HESI study questions (adaptive quizzing)
According to Erikson's theory, which psychosocial According to Erikson's theory, psychosocial developmental changes observed in
developmental changes are observed in middle middle childhood are that the child is engaged in tasks and activities, and that the
childhood? Select all that apply. child can differentiate between industry and inferiority. Erikson's theory says that
1 The child is highly imaginative preschool children are highly imainative. A child is able to trust others at the
2 The child is able to trust others infancy stage. A child develops self-control and independence at the toddler
3 The child is engaged in tasks and activities stage.
4 The child can differentiate between industry and
inferiority
5 The child develops self-control and independence
After her baby's birth a client wishes to begin breast- Stimulating the rooting reflex effectively encourages the newborn to turn toward
feeding as soon as possible. How can the nurse best the breast in preparation for suckling. Giving the neonate a bottle may interfere
assist the client at this time? with the infant's learning to accept the breast. For milk to be expressed the infant
1 Giving the infant a bottle first to evaluate the sucking must grasp the entire areola, which contains the secretory ducts. At first the
reflex mother should be supervised to help ensure a successful experience.
2 Positioning the infant to grasp the nipple to express
colostrum
3 Leaving the infant and parents alone to promote
attachment behaviors
4 Touching the infant's cheek adjacent to the nipple to
elicit the rooting reflex
Page 1 of 41
,HESI study questions (adaptive quizzing)
An assessment of a client reporting severe nighttime Severe itching, especially at night, and the presence of burrows in the flexor
itching reveals burrows in the flexor surfaces of the wrists surface of the wrists and in the anterior axillary folds indicate scabies, which is
and in the anterior axillary folds. Which treatment is caused by the Sarcoptes scabiei mite. Treatment involves the use of permethrin
appropriate for this client? 5% topical lotion for one overnight application and a second application 1 week
1 Antipruritic lotion later. This treatment can yield 95% eradication of the condition. Antipruritic lotion
2 Y-Benzene hexachloride is required in cases of intense burning, local pain, swelling, and itching. Y-
3 Permethrin 5% topical lotion Benzene hexachloride is a common treatment for pediculosis. In cases of
4 Spinosad 0.9% topical suspension pediculosis involving the scalp, spinosad 0.9% topical suspension may be helpful.
A burn client is receiving the open method for wound Personal protective equipment (disposable hats, masks, gowns, and gloves) are
treatment. Which information will the nurse explain to the essential for the prevention of infection in clients with the open method of
client? treatment. Hydrotherapy in a large tank tub may be used to clean burn wounds.
1 "Bathing will not be permitted." Dressings are not used with the open method. Clients are more comfortable with
2 "Dressings will be changed daily." a room temperature of 85°F (29.4°C).
3 "Personal protective equipment will be worn by staff."
4 "Room temperature will be kept below 72°F [22.2°C]."
Page 2 of 41
,HESI study questions (adaptive quizzing)
A client exhibits oligohydramnios at 36 weeks' gestation. Oligohydramnios is associated with IUGR; risk factors for IUGR include
For which newborn complication would the nurse inadequate maternal nutrition and other high-risk conditions such as diabetes and
monitor? preeclampsia. Spina bifida does not affect amniotic fluid volume; it is associated
1 Spina bifida with an increased alpha-fetoprotein level. Imperforate anus does not affect
2 Imperforate anus amniotic fluid volume. Tracheoesophageal fistula is often associated with
3 Tracheoesophageal fistula polyhydramnios, which is excessive amniotic fluid.
4 Intrauterine growth restriction (IUGR)
A client has an abdominal cholecystectomy for treatment 1: Subcostal incisional pain causes the client to splint and avoid deep breathing,
of a gangreous gallbladder. Consider the location of the which impedes air exchange in the alveoli. The location of the incision does not
surgical site, the nurse would assess the client for which increase risk of hemorrhage. Paralytic ileus can be a postoperative problem, but
postoperative complication? is unrelated to the site of incision. The subcostal incision site is not specifically
1 Atelectasis vulnerable to infection.
2 Hemorrhage
3 Paralytic ileus
4 Wound infection
Page 3 of 41
, HESI study questions (adaptive quizzing)
A client has a small pustule at a hair follicle opening with 3. Folliculitis is the condition that forms a small pustule at the hair follicle opening;
minimal erythema on the scalp. Which condition would it has minimal erythema and is most commonly seen on the scalp, beard, and
the nurse suspect? extremities. A furuncle is a condition in which there is a tender erythematous area
1 Furuncle around the hair follicle. Cellulitis is the condition in which there is a hot, tender,
2 Cellulitis erythematous, and edematous area on the skin with diffuse borders. A carbuncle
3 Folliculitis is the condition in which many pustules appear in an erythematous area, most
4 Carbuncle commonly at the nape of the neck.
A client reports diminished sensations of pain, touch, and 2. Decreased blood flow to the skin may cause diminished sensations of pain,
temperature on the skin. The nurse touches the skin and touch, and temperature. The skin may also feel cold. Degeneration of elastic
finds it cool. Which skin changes would the nurse relate fibers may cause increased wrinkling and sagging of the breasts. Increased
to the client's findings? melanocytes in the basal layers may cause solar lentigines. Decreased activity of
