HESI Practice Questions And answers
2024
Headache, diaphoresis, and palpitations - Correct Answer Which symptoms should the
nurse expect a client to exhibit who is diagnosed with a pheochromocytoma?
Cyanosis of the fingertips - Correct Answer The nurse is assessing a client with
bacterial meningitis. Which assessment finding indicates the client may have developed
septic emboli?
Increase soluble intake of fiber to 10 to 25 grams per day - Correct Answer 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?
serum K+ level is 3
Rationale:
Hypokalemia can precipitate digitalis toxicity in persons receiving digoxin which will
increase the chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5
mEq/L). - Correct Answer The nurse would be correct in withholding a dose of digoxin in
a client with congestive heart failure without specific instruction from the healthcare
provider if the client's
Do not leave the diaphragm in place longer than 8 hours after intercourse.
Replace the old diaphragm every 3 months. - Correct Answer The nurse is teaching a
female client who uses a contraceptive diaphragm about reducing the risk for toxic
shock syndrome (TSS). Which information should the nurse include?
Adequate cellular nourisment
Rationale:
Diabetes mellitus Type 1 is characterized by hyperglycemia that precipitates glucosuria
and polyuria (frequent urination), polydipsia (excessive thirst), and polyphagia
(excessive hunger). Polyphagia is a consequence of cellular malnourishment when
insulin deficiency prevents utilization of glucose into the cell for energy, so the outcome
statement should include stabilization of adequate cellular nutrition which is done by
providing the insulin supplement the client needs. - Correct Answer A client with
diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority
for this client?
Sodium - Correct Answer In assessing a client diagnosed with primary
hyperaldosteronism, the nurse expects the laboratory test results to indicate an
increased serum level of which substance?
, Advise the client to remain in bed with the leg elevated - Correct Answer Two days
postoperative, a male client reports aching pain in his left leg. The nurse assesses
redness and warmth on the lower left calf. What intervention would be most helpful to
this client?
The immunization is administered once to older adults or persons with a history of
chronic illness. - Correct Answer A 58-year-old client, who has no health problems, asks
the nurse about the Pneumovax vaccine. The nurse's response to the client should be
based on which information?
Yearly mammograms should be done regardless of previous normal x-rays. - Correct
Answer Which information about mammograms is most important to provide a post-
menopausal female client?
Sudden, stabbing, severe pain over the lip and chin - Correct Answer Which description
of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)?
Vitamin K - Correct Answer A client receiving cholestyramine (Questran) for
hyperlipidemia should be evaluated for what vitamin deficiency?
Calcium loss from bones can be slowed by increasing calcium intake and exercise -
Correct Answer A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the condition. Which
information should the nurse offer?
Digoxin (Lanoxin) - Correct Answer A client experiencing uncontrolled atrial fibrillation is
admitted to the telemetry unit. What initial medication should the nurse anticipate
administering to the client?
Four to six weeks after the exposure. - Correct Answer While working in the emergency
room, the nurse is exposed to a client with active tuberculosis. When should the nurse
plan to obtain a tuberculin skin test?
Start an IV nitroglycerin infusion - Correct Answer 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?
Jewish European ancestry - Correct Answer A client's susceptibility to ulcerative colitis
is most likely due to which aspect in the client's history?
Place a large tourniquet at the client's bedside - Correct Answer Which intervention
should the nurse plan to implement when caring for a client who has just undergone a
right above-the-knee amputation?
2024
Headache, diaphoresis, and palpitations - Correct Answer Which symptoms should the
nurse expect a client to exhibit who is diagnosed with a pheochromocytoma?
Cyanosis of the fingertips - Correct Answer The nurse is assessing a client with
bacterial meningitis. Which assessment finding indicates the client may have developed
septic emboli?
Increase soluble intake of fiber to 10 to 25 grams per day - Correct Answer 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?
serum K+ level is 3
Rationale:
Hypokalemia can precipitate digitalis toxicity in persons receiving digoxin which will
increase the chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5
mEq/L). - Correct Answer The nurse would be correct in withholding a dose of digoxin in
a client with congestive heart failure without specific instruction from the healthcare
provider if the client's
Do not leave the diaphragm in place longer than 8 hours after intercourse.
Replace the old diaphragm every 3 months. - Correct Answer The nurse is teaching a
female client who uses a contraceptive diaphragm about reducing the risk for toxic
shock syndrome (TSS). Which information should the nurse include?
Adequate cellular nourisment
Rationale:
Diabetes mellitus Type 1 is characterized by hyperglycemia that precipitates glucosuria
and polyuria (frequent urination), polydipsia (excessive thirst), and polyphagia
(excessive hunger). Polyphagia is a consequence of cellular malnourishment when
insulin deficiency prevents utilization of glucose into the cell for energy, so the outcome
statement should include stabilization of adequate cellular nutrition which is done by
providing the insulin supplement the client needs. - Correct Answer A client with
diabetes mellitus is experiencing polyphagia. Which outcome statement is the priority
for this client?
Sodium - Correct Answer In assessing a client diagnosed with primary
hyperaldosteronism, the nurse expects the laboratory test results to indicate an
increased serum level of which substance?
, Advise the client to remain in bed with the leg elevated - Correct Answer Two days
postoperative, a male client reports aching pain in his left leg. The nurse assesses
redness and warmth on the lower left calf. What intervention would be most helpful to
this client?
The immunization is administered once to older adults or persons with a history of
chronic illness. - Correct Answer A 58-year-old client, who has no health problems, asks
the nurse about the Pneumovax vaccine. The nurse's response to the client should be
based on which information?
Yearly mammograms should be done regardless of previous normal x-rays. - Correct
Answer Which information about mammograms is most important to provide a post-
menopausal female client?
Sudden, stabbing, severe pain over the lip and chin - Correct Answer Which description
of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)?
Vitamin K - Correct Answer A client receiving cholestyramine (Questran) for
hyperlipidemia should be evaluated for what vitamin deficiency?
Calcium loss from bones can be slowed by increasing calcium intake and exercise -
Correct Answer A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the condition. Which
information should the nurse offer?
Digoxin (Lanoxin) - Correct Answer A client experiencing uncontrolled atrial fibrillation is
admitted to the telemetry unit. What initial medication should the nurse anticipate
administering to the client?
Four to six weeks after the exposure. - Correct Answer While working in the emergency
room, the nurse is exposed to a client with active tuberculosis. When should the nurse
plan to obtain a tuberculin skin test?
Start an IV nitroglycerin infusion - Correct Answer 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?
Jewish European ancestry - Correct Answer A client's susceptibility to ulcerative colitis
is most likely due to which aspect in the client's history?
Place a large tourniquet at the client's bedside - Correct Answer Which intervention
should the nurse plan to implement when caring for a client who has just undergone a
right above-the-knee amputation?
