Expertly Crafted 2025 HESI Practice Test Questions |
70 Complete Prep with Answer Keys, Study Strategies,
and High-Scoring Exam Tips
A male client with sickle cell anemia, who has been hospitalized for another health problem,
tells the nurse he has had an erection for over 4 hours. What action should the nurse
implement first?
Notify the client's healthcare provider.
Document the finding in the client record.
Prepare a warm enema solution for rectal instillation.
Obtain a large bore needle for aspiration of the corpora cavernosa. - - correct ans- Notify the
client's healthcare provider.
Priapism, a urologic emergency, is common during sickle cell crisis due to sickle cells clogging
the microcirculation in the penis, causing a reduction of blood flow and oxygenation to the
penis, so the healthcare provider should be first notified immediately. The prescribed
therapy may consist of noninvasive measures such as applying ice to the penis, instilling a
warm solution enema to increase outflow in the corpora cavernosa and giving pain
medications. If noninvasive measures do not work, then needle aspiration of the corpora
cavernosa is implemented by the healthcare provider.
The nurse is providing discharge instructions to a client who has undergone a left
orchiectomy for testicular cancer. Which statement indicates that the client understands his
post-operative care and prognosis?
"I should continue to perform testicular self-examination (TSE) monthly on my remaining
testicle."
,"I should wear an athletic supporter and cup to prevent testicular cancer in my remaining
testicle."
"I should always use a condom because I am at increased risk for acquiring a sexually
transmitted disease."
"I should make sure my sons know how to perform TSE because they are at increased risk for
this type of cancer." - - correct ans- -"I should continue to perform testicular selfexamination
(TSE) monthly on my remaining testicle."
Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus on
the primary site of testicular cancer, these treatments do not reduce the risk of testicular
cancer in the remaining testicle, so early recognition is the best prevention. The client's
understanding is reflected in the statement to perform monthly TSE for changes in size,
shape, or consistency of the testis that may indicate early cancer.
Which sexually transmitted infection (STI) should the nurse include in a client's teaching
plan that increases the risk for cervical cancer?
Neisseria gonorrhoea.
Chlamydia trachomatis.
Herpes simplex virus.
Human papillomavirus. - - correct ans- -Human papillomavirus.
According to the CDC (2017), it is estimated at least 80% of all women who are sexually
active will contract the Human papillomavirus (HPV) in their lifetime. Certain types of HPV
have been suspected to cause cervical cancer and HPV strain 16 and 18 have been identified
to cause 70% of cervical cancers.
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other
areas of the client's urinary tract?
Wear a condom when having sexual intercourse.
,Avoid consuming alcohol and caffeinated beverages.
Empty the bladder completely with each voiding.
Have intercourse or masturbate at least twice a week. - - correct ans- -Have intercourse or
masturbate at least twice a week.
The prostate is not easily penetrated by antibiotics and can serve as a reservoir for
microorganisms, which can infect other areas of the genitourinary tract. Draining the
prostate regularly through intercourse or masturbation decreases the number of
microorganisms present and reduces the risk for further infection from stored contaminated
seminal fluids.
An older female client is admitted with atrophic vaginitis and perineal cutaneous candidiasis.
Which is the priority nursing diagnosis for this client?
Risk for injury.
Impaired comfort.
Disturbed body image.
Ineffective health maintenance. - - correct ans- -Impaired comfort.
In menopausal women, the vaginal mucous membrane responds to low estrogen levels
causing the vaginal walls to become thinner, drier, and susceptible to infection, which leads
to atrophic vaginitis. Perineal cutaneous candidiasis contributes to other manifestations of
vaginal infections, such as vaginal irritation, burning, pruritus, increased leukorrhea,
bleeding, and dyspareunia, which supports the primary nursing diagnosis, "impaired
comfort."
Which findings are within expected parameters of a normal urinalysis for an older adult?
(Select all that apply.)
pH 6.
Nitrate small.
Protein small.
, Sugar negative.
Bilirubin negative.
Specific gravity 1.015. - - correct ans- -pH 6
Bilirubin Negative
Sugar Negative
Specific gravity 1.015
A pH of 6.0 is within the normal pH range for urine. Glucosuria and bilirubinuria are
abnormal and should be negative upon urinalysis. Normal changes associated with aging
include decreased creatinine clearance and decreased concentrating and diluting abilities
which influence the normal range of urine specific gravity, 1.001 to 1.035. Although common
health problems associated with aging include renal insufficiency, urinary incontinence,
urinary tract infection, and enlarged prostate, these are indicative of pathology which should
be treated.
Which finding should the nurse report to the healthcare provider for a client with a
circumferential extremity burn?
Full thickness burns rather than partial thickness.
Supinates extremity but unable to fully pronate the extremity.
Slow capillary refill in the digits with absent distal pulse points.
Inability to distinguish sharp versus dull sensations in the extremity. - - correct ans- Slow
capillary refill in the digits with absent distal pulse points.
A circumferential burn can form an eschar that results from burn exudate fluid that dries and
acts as a tourniquet as fluid shifts occur in the interstitial tissue. As edema increases tissue
pressure, blood flow to the distal extremity is compromised, which is manifested by slow
capillary refill and absent distal pulses, so the healthcare provider should be notified about
any compromised circulation that requires escharotomy.
