HESI COMPREHENSIVE EXAM
1 : PATIENT CARE
MANAGEMENT QUESTIONS
,1. An 80-year-old client is given morphine sulphate for c
postoperative pain. Which concomitant medication
should the nurse question that poses a potential de-
velopment of urinary retention in this geriatric client?
a. insulin
b.
c. tricyclic antidepressants
d. non-steroidal anti-inflammatory agents
2. Preoperatively, a client is to receive 75 mg of meperi- c
dine (Demerol) IM. The Demerol solution contains 50
mg/ml. How much solution should the nurse admin-
ister?
a. 0.5 mL
b. 1 mL
c. 1.5 mL
d. 2 mL
3. The nurse is preparing to administer a high volume a
saline enema to a client. Which information is most
important for the nurse to obtain prior to administer-
ing the enema?
a. History of inflammatory bowel disorders.
b. Reason for administering the enema.
c. Feelings about having an enema.
d. Allergies to medications.
4. An older client who has been bedridden for a month is c
admitted with a pressure ulcer on the left trochanter
area. The nurse determines that the ulcer extends into
the subcutaneous tissue. At which stage should the
nurse document this finding?
, a. stage 1
b. stage 2
c. stage 3
d. stage 4
5. The nurse is caring for a client who is one day postop- a
erative after a left total knee arthroplasty (TKA). Which
intervention should the nurse include in the plan of
care?
a. Progressive leg exercises to obtain 90-degree flex-
ion.
b. Ambulation with full weight-bearing on first postop
day.
c. Bed rest for three days with the left knee extended.
d. Immobilization of the left knee to prevent disloca-
tion.
6. Which finding should the nurse identify as an early c
clinical manifestation of neonatal encephalopathy re-
lated to hyperbilirubinemia?
a. Mental retardation.
b. Rigid extension of all extremities.
c. Lethargy or irritability.
d. Increased or unstable temperature.
7. The scope of professional nursing practice is deter- a
mined by rules promulgated by which organization?
a. State's Board of Nursing.
b. State Nursing Associations.
c. American Nurses Association (ANA).
d. National Labor Relations Board (NLRB).
8. b
, Prior to a cardiac catheterization, which activity
should the nurse have the client practice?
a. Flexing hips and knees bilaterally.
b. Valsalva's maneuver and coughing.
c. Talking while walking on a treadmill.
d. Remain motionless for 5 minutes.
9. The nurse is assessing a client who complains of a
weight loss, racing heart rate, and difficulty sleeping.
The nurse determines the client has moist skin with
fine hair, prominent eyes, lid retraction, and a staring
expression. These findings are consistent with which
disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
10. Which information should the nurse provide a client d
who has undergone cryosurgery for Stage 1A cervical
cancer?
a. Notify the healthcare provider if heavy vaginal dis-
charge occurs.
b. Use condoms for sexual intercourse during the next
week.
c. Flat subclinical mucosal lesions are a common
harmless side effect.
d. Use a sanitary napkin instead of a tampon.
11. The nurse is preparing a client for a scheduled surgical b
procedure. What client statement should the nurse
report to the healthcare provider?
1 : PATIENT CARE
MANAGEMENT QUESTIONS
,1. An 80-year-old client is given morphine sulphate for c
postoperative pain. Which concomitant medication
should the nurse question that poses a potential de-
velopment of urinary retention in this geriatric client?
a. insulin
b.
c. tricyclic antidepressants
d. non-steroidal anti-inflammatory agents
2. Preoperatively, a client is to receive 75 mg of meperi- c
dine (Demerol) IM. The Demerol solution contains 50
mg/ml. How much solution should the nurse admin-
ister?
a. 0.5 mL
b. 1 mL
c. 1.5 mL
d. 2 mL
3. The nurse is preparing to administer a high volume a
saline enema to a client. Which information is most
important for the nurse to obtain prior to administer-
ing the enema?
a. History of inflammatory bowel disorders.
b. Reason for administering the enema.
c. Feelings about having an enema.
d. Allergies to medications.
4. An older client who has been bedridden for a month is c
admitted with a pressure ulcer on the left trochanter
area. The nurse determines that the ulcer extends into
the subcutaneous tissue. At which stage should the
nurse document this finding?
, a. stage 1
b. stage 2
c. stage 3
d. stage 4
5. The nurse is caring for a client who is one day postop- a
erative after a left total knee arthroplasty (TKA). Which
intervention should the nurse include in the plan of
care?
a. Progressive leg exercises to obtain 90-degree flex-
ion.
b. Ambulation with full weight-bearing on first postop
day.
c. Bed rest for three days with the left knee extended.
d. Immobilization of the left knee to prevent disloca-
tion.
6. Which finding should the nurse identify as an early c
clinical manifestation of neonatal encephalopathy re-
lated to hyperbilirubinemia?
a. Mental retardation.
b. Rigid extension of all extremities.
c. Lethargy or irritability.
d. Increased or unstable temperature.
7. The scope of professional nursing practice is deter- a
mined by rules promulgated by which organization?
a. State's Board of Nursing.
b. State Nursing Associations.
c. American Nurses Association (ANA).
d. National Labor Relations Board (NLRB).
8. b
, Prior to a cardiac catheterization, which activity
should the nurse have the client practice?
a. Flexing hips and knees bilaterally.
b. Valsalva's maneuver and coughing.
c. Talking while walking on a treadmill.
d. Remain motionless for 5 minutes.
9. The nurse is assessing a client who complains of a
weight loss, racing heart rate, and difficulty sleeping.
The nurse determines the client has moist skin with
fine hair, prominent eyes, lid retraction, and a staring
expression. These findings are consistent with which
disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
10. Which information should the nurse provide a client d
who has undergone cryosurgery for Stage 1A cervical
cancer?
a. Notify the healthcare provider if heavy vaginal dis-
charge occurs.
b. Use condoms for sexual intercourse during the next
week.
c. Flat subclinical mucosal lesions are a common
harmless side effect.
d. Use a sanitary napkin instead of a tampon.
11. The nurse is preparing a client for a scheduled surgical b
procedure. What client statement should the nurse
report to the healthcare provider?
