HESI MOBILITY ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● 2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs are
within normal limits and her sugar is 325 mg/dL. what intervention
should the nurse implement first?
Answer: administer regular insulin per sliding scale
●● A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to implement to
establish hydration in the immediate postoperative period?
Answer: nipple feedings with glucose water
●● a 3 year-old admitted with fever of unknown (FUO) has begun
vomiting in the past half hour. The child's temp. is 101.8F, and the last
does of antipyretic medication was given 5 hours ago. the child has
prescriptions of acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o
mg suppositories PRN fever or pain. what action should the nurse take at
this time?
Answer: make the child NPO and hold all mediations until the vomiting
has stopped.
,●● 4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse take?
Answer: give the client crackers and milk
●● a 6-month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom indicates
the nurse that he is experiencing respiratory distress?
Answer: A high pitched cry.
●● An 8-year-old recovering from a Celiac Crisis requests a bowl of
cereal for breakfast. Which cereal should the nurse provide?
Answer: rice
●● total number of confirmed pregnancies regardless of the outcome
Answer: Gravida
●● number of births after 20 weeks
Answer: Para
●● pregnant for the first time
Answer: primigravida
, ●● a 26 year old gravida-4, para-0 had a spontaneous abortion at 9
weeks gestation. at one house post dilation and curettage (D&C) the
nurse assess the vital signs and vaginal bleeding. the client begins to cry
softly. how should the nurse intervene?
Answer: express sorrow for the clients grief and offer to sit with her.
●● A 26 year-old primigravida who delivered a 7-pound male infant 26
hours ago tells the nurse that she is confused about when she and her
husband can return to having sexual intercourse. What info should the
nurse reinforce with this client?
Answer: they can have intercourse when the episiotomy is healed and
the lochial flow has stopped
●● 36 hours after delivery, the nurse determines a clients fundus is just
above the umbilicus and displaced to the right of midline. what action
should the nurse take first?
Answer: palpate the bladder for distention
●● a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were
inquiring about the condition of their loved one?
Answer: "Your loved ones condition is very critical, and there has been
no response in the last 24 hours"
●● a 67 year old woman who lives alone tripped on a rug in her home
and fractured her right hip. the nurse knows that which predisposing
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● 2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs are
within normal limits and her sugar is 325 mg/dL. what intervention
should the nurse implement first?
Answer: administer regular insulin per sliding scale
●● A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to implement to
establish hydration in the immediate postoperative period?
Answer: nipple feedings with glucose water
●● a 3 year-old admitted with fever of unknown (FUO) has begun
vomiting in the past half hour. The child's temp. is 101.8F, and the last
does of antipyretic medication was given 5 hours ago. the child has
prescriptions of acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o
mg suppositories PRN fever or pain. what action should the nurse take at
this time?
Answer: make the child NPO and hold all mediations until the vomiting
has stopped.
,●● 4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse take?
Answer: give the client crackers and milk
●● a 6-month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom indicates
the nurse that he is experiencing respiratory distress?
Answer: A high pitched cry.
●● An 8-year-old recovering from a Celiac Crisis requests a bowl of
cereal for breakfast. Which cereal should the nurse provide?
Answer: rice
●● total number of confirmed pregnancies regardless of the outcome
Answer: Gravida
●● number of births after 20 weeks
Answer: Para
●● pregnant for the first time
Answer: primigravida
, ●● a 26 year old gravida-4, para-0 had a spontaneous abortion at 9
weeks gestation. at one house post dilation and curettage (D&C) the
nurse assess the vital signs and vaginal bleeding. the client begins to cry
softly. how should the nurse intervene?
Answer: express sorrow for the clients grief and offer to sit with her.
●● A 26 year-old primigravida who delivered a 7-pound male infant 26
hours ago tells the nurse that she is confused about when she and her
husband can return to having sexual intercourse. What info should the
nurse reinforce with this client?
Answer: they can have intercourse when the episiotomy is healed and
the lochial flow has stopped
●● 36 hours after delivery, the nurse determines a clients fundus is just
above the umbilicus and displaced to the right of midline. what action
should the nurse take first?
Answer: palpate the bladder for distention
●● a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were
inquiring about the condition of their loved one?
Answer: "Your loved ones condition is very critical, and there has been
no response in the last 24 hours"
●● a 67 year old woman who lives alone tripped on a rug in her home
and fractured her right hip. the nurse knows that which predisposing
