3/21/2021 HESI
Return to Overview
Practice Test Assessment Performance
96%
You Rock!
Correct Let's review your results from 3/13/2021 at 5:00 pm EST
Incorrect Correct
A nurse is preparing to insert a rectal suppository and observes a small amount of
rectal bleeding. What action should the nurse implement?
Administer the medication as scheduled after assessing the client's vital signs.
Ask the pharmacist to send an alternate form of the prescribed medication to the unit.
Withhold the administration of the suppository until contacting the healthcare provider.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 1/15
3/21/2021 HESI
Insert the suppository very gently being careful not to further injure the rectal mucosa.
Rationale
The presence of rectal bleeding is generally a contraindication for the insertion of a rectal suppository, so the nurse should
withhold the medication and notify the healthcare provider (C). (A and D) may cause increased rectal bleeding. Prior to asking
the pharmacist for another form of the medication, the nurse must have a new prescription from the healthcare provider (B).
The nurse is assessing a middle-aged male client for risk factors related to chronic
illness. Which finding should the nurse assess further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud acuity.
Increase in muscle tone but decreased muscle strength.
Increase in abdominal fat deposits.
Rationale
An increase in the abdominal girth is a risk factor for the development of metabolic syndrome. According to the American
Heart Association, men with a waist size 40 inches or larger and women 35 inches or larger double their risk factor of
developing CAD and increase their chances 5Xs of developing DMII.
The home health nursing director is conducting an educational program for registered
nurses and practical nurses about Medicare reimbursement. To obtain payment for
Medicare services, what must be included in the client's record?
A prescription
This study source was downloaded from thefrom
by 100000817935606 healthcare provider
CourseHero.com onfor each visit
02-04-2022 made.
08:45:14 GMT -06:00
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 2/15
https://www.coursehero.com/file/85220516/HESI-Practice-Test-Multidisciplinary-Assignment-Quizpdf/
, 3/21/2021 HESI
Documentation of a skilled care service provided during the visit.
A copy of the client's health history and social security card.
A record of the preventative healthcare services provided during the visit.
Rationale
All home health visits must include documentation of a skilled service (B) to qualify for Medicare reimbursement, and these
services must be reasonable and necessary. (A) does not mean that the service prescribed is a skilled service for a homebound
client or that it is reasonable and necessary. (C) is not necessary for Medicare reimbursement, but all client records should
contain a health history. Medicare does not reimburse for preventative (D) or maintenance health services, such as annual
physical examinations or mammograms.
The occupational health nurse is completing a yearly self-evaluation. Which activity
should the nurse document as an example of proficient performance criteria in
professionalism?
Contributes money to a professional society or organization.
Maintains chairmanship of the hospital nursing council.
Documents the nursing process in care management.
Develops policy initiatives that impact occupational health and safety.
Rationale
Leadership roles (B) in advancing the profession is an example of proficient performance criteria in professionalism under
occupational and environmental health nursing. Supporting a professional society (A) is an example of competent performance
criteria in professionalism. Using and documenting the nursing process in care management (C) is an example of competent
performance criteria in clinical and primary care. Participating in or guiding the development of policy initiatives that impact
occupational health and safety (D) at all levels is an example of expert performance criteria.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 3/15
3/21/2021 HESI
A client with acute osteomyelitis has undergone surgical debridement of the diseased
bone and asks the nurse how long will antibiotics have to be administered. Which
information should the nurse communicate?
Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks.
Rationale
Treatment of acute osteomyelitis requires administration of high doses of parenteral antibiotics for 4 to 8 weeks, followed by
oral antibiotics for another 4 to 8 weeks.
The nurse is triaging a child with a fever brought to the emergency department by the
parents. Which finding requires the nurse's immediate intervention?
Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter.
Rationale
Prolonged exhalation indicates breathing difficulty, and intervention for this should be taken immediately. According to the
American Heart
This study source was downloaded Association- Pediatric
by 100000817935606 from Advance Life Support
CourseHero.com (PALS) algorithm
on 02-04-2022 a prolonged
08:45:14 expiration in a pediatric client is
GMT -06:00
indicative of lower airway obstruction.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 4/15
https://www.coursehero.com/file/85220516/HESI-Practice-Test-Multidisciplinary-Assignment-Quizpdf/
Return to Overview
Practice Test Assessment Performance
96%
You Rock!
