FINAL HESI EXAM LEVEL
ONE 2024*
A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks the nurse
why the healthcare provider has prescribed all these medications. Which information should
the nurse included when responding to this client? (Select all that apply.) - ANSWERS-• B
Pupillary dilation is necessary to access the eye chamber for lens removal.
• C The iris must be paralyzed during surgery to prevent it from reacting to light.
E One of the medications is used to anesthetize the corneal surface.
An adult client presents to the clinic with large draining ulcers on both lower legs that are
characteristic of Kaposi's sarcoma lesions. The client is accompanied by two family members.
Which action should the nurse take? - ANSWERS-• C Send family to the waiting area while the
client's history is taken.
The nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which
problem? - ANSWERS-A Bloody mesis
The charge nurse in an extended care facility is organizing unit activities for the day. Which
action may be safely delegated to the practical nurse (PN)? - ANSWERS-Establish blood pressure
parameters for client monitoring.
,The school nurse is preparing a teaching pamphlet in response to requests from parents
regarding an outbreak of pinworms at the local preschool. Which information about the most
commonly prescribed medication, mebendazole, should be included? - ANSWERS-A Only
children with perianal itching should take the medication.
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for inuries
sustained from a fall. His parents are very concerned that the child has regressed in his toileting
behaviors. Which information should the nurse provide to the parents? - ANSWERS-Children
usually resume their toileting behaviors when they leave the hospital.
The healthcare provider prescribes the antibiotic cefdinir 300 mg by mouth every 12 hours for a
client with a postoperative wound infection.
Which foods should the nurse encourage this client to eat? - ANSWERS-• B Yogurt or buttermilk.
A 10-year-old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the
last 24 hours. Which intervention is most important for the nurse to implement? - ANSWERS-
Assess bilateral lung sounds.
A client with delusions tells the nurse, "You aren't doing your job. Go get those people over
there and shoot them before they get me." Which statement is the nurse's best response? -
ANSWERS-"You seem quite frightened right now."
The nurse is caring for a client who receives a prescription for valproic acid in which the
maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe dosage for a
client who weighs 176 pounds? (Enter numerical value only.) - ANSWERS-4800
, The public health nurse receives funding to initiate a primary prevention program in the
community. Which program best fits the nurse's proposal? - ANSWERS-Vitamin supplements for
high-risk pregnant women.
A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding
should the nurse use in planning the client's care? - ANSWERS-Confusion.
The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid from the
left lung. Which assessment finding should the nurse report to the healthcare provider
immediately? - ANSWERS-Mediastinal shift to the right.
A client arrives to the emergency department with chest pain after taking sildenafil. Based on
the client's history, which medication should the nurse withhold? - ANSWERS-Nitroglycerin.
Six weeks after the birth of a child with Trisomy 21, the parents return to the prenatal clinic for a
follow-up visit. They have spoken with a genetic counselor, but are still unsure about the risk of
having another child with Trisomy 21. The couple brings literature from the counselor with
them, and asks the nurse to explain it. Which action should the nurse take? - ANSWERS-Review
the literature and answer any questions the nurse is able to answer.
A client who is one day postpartum tells the nurse that her baby cannot latch onto the breast.
The nurse determines that the client's nipples are inverted. - ANSWERS-Recommend using a
breast shield.
While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure
readings are taken so often. Which response by the nurse is most accurate? - ANSWERS-
Elevated blood pressure must be anticipated and identified quickly.
A week after admission to intensive care for a bowel obstruction, a client is confused to time
and place. The nurse frequently attempts to reorient the client but the client remains confused.
Which intervention should the nurse implement for the client's safety? - ANSWERS-Increase
direct observation times.
ONE 2024*
A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks the nurse
why the healthcare provider has prescribed all these medications. Which information should
the nurse included when responding to this client? (Select all that apply.) - ANSWERS-• B
Pupillary dilation is necessary to access the eye chamber for lens removal.
• C The iris must be paralyzed during surgery to prevent it from reacting to light.
E One of the medications is used to anesthetize the corneal surface.
An adult client presents to the clinic with large draining ulcers on both lower legs that are
characteristic of Kaposi's sarcoma lesions. The client is accompanied by two family members.
Which action should the nurse take? - ANSWERS-• C Send family to the waiting area while the
client's history is taken.
The nurse is developing a teaching plan for a client with acute gastritis caused by drinking
contaminated water. The nurse should emphasize the need to report the onset of which
problem? - ANSWERS-A Bloody mesis
The charge nurse in an extended care facility is organizing unit activities for the day. Which
action may be safely delegated to the practical nurse (PN)? - ANSWERS-Establish blood pressure
parameters for client monitoring.
,The school nurse is preparing a teaching pamphlet in response to requests from parents
regarding an outbreak of pinworms at the local preschool. Which information about the most
commonly prescribed medication, mebendazole, should be included? - ANSWERS-A Only
children with perianal itching should take the medication.
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for inuries
sustained from a fall. His parents are very concerned that the child has regressed in his toileting
behaviors. Which information should the nurse provide to the parents? - ANSWERS-Children
usually resume their toileting behaviors when they leave the hospital.
The healthcare provider prescribes the antibiotic cefdinir 300 mg by mouth every 12 hours for a
client with a postoperative wound infection.
Which foods should the nurse encourage this client to eat? - ANSWERS-• B Yogurt or buttermilk.
A 10-year-old with acute decompensated heart failure has a 3 pound (1.4 kg) weight gain in the
last 24 hours. Which intervention is most important for the nurse to implement? - ANSWERS-
Assess bilateral lung sounds.
A client with delusions tells the nurse, "You aren't doing your job. Go get those people over
there and shoot them before they get me." Which statement is the nurse's best response? -
ANSWERS-"You seem quite frightened right now."
The nurse is caring for a client who receives a prescription for valproic acid in which the
maximum safe dosage is 60 mg/kg/day. How many mg/day is the maximum safe dosage for a
client who weighs 176 pounds? (Enter numerical value only.) - ANSWERS-4800
, The public health nurse receives funding to initiate a primary prevention program in the
community. Which program best fits the nurse's proposal? - ANSWERS-Vitamin supplements for
high-risk pregnant women.
A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding
should the nurse use in planning the client's care? - ANSWERS-Confusion.
The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid from the
left lung. Which assessment finding should the nurse report to the healthcare provider
immediately? - ANSWERS-Mediastinal shift to the right.
A client arrives to the emergency department with chest pain after taking sildenafil. Based on
the client's history, which medication should the nurse withhold? - ANSWERS-Nitroglycerin.
Six weeks after the birth of a child with Trisomy 21, the parents return to the prenatal clinic for a
follow-up visit. They have spoken with a genetic counselor, but are still unsure about the risk of
having another child with Trisomy 21. The couple brings literature from the counselor with
them, and asks the nurse to explain it. Which action should the nurse take? - ANSWERS-Review
the literature and answer any questions the nurse is able to answer.
A client who is one day postpartum tells the nurse that her baby cannot latch onto the breast.
The nurse determines that the client's nipples are inverted. - ANSWERS-Recommend using a
breast shield.
While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure
readings are taken so often. Which response by the nurse is most accurate? - ANSWERS-
Elevated blood pressure must be anticipated and identified quickly.
A week after admission to intensive care for a bowel obstruction, a client is confused to time
and place. The nurse frequently attempts to reorient the client but the client remains confused.
Which intervention should the nurse implement for the client's safety? - ANSWERS-Increase
direct observation times.
