MS3 HESI Exam Questions With Correct
Answers
A client with a productive cough has obtained a sputum specimen
| | | | | | | | | |
for culture as instructed. What is the best initial nursing action?
| | | | | | | | | |
A. Administer the first dose of antibiotic therapy
| | | | | | |
B. Observe the color, consistency, and amount of sputum
| | | | | | | |
C. Encourage the client to consume plenty of warm liquids
| | | | | | | | |
D. Send the specimen to the lab for analysis
| | | | | | | |
B. Observe the color, consistency, and
| | | | |
A client is brought to the ED by ambulance in cardiac arrest with
| | | | | | | | | | | |
cardiopulmonary resuscitation (CPR) in progress. The client is | | | | | | |
intubated and is receiving 100% oxygen per self-inflating (ambu)
| | | | | | | |
bag. The nurse determines that the client is cyanotic, cold, and
| | | | | | | | | |
diaphoretic. Which assessment is most important for the nurse to
| | | | | | | | |
obtain?
A. Breath sounds over bilateral lung fields.
| | | | | |
B. Carotid pulsation during compressions
| | | |
C. Deep tendon reflexes
| | |
D. Core body temperature
| | |
A. Breath sounds over bilateral lung fields.
| | | | | |
After a hospitalization for Syndrome of Inappropriate Antidiuretic
| | | | | | |
Hormone (SIADH), a client develops pontine myselinolysis. Which
| | | | | | |
intervention should the nurse implement first? | | | | |
A. Reorient client to his room
| | | | |
B. Place a patch on one eye
| | | | | |
,C. Evaluate client's ability to swallow
| | | | |
D. Perform range of motion exercises
| | | | |
A. Reorient client to his room
| | | | |
A male client with heart failure (HF) calls the clinic and reports
| | | | | | | | | | |
that he cannot put his shoes on because they are too tight. Which
| | | | | | | | | | | |
additional information should the nurse obtain? | | | | |
A. What time did he take his last medications?
| | | | | | | |
B. Has his weight changed in the last several days?
| | | | | | | | |
C. Is he still able to tighten his belt buckle?
| | | | | | | | |
D. How many hours did he sleep last night?
| | | | | | | |
B. Has his weight changed in the last several days?
| | | | | | | | |
An older adult woman with a long history of chronic obstructive
| | | | | | | | | |
pulmonary disease (COPD) is admitted with progressive short-
| | | | | | |
ness of breath and a persistent cough. She is anxious and is
| | | | | | | | | | |
complaining of a dry mouth. Which intervention should the nurse
| | | | | | | | |
implement?
A. Administer a prescribed sedative
| | | |
B. Encourage client to drink water
| | | | |
C. Apply a high-flow venturi mask
| | | | |
D. Assist her to an upright position
| | | | | |
A client with a history of asthma and bronchitis arrives at the clinic
| | | | | | | | | | | |
with shortness of breath, productive cough with thickened tena-
| | | | | | | |
cious mucous, and the inability to walk up a flight of stairs without
| | | | | | | | | | | |
experiencing breathlessness. Which action is most important for | | | | | | |
the nurse to instruct the client about self-care?
| | | | | | |
A. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
B. Avoid crowded enclosed areas to reduce pathogen exposure
| | | | | | | |
C. Call the clinic if undesirable side effects of mediations occur
| | | | | | | | | |
D. Teach anxiety reduction methods for feelings of suffocation
| | | | | | | |
A. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
,A cardiac catherterization of a client with heart disease indicates
| | | | | | | | |
the following blockages: 95% proximal left anterior descending
| | | | | | |
(LAD), 99% proximal circumflex, and ? % proximal right coronary
| | | | | | | | |
artery (RCA). The client later asks the nurse "what does all this
| | | | | | | | | | |
mean for me?" What information should the nurse provide?
| | | | | | | |
A. Blood supply to the heart is diminished by artherosclerotic
| | | | | | | | |
lesions, which necessitate lifestyle changes.
| | | |
B. Blood vessels supplying the pumping chamber have blockages
| | | | | | | |
indicating a past heart attack. | | | |
C. Three main arteries have major blockages, with only 1 to 5% of
| | | | | | | | | | | |
blood flow getting through to the heart muscle.
| | | | | | |
D. The heart is not receiving enough blood, so there is a risk of
| | | | | | | | | | | | |
heart failure and fluid retention.
| | | |
C. Three main arteries have major blockages, with only 1 to 5% of
| | | | | | | | | | | |
blood flow getting through to the heart muscle.
| | | | | | |
A client who weighs 175 pounds is receiving IV bolus dose of
| | | | | | | | | | |
heparin 80 units/kg. The heparin is available in a 2 ml vial, labeled
| | | | | | | | | | | |
10,000 units/ml. How many ml should the nurse administer? (En-
| | | | | | | | |
ter numeric value only. If rounding is required, round to the nearest
| | | | | | | | | | |
tenth.)
