HESI Module 10 Questions With Complete Solutions
A cardiac monitor alarm sounds, and a nurse notes a straight line
on the monitor screen. What does the nurse immediately do?
Call a code
Assess the client
Check the cardiac leads and wires
Obtain a rhythm strip from the monitor device Correct Answers
Assess the client
A child with a diagnosis of pertussis (whooping cough) is being
admitted to the pediatric unit. As soon as the child arrives to the
unit, what should the nurse do first?
Weigh the child
Take the child's temperature
Attach the child to a pulse oximeter
Administer the prescribed antibiotic Correct Answers Attach
the child to a pulse oximeter
A client arrives at the emergency department with reports of a
headache, hives, itching, and difficulty swallowing. The client
states that he/she took ibuprofen 1 hour earlier and believes that
he/she is experiencing an allergic reaction to this medication.
After ensuring that the client has a patent airway, which
intervention does the nurse prepare the client for first?
Administration of normal saline solution
Administration of an intravenous (IV) glucocorticoid
Administration of pain medication to relieve the client's
headache
,Administration of a subcutaneous injection of epinephrine
Correct Answers Administration of a subcutaneous injection of
epinephrine
A client arrives in the emergency department for treatment of a
surface injury sustained when sand blew into the eye. Which
action does the nurse take first?
Assessing the client's vision
Placing ice on the eye
Removing the sand particles
Irrigating the eye with sterile saline solution Correct Answers
Assessing the client's vision
A client has an arteriovenous fistula in place for hemodialysis.
What should the nurse do to assess the patency of the fistula?
Irrigate the fistula with 3 mL of normal saline solution
Infuse 50 mL of normal saline once per 24 hours
Palpate for a vibrating sensation at the fistula site
Flush the fistula with 1 mL of heparin solution once per shift
Correct Answers Palpate for a vibrating sensation at the fistula
site
A client has just had a plaster leg cast applied, and the nurse has
given the client instructions on cast care. Which statement by
the client indicates the need for further instruction?
"I may feel cool while the cast is drying."
"I shouldn't use anything to scratch underneath the cast."
"If I smell any odor from the cast, I should call the doctor."
"I can dry the cast faster if I use a hairdryer on the hot setting."
Correct Answers "I can dry the cast faster if I use a hairdryer on
the hot setting."
,A client has undergone creation of an Indiana pouch for urine
diversion after cystectomy, and the nurse provides instructions
about reservoir catheterization. What does the nurse tell the
client?
To plan to drain the reservoir every 2 to 3 hours initially
That if mucus drains from the reservoir the primary health care
provider should be contacted
That sometimes force is needed to insert the catheter into the
reservoir
To obtain 26F catheters from the medical supply store for the
irrigations Correct Answers To plan to drain the reservoir
every 2 to 3 hours initially
A client in the third trimester of pregnancy is experiencing
painless vaginal bleeding, and placenta previa is suspected. For
which intervention does the nurse prepare the client?
An ultrasound examination
Internal fetal monitoring
Administration of oxytocin
A manual (digital) pelvic examination Correct Answers An
ultrasound examination
A client is found to have AIDS. What is the nurse's highest
priority in providing care to this client?
Providing emotional support to the client
Discussing the cause of AIDS with the client
Instituting measures to prevent infection in the client
Identifying risk factors related to contracting AIDS with the
client Correct Answers Instituting measures to prevent
infection in the client
, A client is found to have viral hepatitis, and the nurse provides
home care instructions to the client. What should the nurse tell
the client to do?
Maintain strict bed rest
Limit the intake of alcohol
Take acetaminophen for discomfort
Eat small frequent meals that are low in fat and protein and high
in carbohydrates Correct Answers Eat small frequent meals
that are low in fat and protein and high in carbohydrates
A client is transported to the recovery area of the ambulatory
care unit after cataract surgery. In which position does the nurse
place the client?
Supine
Semi-Fowler
On the side that has undergone surgery
Prone on the side that has undergone surgery Correct Answers
Semi-Fowler
A client who experienced a brain attack (stroke) exhibits right-
sided unilateral neglect. Where does the nurse caring for this
client plan to place the client's personal care items?
Within the client's reach on the left side
Within the client's reach on the right side
Just out of the client's reach on the left side
Just out of the client's reach on the right side Correct Answers
Within the client's reach on the right side
A client who experiences frequent episodes of chest pain is
admitted to the hospital for cardiac monitoring. The client
A cardiac monitor alarm sounds, and a nurse notes a straight line
on the monitor screen. What does the nurse immediately do?
