HESI case study ASSESSMENT Test Questions &
Answers latest update 2024-25
The registered nurse is caring for a client with a peptic ulcer disease (PUD). what assessment should the
RN identify and document that is consistent with PUD? - ✔✔Hematemesis, gastric pain on an empty
stomach, intolerance of spicy foods
Rationale: manifestations of PUD include hematemesis, gastric pain, and spicy food intolerance
An older client is admitted to the hospital with severe diarrhea. The registered nurse is completing an
assessment and notes the client has dry mucous membranes and poor skin turgor. Which assessment
data should the RN gather to determine if the client has a fluid volume deficit? - ✔✔Orthostatic
hypotension
Rationale: orthostatic hypertension can be a sign of fluid volume deficit in an older client who has
experience severe diarrhea
The registered nurse palpates a weak pedal pulse in the clients right foot. which assessment findings
should the RN document that are consistent with diminished peripheral circulation? select all that apply
- ✔✔Diminished hair on legs, skin cool to the touch
Rationale: diminished hair on the legs and skin that is cool to touch ate expectant signs of decreased
arterial blood flow
The registered nurse is teaching a client who is discharged after treatment of tuberculosis. which
cultural issue should the RN assess when preparing the client for discharge? select all that apply -
✔✔Native language, education level, type of lifestyle, financial resources
Rationale: to ensure compliance the clients native language, educational level, lifestyle, and financial
resources should be considered when preparing the clients discharge instructions about the
continuation of treatment for TB
, The registered nurse is caring for a client with tuberculosis 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? - ✔✔The development of resistant strains of TB or decrease with a
combination of drugs
Rationale: combination therapy is necessary to decrease the development of resistant strains of TB and
ensure treatment of efficacy
The registered nurse is assisting the healthcare provider with the removal of a chest tube. Which
intervention has the highest priority and should be anticipated by the RNafter the removal of the chest
tube? - ✔✔Prepare the client for chest x-ray at the bedside
Rationale: just x-ray should be performed immediately after the removal of a chest tube to ensure lung
expansion has been maintained after its removal
While caring for a client who has esophageal varices, which nursing intervention is most important for
the registered nurse to implement? - ✔✔Monitor infusing IV fluids in any replacement blood
products
Rationale: maintaining hemodynamic stability in a client with esophageal varicescan precipitatea life
threatening crisis if esophageal varies leak or rupture and can result in hemorrhage. The priority is
assessing and monitoring infusions of IV fluids and any replacement blood products.
Which action should the registered nurse implement to complete an assessment for a client while using
an interpreter? - ✔✔Maintain eye contact with the client while listening to the translation
Rationale: when completing an assessment the RN should maintain eye contact with the client together
additional information from the clients nonverbal cues
A Muslim male client refuses to let the female registered nurse listen to his breath sounds during the
examination. How should the RN respond? - ✔✔Request a male nurse or healthcare provider to
perform the exam
Answers latest update 2024-25
The registered nurse is caring for a client with a peptic ulcer disease (PUD). what assessment should the
RN identify and document that is consistent with PUD? - ✔✔Hematemesis, gastric pain on an empty
stomach, intolerance of spicy foods
Rationale: manifestations of PUD include hematemesis, gastric pain, and spicy food intolerance
An older client is admitted to the hospital with severe diarrhea. The registered nurse is completing an
assessment and notes the client has dry mucous membranes and poor skin turgor. Which assessment
data should the RN gather to determine if the client has a fluid volume deficit? - ✔✔Orthostatic
hypotension
Rationale: orthostatic hypertension can be a sign of fluid volume deficit in an older client who has
experience severe diarrhea
The registered nurse palpates a weak pedal pulse in the clients right foot. which assessment findings
should the RN document that are consistent with diminished peripheral circulation? select all that apply
- ✔✔Diminished hair on legs, skin cool to the touch
Rationale: diminished hair on the legs and skin that is cool to touch ate expectant signs of decreased
arterial blood flow
The registered nurse is teaching a client who is discharged after treatment of tuberculosis. which
cultural issue should the RN assess when preparing the client for discharge? select all that apply -
✔✔Native language, education level, type of lifestyle, financial resources
Rationale: to ensure compliance the clients native language, educational level, lifestyle, and financial
resources should be considered when preparing the clients discharge instructions about the
continuation of treatment for TB
, The registered nurse is caring for a client with tuberculosis 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? - ✔✔The development of resistant strains of TB or decrease with a
combination of drugs
Rationale: combination therapy is necessary to decrease the development of resistant strains of TB and
ensure treatment of efficacy
The registered nurse is assisting the healthcare provider with the removal of a chest tube. Which
intervention has the highest priority and should be anticipated by the RNafter the removal of the chest
tube? - ✔✔Prepare the client for chest x-ray at the bedside
Rationale: just x-ray should be performed immediately after the removal of a chest tube to ensure lung
expansion has been maintained after its removal
While caring for a client who has esophageal varices, which nursing intervention is most important for
the registered nurse to implement? - ✔✔Monitor infusing IV fluids in any replacement blood
products
Rationale: maintaining hemodynamic stability in a client with esophageal varicescan precipitatea life
threatening crisis if esophageal varies leak or rupture and can result in hemorrhage. The priority is
assessing and monitoring infusions of IV fluids and any replacement blood products.
Which action should the registered nurse implement to complete an assessment for a client while using
an interpreter? - ✔✔Maintain eye contact with the client while listening to the translation
Rationale: when completing an assessment the RN should maintain eye contact with the client together
additional information from the clients nonverbal cues
A Muslim male client refuses to let the female registered nurse listen to his breath sounds during the
examination. How should the RN respond? - ✔✔Request a male nurse or healthcare provider to
perform the exam
