1
HESI Practice (quiz) Questions and
Answers (100% Correct Answers)
Already Graded A+
While preparing to insert a rectal suppository in a male adult
client, the nurse observes that the client is holding his breath
© 2026 Assignment
while bearing down. What action should the nurse implement?
Ans: Instruct the client to take slow deep breaths and stop
bearing down.
Guru01 - Stuvia
Expert
The nurse assesses an immobile, elderly male client and
determines that his blood pressure is 138/60, his temperature
is 95.8 F, and his output is 100 ml of concentrated urine
during the last hour. He has wet-sounding lung sounds, and
increased respiratory secretions. Based on these assessment
findings, what nursing action is most important for the nurse
to implement? Ans: Turn the client q2h.
The home health nurse visits an elderly female client who had
a stroke three months ago and is now able to ambulate with
the assistance of a quad cane. Which assessment finding has
the greatest implications for this client's care? Ans: The
nurse notes that there are numerous scatter rugs throughout
the house.
In providing care for a terminally ill resident of a long-term
care facility, the nurse determines that the resident is
exhibiting signs of impending death and has a "do not
resuscitate" or DNR status. What intervention should the nurse
implement first? Ans: Notify family members of the client's
condition.
, 2
A healthcare provider is performing a sterile procedure at a
client's bedside. Near the end of the procedure, the nurse
observes the healthcare provider contaminate a sterile glove
and the sterile field. What is the best action for the nurse to
implement? Ans: Identify the break in surgical asepsis and
provide another set of sterile supplies.
The nurse is digitally removing a fecal impaction for a client.
The nurse should stop the procedure and take corrective
action if which client reaction is noted? Ans: Pulse rate
decreases from 78 to 52 beats/min.
© 2026 Assignment
Which client care activity requires the nurse to wear barrier
Guru01 - Stuvia
gloves as required by the protocol for Standard Precautions?
Expert
Ans: Emptying the urinary catheter drainage bag for a client
with Alzheimer's disease.
A client in hospice care develops audible gurgling sounds on
inspiration. Which nursing action has the highest priority?
Ans: Inform the family that death is imminent.
A 73-year-old Hispanic client is seen at the community health
clinic with a history of protein malnutrition. What information
should the nurse obtain first? Ans: Foods and liquids
consumed during the past 24 hours.
When caring for an immobile client, what nursing diagnosis
has the highest priority? Ans: Impaired gas exchange.
Which statement correctly identifies a written learning
objective for a client with peripheral vascular disease? Ans:
Upon discharge, the client will list three ways to protect the
feet from injury.
Which nursing intervention is most beneficial in reducing the
risk of urosepsis in a hospitalized client with an indwelling
HESI Practice (quiz) Questions and
Answers (100% Correct Answers)
Already Graded A+
While preparing to insert a rectal suppository in a male adult
client, the nurse observes that the client is holding his breath
© 2026 Assignment
while bearing down. What action should the nurse implement?
Ans: Instruct the client to take slow deep breaths and stop
bearing down.
Guru01 - Stuvia
Expert
The nurse assesses an immobile, elderly male client and
determines that his blood pressure is 138/60, his temperature
is 95.8 F, and his output is 100 ml of concentrated urine
during the last hour. He has wet-sounding lung sounds, and
increased respiratory secretions. Based on these assessment
findings, what nursing action is most important for the nurse
to implement? Ans: Turn the client q2h.
The home health nurse visits an elderly female client who had
a stroke three months ago and is now able to ambulate with
the assistance of a quad cane. Which assessment finding has
the greatest implications for this client's care? Ans: The
nurse notes that there are numerous scatter rugs throughout
the house.
In providing care for a terminally ill resident of a long-term
care facility, the nurse determines that the resident is
exhibiting signs of impending death and has a "do not
resuscitate" or DNR status. What intervention should the nurse
implement first? Ans: Notify family members of the client's
condition.
, 2
A healthcare provider is performing a sterile procedure at a
client's bedside. Near the end of the procedure, the nurse
observes the healthcare provider contaminate a sterile glove
and the sterile field. What is the best action for the nurse to
implement? Ans: Identify the break in surgical asepsis and
provide another set of sterile supplies.
The nurse is digitally removing a fecal impaction for a client.
The nurse should stop the procedure and take corrective
action if which client reaction is noted? Ans: Pulse rate
decreases from 78 to 52 beats/min.
© 2026 Assignment
Which client care activity requires the nurse to wear barrier
Guru01 - Stuvia
gloves as required by the protocol for Standard Precautions?
Expert
Ans: Emptying the urinary catheter drainage bag for a client
with Alzheimer's disease.
A client in hospice care develops audible gurgling sounds on
inspiration. Which nursing action has the highest priority?
Ans: Inform the family that death is imminent.
A 73-year-old Hispanic client is seen at the community health
clinic with a history of protein malnutrition. What information
should the nurse obtain first? Ans: Foods and liquids
consumed during the past 24 hours.
When caring for an immobile client, what nursing diagnosis
has the highest priority? Ans: Impaired gas exchange.
Which statement correctly identifies a written learning
objective for a client with peripheral vascular disease? Ans:
Upon discharge, the client will list three ways to protect the
feet from injury.
Which nursing intervention is most beneficial in reducing the
risk of urosepsis in a hospitalized client with an indwelling
