HESI EXAM VERSION 1
FREQUENTLY ASKED
QUESTIONS WITH VERIFIED
SOLUTIONS 100% CORRECT
2026/2027 STUDY
A MOTHER RUNS INTO THE EMERGENCY DEPARTMENT WITH A TODDLER IN HER ARMS AND
TELLS THE NURSE THAT HER CHILD GOT INTO SOME CLEANING PRODUCTS. THE CHILD SMELLS
OF CHEMICALS ON THE HANDS, FACE, AND ON THE FRONT OF THE CHILD'S CLOTHES. AFTER
ENSURING THE AIRWAY IS PATENT, WHAT ACTION SHOULD THE NURSE IMPLEMENT FIRST?
A. ASSESS THE CHILD FOR ALTERED SENSORIUM
B. DETERMINE TYPE OF CHEMICAL EXPOSURE
C. OBTAIN EQUIPMENT FOR GASTRIC LAVAGE
D. CALL POISON CONTROL EMERGENCY NUMBER
B. DETERMINE TYPE OF CHEMICAL EXPOSURE
RATIONALE: ONCE THE TYPE OF CHEMICAL IS DETERMINED, POISON CONTROL SHOULD BE
CALLED EVEN IF THE CHEMICAL IS UNKNOWN. IF LAVAGE IS RECOMMENDED BY POISON
CONTROL, INTUBATION, AND NASOGASTRIC TUBE MAY BE NEEDED AS DIRECTED BY POISON
CONTROL. ALTERED SENSORIUM, SUCH AS LETHARGY, MAY OCCUR IF HYDROCARBONS ARE
INGESTED.
WHICH CONDITIONS ARE MOST LIKELY TO RESPOND TO TREATMENT WITH ANTIHISTAMINES?
SELECT ALL THAT APPLY.
A. BRONCHITIS
,B. ALLERGIC RHINITIS
C. OTITIS MEDIA
D. CONTACT DERMATITIS
E. MYOCARDITIS
B. ALLERGIC RHINITIS
D. CONTACT DERMATITIS
ANTIHISTAMINES ARE COMMONLY USED TO ALLEVIATE SYMPTOMS SUCH AS SNEEZING,
ITCHING, AND RUNNY NOSE ASSOCIATED WITH ALLERGIC RHINITIS
ANTIHISTAMINES MAY HELP RELIEVE ITCHING AND SOME SYMPTOMS ASSOCIATED WITH
CONTACT DERMATITIS
AN OLDER CLIENT'S DAUGHTER CALLS THE HOME HEALTH NURSE AND REPORTS THAT HER
MOTHER HAS BECOME FORGETFUL AND IS VERY CONFUSED AT NIGHT. THE DAUGHTER STATES
THAT HER MOTHER'S BEHAVIOR CHANGED SUDDENLY A FEW DAYS AGO AND IS NOW
GETTING WORSE. WHICH ACTION SHOULD THE NURSE TAKE? SELECT ALL THAT APPLY.
