AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
1. Which assessment finding is of greatest concern to the nurse who
is caring for a client with stomatitis?
Cough brought on by
swallowing. Sore throat caused
by speaking.
Painful and dry oral cavity.
Unintended weight loss.: Cough brought on by swallowing.
A cough brought on by swallowing is a sign of dysphagia, which is a
finding
of particular concern in a client with stomatitis. Dysphagia can cause
numerous problems, including airway obstruction, and should be
reported to the healthcare provider immediately.
2. Which dietary assessment finding is most important for the nurse
to address when caring for a client with diabetic nephropathy?
Drinks a six pack of beer every
day. Enjoys a hamburger once a
month. Eats fortified breakfast
cereal daily.
Consumes beans and rice every day.: Drinks a six pack of beer every
day.
,AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
Drinking six beers every day is the dietary assessment finding most
important for the nurse to address when caring for a client with diabetic
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
diabetes are recommended to drink no more than 12 ounces of beer
per day because beer contains carbohydrates that can create
unhealthy fluctuations in blood glucose and promote poor glucose
control. Nephropathy is exacerbated by poor blood glucose control.
3. A male client comes into the clinic with a history of penile discharge
with painful, burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and
redness.
Express the discharge to determine color.: Collect a culture of the
penile discharge.
Penile discharge with painful urination is commonly associated with
gonorrhea. The nurse should collect a culture of the penile discharge
to determine the cause of these symptoms. The cause must be
determined or confirmed through culture to identify the organism and
ensure effective treatment.
4. A client with history of atrial fibrillation is admitted to the telemetry
unit with sudden onset of shortness of breath. The nurse observes a new
,AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
irregular heart rhythm and should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit.: Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that
rhythm. Any signs of atrial fibrillation, such as sudden onset shortness
of breath, requires further investigation. The nurse should assess this
client for a pulse deficit because this condition occurs with atrial
fibrillation.
, AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
5. Which client should be further assessed for an ectopic pregnancy?
A 24-year-old with shoulder and lower abdominal quadrant
pain. A 33-year-old with intermittent lower abdominal cramping.
A 20-year-old with fever and right lower abdominal colic.
A 40-year-old with jaundice and right lower abdominal pain.: A 24-year-
old with shoulder and lower abdominal quadrant pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain
should be assessed for an ectopic pregnancy. The pain can also be
referred to the shoulder and may be associated with vaginal bleeding.
6. Which assessment is most important for the nurse to perform on a client
who is hospitalized for Guillain-Barre syndrome that is rapidly
progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat.: Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically
starts at the feet and progresses upwards. As the condition progresses,
the nurse must ensure that the client is able to breathe effectively.
20222 UPDATE
1. Which assessment finding is of greatest concern to the nurse who
is caring for a client with stomatitis?
Cough brought on by
swallowing. Sore throat caused
by speaking.
Painful and dry oral cavity.
Unintended weight loss.: Cough brought on by swallowing.
A cough brought on by swallowing is a sign of dysphagia, which is a
finding
of particular concern in a client with stomatitis. Dysphagia can cause
numerous problems, including airway obstruction, and should be
reported to the healthcare provider immediately.
2. Which dietary assessment finding is most important for the nurse
to address when caring for a client with diabetic nephropathy?
Drinks a six pack of beer every
day. Enjoys a hamburger once a
month. Eats fortified breakfast
cereal daily.
Consumes beans and rice every day.: Drinks a six pack of beer every
day.
,AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
Drinking six beers every day is the dietary assessment finding most
important for the nurse to address when caring for a client with diabetic
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
diabetes are recommended to drink no more than 12 ounces of beer
per day because beer contains carbohydrates that can create
unhealthy fluctuations in blood glucose and promote poor glucose
control. Nephropathy is exacerbated by poor blood glucose control.
3. A male client comes into the clinic with a history of penile discharge
with painful, burning urination. Which action should the nurse implement?
Collect a culture of the penile discharge.
Palpate the inguinal lymph nodes gently.
Observe for scrotal swelling and
redness.
Express the discharge to determine color.: Collect a culture of the
penile discharge.
Penile discharge with painful urination is commonly associated with
gonorrhea. The nurse should collect a culture of the penile discharge
to determine the cause of these symptoms. The cause must be
determined or confirmed through culture to identify the organism and
ensure effective treatment.
4. A client with history of atrial fibrillation is admitted to the telemetry
unit with sudden onset of shortness of breath. The nurse observes a new
,AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
irregular heart rhythm and should perform which assessment at this time?
Check for a pulse deficit.
Palpate the apical impulse.
Inspect jugular vein pulse.
Examine for a carotid bruit.: Check for a pulse deficit.
A client with a past history of atrial fibrillation may return to that
rhythm. Any signs of atrial fibrillation, such as sudden onset shortness
of breath, requires further investigation. The nurse should assess this
client for a pulse deficit because this condition occurs with atrial
fibrillation.
, AA111 HESI EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
20222 UPDATE
5. Which client should be further assessed for an ectopic pregnancy?
A 24-year-old with shoulder and lower abdominal quadrant
pain. A 33-year-old with intermittent lower abdominal cramping.
A 20-year-old with fever and right lower abdominal colic.
A 40-year-old with jaundice and right lower abdominal pain.: A 24-year-
old with shoulder and lower abdominal quadrant pain.
A 24-year-old with sudden onset of lower abdominal quadrant pain
should be assessed for an ectopic pregnancy. The pain can also be
referred to the shoulder and may be associated with vaginal bleeding.
6. Which assessment is most important for the nurse to perform on a client
who is hospitalized for Guillain-Barre syndrome that is rapidly
progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat.: Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically
starts at the feet and progresses upwards. As the condition progresses,
the nurse must ensure that the client is able to breathe effectively.
