HESI Comprehensive Exam bsn 366 Exam
Questions With Correct Answers
The |nurse |is |monitoring |neurological |vital |signs |for |a |male |client |who |lost |consciousness |after |
falling |and |hitting |his |head. |Which |assessment |finding |is |the |earliest |and |most |sensitive |
indication |of |altered |cerebral |function?
a. |Unequal |pupils.
b. |Loss |of |central |reflexes.
c. |Inability |to |open |the |eyes.
d. |Change |in |level |of |consciousness. |- |CORRECT |ANSWER✔✔-D
A |nurse |is |planning |to |teach |self-care |measures |to |a |female |client |about |prevention |of |yeast |
infections. |Which |instructions |should |the |nurse |provide?
a. |Use |a |douche |preparation |no |more |than |once |a |month.
b. |Increase |daily |intake |of |fiber |and |leafy |green |vegetables.
c. |Select |nylon |underwear |that |is |loose-fitting, |white, |and |comfortable.
d. |Avoid |tight-fitting |clothing |and |do |not |use |bubble-bath |or |bath |salts. |- |CORRECT |
ANSWER✔✔-D
A |client |who |has |active |tuberculosis |(TB) |is |admitted |to |the |medical |unit. |What |action |is |most |
important |for |the |nurse |to |implement?
a. |Place |an |isolation |cart |in |the |hallway.
b. |Fit |the |client |with |a |respirator |mask.
c. |Don |a |clean |gown |for |client |care.
d. |Assign |the |client |to |a |negative |air-flow |room. |- |CORRECT |ANSWER✔✔-D
,The |nurse |is |planning |to |conduct |nutritional |assessments |and |diet |teaching |to |clients |at |a |
family |health |clinic. |Which |individual |has |the |greatest |nutritional |and |energy |demands?
a. |A |pregnant |woman.
b. |A |teenager |beginning |puberty.
c. |A |3-month-old |infant.
d. |A |school-aged |child. |- |CORRECT |ANSWER✔✔-A
What |nursing |delivery |of |care |provides |the |nurse |to |plan |and |direct |care |of |a |group |of |clients |
over |a |24-hour |period?
a. |Team |nursing.
b. |Primary |nursing.
c. |Case |management.
d. |Functional |nursing. |- |CORRECT |ANSWER✔✔-B
Which |approach |should |the |nurse |use |when |preparing |a |toddler |for |a |procedure?
a. |Demonstrate |the |procedure |using |a |doll.
b. |Avoid |asking |the |child |to |make |choices.
c. |Plan |a |teaching |session |to |last |about |20 |minutes.
d. |Show |equipment |but |prevent |child |from |handling |it. |- |CORRECT |ANSWER✔✔-A
The |nurse |is |caring |for |a |client |who |is |the |daughter |of |a |local |politician. |When |the |nurse |
approaches |a |man |who |is |reading |the |names |on |the |hall |doors, |he |identifies |himself |as |a |
reporter |for |the |local |newspaper |and |requests |information |about |the |client's |status. |Which |
standard |of |nursing |practice |should |the |nurse |use |to |respond?
a. |Caring.
b. |Veracity.
c. |Advocacy.
,d. |Confidentiality. |- |CORRECT |ANSWER✔✔-D
A |male |client |diagnosed |with |antisocial |personality |disorder |is |morbidly |obese |and |is |placed |
on |a |low |fat, |low |calorie |diet. |At |dinner |the |nurse |notes |that |he |is |trying |to |get |other |clients |
on |the |unit |to |give |him |part |of |their |meals. |What |intervention |should |the |nurse |implement?
a. |Remove |the |client |from |the |table |and |have |him |sit |alone.
b. |Send |the |client |back |to |his |room |and |do |not |allow |him |to |eat.
c. |Report |the |behavior |to |the |on-call |psychologist |immediately.
d. |Confront |the |client |about |the |consequences |of |the |behavior. |- |CORRECT |ANSWER✔✔-D
Which |information |should |the |nurse |give |a |client |with |chronic |kidney |disease |(CKD)?
a. |Restrict |calcium-rich |foods.
b. |Obtain |monthly |B12 |injections.
c. |Avoid |salt |substitutes.
d. |Increase |daily |intake |of |fiber. |- |CORRECT |ANSWER✔✔-C
The |nurse |is |assessing |a |client |who |complains |of |weight |loss, |racing |heart |rate, |and |difficulty |
sleeping. |The |nurse |determines |the |client |has |moist |skin |with |fine |hair, |prominent |eyes, |lid |
retraction, |and |a |staring |expression. |These |findings |are |consistent |with |which |disorder?
a. |Grave's |disease.
b. |Cushing |syndrome.
c. |Multiple |sclerosis.
