NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
The nurse is providing dietary instructions to a 68-year-old client who is at
high risk for development of coronary heart disease (CHD). Which information
should the nurse include?
A) Limit dietary selection of cholesterol to 300 mg
per day B) Increase intake of soluble fiber to 10 to
25 grams per day.
C) Decrease plant stanols and sterols to less than 2 grams/day.
D) Ensure saturated fat is less than 30% of total caloric intake. - ANSWER B
A splint is prescribed for nighttime use by a client with rheumatoid arthritis.
Which statement by the nurse provides the most accurate explanation for
use of the splints? A) Prevention of deformities.
B) Avoidance of joint
trauma. C) Relief of joint
inflammation.
D) Improvement in joint strength. - ANSWER A
A 32-year-old female client complains of severe abdominal pain each month
before her menstrual period, painful intercourse, and painful defecation.
Which additional history should the nurse obtain that is consistent with the
client's complaints?
A) Frequent urinary tract
infections. B) Inability to get
pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. - ANSWER B
A client with a 16-year history of diabetes mellitus is having renal function
tests because of recent fatigue, weakness, elevated blood urea nitrogen,
and serum creatinine levels. Which finding should the nurse conclude as an
early symptom of renal insufficiency?
A) Dyspnea.
,NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
B) Nocturia.
C)
Confusion.
D) Stomatitis. - ANSWER B
A client with heart disease is on a continuous telemetry monitor and has
developed sinus bradycardia. In determining the possible cause of the
bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A) Propanolol
(Inderal). B)
Captopril (Capoten).
C) Furosemide
(Lasix).
D) Dobutamine (Dobutrex). - ANSWER A
A client has been taking oral corticosteroids for the past five days because of
seasonal allergies. Which assessment finding is of most concern to the nurse?
A) White blood count of 10,000
mm3. B) Serum glucose of 115
mg/dl.
C) Purulent sputum.
D) Excessive hunger. - ANSWER C (indicates infection)
A female client receiving IV vasopressin (Pitressin) for esophageal varice
rupture reports to the nurse that she feels substernal tightness and pressure
across her chest. Which PRN protocol should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool
saline. C) Increase the
vasopressin infusion.
D) Prepare for endotracheal intubation. - ANSWER A
,NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most
effective to assist the client?
A) Losing weight.
B) Decreasing caffeine
intake. C) Avoiding large
meals.
D) Raising the head of the bed on blocks. - ANSWER D
The nurse is caring for a client with syndrome of inappropriate antidiuretic
hormone (SIADH), which is manifested by which symptoms?
A) Loss of thirst, weight
gain. B) Dependent
edema, fever. C)
Polydipsia, polyuria.
D) Hypernatremia, tachypnea. - ANSWER A
The nurse is planning care for a client with newly diagnosed diabetes
mellitus that requires insulin. Which assessment should the nurse
identify before beginning the teaching session?
A) Present knowledge related to the skill of injection.
B) Intelligence and developmental
level of the client.
C) Willingness of the client to learn the injection sites.
D) Financial resources available for the equipment. - ANSWER c
The nurse is caring for a client who has taken a large quantity of furosemide
(Lasix) to promote weight loss. The nurse anticipates the finding of which
acid-base imbalance? A) PO2 of 78 mm Hg
B) HCO3 of 34
mEq/L C) PCO2 of
56 mm Hg
D) pH of 7.31 - ANSWER b (diuretics cause metabolic acidosis)
, NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
The nurse is preparing a teaching plan for a client who is newly diagnosed
with Type 1 diabetes mellitus. Which signs and symptoms should the nurse
describe when teaching the client about hypoglycemia?
A) Sweating, trembling,
tachycardia. B) Polyuria,
polydipsia, polyphagia. C)
Nausea, vomiting, anorexia.
ANSWERS
The nurse is providing dietary instructions to a 68-year-old client who is at
high risk for development of coronary heart disease (CHD). Which information
should the nurse include?
A) Limit dietary selection of cholesterol to 300 mg
per day B) Increase intake of soluble fiber to 10 to
25 grams per day.
C) Decrease plant stanols and sterols to less than 2 grams/day.
D) Ensure saturated fat is less than 30% of total caloric intake. - ANSWER B
A splint is prescribed for nighttime use by a client with rheumatoid arthritis.
Which statement by the nurse provides the most accurate explanation for
use of the splints? A) Prevention of deformities.
B) Avoidance of joint
trauma. C) Relief of joint
inflammation.
D) Improvement in joint strength. - ANSWER A
A 32-year-old female client complains of severe abdominal pain each month
before her menstrual period, painful intercourse, and painful defecation.
Which additional history should the nurse obtain that is consistent with the
client's complaints?
A) Frequent urinary tract
infections. B) Inability to get
pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. - ANSWER B
A client with a 16-year history of diabetes mellitus is having renal function
tests because of recent fatigue, weakness, elevated blood urea nitrogen,
and serum creatinine levels. Which finding should the nurse conclude as an
early symptom of renal insufficiency?
A) Dyspnea.
,NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
B) Nocturia.
C)
Confusion.
D) Stomatitis. - ANSWER B
A client with heart disease is on a continuous telemetry monitor and has
developed sinus bradycardia. In determining the possible cause of the
bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A) Propanolol
(Inderal). B)
Captopril (Capoten).
C) Furosemide
(Lasix).
D) Dobutamine (Dobutrex). - ANSWER A
A client has been taking oral corticosteroids for the past five days because of
seasonal allergies. Which assessment finding is of most concern to the nurse?
A) White blood count of 10,000
mm3. B) Serum glucose of 115
mg/dl.
C) Purulent sputum.
D) Excessive hunger. - ANSWER C (indicates infection)
A female client receiving IV vasopressin (Pitressin) for esophageal varice
rupture reports to the nurse that she feels substernal tightness and pressure
across her chest. Which PRN protocol should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool
saline. C) Increase the
vasopressin infusion.
D) Prepare for endotracheal intubation. - ANSWER A
,NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most
effective to assist the client?
A) Losing weight.
B) Decreasing caffeine
intake. C) Avoiding large
meals.
D) Raising the head of the bed on blocks. - ANSWER D
The nurse is caring for a client with syndrome of inappropriate antidiuretic
hormone (SIADH), which is manifested by which symptoms?
A) Loss of thirst, weight
gain. B) Dependent
edema, fever. C)
Polydipsia, polyuria.
D) Hypernatremia, tachypnea. - ANSWER A
The nurse is planning care for a client with newly diagnosed diabetes
mellitus that requires insulin. Which assessment should the nurse
identify before beginning the teaching session?
A) Present knowledge related to the skill of injection.
B) Intelligence and developmental
level of the client.
C) Willingness of the client to learn the injection sites.
D) Financial resources available for the equipment. - ANSWER c
The nurse is caring for a client who has taken a large quantity of furosemide
(Lasix) to promote weight loss. The nurse anticipates the finding of which
acid-base imbalance? A) PO2 of 78 mm Hg
B) HCO3 of 34
mEq/L C) PCO2 of
56 mm Hg
D) pH of 7.31 - ANSWER b (diuretics cause metabolic acidosis)
, NURS HESI EXAM 2022/2023 UPDATE QUESTIONS WITH
ANSWERS
The nurse is preparing a teaching plan for a client who is newly diagnosed
with Type 1 diabetes mellitus. Which signs and symptoms should the nurse
describe when teaching the client about hypoglycemia?
A) Sweating, trembling,
tachycardia. B) Polyuria,
polydipsia, polyphagia. C)
Nausea, vomiting, anorexia.
