HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." What
information should the RN provide to the client about the prescribed treatment?
A. The development of resistant strains of TB is decreased with a combination of drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less effective.
D. The treatment time is decreased from 6 months to 3 months with this standard regimen.
A
Combination therapy is necessary to decrease the development of resistant strains of
TB (A) and ensure treatment effectiveness. (B, C, and D) are not the rationales for
multiple drug protocol for TB.
The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance test (OGTT). which laboratory result should the RN assess as a normal value
for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl
A
The two hour postprandial level should be less than 140 mg/dl for a young adult client
(B). (A, C and D) are elevated and not normal at 2 hours after ingesting the glucose
solution.
After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned
the care of the client. Which nursing intervention is most important for the RN to
implement?
A. Position the client on the left side with a pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in the first hour with a pillow held at the abdomen.
C
Vital signs should be checked every 10 to 20 minutes (C) to assess for bleeding after
biopsy of the liver, which is highly vascular. The client should be positioned on the
right side, not the left
,HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
(A), with a pillow or sandbag under the costal margin and supporting the biopsy site.
Voiding immediately after the procedure (B) is not the highest priority intervention after
a liver biopsy. The client should be maintained on bedrest (D) for several hours to
decrease the risk of bleeding from the biopsy site.
While reviewing the client's electronic medical record (EMR), the registered nurse (RN)
assesses a client who is at risk for possible interaction with an over-the-counter (OTC)
decongestant.
Which client health history should the RN report to the healthcare provider concerning
the OTC medication? (Select all that apply)
A. Type I diabetes mellitus (DM)
B. Closed angle glaucoma
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease
B Closed angle
glaucoma C Chronic
hypertension
(B and C) are correct. OTC decongestants can increase intraocular pressure and
should be avoided in clients with closed angle glaucoma (B). Decongestants can
increase the heart rate and blood pressure which impact the client's management of
chronic hypertension (C). Although the healthcare provider should be informed of all
medications taken, (A, D, and E) are not directly affected by a decongestant.
The registered nurse (RN) is evaluating a client who presents with symptoms of
gastroenteritis.Which assessment finding should the RN report to the healthcare
provider?
A. Dry mucous membranes and lips.
B. Rebound abdominal tenderness over the right lower quadrant.
C. Dizziness when the client ambulates from a sitting position.
D. Poor skin turgor over the client's wrist.
B
RLQ rebound abdominal tenderness (B) may be related to acute appendicitis and
should be reported to the healthcare provider. (A, C and D) are expected findings
associated with gastroenteritis that are not urgent findings or life threatening.
The registered nurse (RN) reviews the new prescription, phelezine, a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the RN to assess?
A. Consumption of any alcohol or tyramine-rich foods.
B. Complaints of nausea or vomiting.
C. Therapeutic serum drug levels.
D. Blood pressure and pulse prior to taking each dose.
,HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
A.
All alcohol (A) and any foods that contain tyramine should be avoided while taking an
MAO inhibitor, which interact to cause a hypertensive crisis. (B and C) should be
discussed, but are not as important as (A). Although assessing blood pressure and
pulse may be indicated, it is not necessary prior to taking each dose (D).
Which actions should the registered nurse (RN) implement to complete an assessment
for a client using an interpreter?
A. Ask close-ended questions with assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
C. Instruct interpreter to answer questions from the interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions.
B
When completing an assessment, the RN should maintain eye cotnact with the
client (B) to gather additional information from the client's nonverbal cues. (A, C,
and D) do not use both verbal and nonverbal communication techniques to gather
data during an assessment.
The registered nurse (RN) is interviewing a female client who states she has a
persistent cough during the winter caused by bronchitis. Which additional finding
should the RN assess for bronchitis?
A. Phlegm production and wheezing.
B. Smoking history
C. Hemoptysis
D. Night sweats
A
A chronic seasonal cough related to bronchitis is likely accompanied with phlegm
production and wheezing (A). Although smoking can contribute to chronic cough, the
typical seasonal cough is an inflammatory reaction to seasonal changes (B).
Hemoptysis (C) or a "new" cough or changes in a persistent chronic cough is likely
related to lung cancer (C). Night sweats (D) is a trend in fever that is often seen with
tuberculosis.
