HESI REVIEW FROM TERM 2 EXAM
QUESTIONS & DETAILED CORRECT
ANSWERS
A nursing team is reviewing its quality improvement plan. Which source of data will answer the
question, "Are there fewer nosocomial infections this year"? - CORRECT ANSWER Quality
improvement related to clinical goals is guided by the client's outcomes of the care processes
they received during their hospitalization and/or client encounters.
Which rights of medication administration are ensured with "bar-coding technology" which
requires the nurse to scan the medication, client's identification bracelet and nurse's
identification badge prior to administering medication? - CORRECT ANSWER Right dose, right
time, right client, right medication (not right route - it is the responsibility of the nurse to know
the correct route of administration)
The nurse is updating unit policies and procedures. Which source provides the strongest
evidence for practice changes? - CORRECT ANSWER Systematic reviews and meta-analyses.
(Systematic reviews and meta-analyses summarize credible research and are considered one
step above randomized controlled trials in most grading of evidence.)
The nurse is auscultating the lung fields of a client who has been diagnosed with emphysema.
The nurse notes high-pitched, whistling sounds throughout all lobes of the lung. Which term
best describes this lung sound? - CORRECT ANSWER Wheezing
The nurse is teaching a pre-op client in preparation for care following surgery. Which methods
should the nurse teach about pulmonary toileting? - CORRECT ANSWER -Breathe deeply
through the nose and exhale through the mouth
-use of the incentive spirometer
, (It is best to teach these techniques prior to surgery, so the client can practice prior. The benefit
of performing these techniques will be to encourage lung expansion and help prevent the
atelectasis and pneumonia.)
A four day old infant with no family members present is crying while lying in a bassinet in the
nursery. What should the nurse do prior to implementing therapeutic touch? - CORRECT
ANSWER The nurse should be aware or verify that the child is receptive to being touched. (This
is true regardless of the age of the client. In this example, if this was a drug-exposed infant and
going through withdrawals, touching them may overstimulate them and make the withdrawal
symptoms worse. A caring touch can be used to soothe and let the client know they are not
alone and another human being cares.)
Which signs or symptoms from a nursing assessment suggest a client is experiencing a form of
stress? - CORRECT ANSWER Diarrhea, palpitations, and headaches
Which foods should the nurse instruct a client diagnosed with end-stage renal disease to avoid?
- CORRECT ANSWER avoid foods high in potassium such as bananas, high in sodium such as
colas and high in protein such as red meats.
As the nurse inflates the balloon of a client's indwelling urinary catheter, the client reports pain
and discomfort. What should the nurse do next? - CORRECT ANSWER The nurse should deflate
the balloon then advance the catheter another 2.5cm ( I inch) and re-attempt inflation
Which nursing intervention is considered the best way to prevent constipation with a post-op
client? - CORRECT ANSWER Hydration of 2-3 liters per day for clients is encouraged, unless
contraindicated, to help prevent constipation.
The nurse is assessing a client who has reported 7 episodes of diarrhea in the past 24 hours.
What questions would determine a possible causative factor of the diarrhea? - CORRECT
ANSWER Asking about recent stress, food intake, medications, and characteristics of the
diarrhea are all useful questions. Any of the correct questions could lead to a causative factor.
QUESTIONS & DETAILED CORRECT
ANSWERS
A nursing team is reviewing its quality improvement plan. Which source of data will answer the
question, "Are there fewer nosocomial infections this year"? - CORRECT ANSWER Quality
improvement related to clinical goals is guided by the client's outcomes of the care processes
they received during their hospitalization and/or client encounters.
Which rights of medication administration are ensured with "bar-coding technology" which
requires the nurse to scan the medication, client's identification bracelet and nurse's
identification badge prior to administering medication? - CORRECT ANSWER Right dose, right
time, right client, right medication (not right route - it is the responsibility of the nurse to know
the correct route of administration)
The nurse is updating unit policies and procedures. Which source provides the strongest
evidence for practice changes? - CORRECT ANSWER Systematic reviews and meta-analyses.
(Systematic reviews and meta-analyses summarize credible research and are considered one
step above randomized controlled trials in most grading of evidence.)
The nurse is auscultating the lung fields of a client who has been diagnosed with emphysema.
The nurse notes high-pitched, whistling sounds throughout all lobes of the lung. Which term
best describes this lung sound? - CORRECT ANSWER Wheezing
The nurse is teaching a pre-op client in preparation for care following surgery. Which methods
should the nurse teach about pulmonary toileting? - CORRECT ANSWER -Breathe deeply
through the nose and exhale through the mouth
-use of the incentive spirometer
, (It is best to teach these techniques prior to surgery, so the client can practice prior. The benefit
of performing these techniques will be to encourage lung expansion and help prevent the
atelectasis and pneumonia.)
A four day old infant with no family members present is crying while lying in a bassinet in the
nursery. What should the nurse do prior to implementing therapeutic touch? - CORRECT
ANSWER The nurse should be aware or verify that the child is receptive to being touched. (This
is true regardless of the age of the client. In this example, if this was a drug-exposed infant and
going through withdrawals, touching them may overstimulate them and make the withdrawal
symptoms worse. A caring touch can be used to soothe and let the client know they are not
alone and another human being cares.)
Which signs or symptoms from a nursing assessment suggest a client is experiencing a form of
stress? - CORRECT ANSWER Diarrhea, palpitations, and headaches
Which foods should the nurse instruct a client diagnosed with end-stage renal disease to avoid?
- CORRECT ANSWER avoid foods high in potassium such as bananas, high in sodium such as
colas and high in protein such as red meats.
As the nurse inflates the balloon of a client's indwelling urinary catheter, the client reports pain
and discomfort. What should the nurse do next? - CORRECT ANSWER The nurse should deflate
the balloon then advance the catheter another 2.5cm ( I inch) and re-attempt inflation
Which nursing intervention is considered the best way to prevent constipation with a post-op
client? - CORRECT ANSWER Hydration of 2-3 liters per day for clients is encouraged, unless
contraindicated, to help prevent constipation.
The nurse is assessing a client who has reported 7 episodes of diarrhea in the past 24 hours.
What questions would determine a possible causative factor of the diarrhea? - CORRECT
ANSWER Asking about recent stress, food intake, medications, and characteristics of the
diarrhea are all useful questions. Any of the correct questions could lead to a causative factor.
