NURS 1010 HESI Practice Quiz/Exam
Questions and All Correct Answers.
A young mother of three children complains of increased anxiety during her annual physical
exam. What information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors. - Answer A: B
Rationale
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a nutritional history (C)
should be obtained first so that health teaching can be initiated if indicated. (A and C) can be
used for stress management. Though (D) can be a source of anxiety, a nutritional history should
be obtained first.
A postoperative client will need to perform daily dressing changes after discharge. Which
outcome response best demonstrates the client's readiness to manage wound care after
discharge?
A. Asking relevant questions regarding the dressing change.
B. Stating theability to complete the wound care regimen.
C. Demonstrating the wound care procedure correctly.
D. Showing all the necessary supplies for wound care.
Submit - Answer A:C
Rationale
A return demonstration of a procedure provides an objective assessment of a client's ability to
perform a task, while client statements or questions are subjective measures.Showing that the
client possesses the necessary supplies is important, but it is less of a priority prior to discharge
than the nurse's assessment of the client's ability to complete the wound care.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
,A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Submit - Answer A: B
Rationale
Blood transfusions are forbidden in the Jehovah's Witness religion. Judaism prohibits autopsies
and Buddhism forbids the use of alcohol and drugs. Many of these sects follow a vegetarian
diet, but the direct impact on nursing care concerns beliefs about transfusions.
During shift change report, the nurse receives report that a client has abnormal heart sounds.
Which placement of the stethoscope should the nurse use to hear the client's heart sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest.
D. Position the diaphragm of the stethoscope at Erb's point on the chest. - Answer A: B
Rationale
Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-
pitched sounds, that is placed at points on the anterior chest.
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen
seconds, large amounts of thick yellow secretions return. What action should the nurse
implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again.
Submit - Answer A: D
Rationale
Nasotracheal suctioning should not be continued for longer than ten to fifteen seconds, since
the client's oxygenation is compromised during this time. Additional suctioning may continue
after the client has received oxygen.
,A client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.1 grams PO bid for
spasticity. Dantrolene is available in 100 mg capsules. How many capsules should the nurse
administer? (Enter numeric value only.) - Answer A: 1
The nurse is evaluating a client learning about a low-sodium diet. Selection of which meal would
indicate to the nurse that this client understands the dietary restrictions?
A= Tossed salad, low-sodium dressing, bacon and tomato sandwich.
B= New England clam chowder, no-salt crackers, fresh fruit salad.
C= Skim milk, turkey salad, roll, vanilla ice cream.
D= Macaroni and cheese, diet Coke, a slice of cherry pie. - Answer C= Skim milk, turkey salad,
roll, vanilla ice cream.
A client is in the radiology department at 0900 when the presciption Lovofloxacin 500mg IV
q24hr is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement? - Answer Give the missed dose at 1300 and change
the schedule to administer daily at 1300
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way
to transfer an elderly client with left-sided weakness from the bed to the chair. What method
describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right foot. -
Answer (D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of transfer and
include the use of poor body mechanics by the caregiver.
Correct Answer: D
A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells
the nurse, "I don't want any more blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical record?
A. Healthcare provider notified of failure to collect specimens for prescribed blood studies.
B. Blood specimens not collected because client no longer wants blood tests performed.
, C. Healthcare provider notified of client's refusal to have blood specimens collected for testing.
D. The client irritable, uncooperative, and refuses to have blood collected. Healthcare provider
notified. - Answer A. C
Rationale
When a client refuses a treatment, the exact words of the client regarding the client's refusal of
care should be documented in a narrative format. The nurse should not editorialize, make
judgments, or document assumptions about the client's wishes
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action
should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided
.C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD - Answer A.
Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk (A)
are high biologic proteins which are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a good diet choice so (D) is not
necessary.)
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in
an adolescent?
A. Height in inches or centimeters.
B. Weight in kilograms or pounds.
C. Triceps skin fold thickness.
D. Upper arm circumference. - Answer Upper arm circumference (D) is an indirect measure
of muscle mass. (A and B) do not distinguish between fat (adipose) and muscularity. (C) is not a
measure of body fat.
Correct Answer: D
The nurse witnesses the signature of a client who has signed an informed consent. Which
statement best explains this nursing responsibility?
