HESI Study Quests (from Evolve website) EXAM 2025 QUESTIONS
AND CORRECT ANSWERS VERIFIED 100%
1.A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (Select all that
apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client.
C. Repeat information to the client if misunderstood.
D. Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
ANS: A, D, E
(A, D, and E) are correct. A client with hearing loss can develop the ability to read
"lips," so facing the client during conversation (A) allows visualization of the lips and
directs the sound towards the client. Inspection of the hearing aide device's
functionality is a vital step in communication (D). Hearing aides magnify all
surrounding noise, so it is imperative to reduce outside environmental noise during
the interview process (E). Speaking clearly with enunciation and in a regular tone is
easier for a client to understand than increasing the volume of speech (B). If a client
shows signs of confusion, rephrasing the question, instead of repeating (C), should
be done to decrease client anxiety and facilitate understanding.
2.A registered nurse (RN) is performing a mini-mental state examination
(MMSE) for a client who is being admitted to an assisted living community.
Which communication techniques should the RN implement to decrease
anxiety in the client? (Select all that apply.)
A. Use simple sentences during the examination.
B. Move to another question if the client seems confused.
C. Reduce environmental detractors during the examination.
D. Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
,ANS: A, C, E
(A, C, and E) are correct. Communication techniques for clients with cognitive
impairments should be simple (A), withoutenvironmental distractions (C), and direct
(E). (B) increases anxiety in a client, so it is important to give the client time to
answer a question before moving to the next one. (D) is the family's view of the
client's mental status and does not give the RN an objective view of the client's
cognitive impairment.
3.The registered nurse (RN) uses the mini-mental state examination (MMSE)
when assessing a client for admission to an assisted living facility. Which
finding is the RN assessing when requesting the client to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands.
ANS: C
Counting by 7s evaulates the ability to do simple calculations and is specific to the
client's attention to detail (C). (A, B, and D) are additional parts of the MMSE that
evaluate orientation and cognitive function.
4.The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which assessment findings should the RN document that are consistent
with diminished peripheral circulation? (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities.
ANS: A, C
Diminished hair on the legs (A) and skin that is cool to touch (C) are symptoms of
decreased arterial blood flow. (B, D, and E) are not indicators for impaired peripheral
circulation.
5.Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter?
A. Ask closed-ended questions with the assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
, C. Instruct interpreter to answer questions from interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions.
ANS: B
When completing an assessment, the RN should maintain eye contact with the client
(B) to gather additional information from the client's nonverbal cues. (A, C, and D) do
not use both verbal and nonverbal communication techniques to gather data during
an assessment.
6.A Muslim male client refuses to let the female registered nurse (RN) listen to
his breath sounds during the examination. How should the RN respond?
A. Explain how the nursing skill will be performed before proceeding.
B. Examine client with an additional healthcare provider for support.
C. Request a male nurse or healthcare provider to perform the exam.
D. Avoid any skills that involve touching the client during the exam.
ANS: C
Modesty is an important value in the Muslim community, and Muslims are reluctant
to expose any part of their body to healthcare members. Muslim clients are
accustomed to examination by "same sex" healthcare providers, so (C) is the best
solution for the client. (A and B) will not alleviate the issue for the Muslim client. (D)
does not allow a thorough exam of the client.
7.A client who is uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
registered nurse (RN) implement first?
A. Withhold medication and report symptoms and vital signs to healthcare
provider.
B. Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
C. Reassure client that the ipratropium given will alleviate the symptoms.
D. Delay administration of ipratropium until next maintenance medication is
scheduled.
ANS: A
Headache, nausea, blurred vision and insomnia are symptoms of excessive use of
ipratropium, so withholding the medication (A) until the healthcare provider is notified
should be initiated to maintain client safety. If the symptoms continue and are not
addressed immediately, then (B, C, and D) may place the client in imminent danger.
AND CORRECT ANSWERS VERIFIED 100%
1.A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (Select all that
apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client.
C. Repeat information to the client if misunderstood.
D. Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
ANS: A, D, E
(A, D, and E) are correct. A client with hearing loss can develop the ability to read
"lips," so facing the client during conversation (A) allows visualization of the lips and
directs the sound towards the client. Inspection of the hearing aide device's
functionality is a vital step in communication (D). Hearing aides magnify all
surrounding noise, so it is imperative to reduce outside environmental noise during
the interview process (E). Speaking clearly with enunciation and in a regular tone is
easier for a client to understand than increasing the volume of speech (B). If a client
shows signs of confusion, rephrasing the question, instead of repeating (C), should
be done to decrease client anxiety and facilitate understanding.
2.A registered nurse (RN) is performing a mini-mental state examination
(MMSE) for a client who is being admitted to an assisted living community.
Which communication techniques should the RN implement to decrease
anxiety in the client? (Select all that apply.)
A. Use simple sentences during the examination.
B. Move to another question if the client seems confused.
C. Reduce environmental detractors during the examination.
D. Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
,ANS: A, C, E
(A, C, and E) are correct. Communication techniques for clients with cognitive
impairments should be simple (A), withoutenvironmental distractions (C), and direct
(E). (B) increases anxiety in a client, so it is important to give the client time to
answer a question before moving to the next one. (D) is the family's view of the
client's mental status and does not give the RN an objective view of the client's
cognitive impairment.
3.The registered nurse (RN) uses the mini-mental state examination (MMSE)
when assessing a client for admission to an assisted living facility. Which
finding is the RN assessing when requesting the client to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands.
ANS: C
Counting by 7s evaulates the ability to do simple calculations and is specific to the
client's attention to detail (C). (A, B, and D) are additional parts of the MMSE that
evaluate orientation and cognitive function.
4.The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which assessment findings should the RN document that are consistent
with diminished peripheral circulation? (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities.
ANS: A, C
Diminished hair on the legs (A) and skin that is cool to touch (C) are symptoms of
decreased arterial blood flow. (B, D, and E) are not indicators for impaired peripheral
circulation.
5.Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter?
A. Ask closed-ended questions with the assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
, C. Instruct interpreter to answer questions from interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions.
ANS: B
When completing an assessment, the RN should maintain eye contact with the client
(B) to gather additional information from the client's nonverbal cues. (A, C, and D) do
not use both verbal and nonverbal communication techniques to gather data during
an assessment.
6.A Muslim male client refuses to let the female registered nurse (RN) listen to
his breath sounds during the examination. How should the RN respond?
A. Explain how the nursing skill will be performed before proceeding.
B. Examine client with an additional healthcare provider for support.
C. Request a male nurse or healthcare provider to perform the exam.
D. Avoid any skills that involve touching the client during the exam.
ANS: C
Modesty is an important value in the Muslim community, and Muslims are reluctant
to expose any part of their body to healthcare members. Muslim clients are
accustomed to examination by "same sex" healthcare providers, so (C) is the best
solution for the client. (A and B) will not alleviate the issue for the Muslim client. (D)
does not allow a thorough exam of the client.
7.A client who is uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
registered nurse (RN) implement first?
A. Withhold medication and report symptoms and vital signs to healthcare
provider.
B. Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
C. Reassure client that the ipratropium given will alleviate the symptoms.
D. Delay administration of ipratropium until next maintenance medication is
scheduled.
ANS: A
Headache, nausea, blurred vision and insomnia are symptoms of excessive use of
ipratropium, so withholding the medication (A) until the healthcare provider is notified
should be initiated to maintain client safety. If the symptoms continue and are not
addressed immediately, then (B, C, and D) may place the client in imminent danger.
