HESI L3 practice exam GRADED A+ QUESTIONS AND CORRECT ANSWERS 100%
VERIFIED 2025-2026
An infant who demonstrates central cyanosis when crying is manifesting poor
adaptation to extrauterine life which should be reported to the healthcare
provider for determination of a possible underlying cardiovascular problem.
The other options are expected findings in newborn.
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning
immediate care for the newborn?
Length of labor and method of delivery.
Infant's condition at birth and treatment received.
Feeding method chosen by the parents.
History of drugs given to the mother during labor.
Infant's condition at birth and treatment received.
Immediate care is most dependent on the infant's current status (i. e., Apgar
scores at 1 and 5 minutes) and any treatment or resuscitation that was
indicated.
The nurse is interviewing a male client with hypertension. Which additional
medical diagnosis in the client's history presents the greatest risk for
developing a cerebral vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
Parkinson's disease.
Recurring pneumonia.
Diabetes mellitus.
According to the National Stroke Association (2013), history of diabetes
mellitus poses the greatest risk for developing a CVA, 2-4Xs more than those
who do not have diabetes mellitus. The reason for this occurrence is related to
the excess glucose circulating throughout the body not being utilizing by the
,cells of the body, leading to the increased fatty deposits or clots inside the
blood vessels in the brain or neck, eventually causing a stroke.
The nurse is assisting with the triage of clients at a large community disaster
and finds a man lying on the ground, who states that the blast blew him out of
a second story window. Which action should the nurse implement first?
Logroll the client to his side and assess for back injuries.
Perform a complete neurological assessment.
Open the client's airway immediately.
Place the nurse's hands around client's neck to stabilize.
Place the nurse's hands around client's neck to stabilize.
A nurse is assisting with Triage at a large community disaster. She finds a
man lying on the ground who states that he was blown from a second story
window. The nurse should provide immobilization to prevent further spinal
injury. The client should not be moved until equipment is provided to
immobilize the neck.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What
action should the nurse take first?
Notify the pediatrician immediately.
Suction the infant's nares, then the oral cavity.
Check the infant's oxygen saturation rate.
Position the infant on the right side.
Check the infant's oxygen saturation rate.
When evaluating maternal bonding, which of the following maternal behaviors
exhibited by the client would the nurse most likely expect to see when a new
mother receives her infant for the first time?
She eagerly reaches for the infant, undresses the infant, and examines the
infant completely.
Her arms and hands receive the infant and she then traces the infant's profile
with her fingertips.
Her arms and hands receive the infant and she then cuddles the infant to her
own body.
She eagerly reaches for the infant and then holds the infant close to her own
body.
,Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors such as tracing the infant's profile with her fingertips during the
initial visit with the newborn, which may be at delivery or later.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask this client?
"Which symptom did you experience first?"
"Are you eating large amounts of salty foods?"
"Have you visited a foreign country recently?"
"Do you have a history of rheumatic fever?"
"Do you have a history of rheumatic fever?"
Obtaining a client's health history is a priority because clients with a history of
rheumatic fever may develop mitral valve prolapse, which increases the risk
for cardiac decompensation due to the increased blood volume that occurs
during pregnancy.
A client is taking danazol (Danocrine) for endometriosis and calls the clinic
nurse to complain of a dark, swollen, and painful leg. What instructions should
the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps.
Proceed to the closest emergency room.
A dark, swollen, and painful leg is consistent with deep vein thrombosis (DVT),
an adverse effect of danazol, so the client should be instructed to seek
immediate emergency care.
Which description of symptoms is characteristic of a client diagnosed with
trigeminal neuralgia (tic douloureux)?
Tinnitus, vertigo, and hearing difficulties.
Sudden, stabbing, severe pain over the lip and chin.
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing.
, Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an
electric shock, in the area innervated by one or more branches of the
trigeminal nerve (5th cranial). Women are more often afflicted with this
condition and generally occurs in clients over the age of 50 years old.
The nurse is planning care for a client with major depression who is admitted
to the unit after a recent suicide attempt. Which intervention has the highest
priority for inclusion in this client's plan of care?
Search the client's personal belongings.
Introduce the client to others on the unit.
Ask the client about recent stressful events.
Move to a room that allows close observation.
Search the client's personal belongings.
To safeguard that the client dose not have some means to inflict self harm, a
routine search of personal belongings, which is a common safety policy,
should be implemented until the client stabilizes and suicidal ideations abate.
The other interventions are components of the plan of care that ensure a
therapeutic milieu but are not the priority in ensuring safety from self-harm.
A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech.
Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Evaluate his blood pressure, pulse, and respiratory status.
Slurred speech in the post-operative client who received a local anesthetic is
an atypical finding and may indicate neurological deficits that require further
assessment, so obtaining the client's vital signs will provide information about
possible cardiovascular complications, such as stroke.
A client calls the clinic and states that she forgot to take her oral
contraceptives for the past two days. Which instruction is best for the nurse to
provide to this client?
