HESI Study Questions |set 1 to 5| WITH COMPLETE
SOLUTION 2022/2023
1. A client who has been in active labor for 12 hours suddenly tells the nurse that she has a
strong urge to have a bowel movement. What action should the nurse take? Correct Answer:
Perform a sterile vaginal exam.
2. The nurse assesses a 78-year-old male client who has left sided heart failure. Which symptoms
would the nurse expect this client to exhibit? Correct Answer: Dyspnea, cough and fatigue
3. A female client comes to the clinic complaining of fatigue and inability to sleep because she is
the full-time caretaker for a 22-year-old son who was paralyzed by a motor vehicle collision. She
adds that her husband left her because he says he can't take her behavior anymore since all she
does is care for their son. What intervention should the nurse implement? Correct Answer:
Acknowledge the client's stress and suggest that she consider respite care.
4. The nurse plans to administer a scheduled dose of metoprolol (Toprol SR) at 0900 to a client
with hypertension. At 0800, the nurse notes that the client's telemetry pattern shows a second-
degree heart block with a ventricular rate of 50. What action should the nurse take? Correct
Answer: Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern
5. A client who developed Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
associated with small cell carcinoma of the lung is preparing for discharge. When teaching the
client about self-management with demeclocycline (Declomycin), the nurse should instruct the
client to report which condition to the healthcare provider? Correct Answer: Muscle Cramping
6. In determining the client position for insertion of an indwelling urinary catheter, it is most
important for the nurse to recognize which client condition? Correct Answer: Orthopnea (SOB)
7. The nurse is reviewing a client's electrocardiogram and determines that the PR interval (PRI)
is prolonged. What does this finding indicate? Correct Answer: Increased conduction time from
the SA node to the AV junction.
8. The nurse is teaching a male client with multiple sclerosis how to empty his bladder using the
Crede Method. When performing a return demonstration, the client applies pressure to the
umbilical area of his abdomen. What instruction should the nurse provide? Correct Answer:
Apply downward manual pressure at the suprapubic region
9. A 35-year-old female client has just been admitted to the postanesthesia recovery unit
following a partial thyroidectomy. Which statement reflects the nurse's accurate understanding of
the expected outcome for the client following this surgery? Correct Answer: Supplemental
hormonal therapy will probably be unnecessary
10. A client with gestational diabetes, at 39-weeks gestation, is in the second stage of labor. After
delivery of the fetal head, the nurse recognizes that shoulder dystocia is occurring. What
,intervention should the nurse implement first? Correct Answer: Assist the client to sharply flex
her thighs up against the abdomen
11. The nurse should observe most closely for drug toxicity when a client receives a medication
that has which characteristic? Correct Answer: Narrow therapeutic index.
12. Following insertion of a LeVeen shunt in a client with cirrhosis of the liver, which
assessment finding indicates to the nurse that the shunt is effective? Correct Answer: Decreased
abdominal girth.
13. When finding a client sitting on the floor, the nurse calls for help from the unlicensed
assistive personnel (UAP). Which task should the nurse ask the UAP to do? Correct Answer:
Get a blood pressure cuff
14. During the initial newborn assessment, the nurse finds that a newborn's heart rate is irregular.
Which intervention should the nurse implement? Correct Answer: Document the finding in the
infant's record
15. A client is diagnosed with a frontal lobe glioma, which is a benign brain tumor. When
teaching the client about the tumor, which information should the nurse consider? Correct
Answer: Personality changes or expressive aphasia are likely
16. A client who has suffered 3rd degree burns over 60% of the body is admitted to the
emergency department. The healthcare provider writes a prescription for "IV Lactated Ringer's
350 ml/hr". Which intervention should the nurse implement? Correct Answer: Obtain an
intravenous infusion pump prior to administering the IV
17. A male client with HIV, who is being admitted to a healthcare facility, tells the nurse that he
is concerned about his right to have access to his records and explanations regarding his
treatment and the cost of such treatment. Which resource should guide the nurse's response to
this client? Correct Answer: The Patient's Bill of Rights.
18. When assessing the oral temperature of an adult client at 6:00 pm, the nurse notes that the
client's temperature at 6:00 am was 97.2, and is now 98.8. Which intervention should the nurse
implement? Correct Answer: Document this temperature variation on the graphic sheet.
19. It would be of greatest benefit for the client with which problem related to diabetes mellitus
to change from the use of insulin syringes to using an insulin pen for medication administration?
