HESI iNet QUESTIONS &
VERIFIED CORRECT ANSWERS
After placing a 36-week-gesation newborn in an isolate and drying the infant with several
blankets, what Should the nurse implement next?
a. Administer the vitamin K injection.
b. Remove the wet blankets and linens from the isolate.
c. Place erythromycin ophthalmic ointment in both eyes.
d. Open the door to assess the infant's vital signs. - correct answer ✔✔b. Remove the wet
blankets and linens from the isolate.
A client in the third trimester of pregnancy com- plains of frequent nasal stiffness and
occasional nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy,
and she uses thoracic breathing. Her diaphragm is elevated and she has an increased costal
angle. Which intervention should the nurse implement? - correct answer ✔✔d. Record the
respiratory findings in the clients record as normal
A terminally ill male hospice client who is at home is showing decreased awareness of his
surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the
past several days he has been unable to get out of bed. Which action should the hospice nurse
implement?
a. Ask family to remain nearby, but in another room.
b. Encourage family to speak often with the client.
c. Teach family how to assist the client to a wheelchair.
d. Instruct family to offer client only soft, bland foods - correct answer ✔✔d. Instruct family to
offer client only soft, bland foods
,A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy test
and ultrasound were negative, so an exploratory laparotomy was completed during the night.
When coffee ground material is observed in the drainage from the nasogastric tube (NGT),
which
Intervention should the nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage.
c. Listen for evidence of diminished bowel sounds.
d. Irrigate the nasogastric tube with water until clear. - correct answer ✔✔a. Verify correct
placement of the nasogastric tube
The nurse Is reviewing the laboratory values for a client with acute pancreatitis who reports of
the abdominal pain is not as severe as it was on admission. Which laboratory test should the
nurse review to evaluate the client's clinical recovery?
a. Lipase.
b. Creatinine.
c. Bilirubin.
d. Glucose. - correct answer ✔✔a. Lipase.
While assessing a client who had a laparotomy the previous day, the nurse notices that 300 ml
of dark red fluids has drained from the nasogastric tube In the last hour. Which action should
the nurse take first?
a. Determine the clients vital signs
b. Monitor urinary output hourly.
c. Notify the surgeon immediately.
,d. Assess the client's level of pain. - correct answer ✔✔a. Determine the clients vital signs
The nurse is reviewing the recommended preventative care for clients with asthma, chronic
bronchitis, and emphysema. Which health care measure is most important for the nurse to
recommend to these clients?
a. Ensure supplemental oxygen and respiratory medications are available at all times.
b. Use nasal or cough tissues followed by hand washing at all times.
c. Get annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines.
d. Avoid large crowded areas during the colder months of the year - correct answer ✔✔d. Avoid
large crowded areas during the colder months of the year
The mother of a one-month-old infant calls the clinic to report that the back of her infant's head
is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active.
b. Turn the infant on the left side braced against the crib when sleeping.
c. Prop the infant in a sitting position with a cushion when not sleeping.
d. Place a small pillow under the infant's head while lying on the back. - correct answer ✔✔a.
Position the infant on the stomach occasionally when awake and active.
A woman is brought to the labor and delivery unit after delivering a term infant and the
placenta in the hospital parking lot 10 minutes ago. Which action should the nurse perform
first?
a. Inspect the perineum for lacerations.
b. Collect specimen for hemoglobin and hematocrit.
c. Massage the fundus and give an oxytocin agent
, d. Place the infant to breast for bonding - correct answer ✔✔c. Massage the fundus and give an
oxytocin agent
A client has a new prescription for the maximum recommended dosage of
piperacillin/tazobactam for nosocomial pneumonia. The nurse should report which laboratory
finding to the healthcare provider before administering the prescribed dose?
a. Elevated white blood cell count.
b. Presence of gram positive bacteria in the sputum.
c. Decreased creatinine clearance
d. Elevated cholesterol and lipoproteins. - correct answer ✔✔c. Decreased creatinine clearance
A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating Kussmaul breathing
and has a severe headache along with nausea. Her arterial blood gases (ABG) are: pH 7.50;
PaCO, 30 mmH ; HCO, 24 mEq/L (24 mmol/L). Which assessment finding warrants Immediate
intervention by the nurse?
a. Muscle stiffness.
b. Abdominal pain.
c. Mental stupor.
d. Fruity breath. - correct answer ✔✔d. Fruity breath.
When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease
(COPD), which approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast.
c. Obtain arterial blood gases (ABGs) prior to procedure.
