Cognition-HESI [ACTUAL EXAM]
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
The serum ammonia level of a client with hepatic cirrhosis and ascites is elevated. What
nursing intervention is the priority?
1 Weigh the client daily.
2 Restrict the client's oral fluid intake.
3 Measure the client's urine specific gravity.
4 Observe the client for increasing confusion. - CORRECT ✔✔✔✔✔ 4
What developmental skills does a preschooler exhibit? Select all that apply.
1 Personal identity
2 Specific reasoning
3 Increased curiosity
4 Magical thinking
5 Understanding of others - CORRECT ✔✔✔✔✔ 2,3,4
,During a nursing assessment, a nurse notes that a client has begun to create new
words. What term does the nurse use to document this finding?
1 Neologism
2 Perseveration
3 Pressured speech
4 Tangential speech - CORRECT ✔✔✔✔✔ 1
What should the nurse assess first when evaluating memory impairment in a client with
dementia?
1 Disorientation of self
2 Recollection of past events
3 Remembrance of recent events
4 Impaired ability to name objects - CORRECT ✔✔✔✔✔ 3
A client is admitted to the intensive care unit with a diagnosis of acute respiratory
distress syndrome. When assessing the client, what does the nurse expect to identify?
1 Hypertension
2 Tenacious sputum
3 Altered mental status
4 Slow rate of breathing - CORRECT ✔✔✔✔✔ 3
A client with schizophrenia reports having ongoing auditory hallucinations and describes
them as "voices telling me that I'm a bad person" to the nurse. What is the best
response by the nurse?
1 "Try to ignore the voices."
2 "What are the voices saying to you?"
3 "Do you believe what the voices are saying?"
4 "They're only voices, so just try not to be afraid." - CORRECT ✔✔✔✔✔ 1
An older adult is being admitted to a nursing home with the diagnosis of dementia. The
history reveals confusion, difficulty recognizing family members, and nighttime
wandering. What should the nurse include in the client's plan of care?
, 1 Ordering a vest restraint for the client to be applied at night
2 Obtaining a prescription for a sedative so the client will sleep better at night
3 Requesting that the family provide a companion to stay with the client at night
4 Assigning the client to a room near the nurses' station for closer supervision at night -
CORRECT ✔✔✔✔✔ 4
After assessing a client, the nurse suspects that the client has shift-work sleep disorder
(SWSD). Which medication would be prescribed to the client?
1 Caffeine
2 Modafinil
3 Atomoxetine
4 Methylphenidate - CORRECT ✔✔✔✔✔ 2
What should a nurse include in the plan of care for a client with vascular dementia?
1 Reeducation program
2 Supportive care interventions
3 Introduction of new leisure-time activities
4 Involvement in group therapy sessions - CORRECT ✔✔✔✔✔ 2
The student nurse is performing a rapid baseline assessment using a disability
mnemonic (AVPU) in a client with drug abuse. Which parameters should the student
nurse consider for proper assessment? Select all that apply.
1 Level of anxiety
2 Reaction to pain
3 Response to voice
4 Body temperature
5 Evidence of assault - CORRECT ✔✔✔✔✔ 2,3
What important step should the community nurse take when dealing with older adults
with a confusional states problem? Select all that apply.
1 The nurse should provide a protective environment.
2 The nurse should monitor blood pressure and weight.
3 The nurse should recommend applicable community resources.
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
The serum ammonia level of a client with hepatic cirrhosis and ascites is elevated. What
nursing intervention is the priority?
1 Weigh the client daily.
2 Restrict the client's oral fluid intake.
3 Measure the client's urine specific gravity.
4 Observe the client for increasing confusion. - CORRECT ✔✔✔✔✔ 4
What developmental skills does a preschooler exhibit? Select all that apply.
1 Personal identity
2 Specific reasoning
3 Increased curiosity
4 Magical thinking
5 Understanding of others - CORRECT ✔✔✔✔✔ 2,3,4
,During a nursing assessment, a nurse notes that a client has begun to create new
words. What term does the nurse use to document this finding?
1 Neologism
2 Perseveration
3 Pressured speech
4 Tangential speech - CORRECT ✔✔✔✔✔ 1
What should the nurse assess first when evaluating memory impairment in a client with
dementia?
1 Disorientation of self
2 Recollection of past events
3 Remembrance of recent events
4 Impaired ability to name objects - CORRECT ✔✔✔✔✔ 3
A client is admitted to the intensive care unit with a diagnosis of acute respiratory
distress syndrome. When assessing the client, what does the nurse expect to identify?
1 Hypertension
2 Tenacious sputum
3 Altered mental status
4 Slow rate of breathing - CORRECT ✔✔✔✔✔ 3
A client with schizophrenia reports having ongoing auditory hallucinations and describes
them as "voices telling me that I'm a bad person" to the nurse. What is the best
response by the nurse?
1 "Try to ignore the voices."
2 "What are the voices saying to you?"
3 "Do you believe what the voices are saying?"
4 "They're only voices, so just try not to be afraid." - CORRECT ✔✔✔✔✔ 1
An older adult is being admitted to a nursing home with the diagnosis of dementia. The
history reveals confusion, difficulty recognizing family members, and nighttime
wandering. What should the nurse include in the client's plan of care?
, 1 Ordering a vest restraint for the client to be applied at night
2 Obtaining a prescription for a sedative so the client will sleep better at night
3 Requesting that the family provide a companion to stay with the client at night
4 Assigning the client to a room near the nurses' station for closer supervision at night -
CORRECT ✔✔✔✔✔ 4
After assessing a client, the nurse suspects that the client has shift-work sleep disorder
(SWSD). Which medication would be prescribed to the client?
1 Caffeine
2 Modafinil
3 Atomoxetine
4 Methylphenidate - CORRECT ✔✔✔✔✔ 2
What should a nurse include in the plan of care for a client with vascular dementia?
1 Reeducation program
2 Supportive care interventions
3 Introduction of new leisure-time activities
4 Involvement in group therapy sessions - CORRECT ✔✔✔✔✔ 2
The student nurse is performing a rapid baseline assessment using a disability
mnemonic (AVPU) in a client with drug abuse. Which parameters should the student
nurse consider for proper assessment? Select all that apply.
1 Level of anxiety
2 Reaction to pain
3 Response to voice
4 Body temperature
5 Evidence of assault - CORRECT ✔✔✔✔✔ 2,3
What important step should the community nurse take when dealing with older adults
with a confusional states problem? Select all that apply.
1 The nurse should provide a protective environment.
2 The nurse should monitor blood pressure and weight.
3 The nurse should recommend applicable community resources.