VERIFIED 2025-2026
An infant who demonstrates central cyanosis when crying is manifesting poor
adaptation to extrauterine life which should be reported to the healthcare
provider for determination of a possible underlying cardiovascular problem.
The other options are expected findings in newborn.
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning
immediate care for the newborn?
Length of labor and method of delivery.
Infant's condition at birth and treatment received.
Feeding method chosen by the parents.
History of drugs given to the mother during labor.
Infant's condition at birth and treatment received.
Immediate care is most dependent on the infant's current status (i. e., Apgar
scores at 1 and 5 minutes) and any treatment or resuscitation that was
indicated.
The nurse is interviewing a male client with hypertension. Which additional
medical diagnosis in the client's history presents the greatest risk for
developing a cerebral vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
Parkinson's disease.
Recurring pneumonia.
Diabetes mellitus.
According to the National Stroke Association (2013), history of diabetes
mellitus poses the greatest risk for developing a CVA, 2-4Xs more than those
who do not have diabetes mellitus. The reason for this occurrence is related to
the excess glucose circulating throughout the body not being utilizing by the
,cells of the body, leading to the increased fatty deposits or clots inside the
blood vessels in the brain or neck, eventually causing a stroke.
The nurse is assisting with the triage of clients at a large community disaster
and finds a man lying on the ground, who states that the blast blew him out of
a second story window. Which action should the nurse implement first?
Logroll the client to his side and assess for back injuries.
Perform a complete neurological assessment.
Open the client's airway immediately.
Place the nurse's hands around client's neck to stabilize.
Place the nurse's hands around client's neck to stabilize.
A nurse is assisting with Triage at a large community disaster. She finds a
man lying on the ground who states that he was blown from a second story
window. The nurse should provide immobilization to prevent further spinal
injury. The client should not be moved until equipment is provided to
immobilize the neck.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What
action should the nurse take first?
Notify the pediatrician immediately.
Suction the infant's nares, then the oral cavity.
Check the infant's oxygen saturation rate.
Position the infant on the right side.
Check the infant's oxygen saturation rate.
When evaluating maternal bonding, which of the following maternal behaviors
exhibited by the client would the nurse most likely expect to see when a new
mother receives her infant for the first time?
She eagerly reaches for the infant, undresses the infant, and examines the
infant completely.
Her arms and hands receive the infant and she then traces the infant's profile
with her fingertips.
Her arms and hands receive the infant and she then cuddles the infant to her
own body.
She eagerly reaches for the infant and then holds the infant close to her own
body.
,Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors such as tracing the infant's profile with her fingertips during the
initial visit with the newborn, which may be at delivery or later.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask this client?
"Which symptom did you experience first?"
"Are you eating large amounts of salty foods?"
"Have you visited a foreign country recently?"
"Do you have a history of rheumatic fever?"
"Do you have a history of rheumatic fever?"
Obtaining a client's health history is a priority because clients with a history of
rheumatic fever may develop mitral valve prolapse, which increases the risk
for cardiac decompensation due to the increased blood volume that occurs
during pregnancy.
A client is taking danazol (Danocrine) for endometriosis and calls the clinic
nurse to complain of a dark, swollen, and painful leg. What instructions should
the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps.
Proceed to the closest emergency room.
A dark, swollen, and painful leg is consistent with deep vein thrombosis (DVT),
an adverse effect of danazol, so the client should be instructed to seek
immediate emergency care.
Which description of symptoms is characteristic of a client diagnosed with
trigeminal neuralgia (tic douloureux)?
Tinnitus, vertigo, and hearing difficulties.
Sudden, stabbing, severe pain over the lip and chin.
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing.
, Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an
electric shock, in the area innervated by one or more branches of the
trigeminal nerve (5th cranial). Women are more often afflicted with this
condition and generally occurs in clients over the age of 50 years old.
The nurse is planning care for a client with major depression who is admitted
to the unit after a recent suicide attempt. Which intervention has the highest
priority for inclusion in this client's plan of care?
Search the client's personal belongings.
Introduce the client to others on the unit.
Ask the client about recent stressful events.
Move to a room that allows close observation.
Search the client's personal belongings.
To safeguard that the client dose not have some means to inflict self harm, a
routine search of personal belongings, which is a common safety policy,
should be implemented until the client stabilizes and suicidal ideations abate.
The other interventions are components of the plan of care that ensure a
therapeutic milieu but are not the priority in ensuring safety from self-harm.
A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech.
Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
Evaluate his blood pressure, pulse, and respiratory status.
Slurred speech in the post-operative client who received a local anesthetic is
an atypical finding and may indicate neurological deficits that require further
assessment, so obtaining the client's vital signs will provide information about
possible cardiovascular complications, such as stroke.
A client calls the clinic and states that she forgot to take her oral
contraceptives for the past two days. Which instruction is best for the nurse to
provide to this client?
