HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK
REAL EXAM 200+QUESTIONS AND DETAILED
ANSWERS |AGRADE
1. Duringadmissiontothepsychiatricunit,afemaleclientisextremelyanxiousandstatesthat she is
worried about the sun coming up the next day. What intervention is most important for the
RN to implement during the admission process?
A. Assisttheclientindevelopingalternativecopingskills.
B. Remaincalmanduseamatter-of-factapproach.
C. Asktheclientwhysheissoanxious
D. AdministeraPRNsedativetohelprelieveheranxiety.
2. A female client is brought to the emergency department after police officers found her
disoriented,disorganized,andconfused.TheRNalsodeterminesthattheclientishomeless and is
exhibiting suspiciousness. The client’s plan of care should include what priority problem?
A. Acuteconfusion.
B. Ineffectivecommunitycoping
C. Disturbed sensory perception.
D. Self-caredeficit.
3. Theoccupationalhealthnurseisworkingwithafemaleemployeewhowasjustnotifiedthat her
child was involved in a MVA and taken to the hospital. The employee states, “I can’t
believethis. What should I do?” Which responseis best for the RNto provide in this crisis?
A. Tellmewhatyouthinkshould happen.
B. Howseriouswasthecollision?
C. Whatdoyouthinkyoushoulddo?
D. Callfortransportationtothehospital.
4. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reportsthatheismarriedtoafemalemoviestarandthinksthathisbrotherwantsasexual
relationship with her. What isthe prioritynursing problem foradmission tothepsychiatric
unit?
A. Ineffectivesexualpatterns.
B. Impairedenvironmentalinterpretation.
C. Disturbedsensoryperception.
D. Compromisedfamilycoping.
, HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
BANK
5. TheRNisprovidingcareforaclientdiagnosedwithborderlinepersonalitydisorderwhohas self-
inflicted lacerations on the abdomen. Which approach should the RN use when changing
this client’s dressing?
A. Providedetailedthoroughexplanationswhencleansingwound.
B. Performthedressingchangeinanon-judgmentalmanner.
C. Askinanon-threateningmannerwhytheclientcutownabdomen.
D. Requestanotherstaffmemberassistwiththedressingchange.
6. While sitting in the day room of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the RN. The two
tradeplaces,andtheRNdemonstratestheclient’sbehaviors.What isthemain goalof this
therapeutic technique?
A. Initiateanon-threateningconversationwiththeclient.
B. Dialogabouttheineffectivenessofhisinteractions.
C. Allowtheclienttoidentifythewayheinteracts.
D. Discusstheclient’sfeelingswhenheresponds.
7. Anantidepressantmedicationisprescribedforaclientwhoreportssleepingonly4hoursin the
past 2 days and weight loss of 9 lbs within the last month. Which client goal is most
important to achieve within the first three days of treatment?
A. Meetscheduledappointmentwithdietitian.
B. Sleepatleast6hoursanight.
C. Understandsthepurposeofthemedicationregimen.
D. Describesthereasonsforhospitalization.
E.
8. Whenpreparingtoadministertodomesticviolencescreeningtooltoafemaleclient,which
statement should the RN provide?
A. Ifyourpartnerisabusingyou,Ineedtoaskthesequestions.
B. StatelawmandatesthatIaskifyouareavictimofdomesticviolence.
C. TheHCPproviderneedstoknowifyouareexperiencinganydomesticabuse.
D. Allclientsarescreenedfordomesticabusebecauseitiscommoninoursociety.
9. Ayoungadultfemalevisitsthementalhealthcliniccomplainingofdiarrhea,headache,and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal
limits. During the physical assessment, the client tells the RN that her sister thinks she is
neurotic and calls her a hypochondriac. Which response is best for the RNto provide?
, HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
BANK
A. Unlessyoursisterhasamedicaleducation,ignorehercomments.
B. Icanhearthatyoursistercommentsareover-whelmingyou.
C. Doyouthinkit’spossiblethatyoumightbeahypochondriac?
D. Besidesyoursister’scomments,whatinyourlifeistroublingyou?
10. TheRNisleadingagroupontheinpatientpsychiatricunit.WhichapproachshouldtheRN use
during the working phase of group development?
A. Establishingarapportwithgroupmembers.
B. Clarifyingthenurse’sroleandclients’responsibilities.
C. Discussingwaystousenewcopingskillslearned.
D. Helpingclientsidentifyareasofproblemintheirlives.
11. Amaleclientwithschizophreniaisdemonstratingecholalia,whichisbecomingannoyingto other
clients on the unit. What intervention is best for the RN to implement?
A. Isolatetheclientfromtheotherclients.
B. AdministerPRNsedative.
C. Avoidrecognizingthebehavior.
D. Escorttheclienttohisroom.
12. Aclientisadmittedforbipolardisorderandalcoholwithdrawal,depressivephase.Basedon which
assessment finding will the RN withhold the clonidine (Catapres) prescription?