A. ASK IF THE MOTHER IS EXPERIENCING ANY PAIN WITH URINATION
B. ENCOURAGE INCREASED INTAKE OF HIGH PROTEIN FOODS
C. INSTRUCT THE DAUGHTER TO CHECK HER MOTHER'S TEMPERATURE
D. REVIEW THE CLIENT'S CURRENT FOOD AND MEDICATION ALLERGIES
E. DETERMINE IF THE MOTHER HAS RECENTLY EXPERIENCED A FALL
A. ASK IF THE MOTHER IS EXPERIENCING ANY PAIN WITH URINATION
C. INSTRUCT THE DAUGHTER TO CHECK HER MOTHER'S TEMPERATURE
E. DETERMINE IF THE MOTHER HAS RECENTLY EXPERIENCED A FALL
URINARY TRACT INFECTIONS CAN CAUSE SUDDEN CHANGES IN BEHAVIOR AND CONFUSION
IN OLDER ADULTS; PAIN WITH URINATION IS A SYMPTOM OF UTI
FEVER CAN BE A SIGN OF INFECTION, WHICH CAN CONTRIBUTE TO CONFUSION IN OLDER
,ADULTS
FALLS CAN LEAD TO HEAD INJURIES OR FRACTURES; WHICH MAY RESULT IN CHANGES IN
MENTAL STATUS; IT IS IMPORTANT TO ASSESS FOR ANY TRAUMA
THE NURSE IS ASSESSING A MALE WITH A HISTORY OF ADDISON'S DISEASE. THE CLIENT HAS
FLU-LIKE SYMPTOMS AND NAUSEA WITH VOMITING OVER THE PAST WEEK. THE CLIENT'S
SPOUSE REPORTS THAT HE ACTED CONFUSED AND WAS EXTREMELY WEAK WHEN HE AWOKE
THIS MORNING. THE CLIENT IS FEBRILE AND HAS TACHYCARDIA. THE HEALTH CARE PROVIDER
DIAGNOSES ACUTE ADRENAL INSUFFICIENCY. WHICH MEDICATION WILL MOST LIKELY BE
PRESCRIBED?
A. HYPERTONIC SALINE SOLUTION AT 100 ML/HR UNTIL ALL EDEMA DISAPPEARS
B. HYDROCORTISONE 100 MG IV EVERY SIX HOURS UNTIL SYSTOLIC BP REACHES 110 MMHG
C. POTASSIUM CHLORIDE 20 MEQ IV TO INFUSE OVER 2 HOURS UNTIL CONFUSION RESOLVES
D. REGULAR INSULIN DRIP TO KEEP BLOOD GLUCOSE AROUND 100 MG/DL (5.55 MMOL/L)
B. HYDROCORTISONE 100 MG IV EVERY SIX HOURS UNTIL SYSTOLIC BP REACHES 110 MMHG
EMERGENCY TREATMENT FOR ACUTE ADRENAL INSUFFICIENCY (ADDISONIAN CRISIS) IS IV
INFUSION OF HYDROCORTISONE AND SALINE SOLUTION. THE CLIENT IS USUALLY GIVEN A
DOSE CONTAINING HYDROCORTISONE 100 MG IV IN NORMAL SALINE EVERY 6 HOURS UNTIL
THE CLIENT'S BLOOD PRESSURE RETURNS TO NORMAL. INSULIN ISN'T INDICATED IN THIS
SITUATION BECAUSE ADRENAL INSUFFICIENCY IS USUALLY ASSOCIATED WITH HYPOGLYCEMIA.
POTASSIUM ISN'T INDICATED BECAUSE THESE CLIENTS ARE USUALLY HYPERKALEMIA. THE
CLIENT NEEDS NORMAL- NOT HYPOTONIC- SALINE SOLUTION
A CLIENT WITH A HISTORY OF MITRAL VALVE PROLAPSE IS ADMITTED BECAUSE OF FEVER AND
DYSPNEA ON EXERTION, AND IS DIAGNOSED WITH ACUTE INFECTIVE ENDOCARDITIS. DURING
THE ADMISSION ASSESSMENT, THE NURSE OBSERVES MULTIPLE AREAS OF PETECHIAE ON THE
CLIENT'S SKIN. WHICH INTERVENTION SHOULD THE NURSE INCLUDE IN THE CLIENT'S PLAN OF
CARE? SELECT ALL THAT APPLY.