0.6 ml |
What information should the nurse include in the teaching plan of
| | | | | | | | | |
a client diagnosed with gastroesophageal reflux disease (GERD)?
| | | | | | |
A. Sleep without pillows at night to maintain neck alignment.
| | | | | | | | |
B. Adjust food intake to three full meals per day and no snacks.
| | | | | | | | | | | |
C. Minimize symptoms by wearing loose, comfortable clothing
| | | | | | |
D. Avoid participation in any aerobic exercise programs
| | | | | | |
C. Minimize symptoms by wearing loose, comfortable clothing
| | | | | | |
The nurse is caring for a client with a lower left lobe pulmonary
| | | | | | | | | | | |
abscess. Which position should the nurse instruct the client to
| | | | | | | | |
, maintain?
A. left lateral
| |
B. Supine, knees flexed
| | |
C. Dorsal recumbent
| |
D. Knee-chest
|
A. left lateral
| |
A client with cholelithiasis has a gallstone lodged in the common
| | | | | | | | | |
bile duct and is unable to eat or drink without becoming nause-
| | | | | | | | | | |
ated and vomiting. Which finding should the nurse report to the
| | | | | | | | | |
healthcare provider. |
A. Belching
|
B. Amber urine
| |
C. Yellow sclera
| |
D. Flatulence
|
C. Yellow sclera
| |
While caring for a client with Amyotrophic Lateral Sclerosis (ALS),
| | | | | | | | |
the nurse performs a neurological assessment every four hours.
| | | | | | | |
Which assessment finding warrants immediate intervention by the
| | | | | | |
nurse?
A. Inappropriate laughter
| |
B. Increasing anxiety
| |
C. Weakened cough effort
| | |
D. Asymmetrical weakness
| |
C. Weakened cough effort
| | |
The nurse is providing preoperative education for a Jewish client
| | | | | | | | |
scheduled to receive a xenograft graft to promote burn healing.
| | | | | | | | |
Which information should the nurse provide this client?
| | | | | | |
A. Grafting increases the risk for bacterial infections
| | | | | | |
B. The xenograft is taken from nonhuman sources
| | | | | | |
Answers
A client with a productive cough has obtained a sputum specimen
| | | | | | | | | |
for culture as instructed. What is the best initial nursing action?
| | | | | | | | | |
A. Administer the first dose of antibiotic therapy
| | | | | | |
B. Observe the color, consistency, and amount of sputum
| | | | | | | |
C. Encourage the client to consume plenty of warm liquids
| | | | | | | | |
D. Send the specimen to the lab for analysis
| | | | | | | |
B. Observe the color, consistency, and
| | | | |
A client is brought to the ED by ambulance in cardiac arrest with
| | | | | | | | | | | |
cardiopulmonary resuscitation (CPR) in progress. The client is | | | | | | |
intubated and is receiving 100% oxygen per self-inflating (ambu)
| | | | | | | |
bag. The nurse determines that the client is cyanotic, cold, and
| | | | | | | | | |
diaphoretic. Which assessment is most important for the nurse to
| | | | | | | | |
obtain?
A. Breath sounds over bilateral lung fields.
| | | | | |
B. Carotid pulsation during compressions
| | | |
C. Deep tendon reflexes
| | |
D. Core body temperature
| | |
A. Breath sounds over bilateral lung fields.
| | | | | |
After a hospitalization for Syndrome of Inappropriate Antidiuretic
| | | | | | |
Hormone (SIADH), a client develops pontine myselinolysis. Which
| | | | | | |
intervention should the nurse implement first? | | | | |
A. Reorient client to his room
| | | | |
B. Place a patch on one eye
| | | | | |
,C. Evaluate client's ability to swallow
| | | | |
D. Perform range of motion exercises
| | | | |
A. Reorient client to his room
| | | | |
A male client with heart failure (HF) calls the clinic and reports
| | | | | | | | | | |
that he cannot put his shoes on because they are too tight. Which
| | | | | | | | | | | |
additional information should the nurse obtain? | | | | |
A. What time did he take his last medications?
| | | | | | | |
B. Has his weight changed in the last several days?
| | | | | | | | |
C. Is he still able to tighten his belt buckle?
| | | | | | | | |
D. How many hours did he sleep last night?
| | | | | | | |
B. Has his weight changed in the last several days?
| | | | | | | | |
An older adult woman with a long history of chronic obstructive
| | | | | | | | | |
pulmonary disease (COPD) is admitted with progressive short-
| | | | | | |
ness of breath and a persistent cough. She is anxious and is
| | | | | | | | | | |
complaining of a dry mouth. Which intervention should the nurse
| | | | | | | | |
implement?
