HESI Comprehension Practice Test
Questions With Accurate Answers
A 34-year-old male client who is admitted to the mental health unit for paranoia
is responding to antipsychotic medications. After the healthcare team decides to
discharge the client, he tells the practical nurse (PN) that his wife is unfaithful and
he plans to get her for this. How should the PN respond?
A. Report to the team that the client's wife should be informed.
B. Ask the client if he will comply with the mandatory day hospital visits.
C. Tell the client to discuss his medication dose with his healthcare provider.
D. Explain the consequences if he carries out his threats to his wife. correct
answer A. Report to the team that the client's wife should be informed.
Mental healthcare member has the responsibility of Duty to Warn and report any
intended, identified victim of possible future harm by a client.
A child with acute streptococcal pharyngitis is prescribed amoxicillin (Amoxil)
suspension. The mother asks the practical nurse (PN) when her child can return to
school. Which information should the PN provide?
A. After the child is evaluated for complications.
B. As soon as the child says the sore throat is better.
C. When the child completes 3 days of antibiotic doses.
D. After the child has taken antibiotics for 24 hours. correct answer D. After the
child has taken antibiotics for 24 hours.
,Spread of infection of streptococcal disease is common in families, classrooms,
and day care centers. After 24 hours, the streptococcal infection should be
noninfectious to others.
A client is 24-hours post-endoscopic retrograde cholangiopancreatography (ERCP)
for cholelithiasis. Which finding should the PN report to healthcare provider?
A. Serum bilirubin elevation four times above normal value
B. Serum amylase elevation three times above normal value
C. Steatorrhea
D. Jaundiced sclera correct answer B. Serum amylase elevation three times above
normal value
ERCP can cause a gallstone to move into the common bile duct, obstructing flow
into duodenum and cause pancreatitis, which is evidences by increase in serum
amylase.
A client is wearing a continuous 24-hour Holter monitor for elevation of heart
rhythm disturbances. What info should the PN reinforce with this client?
A. Remove the electrodes to shower or bathe
B. Keep a diary of activities as long as the monitor is worn.
C. Exercise as much as possible while the monitor is in place.
D. Call the assigned number if an episode of irregular heartbeats occurs. correct
answer B. Keep a diary of activities as long as the monitor is worn.
,Nursing care for a client with a Holter monitor includes preparation of the skin,
placement of the electrodes and leads, and activities of daily living, so the client
should be informed of the importance of keeping an accurate record of activities
and symptoms
A client who delivered a 7 pound 8 ounce infant 3 hours ago has a soft, boggy
uterus located above the umbilicus. What action should the practical nurse
implement next?
A. Perform fundal massage.
B. Notify the charge nurse.
C. Obtain a blood pressure.
D. Initiate perineal pad count. correct answer A. Perform fundal massage.
A soft, boggy uterus places the client at increased risk for postpartum
hemorrhage, so the PN should perform fundal massage to contract the uterus.
A client who has been taking furosemide (Lasix) for the past two months is 2 days
postoperative for a suprapubic prostatectomy. After breakfast, the client is in the
bathroom straining to have a bowel movement when he calls the practical nurse
(PN) complaining of sudden onset of shortness of breath and acute chest pain.
Which condition should the practical nurse (PN) assess the client?
A. Stable angina pectoris.
B. Pulmonary edema.
C. Pulmonary embolism.
D. Gastroesophageal reflux. correct answer C. Pulmonary embolism.
, The client's postoperative status and possible dehydration related to recent use
of Lasix places the client at risk for pulmonary embolism, which is a postoperative
complication characterized by acute chest pain and shortness of breath
precipitated by straining on stool.
A client with a common cold is seeking treatment at the health clinic. What
information should the practical nurse (PN) reinforce to reduce the spread of
infection to family members?
A. Wash hands after each use of a tissue for nasal drainage.
B. Use a dishwasher for all personal dishes and utensils.
C. Recommend wearing a mask until all cold symptoms subside.
D. Sleep alone in a room and use a humidifier. correct answer A. Wash hands after
each use of a tissue for nasal drainage.
Handwashing after sneezing, coughing, and blowing the nose is the best defense
in reducing the risk of spreading viruses directly or indirectly to others.
A client with acute pancreatitis has a low serum calcium level. The practical nurse
(PN) observes that the lips, nose, and side of the face contract after the client's
face is cleansed with a cloth. Which documentation describes these findings?
