Health Assessment HESI Practice Questions
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The registered nurse (RN) notifies the
spouse of a client who was admitted to
hospice with shallow respirations, of a
change in the client's condition. Over the
B. Denial
past hour, the client's respiratory pat-
The spouse is exhibiting the first stage of
tern has changed to a Cheyne Stokes
denial (B) of Kubler-Ross's grief model
pattern. After receiving this information,
by ignoring that the client's death is immi-
the client's spouse begins vacuuming
nent (A, C, and D) are stages of grief that
around the bed. Which stage of grief is
are not being displayed by the client's
the spouse displaying during the visit?
spouse during this observation.
A. Acceptance
B. Denial
C. Bargaining
D. Depression
A.
Cold applications produce a topical The registered nurse (RN) places an ice
anesthetic effect to reduce pain as well pack on a middle school student who
as constrict blood vessels to minimize comes to the school clinic complaining
bruising (A). Local ice over an injured of a sprained ankle. Which therapeutic
area will not lower the core temperature response should the RN anticipate?
(B). The cold pack causes vasoconstric- A. Reduced pain and minimized bruising.
tion which reduces circulation, not (C), B. Lowering of body core temperature.
to traumatized tissue and limits further C. Increased circulation around injury.
edema around the injury (D), but not by D. Reabsorption of edema at injury.
reabsorption of edematous fluid.
The registered nurse (RN) palpates a
weak pedal pulse on the client'rs right
A. Diminished hair on legs foot. Which assessment findings should
C. Skin cool to touch. the RN document that are consistent with
Diminished hair on the legs (A) and skin diminished peripheral circulation (Select
that is cool to the touch (C) are symp- all that apply.)
toms of decreased arterial blood flow. (B, A. Diminished hair on legs.
D, and E) are not indicators for impaired B. Bruising on extremities.
circulation. C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities.
Twenty four hours after a client re-
turns from surgical gastric bypass, the
, Health Assessment HESI Practice Questions
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C. Lethargy registered nurse (RN) observes large
Changes in the level of consciousness amounts of blood in the nasogastric
occur in the early stages of shock which tube (NGT) cannister. Which assess-
decreases the perfusion to the brain ment finding should the RN report as
which is manifested as lethargy (C). early signs of hypovolemic shock?
The respiratory rate increases, not (D). A. Faint pedal pulses
(A and B) are late signs of hypov- B. Decrease in blood pressure.
olemic shock due to cardiac compen- C. Lethargy.
satory measures. D. Slow breathing.
The registered nurse (RN) is caring for
a client who has taken atenolol for 2
D. Rise slowly when getting out of bed or
years. The healthcare provider recent-
chair.
ly changed the medication to enalapril
The client's new medication is an an-
to manage the client's blood pressure.
giotensin-converting enzyme (ACE) in-
Which instruction should the RN provide
hibitor, which has the side effect of ortho-
the client regarding the new medication?
static hypotension. Instructing the client
A. Take the medication at bedtime.
to rise from a chair or bed slowly (D) is
B. Report presence of increased bruis-
indicated to avoid dizziness and falling.
ing.
(A, B, and C) are not indicated when
C. Check pulse before taking medication.
taking an ACE inhibitor.
D. Rise slowly when getting out of bed or
chair.
The registered nurse (RN) is assisting
A. Prepare the client for a chest x-ray at
the healthcare provider (HCP) with the
the bedside.
removal of a chest tube. Which interven-
A chest x-ray (A) should be performed
tion has the highest priority and should
immediately after the procedure to en-
be anticipated by the RN after removal of
sure lung expansion has been main-
the chest tube?
tained after removal of the chest tube. (B)
A. Prepare the client for chest x-ray at the
provides additional data after removal
bedside.
of the CT. (C) may assist the client to
B. Review arterial blood gases after re-
breathe easily, but the priority after chest
moval.
tube removal is to ensure that the proce-
C. Elevate the head of the bed to 45
dure was successful. The entire system,
degrees.
including the chest tube is discarded and
D. Assist with disassembling the
not taken apart (D).
drainage system.
D. A fracture that bends or splinters part
of the bone.
An incomplete fracture (D) occurs
through part of the thickness of bone. A
linear (A) and a spiral fracture (B) de-
scribe the direction of the fracture line.
