HESI HEALTH ASSESSMENT PRACTICE EXAM
A nurse who receives a patient in the operative suite prior to the actual surgery is
in charge of the patient's care. Which of the following is NOT a task related to the
nurse's intraoperative care?
Go over the surgical procedure with the patient before he or she is anesthetized.
There has been a serious explosion at a local factory and many of the injured are
arriving at the hospital. Which of the following patients should a nurse attend to
first?
A 19-year-old man who has numerous lacerations all over the body and whose
respiration exceeds 30 breaths per minute
he nurse teaches a client who is diagnosed with HIV that the condition is
transmitted through
the infection passed from a mother to her baby
Which of the following is NOT a type of hypovolemic shock? check all answers
that apply
insulin shock
All of the choices are types of hypovolemic shock except insulin shock. This is a type of
distributive shock caused by inadequate vascular tone.
A nurse is assessing a day-old infant for jaundice. Which of the following is the
best method for this?
applying pressure over a bony area such as the forehead and evaluating the skin color
after this pressure is removed
The home care nurse determines that a 78-year-old client is unable to remain in
his current resident alone. The nurse determines this by what?
Assessing the home environment.
A client with uterine cancer asks the nurse, "Which is the most common type of
cancer in women?" The nurse replies that it is breast cancer. Which type of
cancer causes the most deaths in women?
Lung cancer
The unit in which you work has a team nursing delivery system. This delivery
system is characterized by all of the following EXCEPT :check all answers that
apply
One primary nurse is responsible for managing and coordinating the client's care.
The registered nurse assumes total responsibility for planning and delivering care to a
client.
In terms of disaster management, mitigation would encompass which of the
following actions?
actions that can prevent the occurrence of a disaster
determining resources available for vulnerable individuals such as infants or disabled
individuals
A RN is preparing to hang the first bag of total parenteral nutrition (TPN) solution.
The client has a central line and this is the first bag he will receive. Which of the
, following is the most essential piece of equipment to obtain prior to hanging the
bag?
Electronic infusion pump.
A deficiency of calcium may result in which of the following?
rickets
tetany
Which of the following will MOST LIKELY increase the risk of a medication error?
Errors in the calculation of medication dosages.
All of the following are posture and body alignment problems EXCEPT:
thrombosis
his is not a posture and alignment issue. The other three are. Kyphosis is exaggerated
convexity in the thoracic region; scoliosis is a lateral curvature of a portion of the
vertebral column; and lumbar lordosis is exaggerated concavity in the lumbar region.
Suzy, a very rebellious teenager, had terrible grades in school. She was very
promiscuous at an early age. Even as an adult she was unpredictable. She cuts
her arms frequently and has persistent thoughts of suicide. What disorder closely
matches Suzy's symptoms?
Borderline personality disorder.
borderline personality disorder symptoms include: impulsive, risky behavior, awareness
of destructive behavior, including self-injury, wide mood swings short but intense
episodes of anxiety or depression, inappropriate anger and antagonistic behavior,
suicidal behavior, and feelings of self-hate and self-loathing.
When a woman in early pregnancy is leaving the clinic, she blushes and asks the
nurse if it is true that sex during pregnancy is bad for the baby. What is the best
response for the nurse to give?
"In a normal pregnancy, intercourse will not harm the baby. However, many women
experience a change in desire. How are you feeling?"
A Native American client is admitted with a diagnosis of psychosis not otherwise
specified. The client's family seems to regard the client's hallucinations as
normal. What assessment can be made?
The client's family regards the hallucinations from a cultural context.
The correct answer is the client's family regards the hallucinations from a cultural
context. Some Native Americans consider hallucinations as spiritual experiences called
vision quests. There is nothing to suggest that the client will need a single room.
Assuming that the client will need a medicine man or benefit from a talking circle relies
on stereotypes about Native American clients.
The nurse is teaching a client with diabetes mellitus about differentiating between
hypoglycemia and ketoacidosis. What statement indicates to the nurse that the
client has understanding of this condition?
"Glucose is to be taken, if I develop shakiness."
A nurse is treating a patient by administering parenteral iron. Which of the
following actions would be inconsistent with proper administration of the iron?
using the deltoid muscle for administration
You are teaching students about how hyperosmotic agents (osmotic diuretics)
are used to treat intracranial pressure. Which of the following is NOT one of the
functions of hyperosmotic agents?
