NSG-322 Practice HESI Questions with Answers Rated A
The nurse completes an emergency admission of a male
client with schizophrenia who has not been taking his an-
tipsychotic medications. The client is pacing, is extremely Reevaluate the client's blood pressure in an hour.
irritable, and has a blood pressure of 146/96. What is the
priority nursing action?
A young adult female client with panic disorder arrives in
the Emergency Center with a 4-day history of chest pain
that began when her boyfriend left her. Initial assessment Drugs taken in last 7 days.
reveals normal cardiopulmonary findings. Which informa-
tion is most important for the nurse to obtain?
A female client comes to an outpatient therapy appoint-
ment intoxicated. The spouse tells the nurse, "There Tell the client that therapy cannot take place while she is
wasn't anything I could do to stop her drinking this morn- intoxicated.
ing." What intervention should the nurse take at this time?
The nurse is planning care for a client with major depres-
sion who is admitted to the unit after a recent suicide
Search the client's personal belongings.
attempt. Which intervention has the highest priority for
inclusion in this client's plan of care?
A male client is brought to the emergency department
by a police oflcer, who reports the client was "disturbing
the peace" by running naked in the street, striking out Threats to kill his friend, hears voices telling him to kill
at others, and smashing car windows. Which behaviors himself, reports he has not needed a bath in 4 months
should the client demonstrate to determine if he should and says he has not eaten in 3 days.
be evaluated for involuntary commitment? (Choose all that
apply.)
The nurse is caring for an adult male client with catatonic
schizophrenia who is mute and motionless. What is the High risk for fluid and electrolyte imbalance.
priority nursing problem?
At the end of a group therapy session, a client who is hos-
pitalized for psychosis falls to the floor when attempting
1/9
, NSG-322 Practice HESI Questions with Answers Rated A
to stand. What intervention should the nurse implement
Ask a group member to seek help.
first?
Which nursing intervention should the nurse implement
Keep the body available for a few hours in case they
with parents who experience a fetal demise and express
change their minds.
the wish not to see the baby?
An adult female who is married and works full-time in
a factory has been absent from work for three days at
a time on several occasions. Each time she returns to
How did this happen to you?
work, she wears dark glasses to cover facial bruising. Her
supervisor refers her to the occupational health nurse.
What assessment question should the nurse use?
A client on the mental health unit reports concerns about
weight gain as a result of taking divalproex (Depakote)
and requests assistance to fill out a menu. The nurse Dietician.
should initiate a referral to which healthcare team mem-
ber?
The nurse is planning the care for a client based on the
Focus on the client's positive or negative feelings toward
psychoanalytical model. Which intervention should the
the nurse.
nurse include in the plan of care?
A woman admitted to the Emergency Department is
bleeding profusely from a patch where hair was lost from
her scalp. She is accompanied by her husband who tells
the nurse that his wife caught her hair on the railing and
Require the husband to leave the cubicle while the client
pulled it out when she fell down the stairs. The husband
is being treated.
is solicitous of his wife and quickly answers questions on
her behalf. He attempts to comfort his wife by saying to
her, "I am right here with you, dear. Nothing can keep us
apart." What is the priority nursing intervention?
A female client with severe depression is given informa-
tion about the risks, benefits, alternatives, and expected
2/9
The nurse completes an emergency admission of a male
client with schizophrenia who has not been taking his an-
tipsychotic medications. The client is pacing, is extremely Reevaluate the client's blood pressure in an hour.
irritable, and has a blood pressure of 146/96. What is the
priority nursing action?
A young adult female client with panic disorder arrives in
the Emergency Center with a 4-day history of chest pain
that began when her boyfriend left her. Initial assessment Drugs taken in last 7 days.
reveals normal cardiopulmonary findings. Which informa-
tion is most important for the nurse to obtain?
A female client comes to an outpatient therapy appoint-
ment intoxicated. The spouse tells the nurse, "There Tell the client that therapy cannot take place while she is
wasn't anything I could do to stop her drinking this morn- intoxicated.
ing." What intervention should the nurse take at this time?
The nurse is planning care for a client with major depres-
sion who is admitted to the unit after a recent suicide
Search the client's personal belongings.
attempt. Which intervention has the highest priority for
inclusion in this client's plan of care?
A male client is brought to the emergency department
by a police oflcer, who reports the client was "disturbing
the peace" by running naked in the street, striking out Threats to kill his friend, hears voices telling him to kill
at others, and smashing car windows. Which behaviors himself, reports he has not needed a bath in 4 months
should the client demonstrate to determine if he should and says he has not eaten in 3 days.
be evaluated for involuntary commitment? (Choose all that
apply.)
The nurse is caring for an adult male client with catatonic
schizophrenia who is mute and motionless. What is the High risk for fluid and electrolyte imbalance.
priority nursing problem?
At the end of a group therapy session, a client who is hos-
pitalized for psychosis falls to the floor when attempting
1/9
, NSG-322 Practice HESI Questions with Answers Rated A
to stand. What intervention should the nurse implement
Ask a group member to seek help.
first?
Which nursing intervention should the nurse implement
Keep the body available for a few hours in case they
with parents who experience a fetal demise and express
change their minds.
the wish not to see the baby?
An adult female who is married and works full-time in
a factory has been absent from work for three days at
a time on several occasions. Each time she returns to
How did this happen to you?
work, she wears dark glasses to cover facial bruising. Her
supervisor refers her to the occupational health nurse.
What assessment question should the nurse use?
A client on the mental health unit reports concerns about
weight gain as a result of taking divalproex (Depakote)
and requests assistance to fill out a menu. The nurse Dietician.
should initiate a referral to which healthcare team mem-
ber?
The nurse is planning the care for a client based on the
Focus on the client's positive or negative feelings toward
psychoanalytical model. Which intervention should the
the nurse.
nurse include in the plan of care?
A woman admitted to the Emergency Department is
bleeding profusely from a patch where hair was lost from
her scalp. She is accompanied by her husband who tells
the nurse that his wife caught her hair on the railing and
Require the husband to leave the cubicle while the client
pulled it out when she fell down the stairs. The husband
is being treated.
is solicitous of his wife and quickly answers questions on
her behalf. He attempts to comfort his wife by saying to
her, "I am right here with you, dear. Nothing can keep us
apart." What is the priority nursing intervention?
A female client with severe depression is given informa-
tion about the risks, benefits, alternatives, and expected
2/9
