HESi ENTRANCE EXAM 2024 WITH CORRECT ANSWERS
What will the nurse instruct the nursing assistive personnel to do regarding the management of a
patient's pain? - ANSWERS-let me know 30 minutes before you transport her so i can administer
pain medication
The nurse is teaching a client proper use of an inhaler. When should the client administer the
inhaler-delivered medication to demonstrate correct use of the inhaler? - ANSWERS-during the
inhalation
common parental practices and health beliefs among hispanic, Chinese, filipino, and arab cultures
classify diseases, areas of the body, and illnesses as "hot" or "cold" and must be balanced to
maintain health and prevent illness. The perception that surgery is a "cold" condition implies that
only "hot" remedies such as soup, should be used to restore the healthy balance within the body
20 minutes after beginning a heat application, the client states that the heating pad no longer
feels warm enough. What is the best response by the nurse? - ANSWERS-"The body's receptors
adapt over time as they are exposed to heat"
--thermal adaptation, which occurs 20-30 minutes after heat application
An african-american grandmother tells the nurse that her 4-year-old grandson is suffering with
"Miseries". based on this statement, which focused assessment should the nurse conduct? -
ANSWERS-Inquire about the source and type of pain
Different cultural groups often have their own terms for health conditions. African-American
clients may refer to pain as "miseries"
A female client with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assess that there has been no drainage through the NG tube in the last two hours. What
action should the nurse take first? - ANSWERS-Reposition the client on her side
,The immediate priority is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention should be attempted first, followed
by irrigating the NG tube with sterile normal saline and advancing the NG tube an additional 5cm,
The nurse notices that the hispanic parents of a toddler who returns from surgery offer the child
only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and
juices, remain untouched. What explanation is most appropriate for this behavior? - ANSWERS-
"hot" remedies restore balance after surgery, which is considered a "cold" condition.
unless contraindicated. If these procedures do not work, the client may require an antiemetic.
A hospitalized male client is receiving NG tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels
fine now. What action is best for the nurse to take? - ANSWERS-After clearing the tube with 30ml
of air, check the pH of fluid withdrawn from the tube.
coughing, vomitting, and suctioning can precipitate displacement of the tip of the small bore
feeding tube upward into the esophagus, placing the client at increased risk for aspiration.
Checking the sample of fluid withdrawn from the tube (after clearing the tube with 30ml of air)
for acidic (stomach) or alkaline (intestine) values is a more sensitive method for these tubes, and
the nurse should assess tube placement in this way prior to taking any other action
A sub-saharan african widowed immigrant woman lives with her deceased husband's brother and
his family, which includes the brother-in-law's children and the widow's adult children. each
family member speaks fluent english. surgery was recommended for the client. What is the best
plan to obtain consent for surgery for this client? - ANSWERS-Tell the surgeon that the brother-
in-law will decide after explanation of the proposed surgery is provided to him an the widow
Customary law in some sub-saharan countries encompasses wife inheritance and polygamy; the
widow becomes the inherited wife of her husband's brother. In those rural areas women live in
patriarchal family where decision are made by men. Most likely, the brother-in-law will make the
decision for his inherited wife.
An older client who is a resident in a long term care facility has been bedridden for a week. Which
, finding should the nurse ID as a client risk factor for pressure ulcers? - ANSWERS-Rashes in
axillary, groin, and skin fold regions.
immobility, constant contact with bed clothing, and excessive heat and moisture in areas where
air flow is limited contributes to bacterial and fungal growth, which increases the risk for rashes,
skin breakdown, an the development of pressure ulcers.
the client should be instructed to deliver the medication during the last part of inhalation. After
medication is delivered, the client should remove the mouthpiece, keeping their lips closed and
breath held for several seconds to allow for distribution of the medication. The client should
deliver no more than two inhalations at a time.
an unlicensed UAP places a client in a left lateral position prior to administering a soap suds
enema. Which instruction should the nurse provide the UAP? - ANSWERS-Reposition in Sim's position
with the client's weight on the anterior ilium.
The left sided Sim's position allows the enema solution to follow the anatomical course of the
intestines and allows the best overall results, so the UAP should resposition the client in the Sim's
position, which distributes the client's weight to the anterior ilium.
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in
an adolescent? - ANSWERS-Upper arm circumference is an indirect measure of muscle mass.
Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-
pitched sounds, that is placed at points on the anterior chest. - ANSWERS-
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating.
Based on these findings, which intervention should the nurse implement first? - ANSWERS-Assist
the ambulating client back to bed.
