HESI V3 WITH QUESTIONS AND
CORRECT ANSWERS ,ACTUAL
EXAM 100% GRADED A+…REAL
EXAM
1. A client who has been in active labor for 12 hours suddenly tells the
nurse that she has a strong urge to have a bowel movement. What
action should the nurse take?
A. Allow the client to use a bedpan.
B. Explain the fetal head is descending.
C. Perform a sterile vaginal exam.
D. Assist the client to the bathroom - ANS✔✔---C. Perform a sterile
vaginal exam.
,2. The nurse assesses a 78-year-old male client who has left sided
heart failure. Which symptoms would the nurse expect this client to
exhibit?
A. Dyspnea, cough and fatigue.
B. Hepatomegaly and distended neck veins.
C. Pain over the pericardium and friction rub.
D. Narrowing pulse pressure and distant heart sounds. - ANS✔✔---A.
Dyspnea, cough and fatigue.
3. A female client comes to the clinic complaining of fatigue and
inability to sleep because she is the full-time caretaker for a 22-year-
old son who was paralyzed by a motor vehicle collision. She adds that
her husband left her because he says he can't take her behavior
anymore since all she does is care for their son. What intervention
should the nurse implement?
A. Teach the client to problem-solve for herself and establish her own
priorities.
B. Schedule a home visit in the afternoon to assess the son and
client's role as caregiver.
C. Provide feedback to the client about her atonement for guilt about
her son's impairment.
D. Acknowledge the client's stress and suggest that she consider
respite care. - ANS✔✔---D. Acknowledge the client's stress and
suggest that she consider respite care.
4. The nurse plans to administer a scheduled dose of metoprolol
(Toprol SR) at 0900 to a client with hypertension. At 0800, the nurse
notes that the client's telemetry pattern shows a second-degree heart
block with a ventricular rate of 50. What action should the nurse take?
A. Administer the Toprol immediately and monitor the client carefully
until the heart rate increases.
,B. Provide the dose of Toprol as scheduled and assign a UAP to
monitor the client's BP q30 minutes.
C. Hold the scheduled dose of Toprol and notify the healthcare
provider of the telemetry pattern.
D. Give the Toprol as scheduled if the client's systolic blood pressure
reading is greater than 180. - ANS✔✔---C. Hold the scheduled dose of
Toprol and notify the healthcare provider of the telemetry pattern.
5. A client who developed Syndrome of Inappropriate Antidiuretic
Hormone (SIADH) associated with small cell carcinoma of the lung is
preparing for discharge. When teaching the client about self-
management with demeclocycline (Declomycin), the nurse should
instruct the client to report which condition to the healthcare
provider?
A. Anxiety.
B. Insomnia.
C. Muscle cramping.
D. Increased appetite - ANS✔✔---C. Muscle cramping.
6. In determining the client position for insertion of an indwelling
urinary catheter, it is most important for the nurse to recognize which
client condition?
A. High urinary pH.
B. Fever.
C. Abdominal ascites.
D. Orthopnea. - ANS✔✔---D. Orthopnea.
7. The nurse is reviewing a client's electrocardiogram and determines
that the PR interval (PRI) is prolonged. What does this finding indicate?
A. Inability of the SA node to initiate an impulse at the normal rate.
B. Initiation of the impulse from a location outside the SA node.
, C. Increased conduction time from the SA node to the AV junction.
D. Interference with the conduction through one or both ventricles. -
ANS✔✔---C. Increased conduction time from the SA node to the AV
junction.
8. The nurse is teaching a male client with multiple sclerosis how to
empty his bladder using the Crede Method. When performing a return
demonstration, the client applies pressure to the umbilical area of his
abdomen. What instruction should the nurse provide?
A. Stroke the inner thigh below the perineum to initiate urinary flow.
B. Pour warm water over the external sphincter at the distal glans.
C. Apply downward manual pressure at the suprapubic region.
D. Contract, hold, and then relax the pubococcygeal muscle. -
ANS✔✔---C. Apply downward manual pressure at the suprapubic
region.
9. A 35-year-old female client has just been admitted to the
postanesthesia recovery unit following a partial thyroidectomy. Which
statement reflects the nurse's accurate understanding of the expected
outcome for the client following this surgery?
A. Supplemental hormonal therapy will probably be unnecessary.
B. The thyroid will regenerate to a normal size within a few years.
C. The client will be restricted from eating seafood.
D. The remainder of the thyroid will be removed at a later date. -
ANS✔✔---A. Supplemental hormonal therapy will probably be
unnecessary.
10. A client with gestational diabetes, at 39-weeks gestation, is in the
second stage of labor. After delivery of the fetal head, the nurse
recognizes that shoulder dystocia is occurring. What intervention
should the nurse implement first?
