HESI FINAL EXAM 2022 QUESTIONS AND ANSWERS
1. A young woman is preparing to leave for a 7 day bout trip. She request a
prescription for motion sickness, so the health care provider prescribed meclizine
(Antivert) which instruction should the nurse include in this client teaching?
A) Suck on hard candy for a dry mouth while taking these drug
B) Avoid eating shellfish for 24 h after taking these drug
C) Sit up right for at least 30 min after taking these drug
D) Do not dink caffeinated beverage while taking these drug
A
2. At 09.00 the nurse note that there is not prescribed signature for a medication
prescribed 4 time a day. which intervention should the nurse implement?
A) reschedule 0900 dose until the prescriber make rounds
B) confirm the prescription with the health care provider
C) document the signature omissions on a variants reports
D) verify the accuracy of the prescription with the pharmacy
B
3. Following an episode of bacterial erdocarditis, a client develop mitral valve
stenosis. the nurse recognize that the client is at risk for pulmonary hypertension
after result of what process?
A. left ventricular hypertrophy
B. pulmonary artery obstruction
C. right side heart failure
D. increased left atrial pressure
D
4. THE nurse in a pediatric unit observe a distraught mother in the hallway scolding
her 3 years old son for wetting his pants . what action should the nurse take.
A. suggest that the mother consult the pediatric nephrologists
B. provide disposable training pant while calming his mother
C. inform the mother that bowel training is slower for boys
D. refer the mother to a community parent education program
B
5. the nurse provides teaching about a schedule procedure to a male client who was
admitted for diagnostic testing to determine the extend of methastasis of his
cancer. An hour later the client ask the nurse for imformation about the schedule
procedure. what action should the nurse implement?
A. encourage the client to take dept breath and to avoid thinking negative
, thoughts
B. remind the client of the instruction that were provided an hour ago
C. Repeat the client teaching and leave writing instruction for the client
D. reassure the client that whatever the outcome, he will be able to cope with
the result
C
5. A male client sustained a burn injury to more than 25% of his total body
surface area as the result of an industrial fire. which nursing intervation is
most important to implement during the emergent phase?
A. Infuse intravenous fluid as prescribed
B. perform oral pharyngeal suction when indicated
C. administer oral opiods analgesics as needed
D. provide humidified supplemental oxygen
A
6. A women at 24 weeks of gestation develop fever body aches and has been
coughing for a least 5 days is is send to the hospital with possible H1N1 influenza
. which prescription has highest priority?
A. obtain for culture
B. ringer lactated in X hours
C. vital signs q h
D. Assigns private room
D
7. A school aged child with juvenile rheumatoid arthritis develop a viral infection
with a low grade fever. the child is already taking aspirin for the arthritis. what
instruction should the nurse provide for this mother?
A. Discontinue the use of all medications to avoid masking the symptoms of
the illness.
B. Increase the dose of aspirin to control the childs fever and symptoms.
C. Discontinue the aspirin, and use another NSAID to control the childs
fever and symptoms.
D. Continue the aspirin, but add another NSAID to control the child fever
and symptoms.
C
8. An 11 years old client is admitted to the mental health unit after trying to run
, away from home and threatening self harm. the nurse establish a goal to promote
effective coping, and plan to ask the client to verbalized three ways to deal with
stress. which activity is the best to establish rapport and accomplish this
therapeutic goal?
9. A Pediatric client is taking the bet adrenergic blocking agent propanolol inderal.
in developing should teach the parent to report which sing of overdosage?
A. Tachypnea
11.- When caring for a 9 month old child following surgical correction of clubfoot, which
intervention should the nurse implement to determine the child need for analgesic administration
a) Observe feeding and sleeping patterns
b) Assess the foot distal to the cast
c) Utilize a scale based on pain
d) Monitor the frecuency of bowel movements
A
12 Following a left above the knee amputation the client voiced several complaints. What
nurse that the client might be experiencing a complication?
A. I have been feeling so light headed.
13 a client with lower respiratory track infention received a prescription for cipro. An the
client request and afternoon snack . Which dietary choice should the nurse provide?
A. Cinnamon applesauce
14.- Because the client with bell palsy is at risk for impaired nutrition include in this client plan
of care
a) Arrange for the client to receive a home delivered meals daily
b) Assist the client in choosing low calorie low fat foods for each meals
c) Refer the client to a speech therapist to learn swallowing technique
d) Teach the client to chew food on the unaffected side of the face
1. A young woman is preparing to leave for a 7 day bout trip. She request a
prescription for motion sickness, so the health care provider prescribed meclizine
(Antivert) which instruction should the nurse include in this client teaching?