Correct Let's review your results from 3/13/2021 at 5:00 pm EST
Incorrect Correct
A nurse is preparing to insert a rectal suppository and observes a small amount of
rectal bleeding. What action should the nurse implement?
Administer the medication as scheduled after assessing the client's vital signs.
Ask the pharmacist to send an alternate form of the prescribed medication to the unit.
Withhold the administration of the suppository until contacting the healthcare provider.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 1/15
3/21/2021 HESI
Insert the suppository very gently being careful not to further injure the rectal mucosa.
Rationale
The presence of rectal bleeding is generally a contraindication for the insertion of a rectal suppository, so the nurse should
withhold the medication and notify the healthcare provider (C). (A and D) may cause increased rectal bleeding. Prior to asking
the pharmacist for another form of the medication, the nurse must have a new prescription from the healthcare provider (B).
The nurse is assessing a middle-aged male client for risk factors related to chronic
illness. Which finding should the nurse assess further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud acuity.
Increase in muscle tone but decreased muscle strength.
Increase in abdominal fat deposits.
Rationale
An increase in the abdominal girth is a risk factor for the development of metabolic syndrome. According to the American
Heart Association, men with a waist size 40 inches or larger and women 35 inches or larger double their risk factor of
developing CAD and increase their chances 5Xs of developing DMII.
The home health nursing director is conducting an educational program for registered
nurses and practical nurses about Medicare reimbursement. To obtain payment for
Medicare services, what must be included in the client's record?
A prescription
This study source was downloaded from thefrom
by 100000817935606 healthcare provider
CourseHero.com onfor each visit
02-04-2022 made.
08:45:14 GMT -06:00
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 2/15
https://www.coursehero.com/file/85220516/HESI-Practice-Test-Multidisciplinary-Assignment-Quizpdf/
, 3/21/2021 HESI
Documentation of a skilled care service provided during the visit.
A copy of the client's health history and social security card.
A record of the preventative healthcare services provided during the visit.
Rationale
All home health visits must include documentation of a skilled service (B) to qualify for Medicare reimbursement, and these
services must be reasonable and necessary. (A) does not mean that the service prescribed is a skilled service for a homebound
client or that it is reasonable and necessary. (C) is not necessary for Medicare reimbursement, but all client records should
contain a health history. Medicare does not reimburse for preventative (D) or maintenance health services, such as annual
physical examinations or mammograms.
The occupational health nurse is completing a yearly self-evaluation. Which activity
should the nurse document as an example of proficient performance criteria in
professionalism?
Contributes money to a professional society or organization.
Maintains chairmanship of the hospital nursing council.
Documents the nursing process in care management.
Develops policy initiatives that impact occupational health and safety.
Rationale
Leadership roles (B) in advancing the profession is an example of proficient performance criteria in professionalism under
occupational and environmental health nursing. Supporting a professional society (A) is an example of competent performance
criteria in professionalism. Using and documenting the nursing process in care management (C) is an example of competent
performance criteria in clinical and primary care. Participating in or guiding the development of policy initiatives that impact
occupational health and safety (D) at all levels is an example of expert performance criteria.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 3/15
3/21/2021 HESI
A client with acute osteomyelitis has undergone surgical debridement of the diseased
bone and asks the nurse how long will antibiotics have to be administered. Which
information should the nurse communicate?
Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks.
Rationale
Treatment of acute osteomyelitis requires administration of high doses of parenteral antibiotics for 4 to 8 weeks, followed by
oral antibiotics for another 4 to 8 weeks.
The nurse is triaging a child with a fever brought to the emergency department by the
parents. Which finding requires the nurse's immediate intervention?
Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter.
Rationale
Prolonged exhalation indicates breathing difficulty, and intervention for this should be taken immediately. According to the
American Heart
This study source was downloaded Association- Pediatric
by 100000817935606 from Advance Life Support
CourseHero.com (PALS) algorithm
on 02-04-2022 a prolonged
08:45:14 expiration in a pediatric client is
GMT -06:00
indicative of lower airway obstruction.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388796/10MCWS9D7HK 4/15
https://www.coursehero.com/file/85220516/HESI-Practice-Test-Multidisciplinary-Assignment-Quizpdf/
