HESI Level 2 Pr actice Exam Questions w ith 100%
Ver ifi ed Cor r ect Answ er s
1. The nurse is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment
finding indicates to the nurse that the client is stabilizing?
A. Tented skin on dorsal surface of hands.
B. Urine specific gravity 1.001.
C. Apical pulse 100 and blood pressure 76/42.
D. Urine output of 40 mL/hour.
Correct Urine output of 40mL/hour
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion, increased heart rate or increased
respiratory rate due to the decreased oxygen- carbon dioxide exchange at the alveoli, known as the V-Q mismatch.
2. During a home health visit, a male client reports to the nurse that he felt
a solid testicular mass during self-exam, but that it wasn't painful. What
instruc- tion should the nurse provide the client?
A. Continue to monitor the mass until the next scheduled annual medical
exam.
B. Schedule an appointment with the healthcare provider for prompt evalua-
,tion.
C. Testicular nodules are of concern only if they feel matted or are not easily
movable.
D. Notify the healthcare provider if the mass becomes soft, painful, or starts to
drain.
Correct B. Schedule an appointment with the healthcare provider for prompt evaluation.
A solid mass that is not painful is an abnormal finding that needs to be checked out by the doctor.
3. Which information should the nurse provide clients about the advantages
of an organic diet?
A. Organic foods are easier to prepare than regular foods.
B. Organic food is produced without using harmful chemicals.
C. All populations have easy access to organic foods.
D. Food produced by organic farming is more nutrient-dense.
Correct B. Organic food is produced without using harmful chemicals.
4. An 6-year-old child receives a prescription for the antibiotic
tetracycline. Which side effect should the nurse review with the
prescriber?
A. Enamel hypoplasia and discoloration in developing teeth.
B. Cross-hypersensitivity to penicillin's
,C. Skin rash last time ampicillin was prescribed.
D.Nephrotoxicity and ototoxicity with long term use
Correct A. Enamel hypoplasia and discoloration in developing teeth.
Tetracycline's cause it in children who have not fully developed their permanent teeth,
5. The nurse working in a postoperative surgical clinic is assessing a woman who
had a left radical mastectomy for breast cancer. Which factor puts this client at
greatest risk for developing lymphedema?
A. Her hobby is playing classical music on the piano.
B. Her healthcare provider now prescribes a calcium channel blocker for
hyper- tension.
C. She sustained and insect bite to her left arm yesterday.
D. She has lost twenty pounds since the surgery.
Correct C. She sustained an insect bite to her left arm yesterday.
A radical mastectomy interrupts lymph flow, and the increased lymph flow that occurs in response to the insect bite
increases the risk for the occurrence of lymphedema.
6. During a preconception counseling session for women trying to get pregnant
in 3 to 6 months, what information should the nurse provide?
A. Make sure to include adequate folic acid in the diet.
, B. Continue to take any medications that are taken regularly.
C. Discontinue all forms of contraception.
D.Lose weight so more weight is gained during pregnancy.
Correct A. Make sure to include folic acid in the diet
A healthy diet before conception is the best way to ensure that adequate nutrients are available for the developing fetus. Folate or
folic acid intake in the periconception period reduces the risk of neural tube defects. Recommendations to stop or
continue medications during pregnancy should be evaluated on an individual basis. Losing weight so more
can be gained during pregnancy is not indicated as a generalization and may place the client at risk for nutritional
deficiencies.
7. Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan (Diovan) has been achieved?
A. Pulse rate reduced from 150 to 90 beats/minute.
B. Dependent edema reduced from +3 to +1.
C. Serum HDL increased from 35 to 55 mg/dl.
D. Blood pressure reduced from 160/90 to 130/80.
Correct D. Blood pressure reduced from 160/90 to 130/80.
Diovan is an angiotensin receptor blocker, prescribed for the treatment of hypertension. The desired ettect is a decrease in
blood pressure.
