HESI LEVEL 1 EXAM 2024 AND PRACTICE EXAM 350
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES /A+ GRADE ASSURED
A client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid.
Which is the most critical management issue for the client during the first 2 weeks of
treatment?
A. Ascertaining that the client is taking a full dose daily
B. Ensuring the client's blood levels reach a therapeutic and safe dose
C. Educating the client about the side effects of lithium
D. Monitoring the client's cardiac status - ANSWER: B. Ensuring the client's blood
levels reach a therapeutic and safe dose
A client suffers from depression following the accidental death of a child. After a
suicide attempt, the client is admitted to the psychiatric unit. During the admission
interview, the nurse learns that the client no longer wants to die. The nurse should:
A. suggest that the client no longer requires close observation.
B. place the client in a private room, away from the nurses' station, so that she has
privacy to work through the stages of the grieving process.
C. inspect the client's personal belongings for potentially dangerous objects.
D. avoid any further discussion of suicide unless the client brings up the topic. -
ANSWER: C. inspect the client's personal belongings for potentially dangerous
objects.
A client is returned to his room after a subtotal thyroidectomy. Which piece of
equipment is most important for the nurse to keep at the client's bedside?
A. Indwelling urinary catheter kit
B. Tracheostomy set
C. Cardiac monitor
D. Humidifier - ANSWER: B. Tracheostomy set
Which is the most reliable and accurate method for delivering precise concentrations
of oxygen through noninvasive means?
A. Nasal cannula
B. Venturi mask
C. T-piece
D. Partial-rebreathing mask - ANSWER: B. Venturi mask
A client with a conductive hearing disorder caused by ankylosis of the stapes in the
oval window undergoes a stapedectomy to remove the stapes and replace the
impaired bone with a prosthesis. After the stapedectomy, the nurse should provide
which client instruction?
,A. "Lie in bed with your head elevated, and refrain from blowing your nose for 24
hours."
B. "Try to ambulate independently after about 24 hours."
C. "Shampoo your hair every day for 10 days to help prevent ear infection."
D. "Don't fly in an airplane, climb to high altitudes, make sudden movements, or
expose yourself to loud sounds for 30 days." - ANSWER: D. "Don't fly in an airplane,
climb to high altitudes, make sudden movements, or expose yourself to loud sounds
for 30 days."
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What
information would be most important for the nurse to include in the child's
preoperative plan of care?
A. Avoiding further abdominal palpation
B. Performing dressing changes to the affected area
C. Administering analgesics for pain
D. Preparing the child for amputation - ANSWER: A. Avoiding further abdominal
palpation
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse
evaluates the therapeutic effectiveness of this drug by assessing the client's response
and checking for adverse effects. Which vital sign is most likely to reflect an adverse
effect of nitroglycerin?
A. pulse rate of 84 beats/minute
B. respiration 26 breaths/minute
C. blood pressure 84/52 mm Hg
D. temperature of 100.2° F (37.9° C) - ANSWER: C. blood pressure 84/52 mm Hg
When promoting client safety on an inpatient psychiatric unit, which interventions
would be used as the measure of last resort?
A. Surveillance
B. Seclusion
C. Room restriction
D. Four-point restraint - ANSWER: D. Four-point restraint
Which zone of the surgical area only requires attire in the form of scrub clothes and
caps?
A. Unrestricted zone
B. Semi-restricted zone
C. Restricted zone
D. Operative zone - ANSWER: B. Semi-restricted zone
,Which term refers to the inability to coordinate muscle movements, resulting
difficulty walking?
A. Agnosia
B. Ataxia
C. Spasticity
D. Rigidity - ANSWER: B. Ataxia
Which are true of nonprescription drugs? (Select all that apply.)
1. They require a prescription to obtain.
2. They are referred to as over-the-counter drugs.
3. They can be taken without risk to the client.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label. - ANSWER: 2. They are referred
to as over-the-counter drugs.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label
After an instructor has posted assignments, a person claiming to be a nursing
student arrives on a unit and asks a nurse for access to the medication records of a
client to whom the student nurse has been assigned. The student's only
identification (ID) is a laboratory coat with the school's name on it. What is the
nurse's most appropriate response?
A. Allow the student access to the medication record because the instructor has
posted an assignment sheet.
B. Ask the student to provide a photo ID for comparison with the names on the
assignment sheet.
C. Ask the student to contact the instructor by phone to verify the student's
identification.
D. Allow the student supervised access to the client's medication record. - ANSWER:
B. Ask the student to provide a photo ID for comparison with the names on the
assignment sheet.
