HESI RN QUESTIONS WITH 100% VERIFIED
ANSWERS YEAR 2024/2025
While reviewing the laboratory reports of a client, the nurse
finds that the client has low sodium levels. Which hormonal
imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol - verified answers-Cortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that
maintains sodium and water balance. Therefore, reduced
sodium levels in the client indicate a cortisol imbalance.
Additionally, depleted sodium levels in a client indicate
hyponatremia. Epinephrine is a catecholamine, which helps in
maintaining homeostasis. Glucagon increases blood glucose
levels and does not play a role in maintaining electrolyte
balance. Calcitonin helps in regulating serum calcium levels.
A nurse observes a window washer falling 25 feet (7.6 m) to the
ground. The nurse rushes to the scene and determines that the
person is in cardiopulmonary arrest. What should the nurse do
first?
Multiple choice question
Feel for a pulse
Begin chest compressions
Leave to call for assistance
,Perform the abdominal thrust maneuver - verified answers-
chest compressions
According to the American Heart Association and Heart and
Stroke Foundation of Canada for CPR, the first step is to feel
for a pulse after unresponsiveness is established. In this case,
it has been established the client has no pulse
(cardiopulmonary arrest); therefore chest compressions are
initiated. Do not leave the client to call for assistance. The
abdominal thrust (Heimlich) maneuver is used to relieve airway
obstruction and is not appropriate in this instance.
nurse is caring for a client with glaucoma. Which rationale
associated with the need for treatment of this condition should
the nurse include in a teaching program?
Total blindness is inevitable.
Lost vision cannot be restored.
Use of both eyes usually is restricted.
Surgery will help the problem only temporarily. - verified
answers-Lost vision cannot be restored.
Retinal damage caused by the increased intraocular pressure
of glaucoma is progressive and permanent if the disease is not
controlled; lost vision cannot be restored. Early treatment may
prevent blindness. One eye may be affected, and there is no
restriction on the use of either eye. Surgery can open up
drainage and permanently reduce pressure.
A healthcare provider determines that a client has myasthenia
gravis. Which clinical findings does the nurse expect when
completing a health history and physical assessment? .
Multiple selection question
,Double vision
Problems with cognition
Difficulty swallowing saliva
Intention tremors of the hands
Drooping of the upper eyelids
Nonintention tremors of the extremities - verified answers-
double vision, difficulty swallowing, drooping eyelids
Double vision occurs as a result of cranial nerve dysfunction.
Facial muscles innervated by the cranial nerves often are
affected; difficulty with swallowing (dysphagia) is a common
clinical finding. Drooping of the upper eyelids (ptosis) occurs
because of cranial nerve III (oculomotor) dysfunction.
Myasthenia gravis is a neuromuscular disease with lower motor
neuron characteristics, not central nervous system symptoms.
Intention tremors of the hands are associated with multiple
sclerosis. Nonintention tremors of the extremities are
associated with Parkinson disease.
A nurse is caring for a client with right-sided heart failure.
Which assessment findings are key features of right-sided heart
failure?
Multiple selection question
Collapsed neck veins
Distended abdomen
Dependent edema
, Urinating at night
Cool extremities - verified answers-Distended abdomen
Dependent edema
Urinating at night
Right-sided heart failure is associated with increased systemic
venous pressures and congestion, as manifested by a
distended abdomen, dependent edema, and urinating at night.
Distended, not collapsed, neck veins occur in right-sided heart
failure. Cool extremities are key features of left-sided heart
failure.
A client is diagnosed with an eczematous eruption with well-
defined and geometric margins on the scalp. Which condition
does the nurse anticipate in the client?
Drug eruption
Atopic dermatitis
Contact dermatitis
Nonspecific eczematous dermatitis - verified answers-Contact
dermatitis
The diagnostic feature of contact dermatitis is the presence of
localized eczematous eruptions with well-defined and
geometric margins. The diagnostic feature of drug eruption is
the presence of bright-red erythematous macules and papules
in large areas. In atopic dermatitis, the client has lichenification
with scaling and excoriation, which causes extreme itching. In
nonspecific eczematous dermatitis, lesions evolve from
vesicles to weeping papules and plaques.
