HESI HEALTH ASSESSMENT EXAM
The client reports difficulty in breathing. The nurse auscultates lung sounds and
assesses the respiratory rate. Which is the purpose of the nurse's action?
1. Data collection
2. Data validation
3. Data clustering
4. Data interpretation
1. Data collection
When evaluating fluid loss for a client with burns, which relationship between a
client's burned body surface area and fluid loss would the nurse consider ?
1. Equal
2. Unrelated
3. Inversely related
4. Directly proportional
4. Directly proportional
While assessing a client for the dorsalis pedis pulse, the nurse documents the
reading as 1+. Which conclusion can be inferred from this finding?
1. There is absence of a pulse.
2. The pulse strength is normal.
3. The pulse strength is bounding.
4. The pulse strength is barely palpable.
4. The pulse strength is barely palpable.
Which condition is contraindicated for St. John's wort herbal therapy?
1. Anxiety
2. Seizures
3. Dementia
4. Cardiac disease
3. Dementia
Which antidepressant medication is a selective monoamine oxidase-B inhibitor?
1. Selegiline
2. Phenelzine
3. Isocarboxazid
4. Tranylcypromine
1. Selegiline
A client, transferred to the postanesthesia care unit after a transurethral resection
of the prostate (TURP), has an intravenous (IV) line and a urinary retention
catheter. During the immediate postoperative period, for which potentially critical
complication would the nurse monitor?
1. Sepsis
2. Phlebitis
3. Hemorrhage
4. Leakage around urinary catheter
3. Hemorrhage
The client reports difficulty in breathing. The nurse auscultates lung sounds and
assesses the respiratory rate. Which is the purpose of the nurse's action?
1. Data collection
2. Data validation
3. Data clustering
4. Data interpretation
1. Data collection
When evaluating fluid loss for a client with burns, which relationship between a
client's burned body surface area and fluid loss would the nurse consider ?
1. Equal
2. Unrelated
3. Inversely related
4. Directly proportional
4. Directly proportional
While assessing a client for the dorsalis pedis pulse, the nurse documents the
reading as 1+. Which conclusion can be inferred from this finding?
1. There is absence of a pulse.
2. The pulse strength is normal.
3. The pulse strength is bounding.
4. The pulse strength is barely palpable.
4. The pulse strength is barely palpable.
Which condition is contraindicated for St. John's wort herbal therapy?
1. Anxiety
2. Seizures
3. Dementia
4. Cardiac disease
3. Dementia
Which antidepressant medication is a selective monoamine oxidase-B inhibitor?
1. Selegiline
2. Phenelzine
3. Isocarboxazid
4. Tranylcypromine
1. Selegiline
A client, transferred to the postanesthesia care unit after a transurethral resection
of the prostate (TURP), has an intravenous (IV) line and a urinary retention
catheter. During the immediate postoperative period, for which potentially critical
complication would the nurse monitor?
1. Sepsis
2. Phlebitis
3. Hemorrhage
4. Leakage around urinary catheter
3. Hemorrhage
