HESI iNet 2022/2023 Questions and answers with complete
solution
After placing a 36-week-gesation newborn in an isolette and drying the infant with
several blankets, what Should the nurse implement next?
a. Administer the vitamin K injection.
b. Remove the wet blankets and linens from the isolette.
c. Place erythromycin opthalmic ointment in both eyes.
d. Open the door to assess the infant's vital signs.
b. Remove the wet blankets and linens from the isolette.
A client in the third trimester of pregnancy com- plains of frequent nasal stiffness
and occasional nosebleeds. Her chest circumference has increased by 5 cm
during the pregnancy, and she uses thoracic breathing. Her diaphragm is
elevated and she has an increased costal angle. Which intervention should the
nurse implement?
d. Record the respiratory findings in the clients record as normal
A terminally ill male hospice client who is at home is showing decreased
awareness of his surroundings. His appetite is poor and he often refuses oral
intake of solids and liquids. For the past several days he has been unable to get
out of bed. Which action should the hospice nurse implement?
a. Ask family to remain nearby, but in another room.
b. Encourage family to speak often with the client.
c. Teach family how to assist the client to a wheelchair.
d. Instruct family to offer client only soft, bland foods
d. Instruct family to offer client only soft, bland foods
A woman was admitted yesterday afternoon with severe abdominal pain. Her
pregnancy test and ultrasound were negative, so an exploratory laparotomy was
completed during the night. When coffee ground material is observed in the
drainage from the nasogastric tube (NGT), which
Intervention should the nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage.
c. Listen for evidence of diminished bowel sounds.
d. Irrigate the nasogastric tube with water until clear.
a. Verify correct placement of the nasogastric tube
The nurse Is reviewing the laboratory values for a client with acute pancreatitis
who reports of the abdominal pain is not as severe as it was on admission. Which
laboratory test should the nurse review to evaluate the client's clinical recovery?
a. Lipase.
b. Creatinine.
,c. Bilirubin.
d. Glucose.
a. Lipase.
While assessing a client who had a laparotomy the previous day, the nurse
notices that 300 ml of dark red fluids has drained from the nasogastric tube In the
last hour. Which action should the nurse take first?
a. Determine the clients vital signs
b. Monitor urinary output hourly.
c. Notify the surgeon immediately.
d. Assess the client's level of pain.
a. Determine the clients vital signs
The nurse is reviewing the recommended preventative care for clients with
asthma, chronic bronchitis, and emphysema. Which health care measure is most
important for the nurse to recommend to these clients?
a. Ensure supplemental oxygen and respiratory medications are available at all
times.
b. Use nasal or cough tissues followed by hand washing at all times.
c. Get annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines.
d. Avoid large crowded areas during the colder months of the year
d. Avoid large crowded areas during the colder months of the year
The mother of a one-month-old infant calls the clinic to report that the back of her
infant's head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active.
b. Turn the infant on the left side braced against the crib when sleeping.
c. Prop the infant in a sitting position with a cushion when not sleeping.
d. Place a small pillow under the infant's head while lying on the back.
a. Position the infant on the stomach occasionally when awake and active.
A woman is brought to the labor and delivery unit after delivering a term infant
and the placenta in the hospital parking lot 10 minutes ago. Which action should
the nurse perform first?
a. Inspect the perineum for lacerations.
b. Collect specimen for hemoglobin and hematocrit.
c. Massage the fundus and give an oxytocin agent
d. Place the infant to breast for bonding
c. Massage the fundus and give an oxytocin agent
A client has a new prescription for the maximum recommended dosage of
piperacillin/tazobactam for nosocomial pneumonia. The nurse should report
which laboratory finding to the healthcare provider before administering the
prescribed dose?
a. Elevated white blood cell count.
b. Presence of gram positive bacteria in the sputum.
,c. Decreased creatinine clearance
d. Elevated cholesterol and lipoproteins.
c. Decreased creatinine clearance
A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating
Kussmaul breathing and has a severe headache along with nausea. Her arterial
blood gases (ABG) are: pH 7.50; PaCO, 30 mmH ; HCO, 24 mEq/L (24 mmol/L).
Which assessment finding warrants Immediate intervention by the nurse?
a. Muscle stiffness.
b. Abdominal pain.
c. Mental stupor.
d. Fruity breath.
d. Fruity breath.
When performing postural drainage on a client with Chronic Obstructive
Pulmonary Disease (COPD), which approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast.
c. Obtain arterial blood gases (ABGs) prior to procedure.
d. Perform the drainage immediately after meals.
a. Explain that the client may be placed in five positions
A young male client with testicular cancer has a living will that describes his
desire that no extraordinary measures be taken to save his life. The healthcare
provider knows the client has a good prognosis and refuses to write a "do not
resuscitate" (DR) prescription. Which action should the nurse take?
a. Initiate an ethics committee review of the case
b. Place a DR bracelet on the client's arm.
c. Ensure resuscitation equipment is available.
d. Ask the family to review options with the client.
a. Initiate an ethics committee review of the case
In observing a client's face, which assessment finding requires the most
immediate intervention by the nurse?
a. Cornea are jaundiced.
