HESI A1 1-50 COMPLETE EXAM
QUESTIONS WITH 100% 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? - ANSWERS-· 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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-· 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? - ANSWERS-
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?
· - ANSWERS-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?
· - ANSWERS-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? - ANSWERS-· 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? - ANSWERS-· 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? - ANSWERS-· Medicare
QUESTIONS WITH 100% 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? - ANSWERS-· 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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-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? - ANSWERS-· 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? - ANSWERS-
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?
· - ANSWERS-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?
· - ANSWERS-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? - ANSWERS-· 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? - ANSWERS-· 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? - ANSWERS-· Medicare