A. Bloodpressurereadingsof90/62mmHgto92/58mmHg.
B. Pulserateof68-78BPM.
C. Temperatureof99.5-99.7F.
D. Respirationrateof24breathsperminute.
13. TheRNontheeveningshiftreceivesreportthataclientisscheduledforelectroconvulsive
treatment (ECT)inthe morning.Which intervention should the Rnimplementthe evening
before the scheduled ECT?
A. Hold allbedtimemedications.
B. KeeptheclientNPOaftermid-night.
C. Implementelopementprecautions.
D. Givetheclientanenemaat bedtime.
, HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
BANK
14. A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
admittedtoanacutecarehospitalforuncontrolledhypertension.Whatdietarychoices
should the RN instruct the client to avoid?
A. Pan-seared catfish.
B. Peperonipizza.
C. Deepfriedshrimp.
D. Beeftripswithgravy.
15. Amentalhealthworkeriscaringforaclientwithescalatingaggressivebehavior.Which action
by the mental health worker warrants immediate intervention by the RN?
A. Isattemptingthephysicallyrestrainthepatient.
B. Remainsatadistanceof4 feetfromtheclient.
C. Tellstheclienttogotothequietareaoftheunit.
D. Isusingaload voicetotalktotheclient.
16. A client who recently experienced the death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be
withthedecreasedsignificantother,hasbeeneatingverylittle,andhasnotsleptinseveral days.
Which client statement is most important for the RN to explore at this time?
A. Notsleepingforseveraldays.
B. Wishingtobewithspouse.
C. Lackof interestinusualactivities.
D. Eatingvery little.
17. A middleagedadultwithmajordepressivedisorder suffersfrompsychomotorretardation,
hypersomnia,andmotivation.Whichintervention islikelytobe mosteffective inreturning this
client to a normal level of functioning?
A. Provideeducationonmethodstoenhancesleep.
B. Teachtheclienttodevelopaplanfordailystructuredactivities.
C. Suggestthattheclientdevelopalistofpleasurableactivities.
D. Encouragetheclienttoexercise.
18. When developing a plan of care for a client admitted to the psychiatric unit following
aspirationofacausticmaterialrelatedtoasuicideattempt,whichnursingproblemhasthe
highest priority?
A. Impairedcomfort.
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK
REAL EXAM 200+QUESTIONS AND DETAILED
ANSWERS |AGRADE
1. Duringadmissiontothepsychiatricunit,afemaleclientisextremelyanxiousandstatesthat she is
worried about the sun coming up the next day. What intervention is most important for the
RN to implement during the admission process?
A. Assisttheclientindevelopingalternativecopingskills.
B. Remaincalmanduseamatter-of-factapproach.
C. Asktheclientwhysheissoanxious
D. AdministeraPRNsedativetohelprelieveheranxiety.
2. A female client is brought to the emergency department after police officers found her
disoriented,disorganized,andconfused.TheRNalsodeterminesthattheclientishomeless and is
exhibiting suspiciousness. The client’s plan of care should include what priority problem?
A. Acuteconfusion.
B. Ineffectivecommunitycoping
C. Disturbed sensory perception.
D. Self-caredeficit.
3. Theoccupationalhealthnurseisworkingwithafemaleemployeewhowasjustnotifiedthat her
child was involved in a MVA and taken to the hospital. The employee states, “I can’t
believethis. What should I do?” Which responseis best for the RNto provide in this crisis?
A. Tellmewhatyouthinkshould happen.
B. Howseriouswasthecollision?
C. Whatdoyouthinkyoushoulddo?
D. Callfortransportationtothehospital.
4. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reportsthatheismarriedtoafemalemoviestarandthinksthathisbrotherwantsasexual
relationship with her. What isthe prioritynursing problem foradmission tothepsychiatric
unit?
A. Ineffectivesexualpatterns.
B. Impairedenvironmentalinterpretation.
C. Disturbedsensoryperception.
D. Compromisedfamilycoping.
, HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
BANK
5. TheRNisprovidingcareforaclientdiagnosedwithborderlinepersonalitydisorderwhohas self-
inflicted lacerations on the abdomen. Which approach should the RN use when changing
this client’s dressing?
A. Providedetailedthoroughexplanationswhencleansingwound.
B. Performthedressingchangeinanon-judgmentalmanner.
C. Askinanon-threateningmannerwhytheclientcutownabdomen.
D. Requestanotherstaffmemberassistwiththedressingchange.
6. While sitting in the day room of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the RN. The two
tradeplaces,andtheRNdemonstratestheclient’sbehaviors.What isthemain goalof this
therapeutic technique?
