HESI 3rd semester
Study online at https://quizlet.com/_7htrks
1. In assessing cancer risk, the nurse identifies which woman as being at great-
est risk of developing breast cancer?
A. A 35-year-old multipara who never breastfed.
B. A 50-year-old whose mother had unilateral breast cancer.
C. A 55-year-old whose mother-in-law had bilateral breast cancer.
D. A 20-year-old whose menarche occurred at age 9.: B. A 50-year-old whose mother had
unilateral breast cancer.
2. During lung assessment, the nurse places a stethoscope on a client's chest
and instructs him/her to say "99" each time the chest is touched with the
stethoscope. What should be the correct interpretation if the nurse hears the
spoken words "99" very clearly through the stethoscope?
A. This is a normal auscultatory finding.
B. May indicate pneumothorax.
C. May indicate pneumonia.
D. May indicate severe emphysema.: C. May indicate pneumonia.
3. A client with a completed ischemic stroke has a blood pressure of 180/90 mm
Hg. Which action should the nurse implement?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medications.: D. Give an antihypertensive medications.
4. Which symptoms should the nurse expect a client to exhibit who is known to
have a pheochromocytoma?
A. Numbness, tingling, and cramps in the extremities.
B. Headache, diaphoresis, and palpitations.
C. Cyanosis, fever, and classic signs of shock.
D. Nausea, vomiting, and muscular weakness.: B. Headache, diaphoresis, and palpitations.
, HESI 3rd semester
Study online at https://quizlet.com/_7htrks
5. The nurse is assessing a client with chronic kidney disease (CKD). Which
finding is most important for the nurse to respond to first?
A. Potassium of 6.0 mEq
B. Daily urine output of 400mL
C. Peripheral neuropathy
D. Uremic fetor: A. Potassium of 6.0 mEq
6. The nurse is receiving report from surgery about a client with a penrose drain
who is to be admitted to the postoperative unit. Before choosing a room for
this client, which information is most important for the nurse to obtain?
A. If suctioning will be needed for drainage of the wound.
B. If the family would prefer a private or semi-private room.
C. Null.
D. If the client's wound is infected.: D. If the client's wound is infected.
7. The client is admitted to the hospital with a medical diagnosis of pneumo-
coccal pneumonia. The nurse knows that the prognosis for gram-negative
pneumonias (such as E.coli, Klebsiella, Pseudomonas, and Proteus) is very poor
because
A. The occur in the lower lobe of the aveoli which are more sensitive to infec-
tion.
B. Gram-negative organisms are more resistant to antibiotic therapy.
C. They occur in healthy young adults who have recently been debilitated by an
upper respiratory infection.
D. Gram- negative pneumonias usually affect infants and small children.: B.
Gram-negative organisms are more resistant to antibiotic therapy.
8. Which assessment finding by the nurse during a client's clinical breast exam-
ination requires follow-up?
A. Newly retracted nipple.
B. A thickened area where the skin folds under the breast.
, HESI 3rd semester
Study online at https://quizlet.com/_7htrks
C. Whitish nipple discharge.
D. Tender lumpiness noted bilaterally throughout the breasts.: A. Newly retracted
nipple.
9. A client with multiple sclerosis has experienced an exacerbation of symptoms,
including paresthesias, diplopia, and nystagmus. Which instruction should the
nurse provide?
A. Stay out of direct sunlight.
B. Restrict intake of high protein foods.
C. Schedule extra rest periods.
D. Go to the emergency room immediately.: C. Schedule extra rest periods.
10. The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent contraception during the menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours after intercourse.
E. Replace the old diaphragm every 3 months.: D. Do not leave the diaphragm in place longer
than 8 hours after intercourse.
E. Replace the old diaphragm every 3 months.
11. The nurse is assessing a client who smokes cigarettes and has been diag-
nosed with emphysema. Which finding would the nurse expect this client to
exhibit?
A. A decreased total lung capacity.
B. Normal arterial blood gasses.
C. Normal skin coloring.
D. An absence of sputum.: C. Normal skin coloring.
12. How should the nurse position the electrodes for modified chest lead one
(MCL I) telemetry monitoring?
, HESI 3rd semester
Study online at https://quizlet.com/_7htrks
A. Positive polarity right shoulder, negative polarity left shoulder, ground left
chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line,
ground left chest nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple
line, ground left shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line.: D. Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line.
13. A 32-year-old female client complains of severe abdominal pain each month
before her mensural period, painful intercourse, and painful defecation. Which
additional history should the nurse obtain is consistent with the client's com-
plaints?
A. Frequently urinary tract infections.
B. Inability to get pregnant.
C. Premenstrual syndrome.
D. Chronic use of laxatives.: B. Inability to get pregnant.
14. The nurse is preparing a teaching plan for a client who is newly diagnosed
with Type 1 diabetes mellitus. Which signs and symptoms should the nurse
describe when teaching the client about hypoglycemia?
A. Sweating, trembling, tachycardia.
B. Polyuria, polydipsia, polyphagia
C. Nausea, vomiting, anorexia
D. Fruity breath, tachypnea, chest pain.: A. Sweating, trembling, tachycardia.
15. Two days postoperative, a male client reports aching pain in his left leg. The
nurse assesses redness and warmth on the lower left calf. What intervention
should be most helpful to this client?