ANSWERS YEAR 2024/2025
While reviewing the laboratory reports of a client, the nurse
finds that the client has low sodium levels. Which hormonal
imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol - verified answers-Cortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that
maintains sodium and water balance. Therefore, reduced
sodium levels in the client indicate a cortisol imbalance.
Additionally, depleted sodium levels in a client indicate
hyponatremia. Epinephrine is a catecholamine, which helps in
maintaining homeostasis. Glucagon increases blood glucose
levels and does not play a role in maintaining electrolyte
balance. Calcitonin helps in regulating serum calcium levels.
A nurse observes a window washer falling 25 feet (7.6 m) to the
ground. The nurse rushes to the scene and determines that the
person is in cardiopulmonary arrest. What should the nurse do
first?
Multiple choice question
Feel for a pulse
Begin chest compressions
Leave to call for assistance
,Perform the abdominal thrust maneuver - verified answers-
chest compressions
According to the American Heart Association and Heart and
Stroke Foundation of Canada for CPR, the first step is to feel
for a pulse after unresponsiveness is established. In this case,
it has been established the client has no pulse
(cardiopulmonary arrest); therefore chest compressions are
initiated. Do not leave the client to call for assistance. The
abdominal thrust (Heimlich) maneuver is used to relieve airway
obstruction and is not appropriate in this instance.
nurse is caring for a client with glaucoma. Which rationale
associated with the need for treatment of this condition should
the nurse include in a teaching program?
Total blindness is inevitable.
Lost vision cannot be restored.
Use of both eyes usually is restricted.
Surgery will help the problem only temporarily. - verified
answers-Lost vision cannot be restored.
Retinal damage caused by the increased intraocular pressure
of glaucoma is progressive and permanent if the disease is not
controlled; lost vision cannot be restored. Early treatment may
prevent blindness. One eye may be affected, and there is no
restriction on the use of either eye. Surgery can open up
drainage and permanently reduce pressure.
A healthcare provider determines that a client has myasthenia
gravis. Which clinical findings does the nurse expect when
completing a health history and physical assessment? .
Multiple selection question
,Double vision
Problems with cognition
Difficulty swallowing saliva
Intention tremors of the hands
Drooping of the upper eyelids
Nonintention tremors of the extremities - verified answers-
double vision, difficulty swallowing, drooping eyelids
Double vision occurs as a result of cranial nerve dysfunction.
Facial muscles innervated by the cranial nerves often are
affected; difficulty with swallowing (dysphagia) is a common
clinical finding. Drooping of the upper eyelids (ptosis) occurs
because of cranial nerve III (oculomotor) dysfunction.
Myasthenia gravis is a neuromuscular disease with lower motor
neuron characteristics, not central nervous system symptoms.
Intention tremors of the hands are associated with multiple
sclerosis. Nonintention tremors of the extremities are
associated with Parkinson disease.
A nurse is caring for a client with right-sided heart failure.
Which assessment findings are key features of right-sided heart
failure?
Multiple selection question
Collapsed neck veins
Distended abdomen
Dependent edema
, Urinating at night
Cool extremities - verified answers-Distended abdomen
Dependent edema
Urinating at night
Right-sided heart failure is associated with increased systemic
venous pressures and congestion, as manifested by a
distended abdomen, dependent edema, and urinating at night.
Distended, not collapsed, neck veins occur in right-sided heart
failure. Cool extremities are key features of left-sided heart
failure.
A client is diagnosed with an eczematous eruption with well-
defined and geometric margins on the scalp. Which condition
does the nurse anticipate in the client?
Drug eruption
Atopic dermatitis
Contact dermatitis
Nonspecific eczematous dermatitis - verified answers-Contact
dermatitis
The diagnostic feature of contact dermatitis is the presence of
localized eczematous eruptions with well-defined and
geometric margins. The diagnostic feature of drug eruption is
the presence of bright-red erythematous macules and papules
in large areas. In atopic dermatitis, the client has lichenification
with scaling and excoriation, which causes extreme itching. In
nonspecific eczematous dermatitis, lesions evolve from
vesicles to weeping papules and plaques.
