Page 1 of 34
HESI - RN PRACTICE TEST EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A client comes to the clinic with a report of fever and a recent
exposure to someone who was diagnosed with meningitis. Which
nursing assessment should be completed during the initial
examination of this client?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability. - ✔✔✔ Correct Answer > A) Level of
consciousness
Initial symptoms of meningitis include headache, fatigue, stiff
neck, and changes in level of consciousness. It is necessary to
determine if the client is demonstrating signs of meningitis
before planning immediate care.
The nurse is assessing a client who has a history of mitral
stenosis. How should the nurse assess this client with a
stethoscope to listen for this condition?
,Page 2 of 34
A) Place the bell on the 5th intercostal space, left midclavicular
line.
B) Place the bell on the 2nd intercostal space, left midclavicular
line.
C) Put the diaphragm on the 5th intercostal space, left sternal
border.
D) Put the diaphragm on the 2nd intercostal space, left sternal
border. - ✔✔✔ Correct Answer > A) Place the bell on the 5th
intercostal space, left midclavicular line.
The best way to listen for low-pitch mitral heart sounds, such as
a mitral stenosis murmur, is to place the bell of stethoscope onto
the 5th intercostal space at the left midclavicular line.
While assessing level of consciousness, the nurse finds that a
client localizes to pain, is confused during conversation, and
opens the eyes to sound. How should the nurse document the
Glasgow score of this client?
A) 12.
B) 10.
C) 9.
D) 7 - ✔✔✔ Correct Answer > A) 12.
,Page 3 of 34
The Glasgow Coma Scale is used to establish baseline data
based on eye opening, motor response, and verbal response. The
lowest possible score is 3 and thehighest is 15. This client's
Glasgow Coma Scale (GCS) score is 12: Opening eyes to sound is
a score of 3, localizing to pain is a 5, and confusion during a
conversation is a 4 (3 + 5 + 4 = 12).
Which part of the body should the nurse examine when
assessing for peripheral edema in a client with heart failure?
A) Face.
B) Ankles.
C) Knees.
D) Jugular veins. - ✔✔✔ Correct Answer > B) Ankles.
Edema is caused by fluid accumulating in the interstitial spaces.
Dependent extremities such as the feet and ankles are more
prone to peripheral edema caused by conditions such as heart
failure, so the nurse should assess the ankles for dependent
edema.
What is the best nursing response to an older client who has not
mentioned incontinence during a genitourinary assessment?
A) Ask the client specifically about any leakage of urine.
B) Document that the client reports having no incontinence.
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C) Have the client cough and then check for urine leakage.
D) Determine if the client has ever had urinary tract surgery. -
✔✔✔ Correct Answer > A) Ask the client specifically about any leakage
of urine
Incontinence is a manageable condition, but many clients do not
report incontinence due to embarrassment. The nurse needs to
ask the client directly about urine leakage to avoid missing this
information.
What is the best place for the nurse to hear lower lobe lung
sounds with a stethoscope?
A) Posterior chest below the 3rd intercostal space.
B) Posterior-axillary line at the 4th intercostal space.
C) Anterior chest at the level of the 4th intercostal space.
D) Anterior-axillary line at the 5th intercostal space. - ✔✔✔ Correct
Answer > A) Posterior chest below the 3rd intercostal space.
The posterior chest below the level of the 3rd intercostal spaces
is occupied entirely by the lower lobes. This makes the posterior
chest the best place for the nurse to hear lower lobe lung sounds
with a stethoscope.
HESI - RN PRACTICE TEST EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A client comes to the clinic with a report of fever and a recent
exposure to someone who was diagnosed with meningitis. Which
nursing assessment should be completed during the initial
examination of this client?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability. - ✔✔✔ Correct Answer > A) Level of
consciousness
Initial symptoms of meningitis include headache, fatigue, stiff
neck, and changes in level of consciousness. It is necessary to
determine if the client is demonstrating signs of meningitis
before planning immediate care.
The nurse is assessing a client who has a history of mitral
stenosis. How should the nurse assess this client with a
stethoscope to listen for this condition?
,Page 2 of 34
A) Place the bell on the 5th intercostal space, left midclavicular
line.
B) Place the bell on the 2nd intercostal space, left midclavicular
line.
C) Put the diaphragm on the 5th intercostal space, left sternal
border.
D) Put the diaphragm on the 2nd intercostal space, left sternal
border. - ✔✔✔ Correct Answer > A) Place the bell on the 5th
intercostal space, left midclavicular line.
The best way to listen for low-pitch mitral heart sounds, such as
a mitral stenosis murmur, is to place the bell of stethoscope onto
the 5th intercostal space at the left midclavicular line.
While assessing level of consciousness, the nurse finds that a
client localizes to pain, is confused during conversation, and
opens the eyes to sound. How should the nurse document the
Glasgow score of this client?
A) 12.
B) 10.
C) 9.
D) 7 - ✔✔✔ Correct Answer > A) 12.
,Page 3 of 34
The Glasgow Coma Scale is used to establish baseline data
based on eye opening, motor response, and verbal response. The
lowest possible score is 3 and thehighest is 15. This client's
Glasgow Coma Scale (GCS) score is 12: Opening eyes to sound is
a score of 3, localizing to pain is a 5, and confusion during a
conversation is a 4 (3 + 5 + 4 = 12).
Which part of the body should the nurse examine when
assessing for peripheral edema in a client with heart failure?
A) Face.
B) Ankles.
C) Knees.
D) Jugular veins. - ✔✔✔ Correct Answer > B) Ankles.
Edema is caused by fluid accumulating in the interstitial spaces.
Dependent extremities such as the feet and ankles are more
prone to peripheral edema caused by conditions such as heart
failure, so the nurse should assess the ankles for dependent
edema.
What is the best nursing response to an older client who has not
mentioned incontinence during a genitourinary assessment?
A) Ask the client specifically about any leakage of urine.
B) Document that the client reports having no incontinence.
, Page 4 of 34
C) Have the client cough and then check for urine leakage.
D) Determine if the client has ever had urinary tract surgery. -
✔✔✔ Correct Answer > A) Ask the client specifically about any leakage
of urine
Incontinence is a manageable condition, but many clients do not
report incontinence due to embarrassment. The nurse needs to
ask the client directly about urine leakage to avoid missing this
information.
What is the best place for the nurse to hear lower lobe lung
sounds with a stethoscope?
A) Posterior chest below the 3rd intercostal space.
B) Posterior-axillary line at the 4th intercostal space.
C) Anterior chest at the level of the 4th intercostal space.
D) Anterior-axillary line at the 5th intercostal space. - ✔✔✔ Correct
Answer > A) Posterior chest below the 3rd intercostal space.
The posterior chest below the level of the 3rd intercostal spaces
is occupied entirely by the lower lobes. This makes the posterior
chest the best place for the nurse to hear lower lobe lung sounds
with a stethoscope.
