HESI 700 question with correct answers
Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help
coat and protect his ulcer. What is the best follow-up action by the
nurse? Correct Answer-Review with the client the need to avoid foods
that are rich in milk and cream
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits that
he has not been taking the prescribed medication because the drugs
make him "feel bad". In explaining the need for hypertension control,
the nurse should stress that an elevated BP places the client at risk for
which pathophysiological condition? Correct Answer-Stroke secondary
to hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning
a newly admitted client who has a seizure disorder. The client is supine
and the UAP is placing soft pillows along the side rails. What action
should the nurse implement? Correct Answer-Instruct the UAP to obtain
soft blankets to secure to the side rails instead of pillows
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediate follow-up Correct Answer-Describes life without purpose
A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
,possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan Correct Answer-Further evaluation involving surgery may
be needed
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan? Correct Answer-Teach tracheal suctioning
techniques
In assessing an adult client with a partial rebreather mask, the nurse
notes that the oxygen reservoir bag does not deflate completely during
inspiration and the client's respiratory rate is 14 breaths / minute. What
action should the nurse implement Correct Answer-Document the
assessment data
Rational: reservoir bag should not deflate completely during inspiration
and the client's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate first?
Correct Answer-Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes
slip and fall. What action should the nurse take first? Correct Answer-
Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section
(C-Section), the client tells the nurse that she drank a cup a coffee at
,0400 because she wanted to avoid getting a headache. Which action
should the nurse take first? Correct Answer-Inform the anesthesia care
provider
After placing a stethoscope as seen in the picture, the nurse auscultates
S1 and S2 heart sounds. To determine if an S3 heart sound is present,
what action should the nurse take first Correct Answer-Listen with the
bell at the same location
A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should the
client be referred to by the employee health nurse for health insurance
needs? Correct Answer-Medicare
A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to
take with the tetracycline? Correct Answer-Toasted wheat bread and
jelly
Following a lumbar puncture, a client voices several complaints. What
complaint indicated to the nurse that the client is experiencing a
complication? Correct Answer-"I have a headache that gets worse when
I sit up"
An elderly client seems confused and reports the onset of nausea,
dysuria, and urgency with incontinence. Which action should the nurse
implement Correct Answer-Obtain a clean catch mid-stream specimen
, The nurse is assisting the mother of a child with phenylketonuria (PKU)
to select foods that are in keeping with the child's dietary restrictions.
Which foods are contraindicated for this child? Correct Answer-Foods
sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time
scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is
adequate preparation for this client. Which response should the
circulating nurse provide? Correct Answer-Direct the nurse to continue
the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the
nurse's instructions about the dietary management of osteoporosis?
Correct Answer-Bagel with jelly and skim milk
The charge nurse of a critical care unit is informed at the beginning of
the shift that less than the optimal number of registered nurses will be
working that shift. In planning assignments, which client should receive
the most care hours by a registered nurse (RN) Correct Answer-An 82-
year-old client with Alzheimer's disease newly-fractures femur who has
a Foley catheter and soft wrist restrains applied
A mother brings her 6-year-old child, who has just stepped on a rusty
nail, to the pediatrician's office. Upon inspection, the nurse notes that the
nail went through the shoe and pierced the bottom of the child's foot.
Which action should the nurse implement first? Correct Answer-Cleanse
the foot with soap and water and apply an antibiotic ointment
Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help
coat and protect his ulcer. What is the best follow-up action by the
nurse? Correct Answer-Review with the client the need to avoid foods
that are rich in milk and cream
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits that
he has not been taking the prescribed medication because the drugs
make him "feel bad". In explaining the need for hypertension control,
the nurse should stress that an elevated BP places the client at risk for
which pathophysiological condition? Correct Answer-Stroke secondary
to hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning
a newly admitted client who has a seizure disorder. The client is supine
and the UAP is placing soft pillows along the side rails. What action
should the nurse implement? Correct Answer-Instruct the UAP to obtain
soft blankets to secure to the side rails instead of pillows
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediate follow-up Correct Answer-Describes life without purpose
A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
,possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan Correct Answer-Further evaluation involving surgery may
be needed
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan? Correct Answer-Teach tracheal suctioning
techniques
In assessing an adult client with a partial rebreather mask, the nurse
notes that the oxygen reservoir bag does not deflate completely during
inspiration and the client's respiratory rate is 14 breaths / minute. What
action should the nurse implement Correct Answer-Document the
assessment data
Rational: reservoir bag should not deflate completely during inspiration
and the client's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate first?
Correct Answer-Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes
slip and fall. What action should the nurse take first? Correct Answer-
Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean section
(C-Section), the client tells the nurse that she drank a cup a coffee at
,0400 because she wanted to avoid getting a headache. Which action
should the nurse take first? Correct Answer-Inform the anesthesia care
provider
After placing a stethoscope as seen in the picture, the nurse auscultates
S1 and S2 heart sounds. To determine if an S3 heart sound is present,
what action should the nurse take first Correct Answer-Listen with the
bell at the same location
A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should the
client be referred to by the employee health nurse for health insurance
needs? Correct Answer-Medicare
A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to
take with the tetracycline? Correct Answer-Toasted wheat bread and
jelly
Following a lumbar puncture, a client voices several complaints. What
complaint indicated to the nurse that the client is experiencing a
complication? Correct Answer-"I have a headache that gets worse when
I sit up"
An elderly client seems confused and reports the onset of nausea,
dysuria, and urgency with incontinence. Which action should the nurse
implement Correct Answer-Obtain a clean catch mid-stream specimen
, The nurse is assisting the mother of a child with phenylketonuria (PKU)
to select foods that are in keeping with the child's dietary restrictions.
Which foods are contraindicated for this child? Correct Answer-Foods
sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time
scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is
adequate preparation for this client. Which response should the
circulating nurse provide? Correct Answer-Direct the nurse to continue
the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the
nurse's instructions about the dietary management of osteoporosis?
Correct Answer-Bagel with jelly and skim milk
The charge nurse of a critical care unit is informed at the beginning of
the shift that less than the optimal number of registered nurses will be
working that shift. In planning assignments, which client should receive
the most care hours by a registered nurse (RN) Correct Answer-An 82-
year-old client with Alzheimer's disease newly-fractures femur who has
a Foley catheter and soft wrist restrains applied
A mother brings her 6-year-old child, who has just stepped on a rusty
nail, to the pediatrician's office. Upon inspection, the nurse notes that the
nail went through the shoe and pierced the bottom of the child's foot.
Which action should the nurse implement first? Correct Answer-Cleanse
the foot with soap and water and apply an antibiotic ointment