A. MONITOR CARDIAC RHYTHM VIA TELEMETRY
, B. REPORT CHANGES IN PRE-EXISTING MURMURS
C. SCHEDULE REST PERIODS BETWEEN ACTIVITIES
D. MAINTAIN RECORD OF FLUID INTAKE AND OUTPUT
E. INITIATE CONTACT TRANSMISSION PRECAUTIONS
A. MONITOR CARDIAC RHYTHM VIA TELEMETRY
B. REPORT CHANGES IN PRE-EXISTING MURMURS
C. SCHEDULE REST PERIODS BETWEEN ACTIVITIES
D. MAINTAIN A RECORD OF FLUID INTAKE AND OUTPUT
INFECTIVE ENDOCARDITIS CAN LEAD TO COMPLICATIONS SUCH AS EMBOLI, AND
MONITORING THE CARDIAC RHYTHM IS IMPORTANT TO DETECT ANY ARRHYTHMIAS OR
CHANGES
CHANGES IN HEART MURMURS CAN INDICATE FURTHER DAMAGE TO THE HEART VALVES AND
MAY BE INDICATIVE OF COMPLICATIONS RELATED TO INFECTIVE ENDOCARDITIS
REST IS IMPORTANT TO REDUCE CARDIAC WORKLOAD AND PROMOTE HEALING
MONITORING FLUID BALANCE IS CRUCIAL, ESPECIALLY IF THE CLIENT IS EXPERIENCING HEART
FAILURE OR COMPLICATIONS RELATED TO INFECTIVE ENDOCARDITIS
THE NURSE IS PLANNING AN EDUCATIONAL SESSION FOR NEW PARENTS ON WAYS TO
PREVENT SUDDEN INFANT DEATH SYNDROME (SIDS). WHICH INFORMATION IS MOST
IMPORTANT TO PROVIDE PARENTS OF NEWBORNS AND INFANTS?
A. REMOVE PILLOWS AND SOFT TOYS FROM THE CRIB AT BEDTIME
B. KEEP A BULB SYRINGE ACCESSIBLE FOR USE FOR AN INFANT
C. POSITION THE INFANT IN A SUPINE POSITION WHILE SLEEPING
D. DO NOT PROP BOTTLES FOR AN INFANT DURING NAPS AND BEDTIME
C. POSITION THE INFANT IN A SUPINE POSITION WHILE SLEEPING
THIS RECOMMENDATION IS BASED ON THE "BACK TO SLEEP" CAMPAIGN, WHICH
FREQUENTLY ASKED
QUESTIONS WITH VERIFIED
SOLUTIONS 100% CORRECT
2026/2027 STUDY
A MOTHER RUNS INTO THE EMERGENCY DEPARTMENT WITH A TODDLER IN HER ARMS AND
TELLS THE NURSE THAT HER CHILD GOT INTO SOME CLEANING PRODUCTS. THE CHILD SMELLS
OF CHEMICALS ON THE HANDS, FACE, AND ON THE FRONT OF THE CHILD'S CLOTHES. AFTER
ENSURING THE AIRWAY IS PATENT, WHAT ACTION SHOULD THE NURSE IMPLEMENT FIRST?
A. ASSESS THE CHILD FOR ALTERED SENSORIUM
B. DETERMINE TYPE OF CHEMICAL EXPOSURE
C. OBTAIN EQUIPMENT FOR GASTRIC LAVAGE
D. CALL POISON CONTROL EMERGENCY NUMBER
B. DETERMINE TYPE OF CHEMICAL EXPOSURE
RATIONALE: ONCE THE TYPE OF CHEMICAL IS DETERMINED, POISON CONTROL SHOULD BE
CALLED EVEN IF THE CHEMICAL IS UNKNOWN. IF LAVAGE IS RECOMMENDED BY POISON
CONTROL, INTUBATION, AND NASOGASTRIC TUBE MAY BE NEEDED AS DIRECTED BY POISON
CONTROL. ALTERED SENSORIUM, SUCH AS LETHARGY, MAY OCCUR IF HYDROCARBONS ARE
INGESTED.
WHICH CONDITIONS ARE MOST LIKELY TO RESPOND TO TREATMENT WITH ANTIHISTAMINES?
SELECT ALL THAT APPLY.