What will the nurse instruct the nursing assistive personnel to do regarding the management of a
patient's pain? - ANSWERS-let me know 30 minutes before you transport her so i can administer
pain medication
The nurse is teaching a client proper use of an inhaler. When should the client administer the
inhaler-delivered medication to demonstrate correct use of the inhaler? - ANSWERS-during the
inhalation
common parental practices and health beliefs among hispanic, Chinese, filipino, and arab cultures
classify diseases, areas of the body, and illnesses as "hot" or "cold" and must be balanced to
maintain health and prevent illness. The perception that surgery is a "cold" condition implies that
only "hot" remedies such as soup, should be used to restore the healthy balance within the body
20 minutes after beginning a heat application, the client states that the heating pad no longer
feels warm enough. What is the best response by the nurse? - ANSWERS-"The body's receptors
adapt over time as they are exposed to heat"
--thermal adaptation, which occurs 20-30 minutes after heat application
An african-american grandmother tells the nurse that her 4-year-old grandson is suffering with
"Miseries". based on this statement, which focused assessment should the nurse conduct? -
ANSWERS-Inquire about the source and type of pain
Different cultural groups often have their own terms for health conditions. African-American
clients may refer to pain as "miseries"
A female client with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assess that there has been no drainage through the NG tube in the last two hours. What
action should the nurse take first? - ANSWERS-Reposition the client on her side
,The immediate priority is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention should be attempted first, followed
by irrigating the NG tube with sterile normal saline and advancing the NG tube an additional 5cm,
The nurse notices that the hispanic parents of a toddler who returns from surgery offer the child
only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and
juices, remain untouched. What explanation is most appropriate for this behavior? - ANSWERS-
"hot" remedies restore balance after surgery, which is considered a "cold" condition.
unless contraindicated. If these procedures do not work, the client may require an antiemetic.
A hospitalized male client is receiving NG tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels
fine now. What action is best for the nurse to take? - ANSWERS-After clearing the tube with 30ml
of air, check the pH of fluid withdrawn from the tube.
coughing, vomitting, and suctioning can precipitate displacement of the tip of the small bore
feeding tube upward into the esophagus, placing the client at increased risk for aspiration.
Checking the sample of fluid withdrawn from the tube (after clearing the tube with 30ml of air)
for acidic (stomach) or alkaline (intestine) values is a more sensitive method for these tubes, and
the nurse should assess tube placement in this way prior to taking any other action
A sub-saharan african widowed immigrant woman lives with her deceased husband's brother and
his family, which includes the brother-in-law's children and the widow's adult children. each
family member speaks fluent english. surgery was recommended for the client. What is the best
plan to obtain consent for surgery for this client? - ANSWERS-Tell the surgeon that the brother-
in-law will decide after explanation of the proposed surgery is provided to him an the widow
Customary law in some sub-saharan countries encompasses wife inheritance and polygamy; the
widow becomes the inherited wife of her husband's brother. In those rural areas women live in
patriarchal family where decision are made by men. Most likely, the brother-in-law will make the
decision for his inherited wife.
An older client who is a resident in a long term care facility has been bedridden for a week. Which
, finding should the nurse ID as a client risk factor for pressure ulcers? - ANSWERS-Rashes in
axillary, groin, and skin fold regions.
immobility, constant contact with bed clothing, and excessive heat and moisture in areas where
air flow is limited contributes to bacterial and fungal growth, which increases the risk for rashes,
skin breakdown, an the development of pressure ulcers.
the client should be instructed to deliver the medication during the last part of inhalation. After
medication is delivered, the client should remove the mouthpiece, keeping their lips closed and
breath held for several seconds to allow for distribution of the medication. The client should
deliver no more than two inhalations at a time.
an unlicensed UAP places a client in a left lateral position prior to administering a soap suds
enema. Which instruction should the nurse provide the UAP? - ANSWERS-Reposition in Sim's position
with the client's weight on the anterior ilium.
The left sided Sim's position allows the enema solution to follow the anatomical course of the
intestines and allows the best overall results, so the UAP should resposition the client in the Sim's
position, which distributes the client's weight to the anterior ilium.
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in
an adolescent? - ANSWERS-Upper arm circumference is an indirect measure of muscle mass.
Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-
pitched sounds, that is placed at points on the anterior chest. - ANSWERS-
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating.
Based on these findings, which intervention should the nurse implement first? - ANSWERS-Assist
the ambulating client back to bed.