A. Administer a prescribed sedative
| | | |
B. Encourage client to drink water
| | | | |
C. Apply a high-flow venturi mask
| | | | |
D. Assist her to an upright position
| | | | | |
A client with a history of asthma and bronchitis arrives at the clinic
| | | | | | | | | | | |
with shortness of breath, productive cough with thickened tena-
| | | | | | | |
cious mucous, and the inability to walk up a flight of stairs without
| | | | | | | | | | | |
experiencing breathlessness. Which action is most important for | | | | | | |
the nurse to instruct the client about self-care?
| | | | | | |
A. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
B. Avoid crowded enclosed areas to reduce pathogen exposure
| | | | | | | |
C. Call the clinic if undesirable side effects of mediations occur
| | | | | | | | | |
D. Teach anxiety reduction methods for feelings of suffocation
| | | | | | | |
A. Increase the daily intake of oral fluids to liquefy secretions
| | | | | | | | | |
,A cardiac catherterization of a client with heart disease indicates
| | | | | | | | |
the following blockages: 95% proximal left anterior descending
| | | | | | |
(LAD), 99% proximal circumflex, and ? % proximal right coronary
| | | | | | | | |
artery (RCA). The client later asks the nurse "what does all this
| | | | | | | | | | |
mean for me?" What information should the nurse provide?
| | | | | | | |
A. Blood supply to the heart is diminished by artherosclerotic
| | | | | | | | |
lesions, which necessitate lifestyle changes.
| | | |
B. Blood vessels supplying the pumping chamber have blockages
| | | | | | | |
indicating a past heart attack. | | | |
C. Three main arteries have major blockages, with only 1 to 5% of
| | | | | | | | | | | |
blood flow getting through to the heart muscle.
| | | | | | |
D. The heart is not receiving enough blood, so there is a risk of
| | | | | | | | | | | | |
heart failure and fluid retention.
| | | |
C. Three main arteries have major blockages, with only 1 to 5% of
| | | | | | | | | | | |
blood flow getting through to the heart muscle.
| | | | | | |
A client who weighs 175 pounds is receiving IV bolus dose of
| | | | | | | | | | |
heparin 80 units/kg. The heparin is available in a 2 ml vial, labeled
| | | | | | | | | | | |
10,000 units/ml. How many ml should the nurse administer? (En-
| | | | | | | | |
ter numeric value only. If rounding is required, round to the nearest
| | | | | | | | | | |
tenth.)
0.6 ml |
What information should the nurse include in the teaching plan of
| | | | | | | | | |
a client diagnosed with gastroesophageal reflux disease (GERD)?
| | | | | | |
A. Sleep without pillows at night to maintain neck alignment.
| | | | | | | | |
B. Adjust food intake to three full meals per day and no snacks.
| | | | | | | | | | | |
C. Minimize symptoms by wearing loose, comfortable clothing
| | | | | | |
D. Avoid participation in any aerobic exercise programs
| | | | | | |
C. Minimize symptoms by wearing loose, comfortable clothing
| | | | | | |
The nurse is caring for a client with a lower left lobe pulmonary
| | | | | | | | | | | |
abscess. Which position should the nurse instruct the client to
| | | | | | | | |
, maintain?
A. left lateral
| |
B. Supine, knees flexed
| | |
C. Dorsal recumbent
| |
D. Knee-chest
|
A. left lateral
| |
A client with cholelithiasis has a gallstone lodged in the common
| | | | | | | | | |
bile duct and is unable to eat or drink without becoming nause-
| | | | | | | | | | |
ated and vomiting. Which finding should the nurse report to the
| | | | | | | | | |
healthcare provider. |
A. Belching
|
B. Amber urine
| |
C. Yellow sclera
| |
D. Flatulence
|
C. Yellow sclera
| |
While caring for a client with Amyotrophic Lateral Sclerosis (ALS),
| | | | | | | | |
the nurse performs a neurological assessment every four hours.
| | | | | | | |
Which assessment finding warrants immediate intervention by the
| | | | | | |
nurse?
A. Inappropriate laughter
| |
B. Increasing anxiety
| |
C. Weakened cough effort
| | |
D. Asymmetrical weakness
| |
C. Weakened cough effort
| | |
The nurse is providing preoperative education for a Jewish client
| | | | | | | | |
scheduled to receive a xenograft graft to promote burn healing.
| | | | | | | | |
Which information should the nurse provide this client?
| | | | | | |
A. Grafting increases the risk for bacterial infections
| | | | | | |
B. The xenograft is taken from nonhuman sources
| | | | | | |