Correct Answer: Diminished dexterity due to finger paresthesias
20. A one-year-old child with neuroblastoma is crying continuously and is curled into a fetal
position. What action is most important for the nurse to implement? Correct Answer: Give a
prescribed analgesic
, 21. A client diagnosed with major depression is being allowed a weekend pass from the
psychiatric unit. Which instruction should the nurse provide to the client's family? Correct
Answer: Involve the client in usual at-home activities
22. The nurse is evaluating an asthmatic client's response to an inhaled corticosteroid medication.
What assessment finding indicates that the medication has been effective in controlling the
asthma symptoms? The client has increased Correct Answer: Peak flow meter rates
23. In reviewing the goals of "Healthy People", the nurse determines that the community has a
significant problem in preventing dental caries among children. To bring about change that
addresses this identified community health problem, where is the best place to initiate a
prevention program? Correct Answer: WIC program intake offices
24. In planning care for a client with a nursing diagnosis of "Impaired mobility", the nurse
instructs the unlicensed assistive personnel (UAP) to assist the client with ambulation. Because
the healthcare provider has prescribed bed rest for the client, what action should the nurse take?
Correct Answer: Change the planned interventions to include range of motion exercises rather
than ambulation
25. When assigning an unlicensed assistive personnel (UAP) to assist a client with personal care,
which client information is most important for the nurse to provide the UAP? Correct Answer:
Prescribed activity level.
26. Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech,
bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse
identifies a nursing diagnosis of, "Altered thought processes, secondary to" what condition?
Correct Answer: Postpartum psychosis
27. The nurse is preparing to discharge a client from the hospital who has aphasia secondary to a
cerebrovascular accident (CVA). What instruction should the nurse provide the family to assist
them in communicating with the client? Correct Answer: Be consistent in using the same words
each time a question is asked
28. The intensive care department is full and short staffed, so the nursing supervisor informs the
charge nurse in the medical department that one nurse must float to the ICU. Which nurse should
the medical department charge nurse send to the intensive care department? Correct Answer: A
staff nurse who was cross-trained to work in the critical care department
29. A mother brings her newborn infant to the well-baby clinic for the one-month check-up. The
nurse reviews the infant's records and identifies that the newborn received the first dose of the
HBV immunization upon discharge from the newborn nursery. When should the nurse
recommend the administration of the next booster for the HBV series? Correct Answer: During
this visit, one-month of age.
SOLUTION 2022/2023
1. A client who has been in active labor for 12 hours suddenly tells the nurse that she has a
strong urge to have a bowel movement. What action should the nurse take? Correct Answer:
Perform a sterile vaginal exam.
2. The nurse assesses a 78-year-old male client who has left sided heart failure. Which symptoms
would the nurse expect this client to exhibit? Correct Answer: Dyspnea, cough and fatigue
3. A female client comes to the clinic complaining of fatigue and inability to sleep because she is
the full-time caretaker for a 22-year-old son who was paralyzed by a motor vehicle collision. She
adds that her husband left her because he says he can't take her behavior anymore since all she
does is care for their son. What intervention should the nurse implement? Correct Answer:
Acknowledge the client's stress and suggest that she consider respite care.
4. The nurse plans to administer a scheduled dose of metoprolol (Toprol SR) at 0900 to a client
with hypertension. At 0800, the nurse notes that the client's telemetry pattern shows a second-
degree heart block with a ventricular rate of 50. What action should the nurse take? Correct
Answer: Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern
5. A client who developed Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
associated with small cell carcinoma of the lung is preparing for discharge. When teaching the
client about self-management with demeclocycline (Declomycin), the nurse should instruct the
client to report which condition to the healthcare provider? Correct Answer: Muscle Cramping
6. In determining the client position for insertion of an indwelling urinary catheter, it is most
important for the nurse to recognize which client condition? Correct Answer: Orthopnea (SOB)
7. The nurse is reviewing a client's electrocardiogram and determines that the PR interval (PRI)
is prolonged. What does this finding indicate? Correct Answer: Increased conduction time from
the SA node to the AV junction.
8. The nurse is teaching a male client with multiple sclerosis how to empty his bladder using the
Crede Method. When performing a return demonstration, the client applies pressure to the
umbilical area of his abdomen. What instruction should the nurse provide? Correct Answer:
Apply downward manual pressure at the suprapubic region
9. A 35-year-old female client has just been admitted to the postanesthesia recovery unit
following a partial thyroidectomy. Which statement reflects the nurse's accurate understanding of
the expected outcome for the client following this surgery? Correct Answer: Supplemental
hormonal therapy will probably be unnecessary
10. A client with gestational diabetes, at 39-weeks gestation, is in the second stage of labor. After
delivery of the fetal head, the nurse recognizes that shoulder dystocia is occurring. What
,intervention should the nurse implement first? Correct Answer: Assist the client to sharply flex
her thighs up against the abdomen
11. The nurse should observe most closely for drug toxicity when a client receives a medication
that has which characteristic? Correct Answer: Narrow therapeutic index.