A. Lower the head of the bed and apply suprapubic pressure.
CORRECT ANSWERS ,ACTUAL
EXAM 100% GRADED A+…REAL
EXAM
1. A client who has been in active labor for 12 hours suddenly tells the
nurse that she has a strong urge to have a bowel movement. What
action should the nurse take?
A. Allow the client to use a bedpan.
B. Explain the fetal head is descending.
C. Perform a sterile vaginal exam.
D. Assist the client to the bathroom - ANS✔✔---C. Perform a sterile
vaginal exam.
,2. The nurse assesses a 78-year-old male client who has left sided
heart failure. Which symptoms would the nurse expect this client to
exhibit?
A. Dyspnea, cough and fatigue.
B. Hepatomegaly and distended neck veins.
C. Pain over the pericardium and friction rub.
D. Narrowing pulse pressure and distant heart sounds. - ANS✔✔---A.
Dyspnea, cough and fatigue.
3. A female client comes to the clinic complaining of fatigue and
inability to sleep because she is the full-time caretaker for a 22-year-
old son who was paralyzed by a motor vehicle collision. She adds that
her husband left her because he says he can't take her behavior
anymore since all she does is care for their son. What intervention
should the nurse implement?
A. Teach the client to problem-solve for herself and establish her own
priorities.
B. Schedule a home visit in the afternoon to assess the son and
client's role as caregiver.
C. Provide feedback to the client about her atonement for guilt about
her son's impairment.
D. Acknowledge the client's stress and suggest that she consider
respite care. - ANS✔✔---D. Acknowledge the client's stress and
suggest that she consider respite care.
4. The nurse plans to administer a scheduled dose of metoprolol
(Toprol SR) at 0900 to a client with hypertension. At 0800, the nurse
notes that the client's telemetry pattern shows a second-degree heart
block with a ventricular rate of 50. What action should the nurse take?
A. Administer the Toprol immediately and monitor the client carefully
until the heart rate increases.
,B. Provide the dose of Toprol as scheduled and assign a UAP to
monitor the client's BP q30 minutes.
C. Hold the scheduled dose of Toprol and notify the healthcare
provider of the telemetry pattern.
D. Give the Toprol as scheduled if the client's systolic blood pressure
reading is greater than 180. - ANS✔✔---C. Hold the scheduled dose of
Toprol and notify the healthcare provider of the telemetry pattern.
5. A client who developed Syndrome of Inappropriate Antidiuretic
Hormone (SIADH) associated with small cell carcinoma of the lung is
preparing for discharge. When teaching the client about self-
management with demeclocycline (Declomycin), the nurse should
instruct the client to report which condition to the healthcare
provider?
A. Anxiety.
B. Insomnia.
C. Muscle cramping.
D. Increased appetite - ANS✔✔---C. Muscle cramping.
6. In determining the client position for insertion of an indwelling
urinary catheter, it is most important for the nurse to recognize which
client condition?
A. High urinary pH.
B. Fever.
C. Abdominal ascites.
D. Orthopnea. - ANS✔✔---D. Orthopnea.
7. The nurse is reviewing a client's electrocardiogram and determines
that the PR interval (PRI) is prolonged. What does this finding indicate?
A. Inability of the SA node to initiate an impulse at the normal rate.
B. Initiation of the impulse from a location outside the SA node.
, C. Increased conduction time from the SA node to the AV junction.
D. Interference with the conduction through one or both ventricles. -
ANS✔✔---C. Increased conduction time from the SA node to the AV
junction.
8. The nurse is teaching a male client with multiple sclerosis how to
empty his bladder using the Crede Method. When performing a return
demonstration, the client applies pressure to the umbilical area of his
abdomen. What instruction should the nurse provide?
A. Stroke the inner thigh below the perineum to initiate urinary flow.
B. Pour warm water over the external sphincter at the distal glans.
C. Apply downward manual pressure at the suprapubic region.
D. Contract, hold, and then relax the pubococcygeal muscle. -
ANS✔✔---C. Apply downward manual pressure at the suprapubic
region.
9. A 35-year-old female client has just been admitted to the
postanesthesia recovery unit following a partial thyroidectomy. Which
statement reflects the nurse's accurate understanding of the expected
outcome for the client following this surgery?
A. Supplemental hormonal therapy will probably be unnecessary.
B. The thyroid will regenerate to a normal size within a few years.
C. The client will be restricted from eating seafood.
D. The remainder of the thyroid will be removed at a later date. -
ANS✔✔---A. Supplemental hormonal therapy will probably be
unnecessary.
10. A client with gestational diabetes, at 39-weeks gestation, is in the
second stage of labor. After delivery of the fetal head, the nurse
recognizes that shoulder dystocia is occurring. What intervention
should the nurse implement first?
A. Lower the head of the bed and apply suprapubic pressure.
