NUR 160 HESI EXAM QUESTIONS AND
CORRECT ANSWERS
assessing for cyanosis in a client whose skin is more darkly pigmented-Answer the lips
and mucous membranes for duskiness of color
to obtain a client's baseline BP during a routine physical examination accurately-Answer
the pressure in both arms with the client seated and the arm supported at heart level.
(seated or supine)
Progressing oral intake from NPO - Ice chips or water first then progress to a clear
liquid and up.
Most effective approach to institute for the client's incontinence - Institute a 2-hour
voiding schedule.
Treatment to decrease incidence of UTI in a client with an indwelling catheter - Cleanse
perineum area with soap and water BID and PRN
frustrated client about a suggestion about an AKA says "If they want to cut off my leg,
they should just shoot me instead." How would you respond ANSWER Ask the client how
the surgery might impact his lifestyle. Limp amputation alters he body image and
changes a clients ADL, work & recreational activities which triggers grieving process
for the client. Determine the clients perceptions of how the procedure has affected his
lifestyle, this is therapeutic & allows client to discuss his feelings.
Patient with cancer has taken opioid analgesics for two years now & requires an
increase in dose. Client voices concern about becoming addicted to these drugs.
Response Explain to the client that prescribed opiates given for cancer pain relieve
suffering and improve the quality of life. This is the prime goal of pain management for
the clients with cancer-to reduce pain and improve the quality of life.
CORRECT ANSWERS
assessing for cyanosis in a client whose skin is more darkly pigmented-Answer the lips
and mucous membranes for duskiness of color
to obtain a client's baseline BP during a routine physical examination accurately-Answer
the pressure in both arms with the client seated and the arm supported at heart level.
(seated or supine)
Progressing oral intake from NPO - Ice chips or water first then progress to a clear
liquid and up.
Most effective approach to institute for the client's incontinence - Institute a 2-hour
voiding schedule.
Treatment to decrease incidence of UTI in a client with an indwelling catheter - Cleanse
perineum area with soap and water BID and PRN
frustrated client about a suggestion about an AKA says "If they want to cut off my leg,
they should just shoot me instead." How would you respond ANSWER Ask the client how
the surgery might impact his lifestyle. Limp amputation alters he body image and
changes a clients ADL, work & recreational activities which triggers grieving process
for the client. Determine the clients perceptions of how the procedure has affected his
lifestyle, this is therapeutic & allows client to discuss his feelings.
Patient with cancer has taken opioid analgesics for two years now & requires an
increase in dose. Client voices concern about becoming addicted to these drugs.
Response Explain to the client that prescribed opiates given for cancer pain relieve
suffering and improve the quality of life. This is the prime goal of pain management for
the clients with cancer-to reduce pain and improve the quality of life.
