HESI Exit 2025 Practice Questions and
Answers|Success guaranteed
exam|graded A+
The nurse is administering an intravenous dose of methocarbamol to a
client with multiple sclerosis. For which adverse effect should the nurse
monitor?
1.Tachycardia
2.Rapid pulse
3.Bradycardia
4.Hypertension - answ✔✔3
Intravenous administration of methocarbamol can cause hypotension
and bradycardia. The nurse needs to monitor for these adverse effects.
Options 1, 2, and 4 are not effects with administration of this
medication.
The nurse is reviewing the postprocedure plan of care formulated by a
nursing student for a client scheduled for a bone biopsy. The nurse
determines that the student needs additional information about
postprocedure care if which inaccurate intervention is documented?
1.Elevating the limb
2.Monitoring vital signs every 4 hours 3.Administering opioid analgesics
intramuscularly
4.Monitoring the biopsy site for swelling, bleeding, or hematoma -
answ✔✔3
,Nursing care after bone biopsy includes monitoring the site for swelling,
bleeding, and hematoma formation. The biopsy site is elevated for 24
hours or as prescribed to reduce edema. The vital signs are monitored
every 4 hours for 24 hours for signs of complications such as infection
and bleeding. The client usually requires mild analgesics. More severe
pain usually indicates that complications are arising.
The nurse is caring for the client who has skeletal traction applied to
the left leg. The client complains of severe left leg pain. The nurse
checks the client's alignment in bed and notes that proper alignment is
maintained. Which is the priority nursing action?
1.Provide pin care.
2.Medicate the client.
3.Call the health care provider. 4.Remove 2 pounds (0.9 kg) of weight
from the traction system. - answ✔✔3
Severe pain in a client in skeletal traction may indicate a need for
realignment, or the traction weights applied to the limb may be too
heavy. The nurse realigns the client. If this measure is ineffective, the
nurse then calls the health care provider. Severe leg pain once traction
has been established indicates a problem. Providing pin care is
unrelated to the problem as described. Medicating the client should be
done after trying to determine and treat the cause. The nurse should
never remove the weights from the traction system without a specific
prescription to do so.
The nurse has completed giving discharge instructions to a client who
has had a total joint replacement (TJR) of the knee with a metal
prosthetic system. The nurse determines that the client understands
the instructions if the client makes which statement?
,1."Changes in the shape of the knee are expected."
2."Fever, redness, and increased pain are expected."
3."All caregivers should be told about the metal implant."
4."Bleeding gums or black stools may occur, but this is normal." -
answ✔✔3
A TJR is also known as a total joint arthroplasty (TJA). The client must
inform other caregivers of the presence of the metal implant because
certain tests and procedures will need to be avoided. After total knee
replacement, the client should report signs and symptoms of infection
and any changes in the shape of the knee. These could indicate
developing complications. With a metal implant, the client may be on
anticoagulant therapy and should report adverse effects of this
therapy, including bleeding from a variety of sources, and the client will
need antibiotic prophylaxis for invasive procedures.
The nurse is caring for a client after the application of a plaster cast for
a fractured left radius. The nurse should suspect impairment with the
neurovascular status of the client's casted extremity if which findings
are noted? Select all that apply.
1.Capillary refill is less than 3 seconds 2.Pulses present and with
swollen, pink fingers
3.Client report of severe, deep, unrelenting pain
4.Client report of pain as nurse assesses finger movement
5.Client report of numbness and tingling sensation in the fingers -
answ✔✔3, 4, 5
, The pressure in compartment syndrome, if unrelieved, will cause
permanent damage to nerve and muscle tissue distal to the pressure.
Circulatory damage may result in necrosis. Nerve and muscle damage
may result in permanent contractures, deformity of the extremity, and
functional impairment. Normal capillary refill time is 3 seconds or less.
Pink appearance and a pulse indicate adequate blood flow; swelling is
expected after a fracture. Client report of severe, deep, unrelenting
pain; client report of numbness and tingling sensation; and client report
of pain as the nurse assesses finger movement are indicative of
development of compartment syndrome.
A client with a 4-day-old lumbar vertebral fracture is experiencing
muscle spasms. Which are interventions to aid the client in relieving the
spasm? Select all that apply.
1.Ice
2.Heat
3.Analgesics
4.Muscle relaxers
5.Intermittent traction - answ✔✔2, 3, 4, 5
Heat, analgesics, muscle relaxers, and traction all may be used to
relieve the pain of muscle spasm in the client with a vertebral fracture.
Ice is applied to a painful site only for the first 48 to 72 hours
(depending on the health care provider's preference) after an injury.
Application of ice to the spine of a client could be uncomfortable and
could result in feelings of being chilled.