An open fracture (C) is a compound frac-
, Health Assessment HESI Practice Questions
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A male client is admitted after falling from
his bed. The healthcare provider (HCP)
tells the family that he has an incomplete
fracture of the humerus. The family asks
the nurse what this means. Which type
of fracture should the RN explain from
these findings?
A. Straight fracture line that is also a sim-
ple, closed fracture.
B. Nondisplaced fracture line that wraps
around the bone.
C. A complete fracture that also punc-
tures the skin.
D. A fracture that bends or splinters part
of the bone.
The registered nurse (RN) is caring for
A. Hematemesis a client with peptic ulcer disease (PUD).
B. Gastric pain on an empty stomach What assessment should the RN identify
D. Intolerance of spicy foods that is consistent with PUD? (Select all
(A, B and D) correct. Manifestations of that apply)
PUD include hematemesis (A), gastric A. Hematemesis
pain (B), and spicy food intolerance. (C) B. Gastric pain on an empty stomach
is consistent with cholecystitis (D). (E) is C. Colic-like pain with fatty food ingestion
not consistent with PUD. D. Intolerance of spicy foods
E. Diarrhea and stearrhea
D. A client is newly diagnosed with diver-
A client who has chronic constipation (D) ticulosis. The registered nurse (RN) is
often strains to pass constipated stool assessing the client's basic knowledge
which increases intestinal pressure that about the disease process. Which state-
weakens the intestinal walls and caus- ment by the client conveys the client's un-
es out-pouching sacs, called diverticula derstanding of the etiology of diverticula?
which commonly occur in the signmoid. A. Over use of laxatives for bowel regu-
Regular use of laxatives (A) can result in larity result in loss of peristaltic tone.
the bowel's dependency on the laxative B. Inflammation of the colon mucosa that
to stimulate intestinal motility, but con- cause growths that protrude into the lu-
stipation due to lack of fiver in diet, not men.
(C), is a predisposing factor for formation C. Diverticulosis is the result of high fiber
of diverticula. Growths that protrude into diet and sedentary life style.
Study online at https://quizlet.com/_3clkz0
The registered nurse (RN) notifies the
spouse of a client who was admitted to
hospice with shallow respirations, of a
change in the client's condition. Over the
B. Denial
past hour, the client's respiratory pat-
The spouse is exhibiting the first stage of
tern has changed to a Cheyne Stokes
denial (B) of Kubler-Ross's grief model
pattern. After receiving this information,
by ignoring that the client's death is immi-
the client's spouse begins vacuuming
nent (A, C, and D) are stages of grief that
around the bed. Which stage of grief is
are not being displayed by the client's
the spouse displaying during the visit?
spouse during this observation.
A. Acceptance
B. Denial
C. Bargaining
D. Depression
A.
Cold applications produce a topical The registered nurse (RN) places an ice
anesthetic effect to reduce pain as well pack on a middle school student who
as constrict blood vessels to minimize comes to the school clinic complaining
bruising (A). Local ice over an injured of a sprained ankle. Which therapeutic
area will not lower the core temperature response should the RN anticipate?
(B). The cold pack causes vasoconstric- A. Reduced pain and minimized bruising.
tion which reduces circulation, not (C), B. Lowering of body core temperature.
to traumatized tissue and limits further C. Increased circulation around injury.
edema around the injury (D), but not by D. Reabsorption of edema at injury.
reabsorption of edematous fluid.
The registered nurse (RN) palpates a
weak pedal pulse on the client'rs right
A. Diminished hair on legs foot. Which assessment findings should
C. Skin cool to touch. the RN document that are consistent with
Diminished hair on the legs (A) and skin diminished peripheral circulation (Select
that is cool to the touch (C) are symp- all that apply.)
toms of decreased arterial blood flow. (B, A. Diminished hair on legs.
D, and E) are not indicators for impaired B. Bruising on extremities.
circulation. C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities.
Twenty four hours after a client re-
turns from surgical gastric bypass, the
, Health Assessment HESI Practice Questions
Study online at https://quizlet.com/_3clkz0
C. Lethargy registered nurse (RN) observes large
Changes in the level of consciousness amounts of blood in the nasogastric
occur in the early stages of shock which tube (NGT) cannister. Which assess-
decreases the perfusion to the brain ment finding should the RN report as
which is manifested as lethargy (C). early signs of hypovolemic shock?
