HESI HEALTH ASSESSMENT
NURSING RN V1 COMPLETE
EXAM QUESTIONS WITH
DETAILED VERIFIED
ANSWERS\A+ STUDY
MATERIAL\VERIFIED BY
EXPERT
1. A nurse notices that the respiratory therapist assigned to his unit frequently forgets to raise the
bed rails after completing treatments. The nurse’s best action is to:
discuss the problem with the therapist.
2. A nurse is assigned to care for an elderly, confused patient. The patient’s son is sitting at
the bedside and is watching a loud television program. The nurse needs to complete the
respiratory and cardiac assessment and vital signs. What would be the best approach to this
situation?
Say: “I need a quiet environment while I listen to your mother’s chest. I will need to
turn the TV down until I’m finished.”
3. A graduate RN on the telemetry unit is on the way to the nurse’s station to chart and
suddenly hears from a patient’s room, “Help! Nurse!” This is not the nurse’s assigned
patient. Others also hear this cry for help and quickly run in with the crash cart while the
graduate RN looks on. In planning care for this patient, the beginning RN must realize the
importance of identifying and (select all that apply):
correcting weaknesses.
leveraging strengths.
4. Which comments by the graduate RN are examples of interventions that will lead to a
successful transition into professional nursing? (Select all that apply.)
“May I care for patients with COPD? I feel I need more experience with that pulmonary
condition.”
“Thanks for your insights about knowing when to appropriately call the physician.”
, “Now that my new role is as an RN, I would like to be treated as any new graduate RN
although I’ve worked here as a LVN for 3 years.”
5. When providing discharge teaching for a client with uric acid calculi, the nurse
would include an instruction to avoid which type of diet?
. high purine
6. Parents of a child diagnosed with bacterial meningitis are asking the nurse
questions regarding the disease process. Which description about the development of
sequelae in infants with bacterial meningitis is most accurate?
They usually occur during the first 2 months of life.
7. The nurse is caring for a client with chronic hypertension who struggles with
medication compliance because of financial issues. When reviewing recent lab work
results, which reflects the client’s blood pressure issues? Select all that apply.
blood urea nitrogen (BUN)
. creatinine
. calcium
8. The nurse is caring for a client who has a type I second-degree atrioventricular
(AV) block. Which ECG rhythm would the nurse expect to see?
4.
9. The nurse is caring for a client who has been placed on phenobarbital 30 mg daily
for newly diagnosed seizure activity. Which instruction would be included in client
teaching specifically related to anticonvulsant drug efficacy?
Maintain a seizure frequency chart.
10. The nurse is caring for a client on hemodialysis who has an arteriovenous (AV)
fistula in the right arm. When managing a client’s plan of care, which nursing
instructions/actions are appropriate? Select all that apply.
. avoiding all blood pressure readings and trauma to the right arm
□ 4. assessing the shunt by auscultating a bruit
□ 5. completing arm and finger exercises
11. A float nurse is assigned to a surgical unit. The nurse is receiving two clients from
the postanesthesia care unit (PACU) at the same time. When delegating tasks to other
unit personnel who are not known to the nurse, which question would be most
, important to ask?
. Are you comfortable in performing the tasks being assigned?
12. The nurse is triaging phone calls at a local pediatrician’s office. Which statement by
the parent of a child being treated for pinworms indicates that further teaching is
needed?
“I’ll warn my child to avoid sharing hairbrushes and hats to prevent spreading pinworms
to others.”
13. The nurse is caring for a homeless client with pneumonia. Laboratory testing reveals
the following results: blood urea nitrogen (BUN) 180 mg/dl (64 mmol/L), creatinine
30 mg/dl (2,652 mmol/L), potassium 6.2 mEq/L (6.2 mmol/L), and hemoglobin 6.2%
(62 g/L). Based on the health care provider’s order below, which drug order would
the nurse question?
. gentamicin sulfate
14. The nurse is caring for a client with a nasogastric tube and in mitt restraints. Which
nursing action is required every 1 to 2 hours?
. Remove restraints and assess skin and circulation.
1. During a mental status examination, the nurse wants to assess a patient’s affect. The nurse
should ask the patient which question?
“How do you feel today?”
2. The nurse is planning to assess new memory with a patient. The best way for the nurse to
do this would be to:
Give him the Four Unrelated Words Test.
3. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four
Unrelated Words Test, the nurse would be concerned if she could not four
unrelated words .
Recall; after a 30-minute delay
4. During a mental status assessment, which question by the nurse would best assess a
person’s judgment?
“Tell me what you plan to do once you are discharged from the hospital.”
