266 HESI Test Questions with Verified Answers Graded A+
Question 1 of 55
The nurse is evaluating a client's understanding about the
DASH (Dietary Approaches to Stop Hypertension) eating
plan. Which behavior indicates that the client is adhering
to the eating plan?
- D Enjoys fat-free yogurt as an occasional snack food.
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegeta-
bles.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
Question 2 of 55
A client who has a history of hypothyroidism was initially
admitted with lethargy and confusion. Which additional
finding warrants the most immediate action by the nurse?
[Hematocrit (Reference Range: Male: 42% to 52% (0.42
to 0.52 volume fraction)] - A Further decline in level of consciousness.
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puflness and periorbital edema
Question 3 of 55
The nurse is caring for a client with a burn that is severely
edematous with a wound bed that is brown and yellow in
appearance. The client expresses feeling no pain. Which
- B Full thickness.
classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
, 266 HESI Test Questions with Verified Answers Graded A+
- C Deep partial-thickness.
- D Superficial partial-thickness.
Question 4 of 55
An older client who is agitated, dyspneic, orthopne-
ic, and using accessory muscles to breathe is admit-
- A Urinary output.
ted for further treatment. Initial assessment includes a
- B Oxygen saturation.
heart rate 128 beats/minute and irregular, respirations
- D Lung sounds.
38 breaths/minute, blood pressure 168/100 mm Hg,
wheezes and crackles in all lung fields. An hour after
Orthopneic position, sometimes called tripod position, is a
the administration of furosemide 60 mg intravenous (IV),
sitting position where an individual leans slightly forward
which assessment(s) should the nurse obtain to deter-
with their arms propped up on an overbed table or their
mine the client's response to treatment? (Select all that
knees.
apply.)
Orthopnea is the sensation of breathlessness in the re-
- A Urinary output.
cumbent (lying down) position, relieved by sitting or
- B Oxygen saturation.
standing.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
Question 5 of 55 - B Crohn's disease with colectomy.
A client is diagnosed with chronic kidney disease and
needs to begin dialysis. Which condition entered on the Question # 5
client's medical record should the nurse recognize as a Rationale - B Crohn's disease with colectomy.
contraindication for peritoneal dialysis? The nurse should recognize that clients with extensive
intra-abdominal surgical history are not candidates for
- A Nephrotic syndrome history. peritoneal dialysis, as these clients may have decreased
- B Crohn's disease with colectomy. peritoneal membrane surface areas and scar tissue for-
- C Type 2 diabetes mellitus. mation, which would make it insuflcient for adequate
- D Latent hepatitis C. dialysis exchange.
Question 6 of 55 - D Hypoalbuminemia that results in a decreased colloidal
The nurse assesses a client with cirrhosis and finds 4+ oncotic pressure.
, 266 HESI Test Questions with Verified Answers Graded A+
pitting edema of the feet and legs, and massive ascites.
The three main things that the liver produces are albumin,
Which mechanism contributes to edema and ascites in
bile (digestive enzymes), and prothrombin (clotting fac-
clients with cirrhosis?
tors).
- A Decreased portacaval pressure with greater collateral
Albumin plays many important roles including main-
circulation.
tenance of appropriate osmotic pressure, binding and
- B Hyperaldosteronism causing an increased sodium re-
transport of various substances like hormones, drugs etc.
absorption in renal tubules.
in blood, and neutralisation of free radicals. It prevents flu-
- C Decreased renin-angiotensin response related to an
id from leaking out of blood vessels into your tissues. Albu-
increase in renal blood flow.
min is also responsible for transporting vitamins, enzymes
- D Hypoalbuminemia that results in a decreased colloidal
and hormones throughout your body. Albumin makes up
oncotic pressure.
50% of the proteins found in your plasma.
Question 7 of 55
While assessing a client with degenerative joint disease,
the nurse observes Heberden's nodes, large prominences
on the client's fingers that are reddened. The client reports
that the nodes are painful. Which action should the nurse
take?
- B Discuss approaches to chronic pain control with the
- A Review the client's dietary intake of high-protein client.
foods.
- B Discuss approaches to chronic pain control with the
client.
- C Notify the healthcare provider of the finding immedi-
ately.
- D Assess the client's radial pulses and capillary refill time.
Question 8 of 55
Which information should the nurse include in the teach-
ing plan of a client diagnosed with gastroesophageal
reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no
, 266 HESI Test Questions with Verified Answers Graded A+
snacks.
- B Minimize symptoms by wearing loose, comfortable
clothing. - B Minimize symptoms by wearing loose, comfortable
- C Avoid participation in any aerobic exercise programs. clothing.
- D Sleep without pillows at night to maintain neck align-
ment.
Question 9 of 55
The nurse assesses a client with petechiae and ecchymo-
sis scattered across the arms and legs. Which laboratory
result should the nurse review?
- D Platelet count.
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
Question 10 of 55
The nurse is providing teaching to a client with Type 2
diabetes mellitus and peripheral neuropathy. Which in-
formation should the nurse provide?
- A Family members can help with regular foot exams. - A Family members can help with regular foot exams.
- B Heating pads are useful if on the lowest setting.
- C Shoes should be worn outside the house, but it is fine
to be barefoot inside.
- D Aching feet may be soaked in lukewarm water for one
hour or more.
- A: Inspect ankles daily for areas of darkening skin.
Regular inspection can help detect any changes or wors-
Question 11 of 55
ening of the condition early.
The nurse is providing discharge teaching to an older
- C: Keep legs elevated when sitting or lying down.
Elevation can help reduce swelling and improve blood
Question 1 of 55
The nurse is evaluating a client's understanding about the
DASH (Dietary Approaches to Stop Hypertension) eating
plan. Which behavior indicates that the client is adhering
to the eating plan?
