterile gauze.
A client is admitted to the hospital because of threatening,
aggressive behavior toward his family. In the first group meeting
after the client is admitted, another client sits near the nurse and
says loudly, "I'm sitting here because I'm afraid of Ted. He's so
, big, and I heard him talk about hitting people." The nurse should
say to the client: Correct Answers • "It's frightening to have
new people on the unit. We're here to talk about things like
being afraid."
A client is frustrated and embarrassed by urinary incontinence.
Which measure should the nurse include in a bladder retraining
program? Correct Answers Assessing present voiding patterns
A client is newly diagnosed with asthma. While learning to use a
metered dose inhaler (MDI) for delivery of a short-term beta
agonist, the client asks if a spacer is appropriate to use with this
device. What is the nurse's best response? Correct Answers
"Yes, a spacer is recommended because it increases the amount
of medication that is delivered to the lungs."
A client is receiving chemotherapy that has the potential to
cause pulmonary toxicity. Which signs or symptoms indicates a
toxic response to the chemotherapy? Correct Answers Cough
and shortness of breath
A client is recovering from an infected abdominal wound.
Which foods should the nurse encourage the client to eat to
support wound healing and recovery from the infection? Correct
Answers chicken and orange slices
A client rates the pain level of a migraine an 8 on a scale of 1-
10. How would the nurse administer the medication to give the
client the quickest relief? Correct Answers Intravenous
