HESI NURSING CARE SCENARIOS EXAM 2025 |200
QUESTIONS WITH ACCURATE SOLUTIONS
1. Explain why it is important for a nurse to assess a client's neurologic
status after they exhibit signs of confusion following the signing of an
operative permit.
It helps to confirm the client's understanding of the procedure
and their ability to consent.
It is necessary to prepare the client for surgery.
It allows the nurse to document the client's mental
state. It ensures that the client is comfortable before
surgery.
2. What is the primary focus of the nurse's response when addressing
a client's concern about a medication side effect?
To provide detailed information about the medication
To encourage the client to discuss their feelings and concerns
To reassure the client that side effects are common
To suggest alternative medications
3. Why is it important for the nurse to document a client's response to
painful stimuli during a neurologic assessment?
It helps in determining the need for immediate surgery.
It provides a baseline for monitoring changes in the client's
condition.
It indicates the effectiveness of pain management
interventions. It is required by hospital policy for all
assessments.
,4. A patient informs the nurse that she is having problems with frequent
urinary tract infections (UTIs). Which of the following suggestions can the
, nurse make that may prevent UTIs by reducing bacterial adherence to the
epithelial lining of the urinary tract?
Cranberry juice
Dairy products such as milk and cheese
Oranges
Herbal teas
5. During the postoperative period, which of the following nursing actions
will help prevent the development of a deep vein thrombosis?
Monitor incision for signs of bleeding
Turn and reposition the client every 2 hours
Instruct on deep breathing and use of incentive spirometry
Encourage early, frequent ambulation
6. What is the primary purpose of rolling contaminated gloves inside-out
during nursing procedures?
To prevent contamination of the hands
To dispose of gloves properly
To maintain patient privacy
To ensure proper glove fit
7. If a nurse discovers that the child's home environment is noisy and
chaotic, what intervention should the nurse recommend to the family to
improve the child's sleep habits?
A. Encourage the child to play video games before bed to tire them
out
B. Establish a consistent bedtime routine that includes
quiet activities
C. Allow the child to sleep in a different room away from the noise
, D.Suggest the child take naps during the day to compensate
for lost sleep
8. A nurse taught a client how to change their dressing at home. How
should the nurse evaluate learning?
Show the client how to change the dressing
Have the client demonstrate a dressing change
Have the client watch a video on dressing
changes Give the client written instructions to
follow
9. A nurse is preparing to insert an IV catheter in a patient with difficult
venous access. Which alternative site should the nurse consider if the
right cephalic vein is not accessible?
Left cephalic
vein Right
brachial vein
Dorsal side of the left wrist
Right basilic vein
10. Explain why the right cephalic vein is preferred for IV catheter
insertion over the left brachial vein and the dorsal side of the right
wrist.
The right cephalic vein is larger and more superficial, making it
easier to access.
The left brachial vein is deeper and not suitable for IV access.
Veins on the dorsal side of the wrist are fragile and painful to use.
All of the above.
11. What is the primary purpose of using a gait belt during
ambulation assistance for a patient with right-sided weakness?
QUESTIONS WITH ACCURATE SOLUTIONS
1. Explain why it is important for a nurse to assess a client's neurologic
status after they exhibit signs of confusion following the signing of an
operative permit.
It helps to confirm the client's understanding of the procedure
and their ability to consent.
It is necessary to prepare the client for surgery.
It allows the nurse to document the client's mental
state. It ensures that the client is comfortable before
surgery.
2. What is the primary focus of the nurse's response when addressing
a client's concern about a medication side effect?
To provide detailed information about the medication
To encourage the client to discuss their feelings and concerns
To reassure the client that side effects are common
To suggest alternative medications
3. Why is it important for the nurse to document a client's response to
painful stimuli during a neurologic assessment?
It helps in determining the need for immediate surgery.
It provides a baseline for monitoring changes in the client's
condition.
It indicates the effectiveness of pain management
interventions. It is required by hospital policy for all
assessments.
,4. A patient informs the nurse that she is having problems with frequent
urinary tract infections (UTIs). Which of the following suggestions can the
, nurse make that may prevent UTIs by reducing bacterial adherence to the
epithelial lining of the urinary tract?
Cranberry juice
Dairy products such as milk and cheese
Oranges
Herbal teas
5. During the postoperative period, which of the following nursing actions
will help prevent the development of a deep vein thrombosis?
Monitor incision for signs of bleeding
Turn and reposition the client every 2 hours
Instruct on deep breathing and use of incentive spirometry
Encourage early, frequent ambulation
6. What is the primary purpose of rolling contaminated gloves inside-out
during nursing procedures?
To prevent contamination of the hands
To dispose of gloves properly
To maintain patient privacy
To ensure proper glove fit
7. If a nurse discovers that the child's home environment is noisy and
chaotic, what intervention should the nurse recommend to the family to
improve the child's sleep habits?
A. Encourage the child to play video games before bed to tire them
out
B. Establish a consistent bedtime routine that includes
quiet activities
C. Allow the child to sleep in a different room away from the noise
, D.Suggest the child take naps during the day to compensate
for lost sleep
8. A nurse taught a client how to change their dressing at home. How
should the nurse evaluate learning?
Show the client how to change the dressing
Have the client demonstrate a dressing change
Have the client watch a video on dressing
changes Give the client written instructions to
follow
9. A nurse is preparing to insert an IV catheter in a patient with difficult
venous access. Which alternative site should the nurse consider if the
right cephalic vein is not accessible?
Left cephalic
vein Right
brachial vein
Dorsal side of the left wrist
Right basilic vein
10. Explain why the right cephalic vein is preferred for IV catheter
insertion over the left brachial vein and the dorsal side of the right
wrist.
The right cephalic vein is larger and more superficial, making it
easier to access.
The left brachial vein is deeper and not suitable for IV access.
Veins on the dorsal side of the wrist are fragile and painful to use.
All of the above.
11. What is the primary purpose of using a gait belt during
ambulation assistance for a patient with right-sided weakness?
