NU272 HESI Practice Exam Questions With Complete
Solutions
A 24-year-old female client diagnosed with a human
papillomavirus infection (HPV) is angry at her ex-boyfriend and
says she is not going to tell him that he is infected. What
response is best for the nurse to provide? Correct Answers
"Even though you are angry, he should be told, so he can take
precautions to prevent the spread of infection."
-
Anger is a common emotional reaction when confronted with
the diagnosis of a STI, and often lay blame and project this
anger at the sexual partner. Although HPV is not a reportable
disease in many states, all contacts should be informed of the
infection, treatment, transmission, and precautions to minimize
infecting others.
A 48-year-old client with endometrial cancer is being discharged
after a total hysterectomy and bilateral salpingo-oophorectomy.
Which client statement indicates that further teaching is needed?
Correct Answers "I know I will miss having sexual intercourse
with my husband."
-
Further teaching is needed in response to the client's
misunderstanding of not being able to have sexual intercourse
after a hysterectomy, needs to be addressed.
A client asks the nurse about the purpose of beginning
chemotherapy (CT) because the tumor is still very small. Which
,information supports the explanation that the nurse should
provide? Correct Answers The cell count of the tumor reduces
by half with each dose.
-
Initiating chemotherapy while the tumor is small provides a
better chance of eradicating all cancer cells because 50% of
cancer cells or tumor cells are killed with each dose.
A client in the preoperative holding area receives a prescription
for midazolam (Versed) IV. The nurse determines that the
surgical consent form needs to be signed by the client. Which
action should the nurse implement? Correct Answers Withhold
the drug until the client validates understanding of the surgical
procedure and signs the consent form.
-
Midazolam, a benzodiazepine sedative, is commonly used for
conscious-sedation intraoperatively and interferes with the
client's cognition and level of consciousness, so the consent
form should be signed before the drug is administered.
A client is admitted after blunt abdominal injury. Which
assessment finding requires immediate action by the nurse?
Correct Answers Bluish periumbilical skin discoloration.
-
immediate action is indicated for intraperitoneal hemorrhage
which causes periumbilical discoloration (D) and indicates the
presence of a splenic rupture, a life-threatening complication of
blunt abdominal injury. (A, B, and C) indicate inflammation of
,the appendix or gallbladder but do not represent an acute finding
as a result of blunt abdominal trauma.
A client is admitted for complaints of chest pain and aching for
the past 4 days. The results for serum creatine kinase-MB (CK-
MB) and troponin levels are obtained. What rationale should the
nurse use to evaluate the laboratory findings? Correct Answers
Myocardial damage that occurred several days earlier is best
validated by serum troponin levels.
-
An elevated serum troponin has become the cardiac marker of
choice for diagnosing an acute MI, according the American
College of Cardiology (ACC) guidelines (2017) for NSTEMI.
An elevated troponin will become evident within 2-3 hours of an
MI in comparison to the CK-MB and other cardiac enzymes that
can take up to 6-9 hours after the MI occurrence.
A client is admitted to the emergency department after being lost
for four days while hiking in a national forest. Upon review of
the laboratory results, the nurse determines the client's serum
level for thyroid-stimulating hormone (TSH) is elevated. Which
additional assessment should the nurse make? Correct Answers
Exposure to cold environmental temperatures.
-
TSH influences the amount of thyroxine secretion which
increases the rate of metabolism to maintain body temperature
near normal. Prolonged exposure to cold environmental
temperatures stimulates the hypothalamus to secrete thyrotropin-
, releasing hormone, which increases anterior pituitary serum
release of TSH.
A client is admitted to the hospital with a traumatic brain injury
after his head violently struck a brick wall during a gang fight.
Which finding is most important for the nurse to assess further?
Correct Answers Serosanguineous nasal drainage.
-
Any nasal discharge following a head injury should be evaluated
to determine the presence of cerebral spinal fluid which would
indicate a tear in the dura making the client susceptible to
meningitis.
A client who had abdominal surgery two days ago has
prescriptions for intravenous morphine sulfate 4 mg every 2
hours and a clear liquid diet. The client complains of feeling
distended and has sharp, cramping gas pains. What nursing
intervention should be implemented? Correct Answers Assist
the client to ambulate in the hall.
-
Postoperative abdominal distention is caused by decreased
peristalsis as a result of handling the intestine during surgery,
limited dietary intake before and after surgery, and anesthetic
and analgesic agents. Peristalsis is stimulated, flatus passed and
distention minimized by implementing early and frequent
ambulation.
