HESI Exit 4 Exam Comprehensive Review Test Bank:
Collection of Past Exam Versions Featuring 150 Practice
Questions with Verified Correct Answers
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 attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - Answer - a
Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia. - Answer - D
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what
nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. - Answer - B
A neurologist prescribes a magnetic resonance imaging (MRI) of the head STAT for a patient.
Which data warrants immediate intervention by the nurse concerning this diagnostic test?
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
,D) History of atrial fibrillation. - Answer - C
A client's daughter is sitting by her mother's bedside who was recently transferred to the
Intermediate Care Unit. She states "I don't understand what a brain attack is. The healthcare
provider told me my mother is in serious condition and they are going to run several tests. I just
don't know what is going on. What happened to my mother?" What is the best response by the
nurse?
A) "I am sorry, but according to the Health Insurance Portability and Accounting Act (HIPAA), I
cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about your mother's serious
condition." - Answer - B
What is the normal range for cardiac output? - Answer - 4-8L/min
A client was admitted with the diagnosis of a brain attack. Their symptoms began 24 hours
before being admitted. Why would this client not be a candidate for for thrombolytic therapy? -
Answer - Thrombolytic therapy is contraindicated in clients with symptom onset longer than 3
hours prior to admission. This client had symptoms for 24 hours before being brought to the
medical center
What are plate guards? - Answer - Plate guards prevent food from being pushed off the plate.
Using plate guards and other assistive devices will encourage independence in a client with a
self-care deficit.
Which condition is considered a non-modifiable risk factor for a brain attack?
A) High cholesterol levels.
B) Obesity.
C) History of atrial fibrillation.
D) Advanced age. - Answer - D
,An 85-year-old male client comes to the clinic for his annual physical exam and renewal of
antihypertensive medication prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete?
A) Palpate the pedal pulse volume.
B) Count the brachial pulse rate.
C) Measure the blood pressure.
D) Assess for a carotid bruit. - Answer - c
The nurse is preparing a teaching plan for a client with newly diagnosed glacoma and a history
of allergic rhinitis. Which information is most important for the nurse to provide the client about
using over-the-counter (OTC) medications for allergies?
A) Notify your healthcare provider if there is an increase in heart rate.
B) Increase fluid intake while taking an antihistamine or decongestant.
C) Avoid allergy medications that contain pseudoephedrine or phenylephrine.
D) Ophthalmic lubricating drops may be used for eye dryness due to allergy medications. -
Answer - c
The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve
which expected outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy. - Answer - a
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most
important for the nurse to report to the healthcare provider?
A) Suprapubic pain and distention.
B) Bounding pulse at 100 beats/minute.
C) Fingerstick glucose of 300 mg/dl.
D) Small vesicular perineal lesions. - Answer - c
, A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is most
important for the nurse to include to prevent osteoporosis?
A) Take a multivitamin daily.
B) Use only low fat milk products.
C) Perform weight resistance exercises.
D) Bicycle for at least 3 miles every day. - Answer - c
A young adult female reports that she is experiencing a lack of appetite, hypersomnia, stress
incontinence, and heart palpitations. Which symptom is characteristic of premenstrual
syndrome?
A) Heart palpitations.
B) Anorexia.
C) Hypersomnia.
D) Stress incontinence. - Answer - a
A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and
prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize
its therapeutic effect?
A) Rub a liberal amount of cream into the skin thoroughly.
B) Cover the skin with a gauze dressing after applying the cream.
C) Leave the cream on the skin for 1 to 2 hours before the procedure.
D) Use the smallest amount of cream necessary to numb the skin surface. - Answer - c
A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The
client expresses concern about the effect of radiation on his ability to have children. What
information should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy. - Answer - c
Collection of Past Exam Versions Featuring 150 Practice
Questions with Verified Correct Answers
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 attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - Answer - a
Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia. - Answer - D
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what
nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. - Answer - B
A neurologist prescribes a magnetic resonance imaging (MRI) of the head STAT for a patient.
Which data warrants immediate intervention by the nurse concerning this diagnostic test?
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
,D) History of atrial fibrillation. - Answer - C
A client's daughter is sitting by her mother's bedside who was recently transferred to the
Intermediate Care Unit. She states "I don't understand what a brain attack is. The healthcare
provider told me my mother is in serious condition and they are going to run several tests. I just
don't know what is going on. What happened to my mother?" What is the best response by the
nurse?
A) "I am sorry, but according to the Health Insurance Portability and Accounting Act (HIPAA), I
cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about your mother's serious
condition." - Answer - B
What is the normal range for cardiac output? - Answer - 4-8L/min
A client was admitted with the diagnosis of a brain attack. Their symptoms began 24 hours
before being admitted. Why would this client not be a candidate for for thrombolytic therapy? -
Answer - Thrombolytic therapy is contraindicated in clients with symptom onset longer than 3
hours prior to admission. This client had symptoms for 24 hours before being brought to the
medical center
What are plate guards? - Answer - Plate guards prevent food from being pushed off the plate.
Using plate guards and other assistive devices will encourage independence in a client with a
self-care deficit.
Which condition is considered a non-modifiable risk factor for a brain attack?
A) High cholesterol levels.
B) Obesity.
C) History of atrial fibrillation.
D) Advanced age. - Answer - D
,An 85-year-old male client comes to the clinic for his annual physical exam and renewal of
antihypertensive medication prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete?
A) Palpate the pedal pulse volume.
B) Count the brachial pulse rate.
C) Measure the blood pressure.
D) Assess for a carotid bruit. - Answer - c
The nurse is preparing a teaching plan for a client with newly diagnosed glacoma and a history
of allergic rhinitis. Which information is most important for the nurse to provide the client about
using over-the-counter (OTC) medications for allergies?
A) Notify your healthcare provider if there is an increase in heart rate.
B) Increase fluid intake while taking an antihistamine or decongestant.
C) Avoid allergy medications that contain pseudoephedrine or phenylephrine.
D) Ophthalmic lubricating drops may be used for eye dryness due to allergy medications. -
Answer - c
The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve
which expected outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy. - Answer - a
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most
important for the nurse to report to the healthcare provider?
A) Suprapubic pain and distention.
B) Bounding pulse at 100 beats/minute.
C) Fingerstick glucose of 300 mg/dl.
D) Small vesicular perineal lesions. - Answer - c
, A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is most
important for the nurse to include to prevent osteoporosis?
A) Take a multivitamin daily.
B) Use only low fat milk products.
C) Perform weight resistance exercises.
D) Bicycle for at least 3 miles every day. - Answer - c
A young adult female reports that she is experiencing a lack of appetite, hypersomnia, stress
incontinence, and heart palpitations. Which symptom is characteristic of premenstrual
syndrome?
A) Heart palpitations.
B) Anorexia.
C) Hypersomnia.
D) Stress incontinence. - Answer - a
A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and
prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize
its therapeutic effect?
A) Rub a liberal amount of cream into the skin thoroughly.
B) Cover the skin with a gauze dressing after applying the cream.
C) Leave the cream on the skin for 1 to 2 hours before the procedure.
D) Use the smallest amount of cream necessary to numb the skin surface. - Answer - c
A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The
client expresses concern about the effect of radiation on his ability to have children. What
information should the nurse provide?
A) The radiation therapy causes the inability to have an erection.
B) Radiation therapy with chemotherapy causes temporary infertility.
C) Permanent sterility occurs in male clients who receive radiation.
D) The client should restrict sexual activity during radiotherapy. - Answer - c
