HESI 2023 EXAM QUESTIONS AND ANSWERS
1. A nurse performs a Tinetti assessment on an 82-year-old client an ……12 and a gait score of 8. a.
Expected results for an elderly adult.
b. Likely onset of Parkinson’s disease
c. Increased risk for falling
d. Need for a walker to aid in ambulation
2. The daughter of an older woman, who has Parkinson’s disease, calls the clinic her mother has been
confused for the past week. What actions should the nurse take? (Select all that apply.)
a. Encourage increased intake of high protein foods.
b. Determine if the mother has recently experience a fall
c. Ask if the mother is experiencing any pain with urination
d. Instruct the daughter to check her mother’s temperature.
e. Review the client’s current food and medication allergies
3. The healthcare provider prescribes a STAT computerized tomography (CT) scan without contrast for a
clientwho is exhibiting signs of an acute change in level of consciousness. The nurse is caring for two
additional intensive care clients and has an unlicensed assistive personnel (UAP) assigned to assist with
the delivery of care.
a. instructs the UAP to transport the client to CT scan with a cardiac monitor.
b. Administer scheduled medications prior to transporting the client to CT scan
c. Hand-off care of additional clients then transport client to CT scan without delay.
, d. Call the client’s healthcare power of attorney for permission to obtain CT scan.
4. A female client arrives by car to the emergency department and tells the nurse that she was just stung by
a beeon her neck while gardening. The client informs the nurse that her epinephrine pen had expired.
Which assessment finding warrants immediate intervention by the nurse?
a. Raise whelps over chest area.
b. Audible upper airway stridor
c. 02 saturation 88% on room air
d. Complaint of chest heaviness
5. A client newly diagnosed with Type 2 diabetes mellitus (DM receives a prescription for..50 mg PO BID.
The client has no history of hypertension, and the baseline blood pressure (BP) 132/78 mm Hg. Which
action should the nurse implement?
a. Withhold the medication if BP is within normal range.
b. Examine the medical history for hypertensive risk factors.
c. Administer antihypertensive medication as prescribed
d. Assess the client for signs and symptoms of hypertension.
6. The family of a client with multi-organ failure presents a living will requesting measures. The client is
confused and moaning, has crackles through all lung field, and a urine output of 20 ml/hour. Which need
is most important for the nurse to include in this client’s plan of care?
a. Comfort
b. Oxygenation
c. Hydration
d. Nutrition
,7. Which client’s laboratory value requires immediate intervention by a nurse?
a. A client with hepatitis who is jaundice and has a bilirubin level that is 4 times the normal value.
b. A client with pancreatitis who has a fasting glucose of 190 mg/dl today and had 160 mg/dl yesterday
c. A client with cancer who has an absolute count of neutrophils today and had 2,000 yesterday.
d. A client with GI bleeding who is receiving a blood transfusion and has a hemoglobin of grams.
8. The nurse is planning care for a client who is receiving 24-hour via a central line. What nursing measure is
essential for this client?
a. Monitor the blood glucose frequently.
b. Assess the peripheral IV site q6h.
c. Change the transparent dressing daily
d. Change Y-tubing q8h while administering TPN
9. After teaching a client newly diagnosed with cholecystitis nurse evaluates the client’s learning. Which food
choices Nurse that teaching has been successful?
a. Pasta with herbal butter and no meat sauce.
b. Canned vegetable with additional table salt.
c. Citrus fruit and melon with a salt substitute.
d. Whole milk and daily serving of ice cream
10. A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which explanation should
be included in preparing this client for the treatment?
a. Describe radioactive iodine as a tasteless, colorless medication administered by the healthcare
provider.
b. Describe the signs of goiter because this is a common side effect of radioactive iodine.
, c. Explain that relief of the signs/ symptoms of hyperthyroidism will occur immediately.
d. Explain the need for using lead shields for 2 to 3 weeks after the treatment.
11. Following discharge teaching, a male client with a duodenal ulcer tell the nurse that he will drink plenty of
dairy products, such as milk to help coat and protect his ulcer. What is the best followed up action by the
nurse?
a. Remind the client that is also important to switch to decaffeinated coffee and tea.
b. Reinforce this teaching by asking the client to list dairy foods that he might select.
c. Suggest that the client also plan to eat frequent small meals to reduce discomfort
d. Review with the client the need to avoid foods that are rich in milk and cream
12. The nurse is taking the history of a young adult female who is 5 feet 3 inches (160 cm) tall and weighs 90
pounds (40.9 kg). Which reported finding is most important for the nurse to address immediately? a.
Severe constipation.
b. Absence of menstrual cycle.
c. Seen walking fast outdoors.
d. Intermittent palpitations.
13. During an evening shift on a medical unit, the only nurse on the unit is busy with an unstable client. The
unitclerk, who is also both a certified medication aide and an unlicensed assistive personal(UAP), reports
to the nurse that a healthcare provider is on the telephone and wisher to prescribe a PRN dose of an oral
over-the counter laxative for the client who is constipated. What instruction should the RN provide the
unit clerk?
a. Remain with this client and monitor the vital signs while the RN takes.
b. Ask the healthcare provider to remain on “hold” until the RN can confirm the prescription.
