NUR 160 HESI EXAM QUESTIONS &
VALID CORRECT ANSWERS
checking for cyanosis in a patient who has a darker skin tone - CORRECT ANSWER check the lips
and mucous membranes to see if they are dusky in color
how to accurately assess a client's baseline BP during a routine health exam - CORRECT
ANSWER measure the pressure in each arm while the client sits with the arm supported at
heart level. (seated or supine)
advancing oral intake from NPO - CORRECT ANSWER ice chips or water first then advance to a
clear liquid and up.
best strategy to implement for the client's incontinence - CORRECT ANSWER establish a 2-hour
voiding schedule.
intervention to reduce incidence of UTI in a client with a indwelling catheter - CORRECT
ANSWER cleanse perineum area with soap and water BID and PRN
upset client about a recommendation about a AKA states "If they want to cut off my leg, they
should just shoot me instead." how do you respond - CORRECT ANSWER ask the client how the
surgery might effect his lifestyle. (limp amputation alters he body image and changes a clients
ADL, work & recreational activities which triggers grieving process for the client. determining
the clients perceptions of the procedure's impact on his lifestyle, this is therapeutic & allows
client to discuss his feelings.
patient with cancer has been taking opioid analgesics for two years now & requires an increase
in dose. client expresses fear of becoming addicted to these drugs - CORRECT ANSWER explain
VALID CORRECT ANSWERS
checking for cyanosis in a patient who has a darker skin tone - CORRECT ANSWER check the lips
and mucous membranes to see if they are dusky in color
how to accurately assess a client's baseline BP during a routine health exam - CORRECT
ANSWER measure the pressure in each arm while the client sits with the arm supported at
heart level. (seated or supine)
advancing oral intake from NPO - CORRECT ANSWER ice chips or water first then advance to a
clear liquid and up.
best strategy to implement for the client's incontinence - CORRECT ANSWER establish a 2-hour
voiding schedule.
intervention to reduce incidence of UTI in a client with a indwelling catheter - CORRECT
ANSWER cleanse perineum area with soap and water BID and PRN
upset client about a recommendation about a AKA states "If they want to cut off my leg, they
should just shoot me instead." how do you respond - CORRECT ANSWER ask the client how the
surgery might effect his lifestyle. (limp amputation alters he body image and changes a clients
ADL, work & recreational activities which triggers grieving process for the client. determining
the clients perceptions of the procedure's impact on his lifestyle, this is therapeutic & allows
client to discuss his feelings.
patient with cancer has been taking opioid analgesics for two years now & requires an increase
in dose. client expresses fear of becoming addicted to these drugs - CORRECT ANSWER explain
