HESI MID-CURRICULAR EXAM LATEST
UPDATED QUESTION WITH CORRECT
ANSWERS DETAILED RATIONALES, AND
COMPREHENSIVE STUDY GUIDE
A central venous pressure line is inserted in a patient. Following the catheter
insertion, the patient complains of dyspnea, shortness of breath, and chest pain. The
nurse understands the MOST probable cause of these symptoms is which?
1) Fluid overload
2) Pneumothorax
3) Hypokalemia
4) Pneumonia - answerr-Pneumothorax
Page 1 of 68
,A client comes in to the emergency room after puncturing a foot with a dirty, rusty
nail.
The client states the last Td immunization was 6 years ago. Which of the
following
actions should the nurse take
FIRST?
a) administer tetanus toxoid
b) determine how many Td immunizations the client has received
c) administer tetanus immune globulin
d) monitor for lock jaw - answerr-b) determine how many Td immunizations the
client has received
A client comes to the local clinic with complaints of dizziness and a "racing heart."
The client's physical exam is normal. The client reports that the client's company
recently lose a large sum of money, and the client feels responsible. The client tells
the nurse that the client is extremely anxious. Which of the following responses by
the nurse is BEST?
1. "When did you first notice that you were feeling anxious?"
2. "Have you shared information with a loved one?"
3. "Are you worried about having to visit the doctor?"
4. "Would you like to discuss it with me?" - answerr-1. "When did you first notice
that you were feeling anxious?"
A client comes to the prenatal clinic for her first visit. The nursing history reveals
that the client's last menstrual period was five months ago, and the client is sure she
Page 2 of 68
,is pregnant because she has been feeling the baby move. Which of the following
responses byt he nurse is BEST?
1. "Since you have felt fetal movement, I am sure that you are pregnant."
2. "Lie down so that I can listen for fetal heart tones with the Doppler."
3. "We'll collect a urine specimen for testing to confirm that you are pregnant."
4. "Have you noticed feeling more fatigued lately?" - answerr-"Lie down so that I
can listen for fetal heart tones with the Doppler."
A client diagnosed with a phobic disorder joins a group meeting with a psychiatric
nurse- leader. During the first meeting, the client makes the following statements;
"I know my feelings of being terrified of closed up spaces is dumb. It doesn't make
any sense. I just can't seem to do anything about it. Right now I get nervous and
scared just thinking about it. Which of these responses by the nurse is BEST?
1. "Having a nurse stay with you in a closed space could help you overcome your
fear"
2. "Knowing that your fears don't make sense doesn't always help you feel better"
3. "Participating in several of our ward activities may make you feel better"
4. "Being frightened as a child by some particular incident probably caused these
fears" - answerr-2. "Knowing that your fears don't make sense doesn't always
help you feel better"
A client diagnosed with inoperable cancer has difficulty walking after
chemotherapy. When the nurse comes to assist the client to the bathroom the
client says, "Leave me alone. You treat me like a child." Which of these
interpretations of the client's behavior by the nurse is MOST justifiable? 1. The
client is frightened about falling
Page 3 of 68
, 2. The client is entering a regressive phase
3. The client wants to maintain his independence
4. The client is angry at the nurse's interference - answerr-3. The client wants to
maintain his independence
The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's
blood pressure is 150/96, edema of the face and hands is noted, 3+ p rotein in the
urine, and serum albumin level is 3 gm/dL. Which of the following instructions by
the nurse is MOST important? 1. The client should decrease caloric intake. 2. The
client should eliminate all salt from her diet. 3. The client should ensure adequate
protein. 4. The client should increase her intake of iron. The client should ensure
adequate protein. A client comes to the prenatal clinic for her first visit. The
nursing history reveals that the client's last menstrual period was five months ago,
and the client is sure she is pregnant because she has been feeling the baby move.
Which of the following responses byt he nurse is BEST? 1. "Since you have felt
fetal movement, I am sure that you are pregnant." 2. "Lie down so that I can listen
for fetal heart tones with the Doppler." 3. "We'll collect a urine specimen for
testing to confirm that you are pregnant." 4. "Have you noticed feeling more
fatigued lately?" "Lie down so that I can listen for fetal heart tones with the
Doppler." The nurse notes that a two-day old infant shows a tendency to bleed.
The nurse understands this is MOST likely caused by which of the following? 1.
Hemophilia. 2. Absence of intestinal bacteria needed for the production of vitamin
K. 3. Immature liver that is unable to synthesize clotting factors. 4. Excessive
breakdown of red blood cells coupled with a delayed production of new ones.