A. Bell's palsy noted.
B. Tic douloureux noted.
C. Chvostek's sign noted.
D. Trousseau's sign noted. correct answer C. Chvostek's sign noted.
Questions With Accurate Answers
A 34-year-old male client who is admitted to the mental health unit for paranoia
is responding to antipsychotic medications. After the healthcare team decides to
discharge the client, he tells the practical nurse (PN) that his wife is unfaithful and
he plans to get her for this. How should the PN respond?
A. Report to the team that the client's wife should be informed.
B. Ask the client if he will comply with the mandatory day hospital visits.
C. Tell the client to discuss his medication dose with his healthcare provider.
D. Explain the consequences if he carries out his threats to his wife. correct
answer A. Report to the team that the client's wife should be informed.
Mental healthcare member has the responsibility of Duty to Warn and report any
intended, identified victim of possible future harm by a client.
A child with acute streptococcal pharyngitis is prescribed amoxicillin (Amoxil)
suspension. The mother asks the practical nurse (PN) when her child can return to
school. Which information should the PN provide?
A. After the child is evaluated for complications.
B. As soon as the child says the sore throat is better.
C. When the child completes 3 days of antibiotic doses.
D. After the child has taken antibiotics for 24 hours. correct answer D. After the
child has taken antibiotics for 24 hours.
,Spread of infection of streptococcal disease is common in families, classrooms,
and day care centers. After 24 hours, the streptococcal infection should be
noninfectious to others.
A client is 24-hours post-endoscopic retrograde cholangiopancreatography (ERCP)
for cholelithiasis. Which finding should the PN report to healthcare provider?
A. Serum bilirubin elevation four times above normal value
B. Serum amylase elevation three times above normal value
C. Steatorrhea
D. Jaundiced sclera correct answer B. Serum amylase elevation three times above
normal value
ERCP can cause a gallstone to move into the common bile duct, obstructing flow
into duodenum and cause pancreatitis, which is evidences by increase in serum
amylase.
A client is wearing a continuous 24-hour Holter monitor for elevation of heart
rhythm disturbances. What info should the PN reinforce with this client?
A. Remove the electrodes to shower or bathe
B. Keep a diary of activities as long as the monitor is worn.
C. Exercise as much as possible while the monitor is in place.
D. Call the assigned number if an episode of irregular heartbeats occurs. correct
answer B. Keep a diary of activities as long as the monitor is worn.
,Nursing care for a client with a Holter monitor includes preparation of the skin,
placement of the electrodes and leads, and activities of daily living, so the client
should be informed of the importance of keeping an accurate record of activities
and symptoms
A client who delivered a 7 pound 8 ounce infant 3 hours ago has a soft, boggy
uterus located above the umbilicus. What action should the practical nurse
implement next?
A. Perform fundal massage.
B. Notify the charge nurse.
C. Obtain a blood pressure.
D. Initiate perineal pad count. correct answer A. Perform fundal massage.
A soft, boggy uterus places the client at increased risk for postpartum
hemorrhage, so the PN should perform fundal massage to contract the uterus.
A client who has been taking furosemide (Lasix) for the past two months is 2 days
postoperative for a suprapubic prostatectomy. After breakfast, the client is in the
bathroom straining to have a bowel movement when he calls the practical nurse
(PN) complaining of sudden onset of shortness of breath and acute chest pain.
Which condition should the practical nurse (PN) assess the client?
A. Stable angina pectoris.
B. Pulmonary edema.
C. Pulmonary embolism.
D. Gastroesophageal reflux. correct answer C. Pulmonary embolism.
, The client's postoperative status and possible dehydration related to recent use
of Lasix places the client at risk for pulmonary embolism, which is a postoperative
complication characterized by acute chest pain and shortness of breath
precipitated by straining on stool.
A client with a common cold is seeking treatment at the health clinic. What
information should the practical nurse (PN) reinforce to reduce the spread of
infection to family members?
A. Wash hands after each use of a tissue for nasal drainage.
B. Use a dishwasher for all personal dishes and utensils.
C. Recommend wearing a mask until all cold symptoms subside.
D. Sleep alone in a room and use a humidifier. correct answer A. Wash hands after
each use of a tissue for nasal drainage.
Handwashing after sneezing, coughing, and blowing the nose is the best defense
in reducing the risk of spreading viruses directly or indirectly to others.
A client with acute pancreatitis has a low serum calcium level. The practical nurse
(PN) observes that the lips, nose, and side of the face contract after the client's
face is cleansed with a cloth. Which documentation describes these findings?
A. Bell's palsy noted.
B. Tic douloureux noted.
C. Chvostek's sign noted.
D. Trousseau's sign noted. correct answer C. Chvostek's sign noted.
