BSN 225 Hesi Practice Test 1
1. During the admission interview, which technique is Closed-ended questions.
most efficient for the nurse to use when obtaining
information about signs and symptoms of a client's
primary health problem?
Restatement of responses.
Open-ended questions.
Closed-ended questions.
Problem-seeking responses.
2. Which snack food is best for the nurse to provide a Chocolate pudding.
client with myasthenia gravis who is at risk for altered
nutritional status?
Chocolate pudding.
Graham crackers.
Sugar free gelatin.
Apple slices.
3. What is the most important reason for starting intra- A decreased flow rate
venous infusions in the upper extremities rather than could result in the forma-
the lower extremities of adults? tion of a thrombosis.
It is more difficult to find a superficial vein in the feet
and ankles.
A decreased flow rate could result in the formation of
a thrombosis.
A cannulated extremity is more difficult to move when
the leg or foot is used.
Veins are located deep in the feet and ankles, resulting
in a more painful procedure.
4.
, BSN 225 Hesi Practice Test 1
The nurse assigns an unlicensed assistive personnel Report the results of the vi-
(UAP) to obtain vital signs from a very anxious client. tal signs to the nurse.
What instructions should the nurse give the UAP?
Remain calm with the client and record abnormal re-
sults in the chart.
Notify the medication nurse immediately if the pulse
or blood pressure is low.
Report the results of the vital signs to the nurse.
Reassure the client that the vital signs are normal.
5. Which assessment data provides the most accurate Examining a chest x-ray
determination of proper placement of a nasogastric obtained after the tubing
tube? was inserted.
Aspirating gastric contents to assure a pH value of 4 or
less.
Hearing air pass in the stomach after injecting air into
the tubing.
Examining a chest x-ray obtained after the tubing was
inserted.
Checking the remaining length of tubing to ensure
that the correct length was inserted.
6. A young mother of three children complains of in- Nutritional history.
creased anxiety during her annual physical exam.
What information should the nurse obtain first? Caffeine, sugars, and alco-
hol can lead to increased
Sexual activity patterns. levels of anxiety, so a nu-
Nutritional history. tritional history (C) should
Leisure activities. be obtained first so that
Financial stressors. health teaching can be ini-
tiated if indicated. (A and
, BSN 225 Hesi Practice Test 1
C) can be used for stress
management. Though (D)
can be a source of anxiety,
a nutritional history should
be obtained first.
7. The unlicensed assistive personnel (UAP) working on Move the chair parallel to
a chronic neuro unit asks the nurse to help determine the right side of the bed,
the safest way to transfer an older client with left-sided and stand the client on the
weakness from the bed to the chair. Which method de- right foot.
scribes the correct transfer procedure for this client?
Place the chair at a right angle to the bed on the client's
left side before moving.
Assist the client to a standing position, then place the
right hand on the armrest.
Have the client place the left foot next to the chair and
pivot to the left before sitting.
Move the chair parallel to the right side of the bed, and
stand the client on the right foot.
8. During shift change report, the nurse receives report Use the stethoscope bell
that a client has abnormal heart sounds. Which place- over the valvular areas of
ment of the stethoscope should the nurse use to hear the anterior chest.
the client's heart sounds?
Place the stethoscope bell at random points on the
posterior chest.
Use the stethoscope bell over the valvular areas of the
anterior chest.
Move the diaphragm of the stethoscope over the left
anterior chest.
1. During the admission interview, which technique is Closed-ended questions.
most efficient for the nurse to use when obtaining
information about signs and symptoms of a client's
primary health problem?
Restatement of responses.
Open-ended questions.
Closed-ended questions.
Problem-seeking responses.
2. Which snack food is best for the nurse to provide a Chocolate pudding.
client with myasthenia gravis who is at risk for altered
nutritional status?
Chocolate pudding.
Graham crackers.
Sugar free gelatin.
Apple slices.
3. What is the most important reason for starting intra- A decreased flow rate
venous infusions in the upper extremities rather than could result in the forma-
the lower extremities of adults? tion of a thrombosis.
It is more difficult to find a superficial vein in the feet
and ankles.
A decreased flow rate could result in the formation of
a thrombosis.
A cannulated extremity is more difficult to move when
the leg or foot is used.
Veins are located deep in the feet and ankles, resulting
in a more painful procedure.
4.
, BSN 225 Hesi Practice Test 1
The nurse assigns an unlicensed assistive personnel Report the results of the vi-
(UAP) to obtain vital signs from a very anxious client. tal signs to the nurse.
What instructions should the nurse give the UAP?
Remain calm with the client and record abnormal re-
sults in the chart.
Notify the medication nurse immediately if the pulse
or blood pressure is low.
Report the results of the vital signs to the nurse.
Reassure the client that the vital signs are normal.
5. Which assessment data provides the most accurate Examining a chest x-ray
determination of proper placement of a nasogastric obtained after the tubing
tube? was inserted.
Aspirating gastric contents to assure a pH value of 4 or
less.
Hearing air pass in the stomach after injecting air into
the tubing.
Examining a chest x-ray obtained after the tubing was
inserted.
Checking the remaining length of tubing to ensure
that the correct length was inserted.
6. A young mother of three children complains of in- Nutritional history.
creased anxiety during her annual physical exam.
What information should the nurse obtain first? Caffeine, sugars, and alco-
hol can lead to increased
Sexual activity patterns. levels of anxiety, so a nu-
Nutritional history. tritional history (C) should
Leisure activities. be obtained first so that
Financial stressors. health teaching can be ini-
tiated if indicated. (A and
, BSN 225 Hesi Practice Test 1
C) can be used for stress
management. Though (D)
can be a source of anxiety,
a nutritional history should
be obtained first.
7. The unlicensed assistive personnel (UAP) working on Move the chair parallel to
a chronic neuro unit asks the nurse to help determine the right side of the bed,
the safest way to transfer an older client with left-sided and stand the client on the
weakness from the bed to the chair. Which method de- right foot.
scribes the correct transfer procedure for this client?
Place the chair at a right angle to the bed on the client's
left side before moving.
Assist the client to a standing position, then place the
right hand on the armrest.
Have the client place the left foot next to the chair and
pivot to the left before sitting.
Move the chair parallel to the right side of the bed, and
stand the client on the right foot.
8. During shift change report, the nurse receives report Use the stethoscope bell
that a client has abnormal heart sounds. Which place- over the valvular areas of
ment of the stethoscope should the nurse use to hear the anterior chest.
the client's heart sounds?
Place the stethoscope bell at random points on the
posterior chest.
Use the stethoscope bell over the valvular areas of the
anterior chest.
Move the diaphragm of the stethoscope over the left
anterior chest.
