HESI EXAM vc
Exam Solution vc
Access to this page has been denied 2026 A+ GRADE ASS vc vc vc vc vc vc vc vc vc vc
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS vc vc vc vc vc vc
(D52B2)
QUESTION 1 vc
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he wil
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l drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is t
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he best follow-up action by the nurse?
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ANSWER
Review with the client the need to avoid foods that are rich in milk and cream
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QUESTION 2 vc
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitte
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d client who has a seizure disorder. The client is supine and the UAP is placing soft pillo
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ws along the side rails. What action should the nurse implement?
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ANSWER
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
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QUESTION 3 vc
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
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the past 12 days. Which assessment finding requires immediate follow-up?
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ANSWER
Describes life without purpose vc vc vc
QUESTION 4 vc
,A 60-year-
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old female client with a positive family history of ovarian cancer has developed an abdo
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minal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) s
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mear results are negative. What information should the nurse include in the client's teac
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hing plan? vc
ANSWER
Further evaluation involving surgery may be needed
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QUESTION 5 vc
A client who recently underwear a tracheostomy is being prepared for discharge to hom
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e. Which instructions is most important for the nurse to include in the discharge plan?
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ANSWER
Teach tracheal suctioning techniques
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QUESTION 6 vc
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxyg
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en reservoir bag does not deflate completely during inspiration and the client's respirat
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ory rate is 14 breaths / minute. What action should the nurse implement?
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ANSWER
Document the assessment data Rational: reservoir bag should not deflate completely during inspiration
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and the client's respiratory rate is within normal limits.
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QUESTION 7 vc
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
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ch client alarm should the nurse investigate firs?
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ANSWER
Respiratory apnea of 30 seconds vc vc vc vc
QUESTION 8 vc
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wha
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t action should the nurse take first?
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ANSWER
Check the client for lacerations or fractures
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,QUESTION 9 vc
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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Section), the client tells the nurse that she drank a cup a coffee at 0400 because she want
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ed to avoid getting a headache. Which action should the nurse take first?
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ANSWER
Inform the anesthesia care provider
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QUESTION 10 vc
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart s
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ounds. To determine if an S3 heart sound is present, what action should the nurse take fi
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rst?
ANSWER
Listen with the bell at the same location
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QUESTION 11 vc
A 66-year-
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old woman is retiring and will no longer have a health insurance through her place of e
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mployment. Which agency should the client be referred to by the employee health nurse
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for health insurance needs?
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ANSWER
Medicare
QUESTION 12 vc
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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What snack should the nurse instruct the client to take with the tetracycline?
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ANSWER
Toasted wheat bread and jelly vc vc vc vc
QUESTION 13 vc
Following a lumbar puncture, a client voices several complaints. What complaint indicat
vc vc vc vc vc vc vc vc vc vc vc
ed to the nurse that the client is experiencing a complication?
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ANSWER
"I have a headache that gets worse when I sit up" "I am having pain in my lower back when I move my l
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egs" "My throat hurts when I swallow" "I feel sick to my stomach and am going to throw up"
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, QUESTION 14 vc
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
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with incontinence. Which action should the nurse implement?
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ANSWER
Obtain a clean catch mid-stream specimen
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QUESTION 15 vc
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
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hat are in keeping with the child's dietary restrictions. Which foods are contraindicated f
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or this child?
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ANSWER
Foods sweetened with aspartame
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QUESTION 16 vc
Before preparing a client for the first surgical case of the day, a part-
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time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
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preparation for this client. Which response should the circulating nurse provide?
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ANSWER
Direct the nurse to continue the surgical hand scrub for a 5 minute duration
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QUESTION 17 vc
Which breakfast selection indicates that the client understands the nurse's instructions
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about the dietary management of osteoporosis?
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ANSWER
Bagel with jelly and skim milk
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QUESTION 18 vc
The charge nurse of a critical care unit is informed at the beginning of the shift that less t
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han the optimal number of registered nurses will be working that shift. In planning assig
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nments, which client should receive the most care hours by a registered nurse (RN)?