5. Which of these individuals would the nurse consider at highest risk for a suicide attempt?
Older adult man who tells the nurse that he is going to “join his wife in heaven”
tomorrow and plans to use a gun
6. When reviewing the use of alcohol by older adults, the nurse notes that older adults have
NURSING RN V1 COMPLETE
EXAM QUESTIONS WITH
DETAILED VERIFIED
ANSWERS\A+ STUDY
MATERIAL\VERIFIED BY
EXPERT
1. A nurse notices that the respiratory therapist assigned to his unit frequently forgets to raise the
bed rails after completing treatments. The nurse’s best action is to:
discuss the problem with the therapist.
2. A nurse is assigned to care for an elderly, confused patient. The patient’s son is sitting at
the bedside and is watching a loud television program. The nurse needs to complete the
respiratory and cardiac assessment and vital signs. What would be the best approach to this
situation?
Say: “I need a quiet environment while I listen to your mother’s chest. I will need to
turn the TV down until I’m finished.”
3. A graduate RN on the telemetry unit is on the way to the nurse’s station to chart and
suddenly hears from a patient’s room, “Help! Nurse!” This is not the nurse’s assigned
patient. Others also hear this cry for help and quickly run in with the crash cart while the
graduate RN looks on. In planning care for this patient, the beginning RN must realize the
importance of identifying and (select all that apply):
correcting weaknesses.
leveraging strengths.
4. Which comments by the graduate RN are examples of interventions that will lead to a
successful transition into professional nursing? (Select all that apply.)
“May I care for patients with COPD? I feel I need more experience with that pulmonary
condition.”
“Thanks for your insights about knowing when to appropriately call the physician.”
, “Now that my new role is as an RN, I would like to be treated as any new graduate RN
although I’ve worked here as a LVN for 3 years.”
5. When providing discharge teaching for a client with uric acid calculi, the nurse
would include an instruction to avoid which type of diet?
. high purine
6. Parents of a child diagnosed with bacterial meningitis are asking the nurse
questions regarding the disease process. Which description about the development of
sequelae in infants with bacterial meningitis is most accurate?
They usually occur during the first 2 months of life.
7. The nurse is caring for a client with chronic hypertension who struggles with
medication compliance because of financial issues. When reviewing recent lab work
results, which reflects the client’s blood pressure issues? Select all that apply.
blood urea nitrogen (BUN)
. creatinine
. calcium
8. The nurse is caring for a client who has a type I second-degree atrioventricular
(AV) block. Which ECG rhythm would the nurse expect to see?
4.
9. The nurse is caring for a client who has been placed on phenobarbital 30 mg daily
for newly diagnosed seizure activity. Which instruction would be included in client
teaching specifically related to anticonvulsant drug efficacy?
Maintain a seizure frequency chart.
10. The nurse is caring for a client on hemodialysis who has an arteriovenous (AV)
fistula in the right arm. When managing a client’s plan of care, which nursing
instructions/actions are appropriate? Select all that apply.
. avoiding all blood pressure readings and trauma to the right arm
□ 4. assessing the shunt by auscultating a bruit
□ 5. completing arm and finger exercises
11. A float nurse is assigned to a surgical unit. The nurse is receiving two clients from
the postanesthesia care unit (PACU) at the same time. When delegating tasks to other
unit personnel who are not known to the nurse, which question would be most
, important to ask?
. Are you comfortable in performing the tasks being assigned?
12. The nurse is triaging phone calls at a local pediatrician’s office. Which statement by
the parent of a child being treated for pinworms indicates that further teaching is
needed?
“I’ll warn my child to avoid sharing hairbrushes and hats to prevent spreading pinworms
to others.”
13. The nurse is caring for a homeless client with pneumonia. Laboratory testing reveals
the following results: blood urea nitrogen (BUN) 180 mg/dl (64 mmol/L), creatinine
30 mg/dl (2,652 mmol/L), potassium 6.2 mEq/L (6.2 mmol/L), and hemoglobin 6.2%
(62 g/L). Based on the health care provider’s order below, which drug order would
the nurse question?
. gentamicin sulfate
14. The nurse is caring for a client with a nasogastric tube and in mitt restraints. Which
nursing action is required every 1 to 2 hours?
. Remove restraints and assess skin and circulation.
1. During a mental status examination, the nurse wants to assess a patient’s affect. The nurse
should ask the patient which question?
“How do you feel today?”
2. The nurse is planning to assess new memory with a patient. The best way for the nurse to
do this would be to:
Give him the Four Unrelated Words Test.
3. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four
Unrelated Words Test, the nurse would be concerned if she could not four
unrelated words .
Recall; after a 30-minute delay
4. During a mental status assessment, which question by the nurse would best assess a
person’s judgment?
“Tell me what you plan to do once you are discharged from the hospital.”
5. Which of these individuals would the nurse consider at highest risk for a suicide attempt?
Older adult man who tells the nurse that he is going to “join his wife in heaven”
tomorrow and plans to use a gun
6. When reviewing the use of alcohol by older adults, the nurse notes that older adults have
