HESI RN
COMPREHENSIVE
V1.Questions with
Answers 2022
1|Page
, HESI RN Comprehensive V1
1. A male client who lives in an area endemic with Lyme disease asks the nurse what to do
if he thinks he may have been exposed. Which response should the nurse provide?
A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clear
center. Correct
C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations.
2. The nurse is planning a wellness program aimed at primary prevention in the
Community. Which action should the nurse implement?
A. Immunizations that decrease occurrences of many contagious diseases. Correct
B. Blood pressure screenings to identify persons with high blood pressure.
C. Breast self-examination (BSE) for young women instead of a mammogram.
D. Home care monitoring for clients who are high-risk due to pregnancy.
3. The school nurse is reviewing health risks associated with extracurricular activities of
Grade-school children. Regular participation in which activity places the child at highest risk
for developing external otitis?
A. Batting practice at a batting cage.
B. Soccer practice at an outdoor field.
C. Swimming lessons in an indoor pool. Correct
D. Roller skating at an indoor rink.
4. Which nursing intervention is an example of a competent performance criterion for an
Occupational and environmental health nurse?
A. Serves as a consultant to businesses and management.
B. Implements health programs for construction workers. Correct
C. Designs quality improvement methods that measure health outcomes.
D. Conducts research studies that enhance health safety.
2|Page
,5. The nurse is planning to conduct nutritional assessments and diet teaching to clients at
a family health clinic. Which individual has the greatest nutritional and energy demands?
A. A pregnant woman. Correct
B. A teenager beginning puberty.
C. A 3-month-old infant.
D. A school-aged child.
6. Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The Demerol
solution contains 50 mg/ml. How much solution should the nurse administer?
A. 0.5 ml.
B. 1 ml.
C. 1.5 ml. Correct
D. 2 ml.
7. The nurse is preparing to administer IV fluid to a client with a strict fluid restriction. IV
tubing with which feature is most important for the nurse to select?
A. Micro drop factor.
B. Drop factor of 15 gtt/ml.
C. An intact inline filter.
D. A buretrol attachment. Correct
8. Which action should the nurse implement when administering a prescription drug that
should be given on an empty stomach?
A. Administer after an eight-hour fast.
B. Give one hour before or two hours after a meal. Correct
C. Provide the dose after the client has missed a meal.
D. Take with liquids, but no solid foods.
9. The nurse is preparing to administer a prescribed dose of acetylcysteine (Mucomyst)
600 mg PO. The 10 ml vial is labeled "Mucomyst 20% solution (20 grams/100 ml)."
The correct response is "3"
What volume of medication in milliliters should the nurse administer? (Enter numeric
answer only.)
3|Page
, 10. The nurse dons gown, mask with eyeshield, and gloves before entering a client's room that has airborne
precautions. Upon leaving the client's room, in which sequence should the nurse remove the personal
protective equipment (PPE)? (Arrange in order.)
Correct
Remove gloves.
Remove gown.
Remove mask.
Wash hands.
11. A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per
nasal cannula, and complains of dry mouth. Which action should the nurse implement?
A. Put petroleum jelly on the lips and around the nasogastric tube.
B. Allow the client to drink water and record on the I and O record.
C. Offer the client ice chips and instruct client to spit out the water.
D. Apply a water soluble lubricant to the lips, oral mucosa and nares. Correct
12. A child is receiving maintenance intravenous (IV) fluids at the rate of 1000 ml for the
first 10 kg of body weight, plus 50 ml/kg per day for each kilogram between 10 and 20. How many
milliliters per hour should the nurse program the infusion pump for a child who weighs 19.5 kg? (Enter
numerical value only. If rounding is required, round to the nearest whole number.)
The correct response is "61"
13. The nurse is caring for a client who is unable to void. The plan of care establishes an
objective for the client to ingest at least 1000 ml of fluid between 7:00 am and
3:30 pm. Which client response should the nurse document that indicates a
successful outcome?