A nurse who receives a patient in the operative suite prior to the actual surgery is
in charge of the patient's care. Which of the following is NOT a task related to the
nurse's intraoperative care?
Go over the surgical procedure with the patient before he or she is anesthetized.
There has been a serious explosion at a local factory and many of the injured are
arriving at the hospital. Which of the following patients should a nurse attend to
first?
A 19-year-old man who has numerous lacerations all over the body and whose
respiration exceeds 30 breaths per minute
he nurse teaches a client who is diagnosed with HIV that the condition is
transmitted through
the infection passed from a mother to her baby
Which of the following is NOT a type of hypovolemic shock? check all answers
that apply
insulin shock
All of the choices are types of hypovolemic shock except insulin shock. This is a type of
distributive shock caused by inadequate vascular tone.
A nurse is assessing a day-old infant for jaundice. Which of the following is the
best method for this?
applying pressure over a bony area such as the forehead and evaluating the skin color
after this pressure is removed
The home care nurse determines that a 78-year-old client is unable to remain in
his current resident alone. The nurse determines this by what?
Assessing the home environment.
A client with uterine cancer asks the nurse, "Which is the most common type of
cancer in women?" The nurse replies that it is breast cancer. Which type of
cancer causes the most deaths in women?
Lung cancer
The unit in which you work has a team nursing delivery system. This delivery
system is characterized by all of the following EXCEPT :check all answers that
apply
One primary nurse is responsible for managing and coordinating the client's care.
The registered nurse assumes total responsibility for planning and delivering care to a
client.
In terms of disaster management, mitigation would encompass which of the
following actions?
actions that can prevent the occurrence of a disaster
determining resources available for vulnerable individuals such as infants or disabled
individuals
A RN is preparing to hang the first bag of total parenteral nutrition (TPN) solution.
The client has a central line and this is the first bag he will receive. Which of the
, following is the most essential piece of equipment to obtain prior to hanging the
bag?
Electronic infusion pump.
A deficiency of calcium may result in which of the following?
rickets
tetany
Which of the following will MOST LIKELY increase the risk of a medication error?
Errors in the calculation of medication dosages.
All of the following are posture and body alignment problems EXCEPT:
thrombosis
his is not a posture and alignment issue. The other three are. Kyphosis is exaggerated
convexity in the thoracic region; scoliosis is a lateral curvature of a portion of the
vertebral column; and lumbar lordosis is exaggerated concavity in the lumbar region.
Suzy, a very rebellious teenager, had terrible grades in school. She was very
promiscuous at an early age. Even as an adult she was unpredictable. She cuts
her arms frequently and has persistent thoughts of suicide. What disorder closely
matches Suzy's symptoms?
Borderline personality disorder.
borderline personality disorder symptoms include: impulsive, risky behavior, awareness
of destructive behavior, including self-injury, wide mood swings short but intense
episodes of anxiety or depression, inappropriate anger and antagonistic behavior,
suicidal behavior, and feelings of self-hate and self-loathing.
When a woman in early pregnancy is leaving the clinic, she blushes and asks the
nurse if it is true that sex during pregnancy is bad for the baby. What is the best
response for the nurse to give?
"In a normal pregnancy, intercourse will not harm the baby. However, many women
experience a change in desire. How are you feeling?"
A Native American client is admitted with a diagnosis of psychosis not otherwise
specified. The client's family seems to regard the client's hallucinations as
normal. What assessment can be made?
The client's family regards the hallucinations from a cultural context.
The correct answer is the client's family regards the hallucinations from a cultural
context. Some Native Americans consider hallucinations as spiritual experiences called
vision quests. There is nothing to suggest that the client will need a single room.
Assuming that the client will need a medicine man or benefit from a talking circle relies
on stereotypes about Native American clients.
The nurse is teaching a client with diabetes mellitus about differentiating between
hypoglycemia and ketoacidosis. What statement indicates to the nurse that the
client has understanding of this condition?
"Glucose is to be taken, if I develop shakiness."
A nurse is treating a patient by administering parenteral iron. Which of the
following actions would be inconsistent with proper administration of the iron?
using the deltoid muscle for administration
You are teaching students about how hyperosmotic agents (osmotic diuretics)
are used to treat intracranial pressure. Which of the following is NOT one of the
functions of hyperosmotic agents?