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Exam Solution vc
Access to this page has been denied 2026 A+ GRADE ASS vc vc vc vc vc vc vc vc vc vc
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS vc vc vc vc vc vc
(D52B2)
QUESTION 1 vc
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he wil
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
l drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
he best follow-up action by the nurse?
vc vc vc vc vc vc
ANSWER
Review with the client the need to avoid foods that are rich in milk and cream
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitte
vc vc vc vc vc vc vc vc vc vc vc
d client who has a seizure disorder. The client is supine and the UAP is placing soft pillo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ws along the side rails. What action should the nurse implement?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 3 vc
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
vc vc vc vc vc vc vc vc vc vc vc
the past 12 days. Which assessment finding requires immediate follow-up?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Describes life without purpose vc vc vc
QUESTION 4 vc
,A 60-year-
vc
old female client with a positive family history of ovarian cancer has developed an abdo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
minal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) s
vc vc vc vc vc vc vc vc vc vc vc vc vc
mear results are negative. What information should the nurse include in the client's teac
vc vc vc vc vc vc vc vc vc vc vc vc vc
hing plan? vc
ANSWER
Further evaluation involving surgery may be needed
vc vc vc vc vc vc
QUESTION 5 vc
A client who recently underwear a tracheostomy is being prepared for discharge to hom
vc vc vc vc vc vc vc vc vc vc vc vc vc
e. Which instructions is most important for the nurse to include in the discharge plan?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Teach tracheal suctioning techniques
vc vc vc
QUESTION 6 vc
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxyg
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
en reservoir bag does not deflate completely during inspiration and the client's respirat
vc vc vc vc vc vc vc vc vc vc vc vc
ory rate is 14 breaths / minute. What action should the nurse implement?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Document the assessment data Rational: reservoir bag should not deflate completely during inspiration
vc vc vc vc vc vc vc vc vc vc vc vc vc
and the client's respiratory rate is within normal limits.
vc vc vc vc vc vc vc vc
QUESTION 7 vc
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
vc vc vc vc vc vc vc vc vc vc
ch client alarm should the nurse investigate firs?
vc vc vc vc vc vc vc
ANSWER
Respiratory apnea of 30 seconds vc vc vc vc
QUESTION 8 vc
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wha
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t action should the nurse take first?
vc vc vc vc vc vc
ANSWER
Check the client for lacerations or fractures
vc vc vc vc vc vc
,QUESTION 9 vc
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
vc vc vc vc vc vc vc vc vc vc vc vc
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she want
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ed to avoid getting a headache. Which action should the nurse take first?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Inform the anesthesia care provider
vc vc vc vc
QUESTION 10 vc
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ounds. To determine if an S3 heart sound is present, what action should the nurse take fi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rst?
ANSWER
Listen with the bell at the same location
vc vc vc vc vc vc vc
QUESTION 11 vc
A 66-year-
vc
old woman is retiring and will no longer have a health insurance through her place of e
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
mployment. Which agency should the client be referred to by the employee health nurse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
for health insurance needs?
vc vc vc
ANSWER
Medicare
QUESTION 12 vc
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
What snack should the nurse instruct the client to take with the tetracycline?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Toasted wheat bread and jelly vc vc vc vc
QUESTION 13 vc
Following a lumbar puncture, a client voices several complaints. What complaint indicat
vc vc vc vc vc vc vc vc vc vc vc
ed to the nurse that the client is experiencing a complication?
vc vc vc vc vc vc vc vc vc vc
ANSWER
"I have a headache that gets worse when I sit up" "I am having pain in my lower back when I move my l
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
egs" "My throat hurts when I swallow" "I feel sick to my stomach and am going to throw up"
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
, QUESTION 14 vc
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
with incontinence. Which action should the nurse implement?
vc vc vc vc vc vc vc
ANSWER
Obtain a clean catch mid-stream specimen
vc vc vc vc vc
QUESTION 15 vc
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hat are in keeping with the child's dietary restrictions. Which foods are contraindicated f
vc vc vc vc vc vc vc vc vc vc vc vc vc
or this child?
vc vc
ANSWER
Foods sweetened with aspartame
vc vc vc
QUESTION 16 vc
Before preparing a client for the first surgical case of the day, a part-
vc vc vc vc vc vc vc vc vc vc vc vc vc
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
preparation for this client. Which response should the circulating nurse provide?
c vc vc vc vc vc vc vc vc vc vc
ANSWER
Direct the nurse to continue the surgical hand scrub for a 5 minute duration
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 17 vc
Which breakfast selection indicates that the client understands the nurse's instructions
vc vc vc vc vc vc vc vc vc vc vc
about the dietary management of osteoporosis?
vc vc vc vc vc
ANSWER
Bagel with jelly and skim milk
vc vc vc vc vc
QUESTION 18 vc
The charge nurse of a critical care unit is informed at the beginning of the shift that less t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
han the optimal number of registered nurses will be working that shift. In planning assig
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nments, which client should receive the most care hours by a registered nurse (RN)?
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