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic.
d. Eyelids are matted and crusted.
b. Oral mucosa is cyanotic
The nurse is assessing a client with cirrhosis and notes that the client has a
positive Babinski reflex. Which action should the nurse lake in response to the
finding?
a. Ask the client to describe recent alcohol use.
b. Keep the client's feet elevated when in bed.
, c. Assess the client's muscle strength and tone
d. Complete thorough neurologic assessment
d. Complete thorough neurologic assessment
Which action should the nurse take first after obtaining a urine specimen for
culture and sensitivity from an indwelling urinary catheter?
a. Ensure that the drainage bag is attached to the bed frame.
b. Ensure continued sterility of the specimen container
c. Securely fasten the clamp on the drainage bag.
d. Label the container with the client's identifiers.
b. Ensure continued sterility of the specimen container
The home health nurse observes an older client with unilateral weakness place
the walker in front of the chair for support while rising to a standing position.
Which action should the nurse take?
a. Hold the walker securely to prevent slipping when the client rises.
b. Apply a gait belt to assist the client to rise out of the chair.
c. Instruct the client to use the arms of the chair for support.
d. Encourage client to use the weaker leg with the walker when rising.
a. Hold the walker securely to prevent slipping when the client rises.
A client with cancer complains of fever, chills, malaise, and headache following
administration of a colony- stimulating factor. Which nursing intervention is most
beneficial in helping to reduce the flu-like symptoms?
a. Monitor lab values for an increase in WBCs.
b. Administer antiemetics before, during, and after therapy.
c. Administer acetaminophen q4h.
d. Monitor vital signs q4h for 24 hours.
c. Administer acetaminophen q4h.
Which laboratory value should the nurse review prior to administering the initial
dose of a statin medication?
a. Serum electrolytes.
b. Serum liver enzymes
c. Capillary blood glucose.
d. Complete blood count.
b. Serum liver enzymes
Following a lumbar puncture, a client voices several concerns. Which concern
indicates to the nurse that the client is experiencing a complication of the
procedure?
a. *I feel sick to my stomach and am going to throw up."
b. "I am having pain in my lower back when I move my legs."
c. "My throat hurts badly when I swallow and when I talk."
d. "I have a headache that gets worse when I sit up"
d. "I have a headache that gets worse when I sit up"
solution
After placing a 36-week-gesation newborn in an isolette and drying the infant with
several blankets, what Should the nurse implement next?
a. Administer the vitamin K injection.
b. Remove the wet blankets and linens from the isolette.
c. Place erythromycin opthalmic ointment in both eyes.
d. Open the door to assess the infant's vital signs.
b. Remove the wet blankets and linens from the isolette.
A client in the third trimester of pregnancy com- plains of frequent nasal stiffness
and occasional nosebleeds. Her chest circumference has increased by 5 cm
during the pregnancy, and she uses thoracic breathing. Her diaphragm is
elevated and she has an increased costal angle. Which intervention should the
nurse implement?
d. Record the respiratory findings in the clients record as normal
A terminally ill male hospice client who is at home is showing decreased
awareness of his surroundings. His appetite is poor and he often refuses oral
intake of solids and liquids. For the past several days he has been unable to get
out of bed. Which action should the hospice nurse implement?
a. Ask family to remain nearby, but in another room.
b. Encourage family to speak often with the client.
c. Teach family how to assist the client to a wheelchair.
d. Instruct family to offer client only soft, bland foods
d. Instruct family to offer client only soft, bland foods
A woman was admitted yesterday afternoon with severe abdominal pain. Her
pregnancy test and ultrasound were negative, so an exploratory laparotomy was
completed during the night. When coffee ground material is observed in the
drainage from the nasogastric tube (NGT), which
Intervention should the nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage.
c. Listen for evidence of diminished bowel sounds.
d. Irrigate the nasogastric tube with water until clear.
a. Verify correct placement of the nasogastric tube
The nurse Is reviewing the laboratory values for a client with acute pancreatitis
who reports of the abdominal pain is not as severe as it was on admission. Which
laboratory test should the nurse review to evaluate the client's clinical recovery?
a. Lipase.
b. Creatinine.
,c. Bilirubin.
d. Glucose.
a. Lipase.
While assessing a client who had a laparotomy the previous day, the nurse
notices that 300 ml of dark red fluids has drained from the nasogastric tube In the
last hour. Which action should the nurse take first?
a. Determine the clients vital signs
b. Monitor urinary output hourly.
c. Notify the surgeon immediately.
d. Assess the client's level of pain.
a. Determine the clients vital signs
The nurse is reviewing the recommended preventative care for clients with
asthma, chronic bronchitis, and emphysema. Which health care measure is most
important for the nurse to recommend to these clients?
a. Ensure supplemental oxygen and respiratory medications are available at all
times.
b. Use nasal or cough tissues followed by hand washing at all times.
c. Get annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines.
d. Avoid large crowded areas during the colder months of the year
d. Avoid large crowded areas during the colder months of the year
The mother of a one-month-old infant calls the clinic to report that the back of her
infant's head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active.
b. Turn the infant on the left side braced against the crib when sleeping.
c. Prop the infant in a sitting position with a cushion when not sleeping.
d. Place a small pillow under the infant's head while lying on the back.
a. Position the infant on the stomach occasionally when awake and active.
