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!!)
A client who was in a motor bike accident has a severe neck injury. Which priority
nursing care is most needed?
1 Assessing for crepitus
2 Assessing for bleeding
3 Maintaining a patent airway
4 Performing neurologic assessment - CORRECT ✔✔✔✔✔ 3
A nurse is making a home visit to a young client manifesting chronic symptoms of
acquired immune deficiency syndrome (AIDS). The nurse assesses the client for what
signs of altered mental health function associated with AIDS? Select all that apply.
1 Delusions
2 Memory loss
3 Hopelessness
4 Hyperactivity
,5 Paranoid thinking - CORRECT ✔✔✔✔✔ 1,2,3,5
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
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
A client who was in a motor bike accident has a severe neck injury. Which priority
nursing care is most needed?
1 Assessing for crepitus
2 Assessing for bleeding
3 Maintaining a patent airway
4 Performing neurologic assessment - CORRECT ✔✔✔✔✔ 3
A nurse is making a home visit to a young client manifesting chronic symptoms of
acquired immune deficiency syndrome (AIDS). The nurse assesses the client for what
signs of altered mental health function associated with AIDS? Select all that apply.
1 Delusions
2 Memory loss
3 Hopelessness
4 Hyperactivity
,5 Paranoid thinking - CORRECT ✔✔✔✔✔ 1,2,3,5
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