70 Complete Prep with Answer Keys, Study Strategies,
and High-Scoring Exam Tips
A male client with sickle cell anemia, who has been hospitalized for another health problem,
tells the nurse he has had an erection for over 4 hours. What action should the nurse
implement first?
Notify the client's healthcare provider.
Document the finding in the client record.
Prepare a warm enema solution for rectal instillation.
Obtain a large bore needle for aspiration of the corpora cavernosa. - - correct ans- Notify the
client's healthcare provider.
Priapism, a urologic emergency, is common during sickle cell crisis due to sickle cells clogging
the microcirculation in the penis, causing a reduction of blood flow and oxygenation to the
penis, so the healthcare provider should be first notified immediately. The prescribed
therapy may consist of noninvasive measures such as applying ice to the penis, instilling a
warm solution enema to increase outflow in the corpora cavernosa and giving pain
medications. If noninvasive measures do not work, then needle aspiration of the corpora
cavernosa is implemented by the healthcare provider.
The nurse is providing discharge instructions to a client who has undergone a left
orchiectomy for testicular cancer. Which statement indicates that the client understands his
post-operative care and prognosis?
"I should continue to perform testicular self-examination (TSE) monthly on my remaining
testicle."
,"I should wear an athletic supporter and cup to prevent testicular cancer in my remaining
testicle."
"I should always use a condom because I am at increased risk for acquiring a sexually
transmitted disease."
"I should make sure my sons know how to perform TSE because they are at increased risk for
this type of cancer." - - correct ans- -"I should continue to perform testicular selfexamination
(TSE) monthly on my remaining testicle."
Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus on
the primary site of testicular cancer, these treatments do not reduce the risk of testicular
cancer in the remaining testicle, so early recognition is the best prevention. The client's
understanding is reflected in the statement to perform monthly TSE for changes in size,
shape, or consistency of the testis that may indicate early cancer.
Which sexually transmitted infection (STI) should the nurse include in a client's teaching
plan that increases the risk for cervical cancer?
Neisseria gonorrhoea.
Chlamydia trachomatis.
Herpes simplex virus.
Human papillomavirus. - - correct ans- -Human papillomavirus.
According to the CDC (2017), it is estimated at least 80% of all women who are sexually
active will contract the Human papillomavirus (HPV) in their lifetime. Certain types of HPV
have been suspected to cause cervical cancer and HPV strain 16 and 18 have been identified
to cause 70% of cervical cancers.
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction
should the nurse provide the client to reduce the risk of spreading the infection to other
areas of the client's urinary tract?
Wear a condom when having sexual intercourse.
,Avoid consuming alcohol and caffeinated beverages.
Empty the bladder completely with each voiding.
Have intercourse or masturbate at least twice a week. - - correct ans- -Have intercourse or
masturbate at least twice a week.
The prostate is not easily penetrated by antibiotics and can serve as a reservoir for
microorganisms, which can infect other areas of the genitourinary tract. Draining the
prostate regularly through intercourse or masturbation decreases the number of
microorganisms present and reduces the risk for further infection from stored contaminated
seminal fluids.
An older female client is admitted with atrophic vaginitis and perineal cutaneous candidiasis.
Which is the priority nursing diagnosis for this client?
Risk for injury.
Impaired comfort.
Disturbed body image.
Ineffective health maintenance. - - correct ans- -Impaired comfort.
In menopausal women, the vaginal mucous membrane responds to low estrogen levels
causing the vaginal walls to become thinner, drier, and susceptible to infection, which leads
to atrophic vaginitis. Perineal cutaneous candidiasis contributes to other manifestations of
vaginal infections, such as vaginal irritation, burning, pruritus, increased leukorrhea,
bleeding, and dyspareunia, which supports the primary nursing diagnosis, "impaired
comfort."
Which findings are within expected parameters of a normal urinalysis for an older adult?
(Select all that apply.)
pH 6.
Nitrate small.
Protein small.
, Sugar negative.
Bilirubin negative.
Specific gravity 1.015. - - correct ans- -pH 6
Bilirubin Negative
Sugar Negative
Specific gravity 1.015
A pH of 6.0 is within the normal pH range for urine. Glucosuria and bilirubinuria are
abnormal and should be negative upon urinalysis. Normal changes associated with aging
include decreased creatinine clearance and decreased concentrating and diluting abilities
which influence the normal range of urine specific gravity, 1.001 to 1.035. Although common
health problems associated with aging include renal insufficiency, urinary incontinence,
urinary tract infection, and enlarged prostate, these are indicative of pathology which should
be treated.
Which finding should the nurse report to the healthcare provider for a client with a
circumferential extremity burn?
Full thickness burns rather than partial thickness.
Supinates extremity but unable to fully pronate the extremity.
Slow capillary refill in the digits with absent distal pulse points.
Inability to distinguish sharp versus dull sensations in the extremity. - - correct ans- Slow
capillary refill in the digits with absent distal pulse points.
A circumferential burn can form an eschar that results from burn exudate fluid that dries and
acts as a tourniquet as fluid shifts occur in the interstitial tissue. As edema increases tissue
pressure, blood flow to the distal extremity is compromised, which is manifested by slow
capillary refill and absent distal pulses, so the healthcare provider should be notified about
any compromised circulation that requires escharotomy.
