HESI A1 1-50 EXAM QUESTIONS WITH
VERIFIED ANSWERS
1.Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse? - ANSWER · Review
with the client the need to avoid foods that are rich in milk and cream
2 A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition? -
ANSWER Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and the
UAP is placing soft pillows along the side rails. What action should the nurse
implement? - ANSWER Instruct the UAP to obtain soft blankets to secure to the
side rails instead of pillows.
4 An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up? - ANSWER Describes life without purpose
5 A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan? - ANSWER Further
evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to include
in the discharge plan? - ANSWER · Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen reservoir bag does not deflate completely during inspiration and
the client's respiratory rate is 14 breaths / minute. What action should the nurse
implement? - ANSWER Document the assessment data
, · Rational: reservoir bag should not deflate completely during inspiration and the
client's respiratory rate is within normal limits.
8 During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
· - ANSWER Respiratory apnea of 30 seconds
9 During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
· - ANSWER Check the client for lacerations or fractures
10 At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take
first? - ANSWER · Inform the anesthesia care provider
11 After placing a stethoscope as seen in the picture, the nurse auscultates S1
and S2 heart sounds. To determine if an S3 heart sound is present, what action
should the nurse take first? - ANSWER · Listen with the bell at the same location
12 A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be referred to
by the employee health nurse for health insurance needs? - ANSWER · Medicare
13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to take
with the tetracycline?
· - ANSWER Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What
complaint indicated to the nurse that the client is experiencing a complication?
· "I have a headache that gets worse when I sit up"
· "I am having pain in my lower back when I move my legs"
· "My throat hurts when I swallow"
· "I feel sick to my stomach and am going to throw up" - ANSWER "I have a
headache that gets worse when I sit up"
15. An elderly client seems confused and reports the onset of nausea, dysuria,
and urgency with incontinence. Which action should the nurse implement?
· - ANSWER Obtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child's dietary restrictions. Which foods
are contraindicated for this child? - ANSWER Foods sweetened with aspartame
VERIFIED ANSWERS
1.Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse? - ANSWER · Review
with the client the need to avoid foods that are rich in milk and cream
2 A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition? -
ANSWER Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and the
UAP is placing soft pillows along the side rails. What action should the nurse
implement? - ANSWER Instruct the UAP to obtain soft blankets to secure to the
side rails instead of pillows.
4 An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up? - ANSWER Describes life without purpose
5 A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan? - ANSWER Further
evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to include
in the discharge plan? - ANSWER · Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen reservoir bag does not deflate completely during inspiration and
the client's respiratory rate is 14 breaths / minute. What action should the nurse
implement? - ANSWER Document the assessment data
, · Rational: reservoir bag should not deflate completely during inspiration and the
client's respiratory rate is within normal limits.
8 During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
· - ANSWER Respiratory apnea of 30 seconds
9 During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
· - ANSWER Check the client for lacerations or fractures
10 At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take
first? - ANSWER · Inform the anesthesia care provider
11 After placing a stethoscope as seen in the picture, the nurse auscultates S1
and S2 heart sounds. To determine if an S3 heart sound is present, what action
should the nurse take first? - ANSWER · Listen with the bell at the same location
12 A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be referred to
by the employee health nurse for health insurance needs? - ANSWER · Medicare
13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to take
with the tetracycline?
· - ANSWER Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What
complaint indicated to the nurse that the client is experiencing a complication?
· "I have a headache that gets worse when I sit up"
· "I am having pain in my lower back when I move my legs"
· "My throat hurts when I swallow"
· "I feel sick to my stomach and am going to throw up" - ANSWER "I have a
headache that gets worse when I sit up"
15. An elderly client seems confused and reports the onset of nausea, dysuria,
and urgency with incontinence. Which action should the nurse implement?
· - ANSWER Obtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child's dietary restrictions. Which foods
are contraindicated for this child? - ANSWER Foods sweetened with aspartame
