NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
1. An adolescent male client is admitted to the hospital. Based on Erikson’s theory of psychosocial
development, which nursing intervention best assists the adolescent’s adjustment to his hospital
stay?
a. Encourage him to learn his way around the hospital
b. Schedule frequent private room call to his parents
c. Provide access to a variety of video games in his room
d. Invite him to participate in the evening group activity (quizlet)
2. A client is receiving Lidocaine IV at 3 mg/min. The pharmacy dispences a 500 mL IV solution if
normal saline (NS) with 2 grams of Lidocaine. The nurse should regulate the infusion pump to
deliver how many mL/hour?
45 ml/ hour (browsegrades.com)
3. In caring for the body of a client who just died, which tasks can be delegate to the
unlicensed assistive personnel (UAP)? (Select all that apply.) (quizlet)
a. Attach identifying name tags on the body
b. Place personal religious artifacts on the body
c. Observe consent for autopsy signature by the family
d. Follow cultural believes in preparing the body
e. Confirm the client’s wishes for tissue donation
4. A client who is taking Fluoxetine for major depression calls the psychiatric clinic reporting being
more agitated, irritable, and anxious than usual. Which intervention should the nurse
implement?
a. Instruct the client to seek medical attention immediately (coursehero)
b. Explain that these are common side effects of the medication
c. Encourage the client to take the medication at night with a snack
d. Tell the client to have a complete blood count (CBC) drawn
5. The healthcare provider explains through an interpreter the risks and benefits of a scheduled
surgical procedure to a non-English speaking female client. The client gives verbal consent, and
the healthcare provider leaves, instructing the nurse to witness the signature on the consent
form. The client and the interpreter then speak together in the foreign language for an
additional 2 minutes until the interpreter concludes, “She says it is OK.” What action should the
nurse take next?
a. Clarify the client’s consent through the use of gestures and simple terms
b. Have the interpreter co-sign the consent to validate client understanding
,NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
c. Have the client sign the consent and the nurse witness the signature
d. Ask for a full explanation from the interpreter of the witnessed discussion (quizlet)
,NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
6. While caring for a client with a full thickness burn covering 40% of the body surface area (BSA) ,
the nurse observes purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client’s laboratory values?
a. Neutrophil Count (quizlet)
b. Creatinine Level
c. Hematocrit
d. Platelet Count
Rationale: A client who has 40% BSA full-thickness burns with purulent drainage from
the wounds is experiencing an infection. The nurse should review the client's
laboratory results for an elevated neutrophil count (D) before reporting to the
healthcare provider. (A, B, and C) are not indicated at this time.
7. A young adult female college student visits the health clinic in early winter to obtain birth
control pills. The clinic nurse asks if the student has received an influenza vaccination.
The student stated she did not receive vaccination because she has asthma. How should
the nurse respond?
a. Advise the student that the nasal spray vaccine reduces side effects for people with
asthma
b. Encourage the student to obtain a vaccination prior to the next influenza season
c. Offer to provide influenza vaccination to the student while she is at the clinic
(quizlet)
d. Confirm that a history of asthma can increase risks associated with the vaccine
Rationale: person with asthma are at increased risk related to influenza and should
receive the influenza vaccination prior to or during influenza season. Waiting until the
start of the next season places the student at risk for the current season. The
vaccination does not increase risk for persons with asthma but the nasal spray may
result in increased wheezing after receiving that form of the vaccination.
8. preschool teacher notifies the school nurse that a child A has bitten child B on the arm. Child B’s
skin is broken, but not bleeding. What action should the school nurse take first?
a. Wash Child B’s arm thoroughly with soap and water (quizlet)
b. Apply antibiotic cream to child B’s arm immediately
c. Determine the date of child B’s latest tetanus booster
d. Determine if child A has a history of Hepatitis C or HIV
, NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
9. The nurse is preparing discharge teaching for a client with osteoarthritis of the right knee who is
experiencing chronic pain. Which instructions should the nurse include to assist the client in the
management of the pain? (select all that apply)
a. Place a pillow under the knee when sitting with the feet elevated
b. Contact the healthcare provider if the pain remains constant
c. Apply ice to the area for a maximum of 20 minutes with each application
d. Take acetaminophen as prescribed, up to 3000 mg per day
e. Use the elevator or escalator instead of the stairs
10. A client with a history of chronic alcoholism is admitted with pneumonia. Intravenous fluids are
infusing at 75 mL/hour, and oxygen is being delivered at 60% by non-rebreather mask. Which
finding requires immediate intervention by the nurse?
a. Oxygen saturation of 93%
b. Magnesium 1.0 (checked)
c. Sodium 138
d. Potassium 4.8
11. 11.
12. Assessment by the home health nurse of an older client who lives alone indicates that
client has chronic constipations. Daily medications include furosemide for hypertension
and heart failure and laxatives. To manage the client’s constipation, which suggestions
should the nurse provide? (Select all that apply) (quizlet)
a. Decrease laxative use to every other day, and use oil retention enemas as needed
b. Recommend seeking help with regular shopping and meal preparation
c. Report constipation to health care provider related to cardiac medication side effects
d. Increase fluid intake by keeping water glass next to recliner
e. Include oatmeal with stewed prunes for breakfast as often as possible
13. …
14. ….
15. A client who is 32 weeks gestation is seen in the emergency department reporting vision
changes. The nurse observes the client has also experienced rapid weight gain over six weeks.