A client who has a chronic cough with blood-tinged sputum
returns to the unit after a bronchoscopy. What nursing
Solutions
A 24-year-old female client diagnosed with a human
papillomavirus infection (HPV) is angry at her ex-boyfriend and
says she is not going to tell him that he is infected. What
response is best for the nurse to provide? Correct Answers
"Even though you are angry, he should be told, so he can take
precautions to prevent the spread of infection."
-
Anger is a common emotional reaction when confronted with
the diagnosis of a STI, and often lay blame and project this
anger at the sexual partner. Although HPV is not a reportable
disease in many states, all contacts should be informed of the
infection, treatment, transmission, and precautions to minimize
infecting others.
A 48-year-old client with endometrial cancer is being discharged
after a total hysterectomy and bilateral salpingo-oophorectomy.
Which client statement indicates that further teaching is needed?
Correct Answers "I know I will miss having sexual intercourse
with my husband."
-
Further teaching is needed in response to the client's
misunderstanding of not being able to have sexual intercourse
after a hysterectomy, needs to be addressed.
A client asks the nurse about the purpose of beginning
chemotherapy (CT) because the tumor is still very small. Which
,information supports the explanation that the nurse should
provide? Correct Answers The cell count of the tumor reduces
by half with each dose.
-
Initiating chemotherapy while the tumor is small provides a
better chance of eradicating all cancer cells because 50% of
cancer cells or tumor cells are killed with each dose.
A client in the preoperative holding area receives a prescription
for midazolam (Versed) IV. The nurse determines that the
surgical consent form needs to be signed by the client. Which
action should the nurse implement? Correct Answers Withhold
the drug until the client validates understanding of the surgical
procedure and signs the consent form.
-
Midazolam, a benzodiazepine sedative, is commonly used for
conscious-sedation intraoperatively and interferes with the
client's cognition and level of consciousness, so the consent
form should be signed before the drug is administered.
A client is admitted after blunt abdominal injury. Which
assessment finding requires immediate action by the nurse?
Correct Answers Bluish periumbilical skin discoloration.
-
immediate action is indicated for intraperitoneal hemorrhage
which causes periumbilical discoloration (D) and indicates the
presence of a splenic rupture, a life-threatening complication of
blunt abdominal injury. (A, B, and C) indicate inflammation of
,the appendix or gallbladder but do not represent an acute finding
as a result of blunt abdominal trauma.
A client is admitted for complaints of chest pain and aching for
the past 4 days. The results for serum creatine kinase-MB (CK-
MB) and troponin levels are obtained. What rationale should the
nurse use to evaluate the laboratory findings? Correct Answers
Myocardial damage that occurred several days earlier is best
validated by serum troponin levels.
-
An elevated serum troponin has become the cardiac marker of
choice for diagnosing an acute MI, according the American
College of Cardiology (ACC) guidelines (2017) for NSTEMI.
An elevated troponin will become evident within 2-3 hours of an
MI in comparison to the CK-MB and other cardiac enzymes that
can take up to 6-9 hours after the MI occurrence.
A client is admitted to the emergency department after being lost
for four days while hiking in a national forest. Upon review of
the laboratory results, the nurse determines the client's serum
level for thyroid-stimulating hormone (TSH) is elevated. Which
additional assessment should the nurse make? Correct Answers
Exposure to cold environmental temperatures.
-
TSH influences the amount of thyroxine secretion which
increases the rate of metabolism to maintain body temperature
near normal. Prolonged exposure to cold environmental
temperatures stimulates the hypothalamus to secrete thyrotropin-
, releasing hormone, which increases anterior pituitary serum
release of TSH.
A client is admitted to the hospital with a traumatic brain injury
after his head violently struck a brick wall during a gang fight.
Which finding is most important for the nurse to assess further?
Correct Answers Serosanguineous nasal drainage.
-
Any nasal discharge following a head injury should be evaluated
to determine the presence of cerebral spinal fluid which would
indicate a tear in the dura making the client susceptible to
meningitis.
A client who had abdominal surgery two days ago has
prescriptions for intravenous morphine sulfate 4 mg every 2
hours and a clear liquid diet. The client complains of feeling
distended and has sharp, cramping gas pains. What nursing
intervention should be implemented? Correct Answers Assist
the client to ambulate in the hall.
-
Postoperative abdominal distention is caused by decreased
peristalsis as a result of handling the intestine during surgery,
limited dietary intake before and after surgery, and anesthetic
and analgesic agents. Peristalsis is stimulated, flatus passed and
distention minimized by implementing early and frequent
ambulation.
A client who has a chronic cough with blood-tinged sputum
returns to the unit after a bronchoscopy. What nursing