A. Initiateanon-threateningconversationwiththeclient.
B. Dialogabouttheineffectivenessofhisinteractions.
C. Allowtheclienttoidentifythewayheinteracts.
D. Discusstheclient’sfeelingswhenheresponds.
7. Anantidepressantmedicationisprescribedforaclientwhoreportssleepingonly4hoursin the
past 2 days and weight loss of 9 lbs within the last month. Which client goal is most
important to achieve within the first three days of treatment?
A. Meetscheduledappointmentwithdietitian.
B. Sleepatleast6hoursanight.
C. Understandsthepurposeofthemedicationregimen.
D. Describesthereasonsforhospitalization.
E.
8. Whenpreparingtoadministertodomesticviolencescreeningtooltoafemaleclient,which
statement should the RN provide?
A. Ifyourpartnerisabusingyou,Ineedtoaskthesequestions.
B. StatelawmandatesthatIaskifyouareavictimofdomesticviolence.
C. TheHCPproviderneedstoknowifyouareexperiencinganydomesticabuse.
D. Allclientsarescreenedfordomesticabusebecauseitiscommoninoursociety.
9. Ayoungadultfemalevisitsthementalhealthcliniccomplainingofdiarrhea,headache,and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal
limits. During the physical assessment, the client tells the RN that her sister thinks she is
neurotic and calls her a hypochondriac. Which response is best for the RNto provide?
, HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
BANK
A. Unlessyoursisterhasamedicaleducation,ignorehercomments.
B. Icanhearthatyoursistercommentsareover-whelmingyou.
C. Doyouthinkit’spossiblethatyoumightbeahypochondriac?
D. Besidesyoursister’scomments,whatinyourlifeistroublingyou?
10. TheRNisleadingagroupontheinpatientpsychiatricunit.WhichapproachshouldtheRN use
during the working phase of group development?
A. Establishingarapportwithgroupmembers.
B. Clarifyingthenurse’sroleandclients’responsibilities.
C. Discussingwaystousenewcopingskillslearned.
D. Helpingclientsidentifyareasofproblemintheirlives.
11. Amaleclientwithschizophreniaisdemonstratingecholalia,whichisbecomingannoyingto other
clients on the unit. What intervention is best for the RN to implement?
A. Isolatetheclientfromtheotherclients.
B. AdministerPRNsedative.
C. Avoidrecognizingthebehavior.
D. Escorttheclienttohisroom.
12. Aclientisadmittedforbipolardisorderandalcoholwithdrawal,depressivephase.Basedon which
assessment finding will the RN withhold the clonidine (Catapres) prescription?
A. Bloodpressurereadingsof90/62mmHgto92/58mmHg.
B. Pulserateof68-78BPM.
C. Temperatureof99.5-99.7F.
D. Respirationrateof24breathsperminute.
13. TheRNontheeveningshiftreceivesreportthataclientisscheduledforelectroconvulsive
treatment (ECT)inthe morning.Which intervention should the Rnimplementthe evening
before the scheduled ECT?
A. Hold allbedtimemedications.
B. KeeptheclientNPOaftermid-night.
C. Implementelopementprecautions.
D. Givetheclientanenemaat bedtime.
, HESI HEALTH ASSESSMENT LATEST 2023 TEST BANK REAL EXAM
200+QUESTIONS AND DETAILED ANSWERS |AGRADE
BANK
14. A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
admittedtoanacutecarehospitalforuncontrolledhypertension.Whatdietarychoices
should the RN instruct the client to avoid?
A. Pan-seared catfish.
B. Peperonipizza.
C. Deepfriedshrimp.
D. Beeftripswithgravy.
15. Amentalhealthworkeriscaringforaclientwithescalatingaggressivebehavior.Which action
by the mental health worker warrants immediate intervention by the RN?
A. Isattemptingthephysicallyrestrainthepatient.
B. Remainsatadistanceof4 feetfromtheclient.
C. Tellstheclienttogotothequietareaoftheunit.
D. Isusingaload voicetotalktotheclient.
16. A client who recently experienced the death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be
withthedecreasedsignificantother,hasbeeneatingverylittle,andhasnotsleptinseveral days.
Which client statement is most important for the RN to explore at this time?
A. Notsleepingforseveraldays.
B. Wishingtobewithspouse.
C. Lackof interestinusualactivities.
D. Eatingvery little.
17. A middleagedadultwithmajordepressivedisorder suffersfrompsychomotorretardation,
hypersomnia,andmotivation.Whichintervention islikelytobe mosteffective inreturning this
client to a normal level of functioning?
A. Provideeducationonmethodstoenhancesleep.
B. Teachtheclienttodevelopaplanfordailystructuredactivities.
C. Suggestthattheclientdevelopalistofpleasurableactivities.
D. Encouragetheclienttoexercise.
18. When developing a plan of care for a client admitted to the psychiatric unit following
aspirationofacausticmaterialrelatedtoasuicideattempt,whichnursingproblemhasthe
highest priority?
A. Impairedcomfort.
