HESI LEVEL 1 EXAM 2024 AND PRACTICE
EXAM 350 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES /A+
GRADE ASSURED
A client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid. Which is the most
critical management issue for the client during the first 2 weeks of treatment?
A. Ascertaining that the client is taking a full dose daily
B. Ensuring the client's blood levels reach a therapeutic and safe dose
C. Educating the client about the side effects of lithium
D. Monitoring the client's cardiac status - CORRECT ANSWER-B. Ensuring the client's blood levels reach a
therapeutic and safe dose
A client suffers from depression following the accidental death of a child. After a suicide attempt, the
client is admitted to the psychiatric unit. During the admission interview, the nurse learns that the client
no longer wants to die. The nurse should:
A. suggest that the client no longer requires close observation.
B. place the client in a private room, away from the nurses' station, so that she has privacy to work
through the stages of the grieving process.
C. inspect the client's personal belongings for potentially dangerous objects.
D. avoid any further discussion of suicide unless the client brings up the topic. - CORRECT ANSWER-C.
inspect the client's personal belongings for potentially dangerous objects.
A client is returned to his room after a subtotal thyroidectomy. Which piece of equipment is most
important for the nurse to keep at the client's bedside?
A. Indwelling urinary catheter kit
B. Tracheostomy set
C. Cardiac monitor
D. Humidifier - CORRECT ANSWER-B. Tracheostomy set
Which is the most reliable and accurate method for delivering precise concentrations of oxygen through
noninvasive means?
,A. Nasal cannula
B. Venturi mask
C. T-piece
D. Partial-rebreathing mask - CORRECT ANSWER-B. Venturi mask
A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window
undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After
the stapedectomy, the nurse should provide which client instruction?
A. "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours."
B. "Try to ambulate independently after about 24 hours."
C. "Shampoo your hair every day for 10 days to help prevent ear infection."
D. "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud
sounds for 30 days." - CORRECT ANSWER-D. "Don't fly in an airplane, climb to high altitudes, make
sudden movements, or expose yourself to loud sounds for 30 days."
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be
most important for the nurse to include in the child's preoperative plan of care?
A. Avoiding further abdominal palpation
B. Performing dressing changes to the affected area
C. Administering analgesics for pain
D. Preparing the child for amputation - CORRECT ANSWER-A. Avoiding further abdominal palpation
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates the therapeutic
effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital
sign is most likely to reflect an adverse effect of nitroglycerin?
A. pulse rate of 84 beats/minute
B. respiration 26 breaths/minute
C. blood pressure 84/52 mm Hg
D. temperature of 100.2° F (37.9° C) - CORRECT ANSWER-C. blood pressure 84/52 mm Hg
When promoting client safety on an inpatient psychiatric unit, which interventions would be used as the
measure of last resort?
,A. Surveillance
B. Seclusion
C. Room restriction
D. Four-point restraint - CORRECT ANSWER-D. Four-point restraint
Which zone of the surgical area only requires attire in the form of scrub clothes and caps?
A. Unrestricted zone
B. Semi-restricted zone
C. Restricted zone
D. Operative zone - CORRECT ANSWER-B. Semi-restricted zone
Which term refers to the inability to coordinate muscle movements, resulting difficulty walking?
A. Agnosia
B. Ataxia
C. Spasticity
D. Rigidity - CORRECT ANSWER-B. Ataxia
Which are true of nonprescription drugs? (Select all that apply.)
1. They require a prescription to obtain.
2. They are referred to as over-the-counter drugs.
3. They can be taken without risk to the client.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label. - CORRECT ANSWER-2. They are referred to as
over-the-counter drugs.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label
After an instructor has posted assignments, a person claiming to be a nursing student arrives on a unit
and asks a nurse for access to the medication records of a client to whom the student nurse has been
, assigned. The student's only identification (ID) is a laboratory coat with the school's name on it. What is
the nurse's most appropriate response?
A. Allow the student access to the medication record because the instructor has posted an assignment
sheet.
B. Ask the student to provide a photo ID for comparison with the names on the assignment sheet.
C. Ask the student to contact the instructor by phone to verify the student's identification.
D. Allow the student supervised access to the client's medication record. - CORRECT ANSWER-B. Ask the
student to provide a photo ID for comparison with the names on the assignment sheet.
The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the
priority nursing intervention for the client?
A. assessing blood pressure and heart rate frequently
B. identifying a code-level status
C. maintaining intravenous fluids
D. alerting the healthcare provider of the third-degree heart block - CORRECT ANSWER-D. alerting the
healthcare provider of the third-degree heart block
Parents of a preschooler with chickenpox ask the nurse about measures to make their child comfortable.
The nurse instructs the parents to avoid administering aspirin or any other product that contains
salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?
A. Guillain-Barré syndrome
B. rheumatic fever
C. Reye's syndrome
D. scarlet fever - CORRECT ANSWER-C. Reye's syndrome
A client is being taught to self-administer a narcotic analgesic by means of an intravenous PCA pump
system. Which of the following would help prevent accidental overdosage?
A. Reducing the dosage of the narcotic analgesic
B. Reducing the frequency of administration of the narcotic analgesic
C. Programming the dosage and time interval into the device
D. Drawing up a schedule chart for the client - CORRECT ANSWER-C. Programming the dosage and time
interval into the device
EXAM 350 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES /A+
GRADE ASSURED
A client has bipolar disorder and has just begun a regimen of lithium, 600 mg tid. Which is the most
critical management issue for the client during the first 2 weeks of treatment?