A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
Questions and All Correct Answers.
A young mother of three children complains of increased anxiety during her annual physical
exam. What information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors. - Answer A: B
Rationale
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a nutritional history (C)
should be obtained first so that health teaching can be initiated if indicated. (A and C) can be
used for stress management. Though (D) can be a source of anxiety, a nutritional history should
be obtained first.
A postoperative client will need to perform daily dressing changes after discharge. Which
outcome response best demonstrates the client's readiness to manage wound care after
discharge?
A. Asking relevant questions regarding the dressing change.
B. Stating theability to complete the wound care regimen.
C. Demonstrating the wound care procedure correctly.
D. Showing all the necessary supplies for wound care.
Submit - Answer A:C
Rationale
A return demonstration of a procedure provides an objective assessment of a client's ability to
perform a task, while client statements or questions are subjective measures.Showing that the
client possesses the necessary supplies is important, but it is less of a priority prior to discharge
than the nurse's assessment of the client's ability to complete the wound care.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
,A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Submit - Answer A: B
Rationale
Blood transfusions are forbidden in the Jehovah's Witness religion. Judaism prohibits autopsies
and Buddhism forbids the use of alcohol and drugs. Many of these sects follow a vegetarian
diet, but the direct impact on nursing care concerns beliefs about transfusions.
During shift change report, the nurse receives report that a client has abnormal heart sounds.
Which placement of the stethoscope should the nurse use to hear the client's heart sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest.
D. Position the diaphragm of the stethoscope at Erb's point on the chest. - Answer A: B
Rationale
Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-
pitched sounds, that is placed at points on the anterior chest.
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen
seconds, large amounts of thick yellow secretions return. What action should the nurse
implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again.
Submit - Answer A: D
Rationale
Nasotracheal suctioning should not be continued for longer than ten to fifteen seconds, since
the client's oxygenation is compromised during this time. Additional suctioning may continue
after the client has received oxygen.
,A client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.1 grams PO bid for
spasticity. Dantrolene is available in 100 mg capsules. How many capsules should the nurse
administer? (Enter numeric value only.) - Answer A: 1
The nurse is evaluating a client learning about a low-sodium diet. Selection of which meal would
indicate to the nurse that this client understands the dietary restrictions?
A= Tossed salad, low-sodium dressing, bacon and tomato sandwich.
B= New England clam chowder, no-salt crackers, fresh fruit salad.
C= Skim milk, turkey salad, roll, vanilla ice cream.
D= Macaroni and cheese, diet Coke, a slice of cherry pie. - Answer C= Skim milk, turkey salad,
roll, vanilla ice cream.
A client is in the radiology department at 0900 when the presciption Lovofloxacin 500mg IV
q24hr is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement? - Answer Give the missed dose at 1300 and change
the schedule to administer daily at 1300
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way
to transfer an elderly client with left-sided weakness from the bed to the chair. What method
describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right foot. -
Answer (D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of transfer and
include the use of poor body mechanics by the caregiver.
Correct Answer: D
A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells
the nurse, "I don't want any more blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical record?
A. Healthcare provider notified of failure to collect specimens for prescribed blood studies.
B. Blood specimens not collected because client no longer wants blood tests performed.
, C. Healthcare provider notified of client's refusal to have blood specimens collected for testing.
D. The client irritable, uncooperative, and refuses to have blood collected. Healthcare provider
notified. - Answer A. C
Rationale
When a client refuses a treatment, the exact words of the client regarding the client's refusal of
care should be documented in a narrative format. The nurse should not editorialize, make
judgments, or document assumptions about the client's wishes
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action
should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided
.C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD - Answer A.
Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk (A)
are high biologic proteins which are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a good diet choice so (D) is not
necessary.)
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in
an adolescent?
A. Height in inches or centimeters.
B. Weight in kilograms or pounds.
C. Triceps skin fold thickness.
D. Upper arm circumference. - Answer Upper arm circumference (D) is an indirect measure
of muscle mass. (A and B) do not distinguish between fat (adipose) and muscularity. (C) is not a
measure of body fat.
Correct Answer: D
The nurse witnesses the signature of a client who has signed an informed consent. Which
statement best explains this nursing responsibility?
A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