12. Following insertion of a LeVeen shunt in a client with cirrhosis of the liver, which
assessment finding indicates to the nurse that the shunt is effective? Correct Answer: Decreased
abdominal girth.
13. When finding a client sitting on the floor, the nurse calls for help from the unlicensed
assistive personnel (UAP). Which task should the nurse ask the UAP to do? Correct Answer:
Get a blood pressure cuff
14. During the initial newborn assessment, the nurse finds that a newborn's heart rate is irregular.
Which intervention should the nurse implement? Correct Answer: Document the finding in the
infant's record
15. A client is diagnosed with a frontal lobe glioma, which is a benign brain tumor. When
teaching the client about the tumor, which information should the nurse consider? Correct
Answer: Personality changes or expressive aphasia are likely
16. A client who has suffered 3rd degree burns over 60% of the body is admitted to the
emergency department. The healthcare provider writes a prescription for "IV Lactated Ringer's
350 ml/hr". Which intervention should the nurse implement? Correct Answer: Obtain an
intravenous infusion pump prior to administering the IV
17. A male client with HIV, who is being admitted to a healthcare facility, tells the nurse that he
is concerned about his right to have access to his records and explanations regarding his
treatment and the cost of such treatment. Which resource should guide the nurse's response to
this client? Correct Answer: The Patient's Bill of Rights.
18. When assessing the oral temperature of an adult client at 6:00 pm, the nurse notes that the
client's temperature at 6:00 am was 97.2, and is now 98.8. Which intervention should the nurse
implement? Correct Answer: Document this temperature variation on the graphic sheet.
19. It would be of greatest benefit for the client with which problem related to diabetes mellitus
to change from the use of insulin syringes to using an insulin pen for medication administration?
Correct Answer: Diminished dexterity due to finger paresthesias
20. A one-year-old child with neuroblastoma is crying continuously and is curled into a fetal
position. What action is most important for the nurse to implement? Correct Answer: Give a
prescribed analgesic
, 21. A client diagnosed with major depression is being allowed a weekend pass from the
psychiatric unit. Which instruction should the nurse provide to the client's family? Correct
Answer: Involve the client in usual at-home activities
22. The nurse is evaluating an asthmatic client's response to an inhaled corticosteroid medication.
What assessment finding indicates that the medication has been effective in controlling the
asthma symptoms? The client has increased Correct Answer: Peak flow meter rates
23. In reviewing the goals of "Healthy People", the nurse determines that the community has a
significant problem in preventing dental caries among children. To bring about change that
addresses this identified community health problem, where is the best place to initiate a
prevention program? Correct Answer: WIC program intake offices
24. In planning care for a client with a nursing diagnosis of "Impaired mobility", the nurse
instructs the unlicensed assistive personnel (UAP) to assist the client with ambulation. Because
the healthcare provider has prescribed bed rest for the client, what action should the nurse take?
Correct Answer: Change the planned interventions to include range of motion exercises rather
than ambulation
25. When assigning an unlicensed assistive personnel (UAP) to assist a client with personal care,
which client information is most important for the nurse to provide the UAP? Correct Answer:
Prescribed activity level.
26. Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech,
bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse
identifies a nursing diagnosis of, "Altered thought processes, secondary to" what condition?
Correct Answer: Postpartum psychosis
27. The nurse is preparing to discharge a client from the hospital who has aphasia secondary to a
cerebrovascular accident (CVA). What instruction should the nurse provide the family to assist
them in communicating with the client? Correct Answer: Be consistent in using the same words
each time a question is asked
28. The intensive care department is full and short staffed, so the nursing supervisor informs the
charge nurse in the medical department that one nurse must float to the ICU. Which nurse should
the medical department charge nurse send to the intensive care department? Correct Answer: A
staff nurse who was cross-trained to work in the critical care department
29. A mother brings her newborn infant to the well-baby clinic for the one-month check-up. The
nurse reviews the infant's records and identifies that the newborn received the first dose of the
HBV immunization upon discharge from the newborn nursery. When should the nurse
recommend the administration of the next booster for the HBV series? Correct Answer: During
this visit, one-month of age.
