Page 1 of 261
HESI LEVEL 1 EXAM 2025 AND PRACTICE EXAM 350
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES /A+ GRADE ASSURED
A client has bipolar disorder and has just begun a regimen of
lithium, 600 mg tid. Which is the most critical management issue
for the client during the first 2 weeks of treatment?
A. Ascertaining that the client is taking a full dose daily
B. Ensuring the client's blood levels reach a therapeutic and safe
dose
C. Educating the client about the side effects of lithium
D. Monitoring the client's cardiac status .....ANSWER.....B. Ensuring
the client's blood levels reach a therapeutic and safe dose
A client suffers from depression following the accidental death of
a child. After a suicide attempt, the client is admitted to the
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psychiatric unit. During the admission interview, the nurse learns
that the client no longer wants to die. The nurse should:
A. suggest that the client no longer requires close observation.
B. place the client in a private room, away from the nurses'
station, so that she has privacy to work through the stages of the
grieving process.
C. inspect the client's personal belongings for potentially
dangerous objects.
D. avoid any further discussion of suicide unless the client brings
up the topic. .....ANSWER.....C. inspect the client's personal
belongings for potentially dangerous objects.
A client is returned to his room after a subtotal thyroidectomy.
Which piece of equipment is most important for the nurse to keep
at the client's bedside?
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A. Indwelling urinary catheter kit
B. Tracheostomy set
C. Cardiac monitor
D. Humidifier .....ANSWER.....B. Tracheostomy set
Which is the most reliable and accurate method for delivering
precise concentrations of oxygen through noninvasive means?
A. Nasal cannula
B. Venturi mask
C. T-piece
D. Partial-rebreathing mask .....ANSWER.....B. Venturi mask
A client with a conductive hearing disorder caused by ankylosis
of the stapes in the oval window undergoes a stapedectomy to
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remove the stapes and replace the impaired bone with a
prosthesis. After the stapedectomy, the nurse should provide
which client instruction?
A. "Lie in bed with your head elevated, and refrain from blowing
your nose for 24 hours."
B. "Try to ambulate independently after about 24 hours."
C. "Shampoo your hair every day for 10 days to help prevent
ear infection."
D. "Don't fly in an airplane, climb to high altitudes, make sudden
movements, or expose yourself to loud sounds for 30 days."
.....ANSWER.....D. "Don't fly in an airplane, climb to high altitudes,
make sudden movements, or expose yourself to loud sounds for
30 days."
HESI LEVEL 1 EXAM 2025 AND PRACTICE EXAM 350
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES /A+ GRADE ASSURED
A client has bipolar disorder and has just begun a regimen of
lithium, 600 mg tid. Which is the most critical management issue
for the client during the first 2 weeks of treatment?
A. Ascertaining that the client is taking a full dose daily
B. Ensuring the client's blood levels reach a therapeutic and safe
dose
C. Educating the client about the side effects of lithium
D. Monitoring the client's cardiac status .....ANSWER.....B. Ensuring
the client's blood levels reach a therapeutic and safe dose
A client suffers from depression following the accidental death of
a child. After a suicide attempt, the client is admitted to the
,Page 2 of 261
psychiatric unit. During the admission interview, the nurse learns
that the client no longer wants to die. The nurse should:
A. suggest that the client no longer requires close observation.
B. place the client in a private room, away from the nurses'
station, so that she has privacy to work through the stages of the
grieving process.
C. inspect the client's personal belongings for potentially
dangerous objects.
D. avoid any further discussion of suicide unless the client brings
up the topic. .....ANSWER.....C. inspect the client's personal
belongings for potentially dangerous objects.
A client is returned to his room after a subtotal thyroidectomy.
Which piece of equipment is most important for the nurse to keep
at the client's bedside?
,Page 3 of 261
A. Indwelling urinary catheter kit
B. Tracheostomy set
C. Cardiac monitor
D. Humidifier .....ANSWER.....B. Tracheostomy set
Which is the most reliable and accurate method for delivering
precise concentrations of oxygen through noninvasive means?
A. Nasal cannula
B. Venturi mask
C. T-piece
D. Partial-rebreathing mask .....ANSWER.....B. Venturi mask
A client with a conductive hearing disorder caused by ankylosis
of the stapes in the oval window undergoes a stapedectomy to
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remove the stapes and replace the impaired bone with a
prosthesis. After the stapedectomy, the nurse should provide
which client instruction?
A. "Lie in bed with your head elevated, and refrain from blowing
your nose for 24 hours."
B. "Try to ambulate independently after about 24 hours."
C. "Shampoo your hair every day for 10 days to help prevent
ear infection."
D. "Don't fly in an airplane, climb to high altitudes, make sudden
movements, or expose yourself to loud sounds for 30 days."
.....ANSWER.....D. "Don't fly in an airplane, climb to high altitudes,
make sudden movements, or expose yourself to loud sounds for
30 days."