The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess when
preparing the client for discharge? (Select all that apply.)
a. native language
b. education level
c. type of lifestyle
d. previous medical history
e. financial resources
, HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
A, B, C, E
(A, B, C, and E) are correct. To ensure compliance, language (A), education (B),
lifestyle (C), and financial resources (E) should be considered when preparing the
client's discharge instructions about continued treatment of TB. (D) does not directly
impact compliance with long term treatment of TB.
The registered nurse (RN) is caring for a client with a newly placed nasogastric tube
(NGT). Once the placement of the NG tube is verified by x-ray, which technique should
the RN use as a reliable method to ensure the NGT is not displaced?
a. check the pH of aspirated stomach contents obtained from the NGT
b. auscultate over the epigastrium while injecting air into the NGT
c. disconnect and place the end of NGT in water to see if bubbles appear
d. listen for hyperactive bowel sounds in all four quadrants in the abdomen
A
Checking the pH of the aspirate (A) is the best method to validate that the NGT is not
displaced and should reveal an acidic pH of 1.5 to 3.5 due to presence of gastric acid.
(B, C and D) are not reliable methods to ensure NGT placement in the stomach.
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the
client's history, the registered nurse (RN) discovers that the client's spouse died 2
weeks ago. Which nursing interventions should the RN implement to help the client
begin the process of dealing with loss? (Select all that apply)
a. Establish trust by creating a safe atmosphere for sharing.
b. Share personal stories about how other clients dealt with grief.
c. Help the client identify ways to adapt lifestyle to accommodate loss.
d. Assure the client that their grief will last a short period of time.
e. Explore ways to assist the client to make new emotional investments.
A, C, E
(A, C, and E) are correct, and these interventions aid the client in maneuvering through
the stages of grieving and establishing a foundation to continue life. Assisting the client
in finding the support group and sharing stories of other clients can be miscontrued as a
violation of HIPPA rights of other clients (B). Each client deals with grief differently, so
offering a time line for grieving (D) is not an expected outcome for this client and offers
false reassurance.
The registered nurse (RN) is caring for a client who has a closed head injury from a
motor vehicle collision. Which finding should the RN assess the client for the risk of
diabetes insipidus (DI)?
a. high fever
b. low blood pressure
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." What
information should the RN provide to the client about the prescribed treatment?
A. The development of resistant strains of TB is decreased with a combination of drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less effective.
D. The treatment time is decreased from 6 months to 3 months with this standard regimen.
A
Combination therapy is necessary to decrease the development of resistant strains of
TB (A) and ensure treatment effectiveness. (B, C, and D) are not the rationales for
multiple drug protocol for TB.
The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance test (OGTT). which laboratory result should the RN assess as a normal value
for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl
A
The two hour postprandial level should be less than 140 mg/dl for a young adult client
(B). (A, C and D) are elevated and not normal at 2 hours after ingesting the glucose
solution.
After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned
the care of the client. Which nursing intervention is most important for the RN to
implement?
A. Position the client on the left side with a pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in the first hour with a pillow held at the abdomen.
C
Vital signs should be checked every 10 to 20 minutes (C) to assess for bleeding after
biopsy of the liver, which is highly vascular. The client should be positioned on the
right side, not the left
,HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
(A), with a pillow or sandbag under the costal margin and supporting the biopsy site.
Voiding immediately after the procedure (B) is not the highest priority intervention after
a liver biopsy. The client should be maintained on bedrest (D) for several hours to
decrease the risk of bleeding from the biopsy site.
While reviewing the client's electronic medical record (EMR), the registered nurse (RN)
assesses a client who is at risk for possible interaction with an over-the-counter (OTC)
decongestant.
Which client health history should the RN report to the healthcare provider concerning
the OTC medication? (Select all that apply)
A. Type I diabetes mellitus (DM)
B. Closed angle glaucoma
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease
B Closed angle
glaucoma C Chronic
hypertension
(B and C) are correct. OTC decongestants can increase intraocular pressure and
should be avoided in clients with closed angle glaucoma (B). Decongestants can
increase the heart rate and blood pressure which impact the client's management of
chronic hypertension (C). Although the healthcare provider should be informed of all
medications taken, (A, D, and E) are not directly affected by a decongestant.
The registered nurse (RN) is evaluating a client who presents with symptoms of
gastroenteritis.Which assessment finding should the RN report to the healthcare
provider?