Call a code
Assess the client
Check the cardiac leads and wires
Obtain a rhythm strip from the monitor device Correct Answers
Assess the client
A child with a diagnosis of pertussis (whooping cough) is being
admitted to the pediatric unit. As soon as the child arrives to the
unit, what should the nurse do first?
Weigh the child
Take the child's temperature
Attach the child to a pulse oximeter
Administer the prescribed antibiotic Correct Answers Attach
the child to a pulse oximeter
A client arrives at the emergency department with reports of a
headache, hives, itching, and difficulty swallowing. The client
states that he/she took ibuprofen 1 hour earlier and believes that
he/she is experiencing an allergic reaction to this medication.
After ensuring that the client has a patent airway, which
intervention does the nurse prepare the client for first?
Administration of normal saline solution
Administration of an intravenous (IV) glucocorticoid
Administration of pain medication to relieve the client's
headache
,Administration of a subcutaneous injection of epinephrine
Correct Answers Administration of a subcutaneous injection of
epinephrine
A client arrives in the emergency department for treatment of a
surface injury sustained when sand blew into the eye. Which
action does the nurse take first?
Assessing the client's vision
Placing ice on the eye
Removing the sand particles
Irrigating the eye with sterile saline solution Correct Answers
Assessing the client's vision
A client has an arteriovenous fistula in place for hemodialysis.
What should the nurse do to assess the patency of the fistula?
Irrigate the fistula with 3 mL of normal saline solution
Infuse 50 mL of normal saline once per 24 hours
Palpate for a vibrating sensation at the fistula site
Flush the fistula with 1 mL of heparin solution once per shift
Correct Answers Palpate for a vibrating sensation at the fistula
site
A client has just had a plaster leg cast applied, and the nurse has
given the client instructions on cast care. Which statement by
the client indicates the need for further instruction?
"I may feel cool while the cast is drying."
"I shouldn't use anything to scratch underneath the cast."
"If I smell any odor from the cast, I should call the doctor."
"I can dry the cast faster if I use a hairdryer on the hot setting."
Correct Answers "I can dry the cast faster if I use a hairdryer on
the hot setting."
,A client has undergone creation of an Indiana pouch for urine
diversion after cystectomy, and the nurse provides instructions
about reservoir catheterization. What does the nurse tell the
client?
To plan to drain the reservoir every 2 to 3 hours initially
That if mucus drains from the reservoir the primary health care
provider should be contacted
That sometimes force is needed to insert the catheter into the
reservoir
To obtain 26F catheters from the medical supply store for the
irrigations Correct Answers To plan to drain the reservoir
every 2 to 3 hours initially
A client in the third trimester of pregnancy is experiencing
painless vaginal bleeding, and placenta previa is suspected. For
which intervention does the nurse prepare the client?
An ultrasound examination
Internal fetal monitoring
Administration of oxytocin
A manual (digital) pelvic examination Correct Answers An
ultrasound examination
A client is found to have AIDS. What is the nurse's highest
priority in providing care to this client?
Providing emotional support to the client
Discussing the cause of AIDS with the client
Instituting measures to prevent infection in the client
Identifying risk factors related to contracting AIDS with the
client Correct Answers Instituting measures to prevent
infection in the client
, A client is found to have viral hepatitis, and the nurse provides
home care instructions to the client. What should the nurse tell
the client to do?
Maintain strict bed rest
Limit the intake of alcohol
Take acetaminophen for discomfort
Eat small frequent meals that are low in fat and protein and high
in carbohydrates Correct Answers Eat small frequent meals
that are low in fat and protein and high in carbohydrates
A client is transported to the recovery area of the ambulatory
care unit after cataract surgery. In which position does the nurse
place the client?
Supine
Semi-Fowler
On the side that has undergone surgery
Prone on the side that has undergone surgery Correct Answers
Semi-Fowler
A client who experienced a brain attack (stroke) exhibits right-
sided unilateral neglect. Where does the nurse caring for this
client plan to place the client's personal care items?
Within the client's reach on the left side
Within the client's reach on the right side
Just out of the client's reach on the left side
Just out of the client's reach on the right side Correct Answers
Within the client's reach on the right side
A client who experiences frequent episodes of chest pain is
admitted to the hospital for cardiac monitoring. The client