8. The hospice nurse is completing a focused assessment of an older female
Ver ifi ed Cor r ect Answ er s
1. The nurse is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment
finding indicates to the nurse that the client is stabilizing?
A. Tented skin on dorsal surface of hands.
B. Urine specific gravity 1.001.
C. Apical pulse 100 and blood pressure 76/42.
D. Urine output of 40 mL/hour.
Correct Urine output of 40mL/hour
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion, increased heart rate or increased
respiratory rate due to the decreased oxygen- carbon dioxide exchange at the alveoli, known as the V-Q mismatch.
2. During a home health visit, a male client reports to the nurse that he felt
a solid testicular mass during self-exam, but that it wasn't painful. What
instruc- tion should the nurse provide the client?
A. Continue to monitor the mass until the next scheduled annual medical
exam.
B. Schedule an appointment with the healthcare provider for prompt evalua-
,tion.
C. Testicular nodules are of concern only if they feel matted or are not easily
movable.
D. Notify the healthcare provider if the mass becomes soft, painful, or starts to
drain.
Correct B. Schedule an appointment with the healthcare provider for prompt evaluation.
A solid mass that is not painful is an abnormal finding that needs to be checked out by the doctor.
3. Which information should the nurse provide clients about the advantages
of an organic diet?
A. Organic foods are easier to prepare than regular foods.
B. Organic food is produced without using harmful chemicals.
C. All populations have easy access to organic foods.
D. Food produced by organic farming is more nutrient-dense.
Correct B. Organic food is produced without using harmful chemicals.
4. An 6-year-old child receives a prescription for the antibiotic
tetracycline. Which side effect should the nurse review with the
prescriber?
A. Enamel hypoplasia and discoloration in developing teeth.
B. Cross-hypersensitivity to penicillin's
,C. Skin rash last time ampicillin was prescribed.
D.Nephrotoxicity and ototoxicity with long term use
Correct A. Enamel hypoplasia and discoloration in developing teeth.
Tetracycline's cause it in children who have not fully developed their permanent teeth,
5. The nurse working in a postoperative surgical clinic is assessing a woman who
had a left radical mastectomy for breast cancer. Which factor puts this client at
greatest risk for developing lymphedema?
A. Her hobby is playing classical music on the piano.
B. Her healthcare provider now prescribes a calcium channel blocker for
hyper- tension.
C. She sustained and insect bite to her left arm yesterday.
D. She has lost twenty pounds since the surgery.
Correct C. She sustained an insect bite to her left arm yesterday.
A radical mastectomy interrupts lymph flow, and the increased lymph flow that occurs in response to the insect bite
increases the risk for the occurrence of lymphedema.
6. During a preconception counseling session for women trying to get pregnant
in 3 to 6 months, what information should the nurse provide?
A. Make sure to include adequate folic acid in the diet.
, B. Continue to take any medications that are taken regularly.
C. Discontinue all forms of contraception.
D.Lose weight so more weight is gained during pregnancy.
Correct A. Make sure to include folic acid in the diet
A healthy diet before conception is the best way to ensure that adequate nutrients are available for the developing fetus. Folate or
folic acid intake in the periconception period reduces the risk of neural tube defects. Recommendations to stop or
continue medications during pregnancy should be evaluated on an individual basis. Losing weight so more
can be gained during pregnancy is not indicated as a generalization and may place the client at risk for nutritional
deficiencies.
7. Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan (Diovan) has been achieved?
A. Pulse rate reduced from 150 to 90 beats/minute.
B. Dependent edema reduced from +3 to +1.
C. Serum HDL increased from 35 to 55 mg/dl.
D. Blood pressure reduced from 160/90 to 130/80.
Correct D. Blood pressure reduced from 160/90 to 130/80.
Diovan is an angiotensin receptor blocker, prescribed for the treatment of hypertension. The desired ettect is a decrease in
blood pressure.
8. The hospice nurse is completing a focused assessment of an older female