d. |Addison's |disease. |- |CORRECT |ANSWER✔✔-A
A |young |adult |female |arrives |at |the |emergency |department |with |a |black |right |eye |and |is |
bleeding |from |the |left |side |of |her |head. |She |reports |that |her |boyfriend |has |been |abusing |her |
, physically. |The |nurse |performs |a |history |and |physical |examination. |How |should |the |nurse |
document |these |findings?
a. |Client |alleges |that |her |boyfriend |beat |her |up. |Client |is |bleeding |from |the |left |side |of |the |
face.
b. |Client |reports |her |boyfriend |hit |her |in |the |eye |and |on |the |head. |Bruises |and |lacerations |
present |on |face.
c. |Client |presents |with |a |right |black |eye |and |a |cut |on |the |left |side |of |her |head |that |is |bleeding.
|Reports |abusive |boyfriend |responsible |for |injuries. |Needs |referral |to |a |safe |place |to |stay.
d. |Young |adult |female |presents |with |periorbital |ecchymosis |on |right |side, |3 |cm |laceration |on |
left |parietal |area, |approximately |1 |cm |deep |with |tissue |bridging. |States |her |boyfriend |is |
abusive. |- |CORRECT |ANSWER✔✔-D
A |retired |office |worker |is |admitted |to |the |psychiatric |inpatient |unit |with |a |diagnosis |of |major |
depression. |The |initial |nursing |care |plan |includes |the |goal, |"Assist |client |to |express |feelings |of |
anger." |Which |nursing |intervention |is |most |important |to |include |in |the |client's |plan |of |care?
a. |Teach |that |anger |will |subside |after |two |weeks |on |antidepressants.
b. |Ask |client |to |describe |triggers |of |anger.
c. |Gather |more |data |about |social |support.
d. |Collaborate |with |the |treatment |team |about |revising |the |goal. |- |CORRECT |ANSWER✔✔-B
The |nurse |determines |that |a |client's |body |weight |is |105% |above |the |standardized |height-
weight |scale. |Which |related |factor |should |the |nurse |include |in |the |nursing |problem,
|"Imbalanced |nutrition: |more |than |body |requirements?"
a. |Morbidly |obese.
b. |Markedly |obese.
c. |Inadequate |lifestyle |changes |in |diet |and |exercise.
d. |Increased |morbidity |and |mortality |risks. |- |CORRECT |ANSWER✔✔-C
A |child |is |receiving |maintainance |intravenous |(IV) |fluids |at |the |rate |of |1000 |ml |for |the |first |10 |
kg |of |body |weight, |plus |50 |ml/kg |per |day |for |each |kilogram |between |10 |and |20. |How |many |
Questions With Correct Answers
The |nurse |is |monitoring |neurological |vital |signs |for |a |male |client |who |lost |consciousness |after |
falling |and |hitting |his |head. |Which |assessment |finding |is |the |earliest |and |most |sensitive |
indication |of |altered |cerebral |function?
a. |Unequal |pupils.
b. |Loss |of |central |reflexes.
c. |Inability |to |open |the |eyes.
d. |Change |in |level |of |consciousness. |- |CORRECT |ANSWER✔✔-D
A |nurse |is |planning |to |teach |self-care |measures |to |a |female |client |about |prevention |of |yeast |
infections. |Which |instructions |should |the |nurse |provide?
a. |Use |a |douche |preparation |no |more |than |once |a |month.
b. |Increase |daily |intake |of |fiber |and |leafy |green |vegetables.
c. |Select |nylon |underwear |that |is |loose-fitting, |white, |and |comfortable.
d. |Avoid |tight-fitting |clothing |and |do |not |use |bubble-bath |or |bath |salts. |- |CORRECT |
ANSWER✔✔-D
A |client |who |has |active |tuberculosis |(TB) |is |admitted |to |the |medical |unit. |What |action |is |most |
important |for |the |nurse |to |implement?
a. |Place |an |isolation |cart |in |the |hallway.
b. |Fit |the |client |with |a |respirator |mask.
c. |Don |a |clean |gown |for |client |care.
d. |Assign |the |client |to |a |negative |air-flow |room. |- |CORRECT |ANSWER✔✔-D
,The |nurse |is |planning |to |conduct |nutritional |assessments |and |diet |teaching |to |clients |at |a |
family |health |clinic. |Which |individual |has |the |greatest |nutritional |and |energy |demands?
a. |A |pregnant |woman.
b. |A |teenager |beginning |puberty.
c. |A |3-month-old |infant.
d. |A |school-aged |child. |- |CORRECT |ANSWER✔✔-A
What |nursing |delivery |of |care |provides |the |nurse |to |plan |and |direct |care |of |a |group |of |clients |
over |a |24-hour |period?
a. |Team |nursing.
b. |Primary |nursing.
c. |Case |management.
d. |Functional |nursing. |- |CORRECT |ANSWER✔✔-B
Which |approach |should |the |nurse |use |when |preparing |a |toddler |for |a |procedure?
a. |Demonstrate |the |procedure |using |a |doll.
b. |Avoid |asking |the |child |to |make |choices.
c. |Plan |a |teaching |session |to |last |about |20 |minutes.
d. |Show |equipment |but |prevent |child |from |handling |it. |- |CORRECT |ANSWER✔✔-A
The |nurse |is |caring |for |a |client |who |is |the |daughter |of |a |local |politician. |When |the |nurse |
approaches |a |man |who |is |reading |the |names |on |the |hall |doors, |he |identifies |himself |as |a |
reporter |for |the |local |newspaper |and |requests |information |about |the |client's |status. |Which |
standard |of |nursing |practice |should |the |nurse |use |to |respond?
a. |Caring.
b. |Veracity.
c. |Advocacy.