A. Dry mucous membranes and lips.
B. Rebound abdominal tenderness over the right lower quadrant.
C. Dizziness when the client ambulates from a sitting position.
D. Poor skin turgor over the client's wrist.
B
RLQ rebound abdominal tenderness (B) may be related to acute appendicitis and
should be reported to the healthcare provider. (A, C and D) are expected findings
associated with gastroenteritis that are not urgent findings or life threatening.
The registered nurse (RN) reviews the new prescription, phelezine, a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the RN to assess?
A. Consumption of any alcohol or tyramine-rich foods.
B. Complaints of nausea or vomiting.
C. Therapeutic serum drug levels.
D. Blood pressure and pulse prior to taking each dose.
,HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
A.
All alcohol (A) and any foods that contain tyramine should be avoided while taking an
MAO inhibitor, which interact to cause a hypertensive crisis. (B and C) should be
discussed, but are not as important as (A). Although assessing blood pressure and
pulse may be indicated, it is not necessary prior to taking each dose (D).
Which actions should the registered nurse (RN) implement to complete an assessment
for a client using an interpreter?
A. Ask close-ended questions with assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
C. Instruct interpreter to answer questions from the interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions.
B
When completing an assessment, the RN should maintain eye cotnact with the
client (B) to gather additional information from the client's nonverbal cues. (A, C,
and D) do not use both verbal and nonverbal communication techniques to gather
data during an assessment.
The registered nurse (RN) is interviewing a female client who states she has a
persistent cough during the winter caused by bronchitis. Which additional finding
should the RN assess for bronchitis?
A. Phlegm production and wheezing.
B. Smoking history
C. Hemoptysis
D. Night sweats
A
A chronic seasonal cough related to bronchitis is likely accompanied with phlegm
production and wheezing (A). Although smoking can contribute to chronic cough, the
typical seasonal cough is an inflammatory reaction to seasonal changes (B).
Hemoptysis (C) or a "new" cough or changes in a persistent chronic cough is likely
related to lung cancer (C). Night sweats (D) is a trend in fever that is often seen with
tuberculosis.
The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess when
preparing the client for discharge? (Select all that apply.)
a. native language
b. education level
c. type of lifestyle
d. previous medical history
e. financial resources
, HESI HEALTH ASSESSMENT LATEST 2023/2024 TEST
BANK REAL EXAM 200+QUESTIONS AND CORRECT
DETAILED ANSWERS |AGRADE
A, B, C, E
(A, B, C, and E) are correct. To ensure compliance, language (A), education (B),
lifestyle (C), and financial resources (E) should be considered when preparing the
client's discharge instructions about continued treatment of TB. (D) does not directly
impact compliance with long term treatment of TB.
The registered nurse (RN) is caring for a client with a newly placed nasogastric tube
(NGT). Once the placement of the NG tube is verified by x-ray, which technique should
the RN use as a reliable method to ensure the NGT is not displaced?
a. check the pH of aspirated stomach contents obtained from the NGT
b. auscultate over the epigastrium while injecting air into the NGT
c. disconnect and place the end of NGT in water to see if bubbles appear
d. listen for hyperactive bowel sounds in all four quadrants in the abdomen
A
Checking the pH of the aspirate (A) is the best method to validate that the NGT is not
displaced and should reveal an acidic pH of 1.5 to 3.5 due to presence of gastric acid.
(B, C and D) are not reliable methods to ensure NGT placement in the stomach.
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the
client's history, the registered nurse (RN) discovers that the client's spouse died 2
weeks ago. Which nursing interventions should the RN implement to help the client
begin the process of dealing with loss? (Select all that apply)
a. Establish trust by creating a safe atmosphere for sharing.
b. Share personal stories about how other clients dealt with grief.
c. Help the client identify ways to adapt lifestyle to accommodate loss.
d. Assure the client that their grief will last a short period of time.
e. Explore ways to assist the client to make new emotional investments.
A, C, E
(A, C, and E) are correct, and these interventions aid the client in maneuvering through
the stages of grieving and establishing a foundation to continue life. Assisting the client
in finding the support group and sharing stories of other clients can be miscontrued as a
violation of HIPPA rights of other clients (B). Each client deals with grief differently, so
offering a time line for grieving (D) is not an expected outcome for this client and offers
false reassurance.
The registered nurse (RN) is caring for a client who has a closed head injury from a
motor vehicle collision. Which finding should the RN assess the client for the risk of
diabetes insipidus (DI)?
a. high fever
b. low blood pressure