- D Enjoys fat-free yogurt as an occasional snack food.
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegeta-
bles.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
Question 2 of 55
A client who has a history of hypothyroidism was initially
admitted with lethargy and confusion. Which additional
finding warrants the most immediate action by the nurse?
[Hematocrit (Reference Range: Male: 42% to 52% (0.42
to 0.52 volume fraction)] - A Further decline in level of consciousness.
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puflness and periorbital edema
Question 3 of 55
The nurse is caring for a client with a burn that is severely
edematous with a wound bed that is brown and yellow in
appearance. The client expresses feeling no pain. Which
- B Full thickness.
classification of burn depth should the nurse document?
- A Deep full-thickness.
- B Full thickness.
, 266 HESI Test Questions with Verified Answers Graded A+
- C Deep partial-thickness.
- D Superficial partial-thickness.
Question 4 of 55
An older client who is agitated, dyspneic, orthopne-
ic, and using accessory muscles to breathe is admit-
- A Urinary output.
ted for further treatment. Initial assessment includes a
- B Oxygen saturation.
heart rate 128 beats/minute and irregular, respirations
- D Lung sounds.
38 breaths/minute, blood pressure 168/100 mm Hg,
wheezes and crackles in all lung fields. An hour after
Orthopneic position, sometimes called tripod position, is a
the administration of furosemide 60 mg intravenous (IV),
sitting position where an individual leans slightly forward
which assessment(s) should the nurse obtain to deter-
with their arms propped up on an overbed table or their
mine the client's response to treatment? (Select all that
knees.
apply.)
Orthopnea is the sensation of breathlessness in the re-
- A Urinary output.
cumbent (lying down) position, relieved by sitting or
- B Oxygen saturation.
standing.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
Question 5 of 55 - B Crohn's disease with colectomy.
A client is diagnosed with chronic kidney disease and
needs to begin dialysis. Which condition entered on the Question # 5
client's medical record should the nurse recognize as a Rationale - B Crohn's disease with colectomy.
contraindication for peritoneal dialysis? The nurse should recognize that clients with extensive
intra-abdominal surgical history are not candidates for
- A Nephrotic syndrome history. peritoneal dialysis, as these clients may have decreased
- B Crohn's disease with colectomy. peritoneal membrane surface areas and scar tissue for-
- C Type 2 diabetes mellitus. mation, which would make it insuflcient for adequate
- D Latent hepatitis C. dialysis exchange.
Question 6 of 55 - D Hypoalbuminemia that results in a decreased colloidal
The nurse assesses a client with cirrhosis and finds 4+ oncotic pressure.
, 266 HESI Test Questions with Verified Answers Graded A+
pitting edema of the feet and legs, and massive ascites.
The three main things that the liver produces are albumin,
Which mechanism contributes to edema and ascites in
bile (digestive enzymes), and prothrombin (clotting fac-
clients with cirrhosis?
tors).
- A Decreased portacaval pressure with greater collateral
Albumin plays many important roles including main-
circulation.
tenance of appropriate osmotic pressure, binding and
- B Hyperaldosteronism causing an increased sodium re-
transport of various substances like hormones, drugs etc.
absorption in renal tubules.
in blood, and neutralisation of free radicals. It prevents flu-
- C Decreased renin-angiotensin response related to an
id from leaking out of blood vessels into your tissues. Albu-
increase in renal blood flow.
min is also responsible for transporting vitamins, enzymes
- D Hypoalbuminemia that results in a decreased colloidal
and hormones throughout your body. Albumin makes up
oncotic pressure.
50% of the proteins found in your plasma.
Question 7 of 55
While assessing a client with degenerative joint disease,
the nurse observes Heberden's nodes, large prominences
on the client's fingers that are reddened. The client reports
that the nodes are painful. Which action should the nurse
take?
- B Discuss approaches to chronic pain control with the
- A Review the client's dietary intake of high-protein client.
foods.
- B Discuss approaches to chronic pain control with the
client.
- C Notify the healthcare provider of the finding immedi-
ately.
- D Assess the client's radial pulses and capillary refill time.
Question 8 of 55
Which information should the nurse include in the teach-
ing plan of a client diagnosed with gastroesophageal
reflux disease (GERD)?
- A Adjust food intake to three full meals per day and no
, 266 HESI Test Questions with Verified Answers Graded A+
snacks.
- B Minimize symptoms by wearing loose, comfortable
clothing. - B Minimize symptoms by wearing loose, comfortable
- C Avoid participation in any aerobic exercise programs. clothing.
- D Sleep without pillows at night to maintain neck align-
ment.
Question 9 of 55
The nurse assesses a client with petechiae and ecchymo-
sis scattered across the arms and legs. Which laboratory
result should the nurse review?
- D Platelet count.
- A Red blood cell count.
- B Hemoglobin levels.
- C White blood cell count.
- D Platelet count.
Question 10 of 55
The nurse is providing teaching to a client with Type 2
diabetes mellitus and peripheral neuropathy. Which in-
formation should the nurse provide?
- A Family members can help with regular foot exams. - A Family members can help with regular foot exams.
- B Heating pads are useful if on the lowest setting.
- C Shoes should be worn outside the house, but it is fine
to be barefoot inside.
- D Aching feet may be soaked in lukewarm water for one
hour or more.
- A: Inspect ankles daily for areas of darkening skin.
Regular inspection can help detect any changes or wors-
Question 11 of 55
ening of the condition early.
The nurse is providing discharge teaching to an older
- C: Keep legs elevated when sitting or lying down.
Elevation can help reduce swelling and improve blood