Absence of intestinal bacteria needed for the production of vitamin K. The nurse
cares for a patient after a breast biopsy. After the procedure, it is MOST important
Page 4 of 68
UPDATED QUESTION WITH CORRECT
ANSWERS DETAILED RATIONALES, AND
COMPREHENSIVE STUDY GUIDE
A central venous pressure line is inserted in a patient. Following the catheter
insertion, the patient complains of dyspnea, shortness of breath, and chest pain. The
nurse understands the MOST probable cause of these symptoms is which?
1) Fluid overload
2) Pneumothorax
3) Hypokalemia
4) Pneumonia - answerr-Pneumothorax
Page 1 of 68
,A client comes in to the emergency room after puncturing a foot with a dirty, rusty
nail.
The client states the last Td immunization was 6 years ago. Which of the
following
actions should the nurse take
FIRST?
a) administer tetanus toxoid
b) determine how many Td immunizations the client has received
c) administer tetanus immune globulin
d) monitor for lock jaw - answerr-b) determine how many Td immunizations the
client has received
A client comes to the local clinic with complaints of dizziness and a "racing heart."
The client's physical exam is normal. The client reports that the client's company
recently lose a large sum of money, and the client feels responsible. The client tells
the nurse that the client is extremely anxious. Which of the following responses by
the nurse is BEST?
1. "When did you first notice that you were feeling anxious?"
2. "Have you shared information with a loved one?"
3. "Are you worried about having to visit the doctor?"
4. "Would you like to discuss it with me?" - answerr-1. "When did you first notice
that you were feeling anxious?"
A client comes to the prenatal clinic for her first visit. The nursing history reveals
that the client's last menstrual period was five months ago, and the client is sure she
Page 2 of 68
,is pregnant because she has been feeling the baby move. Which of the following
responses byt he nurse is BEST?
1. "Since you have felt fetal movement, I am sure that you are pregnant."
2. "Lie down so that I can listen for fetal heart tones with the Doppler."
3. "We'll collect a urine specimen for testing to confirm that you are pregnant."
4. "Have you noticed feeling more fatigued lately?" - answerr-"Lie down so that I
can listen for fetal heart tones with the Doppler."
A client diagnosed with a phobic disorder joins a group meeting with a psychiatric
nurse- leader. During the first meeting, the client makes the following statements;
"I know my feelings of being terrified of closed up spaces is dumb. It doesn't make
any sense. I just can't seem to do anything about it. Right now I get nervous and
scared just thinking about it. Which of these responses by the nurse is BEST?
1. "Having a nurse stay with you in a closed space could help you overcome your
fear"
2. "Knowing that your fears don't make sense doesn't always help you feel better"
3. "Participating in several of our ward activities may make you feel better"
4. "Being frightened as a child by some particular incident probably caused these
fears" - answerr-2. "Knowing that your fears don't make sense doesn't always
help you feel better"
A client diagnosed with inoperable cancer has difficulty walking after
chemotherapy. When the nurse comes to assist the client to the bathroom the
client says, "Leave me alone. You treat me like a child." Which of these
interpretations of the client's behavior by the nurse is MOST justifiable? 1. The
client is frightened about falling
Page 3 of 68
, 2. The client is entering a regressive phase
3. The client wants to maintain his independence
4. The client is angry at the nurse's interference - answerr-3. The client wants to
maintain his independence
The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's
blood pressure is 150/96, edema of the face and hands is noted, 3+ p rotein in the
urine, and serum albumin level is 3 gm/dL. Which of the following instructions by
the nurse is MOST important? 1. The client should decrease caloric intake. 2. The
client should eliminate all salt from her diet. 3. The client should ensure adequate
protein. 4. The client should increase her intake of iron. The client should ensure
adequate protein. A client comes to the prenatal clinic for her first visit. The
nursing history reveals that the client's last menstrual period was five months ago,
and the client is sure she is pregnant because she has been feeling the baby move.
Which of the following responses byt he nurse is BEST? 1. "Since you have felt
fetal movement, I am sure that you are pregnant." 2. "Lie down so that I can listen
for fetal heart tones with the Doppler." 3. "We'll collect a urine specimen for
testing to confirm that you are pregnant." 4. "Have you noticed feeling more
fatigued lately?" "Lie down so that I can listen for fetal heart tones with the
Doppler." The nurse notes that a two-day old infant shows a tendency to bleed.
The nurse understands this is MOST likely caused by which of the following? 1.
Hemophilia. 2. Absence of intestinal bacteria needed for the production of vitamin
K. 3. Immature liver that is unable to synthesize clotting factors. 4. Excessive
breakdown of red blood cells coupled with a delayed production of new ones.
Absence of intestinal bacteria needed for the production of vitamin K. The nurse
cares for a patient after a breast biopsy. After the procedure, it is MOST important
Page 4 of 68