1. A nurse performs a Tinetti assessment on an 82-year-old client an ……12 and a gait score of 8. a.
Expected results for an elderly adult.
b. Likely onset of Parkinson’s disease
c. Increased risk for falling
d. Need for a walker to aid in ambulation
2. The daughter of an older woman, who has Parkinson’s disease, calls the clinic her mother has been
confused for the past week. What actions should the nurse take? (Select all that apply.)
a. Encourage increased intake of high protein foods.
b. Determine if the mother has recently experience a fall
c. Ask if the mother is experiencing any pain with urination
d. Instruct the daughter to check her mother’s temperature.
e. Review the client’s current food and medication allergies
3. The healthcare provider prescribes a STAT computerized tomography (CT) scan without contrast for a
clientwho is exhibiting signs of an acute change in level of consciousness. The nurse is caring for two
additional intensive care clients and has an unlicensed assistive personnel (UAP) assigned to assist with
the delivery of care.
a. instructs the UAP to transport the client to CT scan with a cardiac monitor.
b. Administer scheduled medications prior to transporting the client to CT scan
c. Hand-off care of additional clients then transport client to CT scan without delay.
, d. Call the client’s healthcare power of attorney for permission to obtain CT scan.
4. A female client arrives by car to the emergency department and tells the nurse that she was just stung by
a beeon her neck while gardening. The client informs the nurse that her epinephrine pen had expired.
Which assessment finding warrants immediate intervention by the nurse?
a. Raise whelps over chest area.
b. Audible upper airway stridor
c. 02 saturation 88% on room air
d. Complaint of chest heaviness
5. A client newly diagnosed with Type 2 diabetes mellitus (DM receives a prescription for..50 mg PO BID.
The client has no history of hypertension, and the baseline blood pressure (BP) 132/78 mm Hg. Which
action should the nurse implement?
a. Withhold the medication if BP is within normal range.
b. Examine the medical history for hypertensive risk factors.
c. Administer antihypertensive medication as prescribed
d. Assess the client for signs and symptoms of hypertension.
6. The family of a client with multi-organ failure presents a living will requesting measures. The client is
confused and moaning, has crackles through all lung field, and a urine output of 20 ml/hour. Which need
is most important for the nurse to include in this client’s plan of care?
a. Comfort
b. Oxygenation
c. Hydration
d. Nutrition
,7. Which client’s laboratory value requires immediate intervention by a nurse?
a. A client with hepatitis who is jaundice and has a bilirubin level that is 4 times the normal value.
b. A client with pancreatitis who has a fasting glucose of 190 mg/dl today and had 160 mg/dl yesterday
c. A client with cancer who has an absolute count of neutrophils today and had 2,000 yesterday.
d. A client with GI bleeding who is receiving a blood transfusion and has a hemoglobin of grams.
8. The nurse is planning care for a client who is receiving 24-hour via a central line. What nursing measure is
essential for this client?
a. Monitor the blood glucose frequently.
b. Assess the peripheral IV site q6h.
c. Change the transparent dressing daily
d. Change Y-tubing q8h while administering TPN
9. After teaching a client newly diagnosed with cholecystitis nurse evaluates the client’s learning. Which food
choices Nurse that teaching has been successful?
a. Pasta with herbal butter and no meat sauce.
b. Canned vegetable with additional table salt.
c. Citrus fruit and melon with a salt substitute.
d. Whole milk and daily serving of ice cream
10. A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which explanation should
be included in preparing this client for the treatment?
a. Describe radioactive iodine as a tasteless, colorless medication administered by the healthcare
provider.
b. Describe the signs of goiter because this is a common side effect of radioactive iodine.
, c. Explain that relief of the signs/ symptoms of hyperthyroidism will occur immediately.
d. Explain the need for using lead shields for 2 to 3 weeks after the treatment.
11. Following discharge teaching, a male client with a duodenal ulcer tell the nurse that he will drink plenty of
dairy products, such as milk to help coat and protect his ulcer. What is the best followed up action by the
nurse?
a. Remind the client that is also important to switch to decaffeinated coffee and tea.
b. Reinforce this teaching by asking the client to list dairy foods that he might select.
c. Suggest that the client also plan to eat frequent small meals to reduce discomfort
d. Review with the client the need to avoid foods that are rich in milk and cream
12. The nurse is taking the history of a young adult female who is 5 feet 3 inches (160 cm) tall and weighs 90
pounds (40.9 kg). Which reported finding is most important for the nurse to address immediately? a.
Severe constipation.
b. Absence of menstrual cycle.
c. Seen walking fast outdoors.
d. Intermittent palpitations.
13. During an evening shift on a medical unit, the only nurse on the unit is busy with an unstable client. The
unitclerk, who is also both a certified medication aide and an unlicensed assistive personal(UAP), reports
to the nurse that a healthcare provider is on the telephone and wisher to prescribe a PRN dose of an oral
over-the counter laxative for the client who is constipated. What instruction should the RN provide the
unit clerk?
a. Remain with this client and monitor the vital signs while the RN takes.
b. Ask the healthcare provider to remain on “hold” until the RN can confirm the prescription.