Answers|Success guaranteed
exam|graded A+
The nurse is administering an intravenous dose of methocarbamol to a
client with multiple sclerosis. For which adverse effect should the nurse
monitor?
1.Tachycardia
2.Rapid pulse
3.Bradycardia
4.Hypertension - answ✔✔3
Intravenous administration of methocarbamol can cause hypotension
and bradycardia. The nurse needs to monitor for these adverse effects.
Options 1, 2, and 4 are not effects with administration of this
medication.
The nurse is reviewing the postprocedure plan of care formulated by a
nursing student for a client scheduled for a bone biopsy. The nurse
determines that the student needs additional information about
postprocedure care if which inaccurate intervention is documented?
1.Elevating the limb
2.Monitoring vital signs every 4 hours 3.Administering opioid analgesics
intramuscularly
4.Monitoring the biopsy site for swelling, bleeding, or hematoma -
answ✔✔3
,Nursing care after bone biopsy includes monitoring the site for swelling,
bleeding, and hematoma formation. The biopsy site is elevated for 24
hours or as prescribed to reduce edema. The vital signs are monitored
every 4 hours for 24 hours for signs of complications such as infection
and bleeding. The client usually requires mild analgesics. More severe
pain usually indicates that complications are arising.
The nurse is caring for the client who has skeletal traction applied to
the left leg. The client complains of severe left leg pain. The nurse
checks the client's alignment in bed and notes that proper alignment is
maintained. Which is the priority nursing action?
1.Provide pin care.
2.Medicate the client.
3.Call the health care provider. 4.Remove 2 pounds (0.9 kg) of weight
from the traction system. - answ✔✔3
Severe pain in a client in skeletal traction may indicate a need for
realignment, or the traction weights applied to the limb may be too
heavy. The nurse realigns the client. If this measure is ineffective, the
nurse then calls the health care provider. Severe leg pain once traction
has been established indicates a problem. Providing pin care is
unrelated to the problem as described. Medicating the client should be
done after trying to determine and treat the cause. The nurse should
never remove the weights from the traction system without a specific
prescription to do so.
The nurse has completed giving discharge instructions to a client who
has had a total joint replacement (TJR) of the knee with a metal
prosthetic system. The nurse determines that the client understands
the instructions if the client makes which statement?
,1."Changes in the shape of the knee are expected."
2."Fever, redness, and increased pain are expected."
3."All caregivers should be told about the metal implant."
4."Bleeding gums or black stools may occur, but this is normal." -
answ✔✔3
A TJR is also known as a total joint arthroplasty (TJA). The client must
inform other caregivers of the presence of the metal implant because
certain tests and procedures will need to be avoided. After total knee
replacement, the client should report signs and symptoms of infection
and any changes in the shape of the knee. These could indicate
developing complications. With a metal implant, the client may be on
anticoagulant therapy and should report adverse effects of this
therapy, including bleeding from a variety of sources, and the client will
need antibiotic prophylaxis for invasive procedures.
The nurse is caring for a client after the application of a plaster cast for
a fractured left radius. The nurse should suspect impairment with the
neurovascular status of the client's casted extremity if which findings
are noted? Select all that apply.
1.Capillary refill is less than 3 seconds 2.Pulses present and with
swollen, pink fingers
3.Client report of severe, deep, unrelenting pain
4.Client report of pain as nurse assesses finger movement
5.Client report of numbness and tingling sensation in the fingers -
answ✔✔3, 4, 5
, The pressure in compartment syndrome, if unrelieved, will cause
permanent damage to nerve and muscle tissue distal to the pressure.
Circulatory damage may result in necrosis. Nerve and muscle damage
may result in permanent contractures, deformity of the extremity, and
functional impairment. Normal capillary refill time is 3 seconds or less.
Pink appearance and a pulse indicate adequate blood flow; swelling is
expected after a fracture. Client report of severe, deep, unrelenting
pain; client report of numbness and tingling sensation; and client report
of pain as the nurse assesses finger movement are indicative of
development of compartment syndrome.
A client with a 4-day-old lumbar vertebral fracture is experiencing
muscle spasms. Which are interventions to aid the client in relieving the
spasm? Select all that apply.
1.Ice
2.Heat
3.Analgesics
4.Muscle relaxers
5.Intermittent traction - answ✔✔2, 3, 4, 5
Heat, analgesics, muscle relaxers, and traction all may be used to
relieve the pain of muscle spasm in the client with a vertebral fracture.
Ice is applied to a painful site only for the first 48 to 72 hours
(depending on the health care provider's preference) after an injury.
Application of ice to the spine of a client could be uncomfortable and
could result in feelings of being chilled.