,d. |Confidentiality. |- |CORRECT |ANSWER✔✔-D
A |male |client |diagnosed |with |antisocial |personality |disorder |is |morbidly |obese |and |is |placed |
on |a |low |fat, |low |calorie |diet. |At |dinner |the |nurse |notes |that |he |is |trying |to |get |other |clients |
on |the |unit |to |give |him |part |of |their |meals. |What |intervention |should |the |nurse |implement?
a. |Remove |the |client |from |the |table |and |have |him |sit |alone.
b. |Send |the |client |back |to |his |room |and |do |not |allow |him |to |eat.
c. |Report |the |behavior |to |the |on-call |psychologist |immediately.
d. |Confront |the |client |about |the |consequences |of |the |behavior. |- |CORRECT |ANSWER✔✔-D
Which |information |should |the |nurse |give |a |client |with |chronic |kidney |disease |(CKD)?
a. |Restrict |calcium-rich |foods.
b. |Obtain |monthly |B12 |injections.
c. |Avoid |salt |substitutes.
d. |Increase |daily |intake |of |fiber. |- |CORRECT |ANSWER✔✔-C
The |nurse |is |assessing |a |client |who |complains |of |weight |loss, |racing |heart |rate, |and |difficulty |
sleeping. |The |nurse |determines |the |client |has |moist |skin |with |fine |hair, |prominent |eyes, |lid |
retraction, |and |a |staring |expression. |These |findings |are |consistent |with |which |disorder?
a. |Grave's |disease.
b. |Cushing |syndrome.
c. |Multiple |sclerosis.
d. |Addison's |disease. |- |CORRECT |ANSWER✔✔-A
A |young |adult |female |arrives |at |the |emergency |department |with |a |black |right |eye |and |is |
bleeding |from |the |left |side |of |her |head. |She |reports |that |her |boyfriend |has |been |abusing |her |
, physically. |The |nurse |performs |a |history |and |physical |examination. |How |should |the |nurse |
document |these |findings?
a. |Client |alleges |that |her |boyfriend |beat |her |up. |Client |is |bleeding |from |the |left |side |of |the |
face.
b. |Client |reports |her |boyfriend |hit |her |in |the |eye |and |on |the |head. |Bruises |and |lacerations |
present |on |face.
c. |Client |presents |with |a |right |black |eye |and |a |cut |on |the |left |side |of |her |head |that |is |bleeding.
|Reports |abusive |boyfriend |responsible |for |injuries. |Needs |referral |to |a |safe |place |to |stay.
d. |Young |adult |female |presents |with |periorbital |ecchymosis |on |right |side, |3 |cm |laceration |on |
left |parietal |area, |approximately |1 |cm |deep |with |tissue |bridging. |States |her |boyfriend |is |
abusive. |- |CORRECT |ANSWER✔✔-D
A |retired |office |worker |is |admitted |to |the |psychiatric |inpatient |unit |with |a |diagnosis |of |major |
depression. |The |initial |nursing |care |plan |includes |the |goal, |"Assist |client |to |express |feelings |of |
anger." |Which |nursing |intervention |is |most |important |to |include |in |the |client's |plan |of |care?
a. |Teach |that |anger |will |subside |after |two |weeks |on |antidepressants.
b. |Ask |client |to |describe |triggers |of |anger.
c. |Gather |more |data |about |social |support.
d. |Collaborate |with |the |treatment |team |about |revising |the |goal. |- |CORRECT |ANSWER✔✔-B
The |nurse |determines |that |a |client's |body |weight |is |105% |above |the |standardized |height-
weight |scale. |Which |related |factor |should |the |nurse |include |in |the |nursing |problem,
|"Imbalanced |nutrition: |more |than |body |requirements?"
a. |Morbidly |obese.
b. |Markedly |obese.
c. |Inadequate |lifestyle |changes |in |diet |and |exercise.
d. |Increased |morbidity |and |mortality |risks. |- |CORRECT |ANSWER✔✔-C
A |child |is |receiving |maintainance |intravenous |(IV) |fluids |at |the |rate |of |1000 |ml |for |the |first |10 |
kg |of |body |weight, |plus |50 |ml/kg |per |day |for |each |kilogram |between |10 |and |20. |How |many |