1 Degenerated elastic fibers the apocrine glands may be related to uneven skin color and dry skin.
2 Decreased blood flow to the skin
3 Increased melanocytes in basal layer
4 Decreased activity of the apocrine glands
Page 4 of 41
According to Erikson's theory, which psychosocial According to Erikson's theory, psychosocial developmental changes observed in
developmental changes are observed in middle middle childhood are that the child is engaged in tasks and activities, and that the
childhood? Select all that apply. child can differentiate between industry and inferiority. Erikson's theory says that
1 The child is highly imaginative preschool children are highly imainative. A child is able to trust others at the
2 The child is able to trust others infancy stage. A child develops self-control and independence at the toddler
3 The child is engaged in tasks and activities stage.
4 The child can differentiate between industry and
inferiority
5 The child develops self-control and independence
After her baby's birth a client wishes to begin breast- Stimulating the rooting reflex effectively encourages the newborn to turn toward
feeding as soon as possible. How can the nurse best the breast in preparation for suckling. Giving the neonate a bottle may interfere
assist the client at this time? with the infant's learning to accept the breast. For milk to be expressed the infant
1 Giving the infant a bottle first to evaluate the sucking must grasp the entire areola, which contains the secretory ducts. At first the
reflex mother should be supervised to help ensure a successful experience.
2 Positioning the infant to grasp the nipple to express
colostrum
3 Leaving the infant and parents alone to promote
attachment behaviors
4 Touching the infant's cheek adjacent to the nipple to
elicit the rooting reflex
Page 1 of 41
,HESI study questions (adaptive quizzing)
An assessment of a client reporting severe nighttime Severe itching, especially at night, and the presence of burrows in the flexor
itching reveals burrows in the flexor surfaces of the wrists surface of the wrists and in the anterior axillary folds indicate scabies, which is
and in the anterior axillary folds. Which treatment is caused by the Sarcoptes scabiei mite. Treatment involves the use of permethrin
appropriate for this client? 5% topical lotion for one overnight application and a second application 1 week
1 Antipruritic lotion later. This treatment can yield 95% eradication of the condition. Antipruritic lotion
2 Y-Benzene hexachloride is required in cases of intense burning, local pain, swelling, and itching. Y-
3 Permethrin 5% topical lotion Benzene hexachloride is a common treatment for pediculosis. In cases of
4 Spinosad 0.9% topical suspension pediculosis involving the scalp, spinosad 0.9% topical suspension may be helpful.
A burn client is receiving the open method for wound Personal protective equipment (disposable hats, masks, gowns, and gloves) are
treatment. Which information will the nurse explain to the essential for the prevention of infection in clients with the open method of
client? treatment. Hydrotherapy in a large tank tub may be used to clean burn wounds.
1 "Bathing will not be permitted." Dressings are not used with the open method. Clients are more comfortable with
2 "Dressings will be changed daily." a room temperature of 85°F (29.4°C).
3 "Personal protective equipment will be worn by staff."
4 "Room temperature will be kept below 72°F [22.2°C]."
Page 2 of 41
,HESI study questions (adaptive quizzing)
A client exhibits oligohydramnios at 36 weeks' gestation. Oligohydramnios is associated with IUGR; risk factors for IUGR include
For which newborn complication would the nurse inadequate maternal nutrition and other high-risk conditions such as diabetes and
monitor? preeclampsia. Spina bifida does not affect amniotic fluid volume; it is associated
1 Spina bifida with an increased alpha-fetoprotein level. Imperforate anus does not affect
2 Imperforate anus amniotic fluid volume. Tracheoesophageal fistula is often associated with
3 Tracheoesophageal fistula polyhydramnios, which is excessive amniotic fluid.
4 Intrauterine growth restriction (IUGR)
A client has an abdominal cholecystectomy for treatment 1: Subcostal incisional pain causes the client to splint and avoid deep breathing,
of a gangreous gallbladder. Consider the location of the which impedes air exchange in the alveoli. The location of the incision does not
surgical site, the nurse would assess the client for which increase risk of hemorrhage. Paralytic ileus can be a postoperative problem, but
postoperative complication? is unrelated to the site of incision. The subcostal incision site is not specifically
1 Atelectasis vulnerable to infection.
2 Hemorrhage
3 Paralytic ileus
4 Wound infection
Page 3 of 41
, HESI study questions (adaptive quizzing)
A client has a small pustule at a hair follicle opening with 3. Folliculitis is the condition that forms a small pustule at the hair follicle opening;
minimal erythema on the scalp. Which condition would it has minimal erythema and is most commonly seen on the scalp, beard, and
the nurse suspect? extremities. A furuncle is a condition in which there is a tender erythematous area
1 Furuncle around the hair follicle. Cellulitis is the condition in which there is a hot, tender,
2 Cellulitis erythematous, and edematous area on the skin with diffuse borders. A carbuncle
3 Folliculitis is the condition in which many pustules appear in an erythematous area, most
4 Carbuncle commonly at the nape of the neck.
A client reports diminished sensations of pain, touch, and 2. Decreased blood flow to the skin may cause diminished sensations of pain,
temperature on the skin. The nurse touches the skin and touch, and temperature. The skin may also feel cold. Degeneration of elastic
finds it cool. Which skin changes would the nurse relate fibers may cause increased wrinkling and sagging of the breasts. Increased
to the client's findings? melanocytes in the basal layers may cause solar lentigines. Decreased activity of
1 Degenerated elastic fibers the apocrine glands may be related to uneven skin color and dry skin.
2 Decreased blood flow to the skin
3 Increased melanocytes in basal layer
4 Decreased activity of the apocrine glands
Page 4 of 41