A. BRONCHITIS
,B. ALLERGIC RHINITIS
C. OTITIS MEDIA
D. CONTACT DERMATITIS
E. MYOCARDITIS
B. ALLERGIC RHINITIS
D. CONTACT DERMATITIS
ANTIHISTAMINES ARE COMMONLY USED TO ALLEVIATE SYMPTOMS SUCH AS SNEEZING,
ITCHING, AND RUNNY NOSE ASSOCIATED WITH ALLERGIC RHINITIS
ANTIHISTAMINES MAY HELP RELIEVE ITCHING AND SOME SYMPTOMS ASSOCIATED WITH
CONTACT DERMATITIS
AN OLDER CLIENT'S DAUGHTER CALLS THE HOME HEALTH NURSE AND REPORTS THAT HER
MOTHER HAS BECOME FORGETFUL AND IS VERY CONFUSED AT NIGHT. THE DAUGHTER STATES
THAT HER MOTHER'S BEHAVIOR CHANGED SUDDENLY A FEW DAYS AGO AND IS NOW
GETTING WORSE. WHICH ACTION SHOULD THE NURSE TAKE? SELECT ALL THAT APPLY.
A. ASK IF THE MOTHER IS EXPERIENCING ANY PAIN WITH URINATION
B. ENCOURAGE INCREASED INTAKE OF HIGH PROTEIN FOODS
C. INSTRUCT THE DAUGHTER TO CHECK HER MOTHER'S TEMPERATURE
D. REVIEW THE CLIENT'S CURRENT FOOD AND MEDICATION ALLERGIES
E. DETERMINE IF THE MOTHER HAS RECENTLY EXPERIENCED A FALL
A. ASK IF THE MOTHER IS EXPERIENCING ANY PAIN WITH URINATION
C. INSTRUCT THE DAUGHTER TO CHECK HER MOTHER'S TEMPERATURE
E. DETERMINE IF THE MOTHER HAS RECENTLY EXPERIENCED A FALL
URINARY TRACT INFECTIONS CAN CAUSE SUDDEN CHANGES IN BEHAVIOR AND CONFUSION
IN OLDER ADULTS; PAIN WITH URINATION IS A SYMPTOM OF UTI
FEVER CAN BE A SIGN OF INFECTION, WHICH CAN CONTRIBUTE TO CONFUSION IN OLDER
,ADULTS
FALLS CAN LEAD TO HEAD INJURIES OR FRACTURES; WHICH MAY RESULT IN CHANGES IN
MENTAL STATUS; IT IS IMPORTANT TO ASSESS FOR ANY TRAUMA
THE NURSE IS ASSESSING A MALE WITH A HISTORY OF ADDISON'S DISEASE. THE CLIENT HAS
FLU-LIKE SYMPTOMS AND NAUSEA WITH VOMITING OVER THE PAST WEEK. THE CLIENT'S
SPOUSE REPORTS THAT HE ACTED CONFUSED AND WAS EXTREMELY WEAK WHEN HE AWOKE
THIS MORNING. THE CLIENT IS FEBRILE AND HAS TACHYCARDIA. THE HEALTH CARE PROVIDER
DIAGNOSES ACUTE ADRENAL INSUFFICIENCY. WHICH MEDICATION WILL MOST LIKELY BE
PRESCRIBED?
A. HYPERTONIC SALINE SOLUTION AT 100 ML/HR UNTIL ALL EDEMA DISAPPEARS
B. HYDROCORTISONE 100 MG IV EVERY SIX HOURS UNTIL SYSTOLIC BP REACHES 110 MMHG
C. POTASSIUM CHLORIDE 20 MEQ IV TO INFUSE OVER 2 HOURS UNTIL CONFUSION RESOLVES
D. REGULAR INSULIN DRIP TO KEEP BLOOD GLUCOSE AROUND 100 MG/DL (5.55 MMOL/L)
B. HYDROCORTISONE 100 MG IV EVERY SIX HOURS UNTIL SYSTOLIC BP REACHES 110 MMHG
EMERGENCY TREATMENT FOR ACUTE ADRENAL INSUFFICIENCY (ADDISONIAN CRISIS) IS IV
INFUSION OF HYDROCORTISONE AND SALINE SOLUTION. THE CLIENT IS USUALLY GIVEN A
DOSE CONTAINING HYDROCORTISONE 100 MG IV IN NORMAL SALINE EVERY 6 HOURS UNTIL
THE CLIENT'S BLOOD PRESSURE RETURNS TO NORMAL. INSULIN ISN'T INDICATED IN THIS
SITUATION BECAUSE ADRENAL INSUFFICIENCY IS USUALLY ASSOCIATED WITH HYPOGLYCEMIA.