The respiratory rate increases, not (D). A. Faint pedal pulses
(A and B) are late signs of hypov- B. Decrease in blood pressure.
olemic shock due to cardiac compen- C. Lethargy.
satory measures. D. Slow breathing.
The registered nurse (RN) is caring for
a client who has taken atenolol for 2
D. Rise slowly when getting out of bed or
years. The healthcare provider recent-
chair.
ly changed the medication to enalapril
The client's new medication is an an-
to manage the client's blood pressure.
giotensin-converting enzyme (ACE) in-
Which instruction should the RN provide
hibitor, which has the side effect of ortho-
the client regarding the new medication?
static hypotension. Instructing the client
A. Take the medication at bedtime.
to rise from a chair or bed slowly (D) is
B. Report presence of increased bruis-
indicated to avoid dizziness and falling.
ing.
(A, B, and C) are not indicated when
C. Check pulse before taking medication.
taking an ACE inhibitor.
D. Rise slowly when getting out of bed or
chair.
The registered nurse (RN) is assisting
A. Prepare the client for a chest x-ray at
the healthcare provider (HCP) with the
the bedside.
removal of a chest tube. Which interven-
A chest x-ray (A) should be performed
tion has the highest priority and should
immediately after the procedure to en-
be anticipated by the RN after removal of
sure lung expansion has been main-
the chest tube?
tained after removal of the chest tube. (B)
A. Prepare the client for chest x-ray at the
provides additional data after removal
bedside.
of the CT. (C) may assist the client to
B. Review arterial blood gases after re-
breathe easily, but the priority after chest
moval.
tube removal is to ensure that the proce-
C. Elevate the head of the bed to 45
dure was successful. The entire system,
degrees.
including the chest tube is discarded and
D. Assist with disassembling the
not taken apart (D).
drainage system.
D. A fracture that bends or splinters part
of the bone.
An incomplete fracture (D) occurs
through part of the thickness of bone. A
linear (A) and a spiral fracture (B) de-
scribe the direction of the fracture line.
An open fracture (C) is a compound frac-
, Health Assessment HESI Practice Questions
Study online at https://quizlet.com/_3clkz0
A male client is admitted after falling from
his bed. The healthcare provider (HCP)
tells the family that he has an incomplete
fracture of the humerus. The family asks
the nurse what this means. Which type
of fracture should the RN explain from
these findings?
A. Straight fracture line that is also a sim-
ple, closed fracture.
B. Nondisplaced fracture line that wraps
around the bone.
C. A complete fracture that also punc-
tures the skin.
D. A fracture that bends or splinters part
of the bone.
The registered nurse (RN) is caring for
A. Hematemesis a client with peptic ulcer disease (PUD).
B. Gastric pain on an empty stomach What assessment should the RN identify
D. Intolerance of spicy foods that is consistent with PUD? (Select all
(A, B and D) correct. Manifestations of that apply)
PUD include hematemesis (A), gastric A. Hematemesis
pain (B), and spicy food intolerance. (C) B. Gastric pain on an empty stomach
is consistent with cholecystitis (D). (E) is C. Colic-like pain with fatty food ingestion
not consistent with PUD. D. Intolerance of spicy foods
E. Diarrhea and stearrhea
D. A client is newly diagnosed with diver-
A client who has chronic constipation (D) ticulosis. The registered nurse (RN) is
often strains to pass constipated stool assessing the client's basic knowledge
which increases intestinal pressure that about the disease process. Which state-
weakens the intestinal walls and caus- ment by the client conveys the client's un-
es out-pouching sacs, called diverticula derstanding of the etiology of diverticula?
which commonly occur in the signmoid. A. Over use of laxatives for bowel regu-
Regular use of laxatives (A) can result in larity result in loss of peristaltic tone.
the bowel's dependency on the laxative B. Inflammation of the colon mucosa that
to stimulate intestinal motility, but con- cause growths that protrude into the lu-
stipation due to lack of fiver in diet, not men.
(C), is a predisposing factor for formation C. Diverticulosis is the result of high fiber
of diverticula. Growths that protrude into diet and sedentary life style.