The nurse is caring for a client who is displaying a third-degree AV block on the EKG
monitor. What is the priority nursing intervention for the client?
A. assessing blood pressure and heart rate frequently
B. identifying a code-level status
C. maintaining intravenous fluids
D. alerting the healthcare provider of the third-degree heart block - ANSWER: D.
alerting the healthcare provider of the third-degree heart block
A nurse is providing care to a neonate. Put steps in the order that the nurse would
implement to properly perform ophthalmia neonatorum prophylaxis. - ANSWER: 1.
Wash hands and put on gloves.
, 2. Shield the neonate's eyes from direct light, and tilt the head slightly to the side
that will receive treatment.
3. Gently raise the neonate's upper eyelid with the index finger and gently pull the
lower eyelid down with the thumb.
4. Instill the ointment in the lower conjunctival sac
5. Close and manipulate the eyelid to spread the medication over the eye
6. Repeat the procedure for the other eye.
Parents of a preschooler with chickenpox ask the nurse about measures to make
their child comfortable. The nurse instructs the parents to avoid administering
aspirin or any other product that contains salicylates. When given to children with
chickenpox, aspirin has been linked to which disorder?
A. Guillain-Barré syndrome
B. rheumatic fever
C. Reye's syndrome
D. scarlet fever - ANSWER: C. Reye's syndrome
A client is being taught to self-administer a narcotic analgesic by means of an
intravenous PCA pump system. Which of the following would help prevent
accidental overdosage?
A. Reducing the dosage of the narcotic analgesic
B. Reducing the frequency of administration of the narcotic analgesic
C. Programming the dosage and time interval into the device
D. Drawing up a schedule chart for the client - ANSWER: C. Programming the dosage
and time interval into the device
A client is to receive a radiocontrast media as part of a diagnostic scan. Which
intervention is intended to reduce the nephrotoxic effects of the radiocontrast
media?
A. Having the client take nothing by mouth
B. Increasing the normal saline intravenous infusion rate prior to the exam
C. Administering one unit of packed red blood cells
D. Administering ibuprofen 600 mg prior to the procedure - ANSWER: B. Increasing
the normal saline intravenous infusion rate prior to the exam
Which of the following positions would the nurse expect the client to be positioned
on the operating table for renal surgery?
A. Trendelenburg position
B. Lithotomy position
C. Supine position
D. Sims position - ANSWER: D. Sims position
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES /A+ GRADE ASSURED
A client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid.
Which is the most critical management issue for the client during the first 2 weeks of
treatment?
A. Ascertaining that the client is taking a full dose daily
B. Ensuring the client's blood levels reach a therapeutic and safe dose
C. Educating the client about the side effects of lithium
D. Monitoring the client's cardiac status - ANSWER: B. Ensuring the client's blood
levels reach a therapeutic and safe dose
A client suffers from depression following the accidental death of a child. After a
suicide attempt, the client is admitted to the psychiatric unit. During the admission
interview, the nurse learns that the client no longer wants to die. The nurse should:
A. suggest that the client no longer requires close observation.
B. place the client in a private room, away from the nurses' station, so that she has
privacy to work through the stages of the grieving process.
C. inspect the client's personal belongings for potentially dangerous objects.
D. avoid any further discussion of suicide unless the client brings up the topic. -
ANSWER: C. inspect the client's personal belongings for potentially dangerous
objects.
A client is returned to his room after a subtotal thyroidectomy. Which piece of
equipment is most important for the nurse to keep at the client's bedside?
A. Indwelling urinary catheter kit
B. Tracheostomy set
C. Cardiac monitor
D. Humidifier - ANSWER: B. Tracheostomy set
Which is the most reliable and accurate method for delivering precise concentrations
of oxygen through noninvasive means?
A. Nasal cannula
B. Venturi mask
C. T-piece
D. Partial-rebreathing mask - ANSWER: B. Venturi mask
A client with a conductive hearing disorder caused by ankylosis of the stapes in the
oval window undergoes a stapedectomy to remove the stapes and replace the
impaired bone with a prosthesis. After the stapedectomy, the nurse should provide
which client instruction?
,A. "Lie in bed with your head elevated, and refrain from blowing your nose for 24
hours."
B. "Try to ambulate independently after about 24 hours."
C. "Shampoo your hair every day for 10 days to help prevent ear infection."
D. "Don't fly in an airplane, climb to high altitudes, make sudden movements, or
expose yourself to loud sounds for 30 days." - ANSWER: D. "Don't fly in an airplane,
climb to high altitudes, make sudden movements, or expose yourself to loud sounds
for 30 days."
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What
information would be most important for the nurse to include in the child's
preoperative plan of care?