A. Demonstrates adequate fluid intake and output.
B. Voids at least 1000 ml between 7am and 3 pm.
C. Verbalizes abdominal comfort without pressure.
D. Drinks 240 ml of fluid five times during the shift. Correct
4|Page
COMPREHENSIVE
V1.Questions with
Answers 2022
1|Page
, HESI RN Comprehensive V1
1. A male client who lives in an area endemic with Lyme disease asks the nurse what to do
if he thinks he may have been exposed. Which response should the nurse provide?
A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clear
center. Correct
C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations.
2. The nurse is planning a wellness program aimed at primary prevention in the
Community. Which action should the nurse implement?
A. Immunizations that decrease occurrences of many contagious diseases. Correct
B. Blood pressure screenings to identify persons with high blood pressure.
C. Breast self-examination (BSE) for young women instead of a mammogram.
D. Home care monitoring for clients who are high-risk due to pregnancy.
3. The school nurse is reviewing health risks associated with extracurricular activities of
Grade-school children. Regular participation in which activity places the child at highest risk
for developing external otitis?
A. Batting practice at a batting cage.
B. Soccer practice at an outdoor field.
C. Swimming lessons in an indoor pool. Correct
D. Roller skating at an indoor rink.
4. Which nursing intervention is an example of a competent performance criterion for an
Occupational and environmental health nurse?
A. Serves as a consultant to businesses and management.
B. Implements health programs for construction workers. Correct
C. Designs quality improvement methods that measure health outcomes.
D. Conducts research studies that enhance health safety.
2|Page
,5. The nurse is planning to conduct nutritional assessments and diet teaching to clients at
a family health clinic. Which individual has the greatest nutritional and energy demands?
A. A pregnant woman. Correct
B. A teenager beginning puberty.
C. A 3-month-old infant.
D. A school-aged child.
6. Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The Demerol
solution contains 50 mg/ml. How much solution should the nurse administer?
A. 0.5 ml.
B. 1 ml.
C. 1.5 ml. Correct
D. 2 ml.
7. The nurse is preparing to administer IV fluid to a client with a strict fluid restriction. IV
tubing with which feature is most important for the nurse to select?
A. Micro drop factor.
B. Drop factor of 15 gtt/ml.
C. An intact inline filter.
D. A buretrol attachment. Correct
8. Which action should the nurse implement when administering a prescription drug that
should be given on an empty stomach?
A. Administer after an eight-hour fast.
B. Give one hour before or two hours after a meal. Correct
C. Provide the dose after the client has missed a meal.
D. Take with liquids, but no solid foods.
9. The nurse is preparing to administer a prescribed dose of acetylcysteine (Mucomyst)
600 mg PO. The 10 ml vial is labeled "Mucomyst 20% solution (20 grams/100 ml)."
The correct response is "3"
What volume of medication in milliliters should the nurse administer? (Enter numeric
answer only.)
3|Page
, 10. The nurse dons gown, mask with eyeshield, and gloves before entering a client's room that has airborne
precautions. Upon leaving the client's room, in which sequence should the nurse remove the personal
protective equipment (PPE)? (Arrange in order.)
Correct
Remove gloves.
Remove gown.
Remove mask.
Wash hands.
11. A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per
nasal cannula, and complains of dry mouth. Which action should the nurse implement?
A. Put petroleum jelly on the lips and around the nasogastric tube.
B. Allow the client to drink water and record on the I and O record.
C. Offer the client ice chips and instruct client to spit out the water.
D. Apply a water soluble lubricant to the lips, oral mucosa and nares. Correct
12. A child is receiving maintenance intravenous (IV) fluids at the rate of 1000 ml for the
first 10 kg of body weight, plus 50 ml/kg per day for each kilogram between 10 and 20. How many
milliliters per hour should the nurse program the infusion pump for a child who weighs 19.5 kg? (Enter
numerical value only. If rounding is required, round to the nearest whole number.)
The correct response is "61"
13. The nurse is caring for a client who is unable to void. The plan of care establishes an
objective for the client to ingest at least 1000 ml of fluid between 7:00 am and
3:30 pm. Which client response should the nurse document that indicates a
successful outcome?
A. Demonstrates adequate fluid intake and output.
B. Voids at least 1000 ml between 7am and 3 pm.
C. Verbalizes abdominal comfort without pressure.
D. Drinks 240 ml of fluid five times during the shift. Correct
4|Page