VERIFIED CORRECT ANSWERS
After placing a 36-week-gesation newborn in an isolate and drying the infant with several
blankets, what Should the nurse implement next?
a. Administer the vitamin K injection.
b. Remove the wet blankets and linens from the isolate.
c. Place erythromycin ophthalmic ointment in both eyes.
d. Open the door to assess the infant's vital signs. - correct answer ✔✔b. Remove the wet
blankets and linens from the isolate.
A client in the third trimester of pregnancy com- plains of frequent nasal stiffness and
occasional nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy,
and she uses thoracic breathing. Her diaphragm is elevated and she has an increased costal
angle. Which intervention should the nurse implement? - correct answer ✔✔d. Record the
respiratory findings in the clients record as normal
A terminally ill male hospice client who is at home is showing decreased awareness of his
surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the
past several days he has been unable to get out of bed. Which action should the hospice nurse
implement?
a. Ask family to remain nearby, but in another room.
b. Encourage family to speak often with the client.
c. Teach family how to assist the client to a wheelchair.
d. Instruct family to offer client only soft, bland foods - correct answer ✔✔d. Instruct family to
offer client only soft, bland foods
,A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy test
and ultrasound were negative, so an exploratory laparotomy was completed during the night.
When coffee ground material is observed in the drainage from the nasogastric tube (NGT),
which
Intervention should the nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage.
c. Listen for evidence of diminished bowel sounds.
d. Irrigate the nasogastric tube with water until clear. - correct answer ✔✔a. Verify correct
placement of the nasogastric tube
The nurse Is reviewing the laboratory values for a client with acute pancreatitis who reports of
the abdominal pain is not as severe as it was on admission. Which laboratory test should the
nurse review to evaluate the client's clinical recovery?
a. Lipase.
b. Creatinine.
c. Bilirubin.
d. Glucose. - correct answer ✔✔a. Lipase.
While assessing a client who had a laparotomy the previous day, the nurse notices that 300 ml
of dark red fluids has drained from the nasogastric tube In the last hour. Which action should
the nurse take first?
a. Determine the clients vital signs
b. Monitor urinary output hourly.
c. Notify the surgeon immediately.
,d. Assess the client's level of pain. - correct answer ✔✔a. Determine the clients vital signs
The nurse is reviewing the recommended preventative care for clients with asthma, chronic
bronchitis, and emphysema. Which health care measure is most important for the nurse to
recommend to these clients?
a. Ensure supplemental oxygen and respiratory medications are available at all times.
b. Use nasal or cough tissues followed by hand washing at all times.
c. Get annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines.
d. Avoid large crowded areas during the colder months of the year - correct answer ✔✔d. Avoid
large crowded areas during the colder months of the year
The mother of a one-month-old infant calls the clinic to report that the back of her infant's head
is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active.
b. Turn the infant on the left side braced against the crib when sleeping.
c. Prop the infant in a sitting position with a cushion when not sleeping.
d. Place a small pillow under the infant's head while lying on the back. - correct answer ✔✔a.
Position the infant on the stomach occasionally when awake and active.
A woman is brought to the labor and delivery unit after delivering a term infant and the
placenta in the hospital parking lot 10 minutes ago. Which action should the nurse perform
first?
a. Inspect the perineum for lacerations.
b. Collect specimen for hemoglobin and hematocrit.
c. Massage the fundus and give an oxytocin agent
, d. Place the infant to breast for bonding - correct answer ✔✔c. Massage the fundus and give an
oxytocin agent
A client has a new prescription for the maximum recommended dosage of
piperacillin/tazobactam for nosocomial pneumonia. The nurse should report which laboratory
finding to the healthcare provider before administering the prescribed dose?
a. Elevated white blood cell count.
b. Presence of gram positive bacteria in the sputum.
c. Decreased creatinine clearance
d. Elevated cholesterol and lipoproteins. - correct answer ✔✔c. Decreased creatinine clearance
A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating Kussmaul breathing
and has a severe headache along with nausea. Her arterial blood gases (ABG) are: pH 7.50;
PaCO, 30 mmH ; HCO, 24 mEq/L (24 mmol/L). Which assessment finding warrants Immediate
intervention by the nurse?
a. Muscle stiffness.
b. Abdominal pain.
c. Mental stupor.
d. Fruity breath. - correct answer ✔✔d. Fruity breath.
When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease
(COPD), which approach should the nurse use?
a. Explain that the client may be placed in five positions
b. Instruct the client to breathe shallow and fast.
c. Obtain arterial blood gases (ABGs) prior to procedure.
