Hesi Prep Questions
1. A nurse is reviewing the serum laboratory findings for a client who has hypertension and is
prescribed hydrochlorothiazide. Which of the following findings should the nurse report to
the provider? K+ of 2.3mEq/L (report it to the Provider Immediately and monitor the client
for dysrhythmias)
2. A nurse is assessing a client who has fluid overload. Which of the following findings should the
nurse expect? Select all that apply. Increased HR, BP & RR
3. A nurse is caring for a client who has a MI. upon his first visit to cardiac rehabilitation, he tells
the nurse that he doesn’t understand why he needs to be there because there is nothing
more to do, as the damage is done. Which of the following is the correct nursing response?
Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to
your previous level of activity safely. (nurse is using therapeutic communication technique)
4. A nurse remains with a client to observe for any adverse reactions after initiating a transfusion of
packed RBC’s. The client becomes apprehensive and tachycardic, reporting headache and low
back pain. The nurse should recognize that these findings indicate which of the following
transfusion reactions? Hemolytic (in addition to tachycardia, headache, and low back pain, a
hemolytic reaction can also cause fever, chills, hypotension, possible chest pain, and
hemoglobinuria)
5. A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should
the nurse identify as the priority? Hematemesis
6. A nurse in a provider’s office is assessing a client who has RA. Which of the following findings is
a late manifestation of this condition? Knuckle deformity ( joint deformity is a late manefistation
of RA)
7. While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnosis should the nurse identify as being the priorit
in the client’s care? Impaired tissue perfusion (when using the airway breathing and circulation
ABC’s priority setting framework, the nurse should identify perfusion of tissues as the priority
finding. The presence of varicose veins indicates venous reflux is present which inhibits
perfusion to all the tissues. The nurse should note the client has signs of chronic venous
insufficiency as well which include edema, a feeling of heaviness in the legs, and the presence of
venous stasis ulcers)
8. A nurse is caring for a client who has returned from the surgical suite following surgery for a
fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture.
Which of the following actions is the priority for the nurse to take? Prevent aspiration (ABC’S)
9. A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the
client on his left side in Trendelenburg position. From which of the following lung segments
should the nurse expect secretions to be mobilized with the client in this position? Lateral
segment of the right lower lobe (head lower than feet)
10. A nurse is caring for a client who has delayed hypersensitivity reaction. The nurse should expect
which of the following manifestations? Tissue damage at the site (the nurse should expect the
manifestations of edema, induration, ischemia, and tissue damage at the site occurring hours to
days after exposure. A positive purified protein derivative test for tuberculosis is an example of a
type IV hypersensitivity reaction)
11. A nurse is admitting a client who has acute heart failure following MI. the nurse recognizes that
which of the following prescriptions by the provider requires clarification? 0.9%normal saline IV
1. A nurse is reviewing the serum laboratory findings for a client who has hypertension and is
prescribed hydrochlorothiazide. Which of the following findings should the nurse report to
the provider? K+ of 2.3mEq/L (report it to the Provider Immediately and monitor the client
for dysrhythmias)
2. A nurse is assessing a client who has fluid overload. Which of the following findings should the
nurse expect? Select all that apply. Increased HR, BP & RR
3. A nurse is caring for a client who has a MI. upon his first visit to cardiac rehabilitation, he tells
the nurse that he doesn’t understand why he needs to be there because there is nothing
more to do, as the damage is done. Which of the following is the correct nursing response?
Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to
your previous level of activity safely. (nurse is using therapeutic communication technique)
4. A nurse remains with a client to observe for any adverse reactions after initiating a transfusion of
packed RBC’s. The client becomes apprehensive and tachycardic, reporting headache and low
back pain. The nurse should recognize that these findings indicate which of the following
transfusion reactions? Hemolytic (in addition to tachycardia, headache, and low back pain, a
hemolytic reaction can also cause fever, chills, hypotension, possible chest pain, and
hemoglobinuria)
5. A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should
the nurse identify as the priority? Hematemesis
6. A nurse in a provider’s office is assessing a client who has RA. Which of the following findings is
a late manifestation of this condition? Knuckle deformity ( joint deformity is a late manefistation
of RA)
7. While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnosis should the nurse identify as being the priorit
in the client’s care? Impaired tissue perfusion (when using the airway breathing and circulation
ABC’s priority setting framework, the nurse should identify perfusion of tissues as the priority
finding. The presence of varicose veins indicates venous reflux is present which inhibits
perfusion to all the tissues. The nurse should note the client has signs of chronic venous
insufficiency as well which include edema, a feeling of heaviness in the legs, and the presence of
venous stasis ulcers)
8. A nurse is caring for a client who has returned from the surgical suite following surgery for a
fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture.
Which of the following actions is the priority for the nurse to take? Prevent aspiration (ABC’S)
9. A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the
client on his left side in Trendelenburg position. From which of the following lung segments
should the nurse expect secretions to be mobilized with the client in this position? Lateral
segment of the right lower lobe (head lower than feet)
10. A nurse is caring for a client who has delayed hypersensitivity reaction. The nurse should expect
which of the following manifestations? Tissue damage at the site (the nurse should expect the
manifestations of edema, induration, ischemia, and tissue damage at the site occurring hours to
days after exposure. A positive purified protein derivative test for tuberculosis is an example of a
type IV hypersensitivity reaction)
11. A nurse is admitting a client who has acute heart failure following MI. the nurse recognizes that
which of the following prescriptions by the provider requires clarification? 0.9%normal saline IV