A) Suck on hard candy for a dry mouth while taking these drug
B) Avoid eating shellfish for 24 h after taking these drug
C) Sit up right for at least 30 min after taking these drug
D) Do not dink caffeinated beverage while taking these drug
A
2. At 09.00 the nurse note that there is not prescribed signature for a medication
prescribed 4 time a day. which intervention should the nurse implement?
A) reschedule 0900 dose until the prescriber make rounds
B) confirm the prescription with the health care provider
C) document the signature omissions on a variants reports
D) verify the accuracy of the prescription with the pharmacy
B
3. Following an episode of bacterial erdocarditis, a client develop mitral valve
stenosis. the nurse recognize that the client is at risk for pulmonary hypertension
after result of what process?
A. left ventricular hypertrophy
B. pulmonary artery obstruction
C. right side heart failure
D. increased left atrial pressure
D
4. THE nurse in a pediatric unit observe a distraught mother in the hallway scolding
her 3 years old son for wetting his pants . what action should the nurse take.
A. suggest that the mother consult the pediatric nephrologists
B. provide disposable training pant while calming his mother
C. inform the mother that bowel training is slower for boys
D. refer the mother to a community parent education program
B
5. the nurse provides teaching about a schedule procedure to a male client who was
admitted for diagnostic testing to determine the extend of methastasis of his
cancer. An hour later the client ask the nurse for imformation about the schedule
procedure. what action should the nurse implement?
A. encourage the client to take dept breath and to avoid thinking negative
, thoughts
B. remind the client of the instruction that were provided an hour ago
C. Repeat the client teaching and leave writing instruction for the client
D. reassure the client that whatever the outcome, he will be able to cope with
the result
C
5. A male client sustained a burn injury to more than 25% of his total body
surface area as the result of an industrial fire. which nursing intervation is
most important to implement during the emergent phase?
A. Infuse intravenous fluid as prescribed
B. perform oral pharyngeal suction when indicated
C. administer oral opiods analgesics as needed
D. provide humidified supplemental oxygen
A
6. A women at 24 weeks of gestation develop fever body aches and has been
coughing for a least 5 days is is send to the hospital with possible H1N1 influenza
. which prescription has highest priority?
A. obtain for culture
B. ringer lactated in X hours
C. vital signs q h
D. Assigns private room
D
7. A school aged child with juvenile rheumatoid arthritis develop a viral infection
with a low grade fever. the child is already taking aspirin for the arthritis. what
instruction should the nurse provide for this mother?
A. Discontinue the use of all medications to avoid masking the symptoms of
the illness.
B. Increase the dose of aspirin to control the childs fever and symptoms.
C. Discontinue the aspirin, and use another NSAID to control the childs
fever and symptoms.
D. Continue the aspirin, but add another NSAID to control the child fever
and symptoms.
C
8. An 11 years old client is admitted to the mental health unit after trying to run
, away from home and threatening self harm. the nurse establish a goal to promote
effective coping, and plan to ask the client to verbalized three ways to deal with
stress. which activity is the best to establish rapport and accomplish this
therapeutic goal?
9. A Pediatric client is taking the bet adrenergic blocking agent propanolol inderal.
in developing should teach the parent to report which sing of overdosage?
A. Tachypnea
11.- When caring for a 9 month old child following surgical correction of clubfoot, which
intervention should the nurse implement to determine the child need for analgesic administration
a) Observe feeding and sleeping patterns
b) Assess the foot distal to the cast
c) Utilize a scale based on pain
d) Monitor the frecuency of bowel movements
A
12 Following a left above the knee amputation the client voiced several complaints. What
nurse that the client might be experiencing a complication?
A. I have been feeling so light headed.
13 a client with lower respiratory track infention received a prescription for cipro. An the
client request and afternoon snack . Which dietary choice should the nurse provide?
A. Cinnamon applesauce
14.- Because the client with bell palsy is at risk for impaired nutrition include in this client plan
of care
a) Arrange for the client to receive a home delivered meals daily
b) Assist the client in choosing low calorie low fat foods for each meals
c) Refer the client to a speech therapist to learn swallowing technique
d) Teach the client to chew food on the unaffected side of the face