A. Apply sequential compression devices (SCDs) bilaterally.
Study online at https://quizlet.com/_7htrks
1. In assessing cancer risk, the nurse identifies which woman as being at great-
est risk of developing breast cancer?
A. A 35-year-old multipara who never breastfed.
B. A 50-year-old whose mother had unilateral breast cancer.
C. A 55-year-old whose mother-in-law had bilateral breast cancer.
D. A 20-year-old whose menarche occurred at age 9.: B. A 50-year-old whose mother had
unilateral breast cancer.
2. During lung assessment, the nurse places a stethoscope on a client's chest
and instructs him/her to say "99" each time the chest is touched with the
stethoscope. What should be the correct interpretation if the nurse hears the
spoken words "99" very clearly through the stethoscope?
A. This is a normal auscultatory finding.
B. May indicate pneumothorax.
C. May indicate pneumonia.
D. May indicate severe emphysema.: C. May indicate pneumonia.
3. A client with a completed ischemic stroke has a blood pressure of 180/90 mm
Hg. Which action should the nurse implement?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medications.: D. Give an antihypertensive medications.
4. Which symptoms should the nurse expect a client to exhibit who is known to
have a pheochromocytoma?
A. Numbness, tingling, and cramps in the extremities.
B. Headache, diaphoresis, and palpitations.
C. Cyanosis, fever, and classic signs of shock.
D. Nausea, vomiting, and muscular weakness.: B. Headache, diaphoresis, and palpitations.
, HESI 3rd semester
Study online at https://quizlet.com/_7htrks
5. The nurse is assessing a client with chronic kidney disease (CKD). Which
finding is most important for the nurse to respond to first?
A. Potassium of 6.0 mEq
B. Daily urine output of 400mL
C. Peripheral neuropathy
D. Uremic fetor: A. Potassium of 6.0 mEq
6. The nurse is receiving report from surgery about a client with a penrose drain
who is to be admitted to the postoperative unit. Before choosing a room for
this client, which information is most important for the nurse to obtain?
A. If suctioning will be needed for drainage of the wound.
B. If the family would prefer a private or semi-private room.
C. Null.
D. If the client's wound is infected.: D. If the client's wound is infected.
7. The client is admitted to the hospital with a medical diagnosis of pneumo-
coccal pneumonia. The nurse knows that the prognosis for gram-negative
pneumonias (such as E.coli, Klebsiella, Pseudomonas, and Proteus) is very poor
because
A. The occur in the lower lobe of the aveoli which are more sensitive to infec-
tion.
B. Gram-negative organisms are more resistant to antibiotic therapy.
C. They occur in healthy young adults who have recently been debilitated by an
upper respiratory infection.
D. Gram- negative pneumonias usually affect infants and small children.: B.
Gram-negative organisms are more resistant to antibiotic therapy.
8. Which assessment finding by the nurse during a client's clinical breast exam-
ination requires follow-up?
A. Newly retracted nipple.
B. A thickened area where the skin folds under the breast.
, HESI 3rd semester
Study online at https://quizlet.com/_7htrks
C. Whitish nipple discharge.
D. Tender lumpiness noted bilaterally throughout the breasts.: A. Newly retracted
nipple.
9. A client with multiple sclerosis has experienced an exacerbation of symptoms,
including paresthesias, diplopia, and nystagmus. Which instruction should the
nurse provide?
A. Stay out of direct sunlight.
B. Restrict intake of high protein foods.
C. Schedule extra rest periods.
D. Go to the emergency room immediately.: C. Schedule extra rest periods.
10. The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent contraception during the menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours after intercourse.
E. Replace the old diaphragm every 3 months.: D. Do not leave the diaphragm in place longer
than 8 hours after intercourse.
E. Replace the old diaphragm every 3 months.
11. The nurse is assessing a client who smokes cigarettes and has been diag-
nosed with emphysema. Which finding would the nurse expect this client to
exhibit?
A. A decreased total lung capacity.
B. Normal arterial blood gasses.
C. Normal skin coloring.
D. An absence of sputum.: C. Normal skin coloring.
12. How should the nurse position the electrodes for modified chest lead one
(MCL I) telemetry monitoring?
, HESI 3rd semester
Study online at https://quizlet.com/_7htrks
A. Positive polarity right shoulder, negative polarity left shoulder, ground left
chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line,
ground left chest nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple
line, ground left shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line.: D. Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line.
13. A 32-year-old female client complains of severe abdominal pain each month
before her mensural period, painful intercourse, and painful defecation. Which
additional history should the nurse obtain is consistent with the client's com-
plaints?
A. Frequently urinary tract infections.
B. Inability to get pregnant.
C. Premenstrual syndrome.
D. Chronic use of laxatives.: B. Inability to get pregnant.
14. The nurse is preparing a teaching plan for a client who is newly diagnosed
with Type 1 diabetes mellitus. Which signs and symptoms should the nurse
describe when teaching the client about hypoglycemia?
A. Sweating, trembling, tachycardia.
B. Polyuria, polydipsia, polyphagia
C. Nausea, vomiting, anorexia
D. Fruity breath, tachypnea, chest pain.: A. Sweating, trembling, tachycardia.
15. Two days postoperative, a male client reports aching pain in his left leg. The
nurse assesses redness and warmth on the lower left calf. What intervention
should be most helpful to this client?
A. Apply sequential compression devices (SCDs) bilaterally.