Which action should the nurse implement first?
a. Collect a finger stick blood glucose
b. Check pupils for reactivity
c. Auscultate fetal heart tones
d. Obtain a blood pressure
NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
1. An adolescent male client is admitted to the hospital. Based on Erikson’s theory of psychosocial
development, which nursing intervention best assists the adolescent’s adjustment to his hospital
stay?
a. Encourage him to learn his way around the hospital
b. Schedule frequent private room call to his parents
c. Provide access to a variety of video games in his room
d. Invite him to participate in the evening group activity (quizlet)
2. A client is receiving Lidocaine IV at 3 mg/min. The pharmacy dispences a 500 mL IV solution if
normal saline (NS) with 2 grams of Lidocaine. The nurse should regulate the infusion pump to
deliver how many mL/hour?
45 ml/ hour (browsegrades.com)
3. In caring for the body of a client who just died, which tasks can be delegate to the
unlicensed assistive personnel (UAP)? (Select all that apply.) (quizlet)
a. Attach identifying name tags on the body
b. Place personal religious artifacts on the body
c. Observe consent for autopsy signature by the family
d. Follow cultural believes in preparing the body
e. Confirm the client’s wishes for tissue donation
4. A client who is taking Fluoxetine for major depression calls the psychiatric clinic reporting being
more agitated, irritable, and anxious than usual. Which intervention should the nurse
implement?
a. Instruct the client to seek medical attention immediately (coursehero)
b. Explain that these are common side effects of the medication
c. Encourage the client to take the medication at night with a snack
d. Tell the client to have a complete blood count (CBC) drawn
5. The healthcare provider explains through an interpreter the risks and benefits of a scheduled
surgical procedure to a non-English speaking female client. The client gives verbal consent, and
the healthcare provider leaves, instructing the nurse to witness the signature on the consent
form. The client and the interpreter then speak together in the foreign language for an
additional 2 minutes until the interpreter concludes, “She says it is OK.” What action should the
nurse take next?
a. Clarify the client’s consent through the use of gestures and simple terms
b. Have the interpreter co-sign the consent to validate client understanding
,NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
c. Have the client sign the consent and the nurse witness the signature
d. Ask for a full explanation from the interpreter of the witnessed discussion (quizlet)
,NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
6. While caring for a client with a full thickness burn covering 40% of the body surface area (BSA) ,
the nurse observes purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client’s laboratory values?
a. Neutrophil Count (quizlet)
b. Creatinine Level
c. Hematocrit
d. Platelet Count
Rationale: A client who has 40% BSA full-thickness burns with purulent drainage from
the wounds is experiencing an infection. The nurse should review the client's
laboratory results for an elevated neutrophil count (D) before reporting to the
healthcare provider. (A, B, and C) are not indicated at this time.
7. A young adult female college student visits the health clinic in early winter to obtain birth
control pills. The clinic nurse asks if the student has received an influenza vaccination.
The student stated she did not receive vaccination because she has asthma. How should
the nurse respond?
a. Advise the student that the nasal spray vaccine reduces side effects for people with
asthma
b. Encourage the student to obtain a vaccination prior to the next influenza season
c. Offer to provide influenza vaccination to the student while she is at the clinic
(quizlet)
d. Confirm that a history of asthma can increase risks associated with the vaccine
Rationale: person with asthma are at increased risk related to influenza and should
receive the influenza vaccination prior to or during influenza season. Waiting until the
start of the next season places the student at risk for the current season. The
vaccination does not increase risk for persons with asthma but the nasal spray may
result in increased wheezing after receiving that form of the vaccination.
8. preschool teacher notifies the school nurse that a child A has bitten child B on the arm. Child B’s
skin is broken, but not bleeding. What action should the school nurse take first?
a. Wash Child B’s arm thoroughly with soap and water (quizlet)
b. Apply antibiotic cream to child B’s arm immediately
c. Determine the date of child B’s latest tetanus booster
d. Determine if child A has a history of Hepatitis C or HIV
, NUR 207 Actual-Combined-HESI-questions AND CORRECT ANSWERS
9. The nurse is preparing discharge teaching for a client with osteoarthritis of the right knee who is
experiencing chronic pain. Which instructions should the nurse include to assist the client in the
management of the pain? (select all that apply)
a. Place a pillow under the knee when sitting with the feet elevated
b. Contact the healthcare provider if the pain remains constant
c. Apply ice to the area for a maximum of 20 minutes with each application
d. Take acetaminophen as prescribed, up to 3000 mg per day
e. Use the elevator or escalator instead of the stairs
10. A client with a history of chronic alcoholism is admitted with pneumonia. Intravenous fluids are
infusing at 75 mL/hour, and oxygen is being delivered at 60% by non-rebreather mask. Which
finding requires immediate intervention by the nurse?
a. Oxygen saturation of 93%
b. Magnesium 1.0 (checked)
c. Sodium 138
d. Potassium 4.8
11. 11.
12. Assessment by the home health nurse of an older client who lives alone indicates that
client has chronic constipations. Daily medications include furosemide for hypertension
and heart failure and laxatives. To manage the client’s constipation, which suggestions
should the nurse provide? (Select all that apply) (quizlet)
a. Decrease laxative use to every other day, and use oil retention enemas as needed
b. Recommend seeking help with regular shopping and meal preparation
c. Report constipation to health care provider related to cardiac medication side effects
d. Increase fluid intake by keeping water glass next to recliner
e. Include oatmeal with stewed prunes for breakfast as often as possible
13. …
14. ….
15. A client who is 32 weeks gestation is seen in the emergency department reporting vision
changes. The nurse observes the client has also experienced rapid weight gain over six weeks.
Which action should the nurse implement first?
a. Collect a finger stick blood glucose
b. Check pupils for reactivity
c. Auscultate fetal heart tones
d. Obtain a blood pressure