A. Avoiding further abdominal palpation
B. Performing dressing changes to the affected area
C. Administering analgesics for pain
D. Preparing the child for amputation - ANSWER: A. Avoiding further abdominal
palpation
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse
evaluates the therapeutic effectiveness of this drug by assessing the client's response
and checking for adverse effects. Which vital sign is most likely to reflect an adverse
effect of nitroglycerin?
A. pulse rate of 84 beats/minute
B. respiration 26 breaths/minute
C. blood pressure 84/52 mm Hg
D. temperature of 100.2° F (37.9° C) - ANSWER: C. blood pressure 84/52 mm Hg
When promoting client safety on an inpatient psychiatric unit, which interventions
would be used as the measure of last resort?
A. Surveillance
B. Seclusion
C. Room restriction
D. Four-point restraint - ANSWER: D. Four-point restraint
Which zone of the surgical area only requires attire in the form of scrub clothes and
caps?
A. Unrestricted zone
B. Semi-restricted zone
C. Restricted zone
D. Operative zone - ANSWER: B. Semi-restricted zone
,Which term refers to the inability to coordinate muscle movements, resulting
difficulty walking?
A. Agnosia
B. Ataxia
C. Spasticity
D. Rigidity - ANSWER: B. Ataxia
Which are true of nonprescription drugs? (Select all that apply.)
1. They require a prescription to obtain.
2. They are referred to as over-the-counter drugs.
3. They can be taken without risk to the client.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label. - ANSWER: 2. They are referred
to as over-the-counter drugs.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label
After an instructor has posted assignments, a person claiming to be a nursing
student arrives on a unit and asks a nurse for access to the medication records of a
client to whom the student nurse has been assigned. The student's only
identification (ID) is a laboratory coat with the school's name on it. What is the
nurse's most appropriate response?
A. Allow the student access to the medication record because the instructor has
posted an assignment sheet.
B. Ask the student to provide a photo ID for comparison with the names on the
assignment sheet.
C. Ask the student to contact the instructor by phone to verify the student's
identification.
D. Allow the student supervised access to the client's medication record. - ANSWER:
B. Ask the student to provide a photo ID for comparison with the names on the
assignment sheet.
The nurse is caring for a client who is displaying a third-degree AV block on the EKG
monitor. What is the priority nursing intervention for the client?
A. assessing blood pressure and heart rate frequently
B. identifying a code-level status
C. maintaining intravenous fluids
D. alerting the healthcare provider of the third-degree heart block - ANSWER: D.
alerting the healthcare provider of the third-degree heart block
A nurse is providing care to a neonate. Put steps in the order that the nurse would
implement to properly perform ophthalmia neonatorum prophylaxis. - ANSWER: 1.
Wash hands and put on gloves.
, 2. Shield the neonate's eyes from direct light, and tilt the head slightly to the side
that will receive treatment.
3. Gently raise the neonate's upper eyelid with the index finger and gently pull the
lower eyelid down with the thumb.
4. Instill the ointment in the lower conjunctival sac
5. Close and manipulate the eyelid to spread the medication over the eye
6. Repeat the procedure for the other eye.
Parents of a preschooler with chickenpox ask the nurse about measures to make
their child comfortable. The nurse instructs the parents to avoid administering
aspirin or any other product that contains salicylates. When given to children with
chickenpox, aspirin has been linked to which disorder?
A. Guillain-Barré syndrome
B. rheumatic fever
C. Reye's syndrome
D. scarlet fever - ANSWER: C. Reye's syndrome
A client is being taught to self-administer a narcotic analgesic by means of an
intravenous PCA pump system. Which of the following would help prevent
accidental overdosage?
A. Reducing the dosage of the narcotic analgesic
B. Reducing the frequency of administration of the narcotic analgesic
C. Programming the dosage and time interval into the device
D. Drawing up a schedule chart for the client - ANSWER: C. Programming the dosage
and time interval into the device
A client is to receive a radiocontrast media as part of a diagnostic scan. Which
intervention is intended to reduce the nephrotoxic effects of the radiocontrast
media?
A. Having the client take nothing by mouth
B. Increasing the normal saline intravenous infusion rate prior to the exam
C. Administering one unit of packed red blood cells
D. Administering ibuprofen 600 mg prior to the procedure - ANSWER: B. Increasing
the normal saline intravenous infusion rate prior to the exam
Which of the following positions would the nurse expect the client to be positioned
on the operating table for renal surgery?
A. Trendelenburg position
B. Lithotomy position
C. Supine position
D. Sims position - ANSWER: D. Sims position