A. Ascertaining that the client is taking a full dose daily
B. Ensuring the client's blood levels reach a therapeutic and safe dose
C. Educating the client about the side effects of lithium
D. Monitoring the client's cardiac status - CORRECT ANSWER-B. Ensuring the client's blood levels reach a
therapeutic and safe dose
A client suffers from depression following the accidental death of a child. After a suicide attempt, the
client is admitted to the psychiatric unit. During the admission interview, the nurse learns that the client
no longer wants to die. The nurse should:
A. suggest that the client no longer requires close observation.
B. place the client in a private room, away from the nurses' station, so that she has privacy to work
through the stages of the grieving process.
C. inspect the client's personal belongings for potentially dangerous objects.
D. avoid any further discussion of suicide unless the client brings up the topic. - CORRECT ANSWER-C.
inspect the client's personal belongings for potentially dangerous objects.
A client is returned to his room after a subtotal thyroidectomy. Which piece of equipment is most
important for the nurse to keep at the client's bedside?
A. Indwelling urinary catheter kit
B. Tracheostomy set
C. Cardiac monitor
D. Humidifier - CORRECT ANSWER-B. Tracheostomy set
Which is the most reliable and accurate method for delivering precise concentrations of oxygen through
noninvasive means?
,A. Nasal cannula
B. Venturi mask
C. T-piece
D. Partial-rebreathing mask - CORRECT ANSWER-B. Venturi mask
A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window
undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After
the stapedectomy, the nurse should provide which client instruction?
A. "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours."
B. "Try to ambulate independently after about 24 hours."
C. "Shampoo your hair every day for 10 days to help prevent ear infection."
D. "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud
sounds for 30 days." - CORRECT ANSWER-D. "Don't fly in an airplane, climb to high altitudes, make
sudden movements, or expose yourself to loud sounds for 30 days."
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be
most important for the nurse to include in the child's preoperative plan of care?
A. Avoiding further abdominal palpation
B. Performing dressing changes to the affected area
C. Administering analgesics for pain
D. Preparing the child for amputation - CORRECT ANSWER-A. Avoiding further abdominal palpation
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates the therapeutic
effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital
sign is most likely to reflect an adverse effect of nitroglycerin?
A. pulse rate of 84 beats/minute
B. respiration 26 breaths/minute
C. blood pressure 84/52 mm Hg
D. temperature of 100.2° F (37.9° C) - CORRECT ANSWER-C. blood pressure 84/52 mm Hg
When promoting client safety on an inpatient psychiatric unit, which interventions would be used as the
measure of last resort?
,A. Surveillance
B. Seclusion
C. Room restriction
D. Four-point restraint - CORRECT ANSWER-D. Four-point restraint
Which zone of the surgical area only requires attire in the form of scrub clothes and caps?
A. Unrestricted zone
B. Semi-restricted zone
C. Restricted zone
D. Operative zone - CORRECT ANSWER-B. Semi-restricted zone
Which term refers to the inability to coordinate muscle movements, resulting difficulty walking?
A. Agnosia
B. Ataxia
C. Spasticity
D. Rigidity - CORRECT ANSWER-B. Ataxia
Which are true of nonprescription drugs? (Select all that apply.)
1. They require a prescription to obtain.
2. They are referred to as over-the-counter drugs.
3. They can be taken without risk to the client.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label. - CORRECT ANSWER-2. They are referred to as
over-the-counter drugs.
4. They have certain labeling requirements.
5. They should be taken only as directed on the label
After an instructor has posted assignments, a person claiming to be a nursing student arrives on a unit
and asks a nurse for access to the medication records of a client to whom the student nurse has been
, assigned. The student's only identification (ID) is a laboratory coat with the school's name on it. What is
the nurse's most appropriate response?
A. Allow the student access to the medication record because the instructor has posted an assignment
sheet.
B. Ask the student to provide a photo ID for comparison with the names on the assignment sheet.
C. Ask the student to contact the instructor by phone to verify the student's identification.
D. Allow the student supervised access to the client's medication record. - CORRECT ANSWER-B. Ask the
student to provide a photo ID for comparison with the names on the assignment sheet.
The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the
priority nursing intervention for the client?
A. assessing blood pressure and heart rate frequently
B. identifying a code-level status
C. maintaining intravenous fluids
D. alerting the healthcare provider of the third-degree heart block - CORRECT ANSWER-D. alerting the
healthcare provider of the third-degree heart block
Parents of a preschooler with chickenpox ask the nurse about measures to make their child comfortable.
The nurse instructs the parents to avoid administering aspirin or any other product that contains
salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?
A. Guillain-Barré syndrome
B. rheumatic fever
C. Reye's syndrome
D. scarlet fever - CORRECT ANSWER-C. Reye's syndrome
A client is being taught to self-administer a narcotic analgesic by means of an intravenous PCA pump
system. Which of the following would help prevent accidental overdosage?
A. Reducing the dosage of the narcotic analgesic
B. Reducing the frequency of administration of the narcotic analgesic
C. Programming the dosage and time interval into the device
D. Drawing up a schedule chart for the client - CORRECT ANSWER-C. Programming the dosage and time
interval into the device