A woman is brought to the labor and delivery unit after delivering a term infant
and the placenta in the hospital parking lot 10 minutes ago. Which action should
the nurse perform first?
a. Inspect the perineum for lacerations.
b. Collect specimen for hemoglobin and hematocrit.
c. Massage the fundus and give an oxytocin agent
d. Place the infant to breast for bonding
c. Massage the fundus and give an oxytocin agent
A client has a new prescription for the maximum recommended dosage of
piperacillin/tazobactam for nosocomial pneumonia. The nurse should report
which laboratory finding to the healthcare provider before administering the
prescribed dose?
a. Elevated white blood cell count.
b. Presence of gram positive bacteria in the sputum.
,c. Decreased creatinine clearance
d. Elevated cholesterol and lipoproteins.
c. Decreased creatinine clearance
A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating
Kussmaul breathing and has a severe headache along with nausea. Her arterial
blood gases (ABG) are: pH 7.50; PaCO, 30 mmH ; HCO, 24 mEq/L (24 mmol/L).
Which assessment finding warrants Immediate intervention by the nurse?
a. Muscle stiffness.
b. Abdominal pain.
c. Mental stupor.
d. Fruity breath.
d. Fruity breath.
When performing postural drainage on a client with Chronic Obstructive
Pulmonary Disease (COPD), which approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast.
c. Obtain arterial blood gases (ABGs) prior to procedure.
d. Perform the drainage immediately after meals.
a. Explain that the client may be placed in five positions
A young male client with testicular cancer has a living will that describes his
desire that no extraordinary measures be taken to save his life. The healthcare
provider knows the client has a good prognosis and refuses to write a "do not
resuscitate" (DR) prescription. Which action should the nurse take?
a. Initiate an ethics committee review of the case
b. Place a DR bracelet on the client's arm.
c. Ensure resuscitation equipment is available.
d. Ask the family to review options with the client.
a. Initiate an ethics committee review of the case
In observing a client's face, which assessment finding requires the most
immediate intervention by the nurse?
a. Cornea are jaundiced.
b. Oral mucosa is cyanotic
c. Face is flushed and diaphoretic.
d. Eyelids are matted and crusted.
b. Oral mucosa is cyanotic
The nurse is assessing a client with cirrhosis and notes that the client has a
positive Babinski reflex. Which action should the nurse lake in response to the
finding?
a. Ask the client to describe recent alcohol use.
b. Keep the client's feet elevated when in bed.
, c. Assess the client's muscle strength and tone
d. Complete thorough neurologic assessment
d. Complete thorough neurologic assessment
Which action should the nurse take first after obtaining a urine specimen for
culture and sensitivity from an indwelling urinary catheter?
a. Ensure that the drainage bag is attached to the bed frame.
b. Ensure continued sterility of the specimen container
c. Securely fasten the clamp on the drainage bag.
d. Label the container with the client's identifiers.
b. Ensure continued sterility of the specimen container
The home health nurse observes an older client with unilateral weakness place
the walker in front of the chair for support while rising to a standing position.
Which action should the nurse take?
a. Hold the walker securely to prevent slipping when the client rises.
b. Apply a gait belt to assist the client to rise out of the chair.
c. Instruct the client to use the arms of the chair for support.
d. Encourage client to use the weaker leg with the walker when rising.
a. Hold the walker securely to prevent slipping when the client rises.
A client with cancer complains of fever, chills, malaise, and headache following
administration of a colony- stimulating factor. Which nursing intervention is most
beneficial in helping to reduce the flu-like symptoms?
a. Monitor lab values for an increase in WBCs.
b. Administer antiemetics before, during, and after therapy.
c. Administer acetaminophen q4h.
d. Monitor vital signs q4h for 24 hours.
c. Administer acetaminophen q4h.
Which laboratory value should the nurse review prior to administering the initial
dose of a statin medication?
a. Serum electrolytes.
b. Serum liver enzymes
c. Capillary blood glucose.
d. Complete blood count.
b. Serum liver enzymes
Following a lumbar puncture, a client voices several concerns. Which concern
indicates to the nurse that the client is experiencing a complication of the
procedure?
a. *I feel sick to my stomach and am going to throw up."
b. "I am having pain in my lower back when I move my legs."
c. "My throat hurts badly when I swallow and when I talk."
d. "I have a headache that gets worse when I sit up"
d. "I have a headache that gets worse when I sit up"