POTASSIUM ISN'T INDICATED BECAUSE THESE CLIENTS ARE USUALLY HYPERKALEMIA. THE
CLIENT NEEDS NORMAL- NOT HYPOTONIC- SALINE SOLUTION
A CLIENT WITH A HISTORY OF MITRAL VALVE PROLAPSE IS ADMITTED BECAUSE OF FEVER AND
DYSPNEA ON EXERTION, AND IS DIAGNOSED WITH ACUTE INFECTIVE ENDOCARDITIS. DURING
THE ADMISSION ASSESSMENT, THE NURSE OBSERVES MULTIPLE AREAS OF PETECHIAE ON THE
CLIENT'S SKIN. WHICH INTERVENTION SHOULD THE NURSE INCLUDE IN THE CLIENT'S PLAN OF
CARE? SELECT ALL THAT APPLY.
A. MONITOR CARDIAC RHYTHM VIA TELEMETRY
, B. REPORT CHANGES IN PRE-EXISTING MURMURS
C. SCHEDULE REST PERIODS BETWEEN ACTIVITIES
D. MAINTAIN RECORD OF FLUID INTAKE AND OUTPUT
E. INITIATE CONTACT TRANSMISSION PRECAUTIONS
A. MONITOR CARDIAC RHYTHM VIA TELEMETRY
B. REPORT CHANGES IN PRE-EXISTING MURMURS
C. SCHEDULE REST PERIODS BETWEEN ACTIVITIES
D. MAINTAIN A RECORD OF FLUID INTAKE AND OUTPUT
INFECTIVE ENDOCARDITIS CAN LEAD TO COMPLICATIONS SUCH AS EMBOLI, AND
MONITORING THE CARDIAC RHYTHM IS IMPORTANT TO DETECT ANY ARRHYTHMIAS OR
CHANGES
CHANGES IN HEART MURMURS CAN INDICATE FURTHER DAMAGE TO THE HEART VALVES AND
MAY BE INDICATIVE OF COMPLICATIONS RELATED TO INFECTIVE ENDOCARDITIS
REST IS IMPORTANT TO REDUCE CARDIAC WORKLOAD AND PROMOTE HEALING
MONITORING FLUID BALANCE IS CRUCIAL, ESPECIALLY IF THE CLIENT IS EXPERIENCING HEART
FAILURE OR COMPLICATIONS RELATED TO INFECTIVE ENDOCARDITIS
THE NURSE IS PLANNING AN EDUCATIONAL SESSION FOR NEW PARENTS ON WAYS TO
PREVENT SUDDEN INFANT DEATH SYNDROME (SIDS). WHICH INFORMATION IS MOST
IMPORTANT TO PROVIDE PARENTS OF NEWBORNS AND INFANTS?
A. REMOVE PILLOWS AND SOFT TOYS FROM THE CRIB AT BEDTIME
B. KEEP A BULB SYRINGE ACCESSIBLE FOR USE FOR AN INFANT
C. POSITION THE INFANT IN A SUPINE POSITION WHILE SLEEPING
D. DO NOT PROP BOTTLES FOR AN INFANT DURING NAPS AND BEDTIME
C. POSITION THE INFANT IN A SUPINE POSITION WHILE SLEEPING
THIS RECOMMENDATION IS BASED ON THE "BACK TO SLEEP" CAMPAIGN, WHICH
