NURS 1010 HESI Practice Quiz/Exam Questions
With Complete Answers
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors. - ANSWER A: B
Rationale
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can be
initiated if indicated. (A and C) can be used for stress management. Though (D)
can be a source of anxiety, a nutritional history should be obtained first.
A postoperative client will need to perform daily dressing changes after
discharge. Which outcome response best demonstrates the client's readiness to
manage wound care after discharge?
A. Asking relevant questions regarding the dressing change.
B. Stating theability to complete the wound care regimen.
C. Demonstrating the wound care procedure correctly.
D. Showing all the necessary supplies for wound care.
Submit - ANSWER A:C
Rationale
A return demonstration of a procedure provides an objective assessment of a
client's ability to perform a task, while client statements or questions are
subjective measures.Showing that the client possesses the necessary supplies
is important, but it is less of a priority prior to discharge than the nurse's
assessment of the client's ability to complete the wound care.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which
concern should the nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
,C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Submit - ANSWER A: B
Rationale
Blood transfusions are forbidden in the Jehovah's Witness religion. Judaism
prohibits autopsies and Buddhism forbids the use of alcohol and drugs. Many of
these sects follow a vegetarian diet, but the direct impact on nursing care
concerns beliefs about transfusions.
During shift change report, the nurse receives report that a client has abnormal
heart sounds. Which placement of the stethoscope should the nurse use to hear
the client's heart sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest.
D. Position the diaphragm of the stethoscope at Erb's point on the chest. -
ANSWER A: B
Rationale
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.
The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for fifteen seconds, large amounts of thick yellow secretions return.
What action should the nurse implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again.
Submit - ANSWER A: D
Rationale
Nasotracheal suctioning should not be continued for longer than ten to fifteen
seconds, since the client's oxygenation is compromised during this time.
Additional suctioning may continue after the client has received oxygen.
A client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.1 grams
PO bid for spasticity. Dantrolene is available in 100 mg capsules. How many
capsules should the nurse administer? (Enter numeric value only.) - ANSWER A:
1
, The nurse is evaluating a client learning about a low-sodium diet. Selection of
which meal would indicate to the nurse that this client understands the dietary
restrictions?
A= Tossed salad, low-sodium dressing, bacon and tomato sandwich.
B= New England clam chowder, no-salt crackers, fresh fruit salad.
C= Skim milk, turkey salad, roll, vanilla ice cream.
D= Macaroni and cheese, diet Coke, a slice of cherry pie. - ANSWER C= Skim
milk, turkey salad, roll, vanilla ice cream.
A client is in the radiology department at 0900 when the presciption
Lovofloxacin 500mg IV q24hr is scheduled to be administered. The client returns
to the unit at 1300. What is the best intervention for the nurse to implement? -
ANSWER Give the missed dose at 1300 and change the schedule to administer
daily at 1300
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client with left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this
client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ANSWER (D) uses the client's stronger side, the right side, for
weight-bearing during the transfer, and is the safest approach to take. (A, B, and
C) are unsafe methods of transfer and include the use of poor body mechanics
by the caregiver.
Correct Answer: D
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in the
client's medical record?
A. Healthcare provider notified of failure to collect specimens for prescribed
blood studies.
B. Blood specimens not collected because client no longer wants blood tests
performed.
With Complete Answers
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors. - ANSWER A: B
Rationale
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can be
initiated if indicated. (A and C) can be used for stress management. Though (D)
can be a source of anxiety, a nutritional history should be obtained first.
A postoperative client will need to perform daily dressing changes after
discharge. Which outcome response best demonstrates the client's readiness to
manage wound care after discharge?
A. Asking relevant questions regarding the dressing change.
B. Stating theability to complete the wound care regimen.
C. Demonstrating the wound care procedure correctly.
D. Showing all the necessary supplies for wound care.
Submit - ANSWER A:C
Rationale
A return demonstration of a procedure provides an objective assessment of a
client's ability to perform a task, while client statements or questions are
subjective measures.Showing that the client possesses the necessary supplies
is important, but it is less of a priority prior to discharge than the nurse's
assessment of the client's ability to complete the wound care.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which
concern should the nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
,C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Submit - ANSWER A: B
Rationale
Blood transfusions are forbidden in the Jehovah's Witness religion. Judaism
prohibits autopsies and Buddhism forbids the use of alcohol and drugs. Many of
these sects follow a vegetarian diet, but the direct impact on nursing care
concerns beliefs about transfusions.
During shift change report, the nurse receives report that a client has abnormal
heart sounds. Which placement of the stethoscope should the nurse use to hear
the client's heart sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest.
D. Position the diaphragm of the stethoscope at Erb's point on the chest. -
ANSWER A: B
Rationale
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.
The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for fifteen seconds, large amounts of thick yellow secretions return.
What action should the nurse implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again.
Submit - ANSWER A: D
Rationale
Nasotracheal suctioning should not be continued for longer than ten to fifteen
seconds, since the client's oxygenation is compromised during this time.
Additional suctioning may continue after the client has received oxygen.
A client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.1 grams
PO bid for spasticity. Dantrolene is available in 100 mg capsules. How many
capsules should the nurse administer? (Enter numeric value only.) - ANSWER A:
1
, The nurse is evaluating a client learning about a low-sodium diet. Selection of
which meal would indicate to the nurse that this client understands the dietary
restrictions?
A= Tossed salad, low-sodium dressing, bacon and tomato sandwich.
B= New England clam chowder, no-salt crackers, fresh fruit salad.
C= Skim milk, turkey salad, roll, vanilla ice cream.
D= Macaroni and cheese, diet Coke, a slice of cherry pie. - ANSWER C= Skim
milk, turkey salad, roll, vanilla ice cream.
A client is in the radiology department at 0900 when the presciption
Lovofloxacin 500mg IV q24hr is scheduled to be administered. The client returns
to the unit at 1300. What is the best intervention for the nurse to implement? -
ANSWER Give the missed dose at 1300 and change the schedule to administer
daily at 1300
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client with left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this
client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ANSWER (D) uses the client's stronger side, the right side, for
weight-bearing during the transfer, and is the safest approach to take. (A, B, and
C) are unsafe methods of transfer and include the use of poor body mechanics
by the caregiver.
Correct Answer: D
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in the
client's medical record?
A. Healthcare provider notified of failure to collect specimens for prescribed
blood studies.
B. Blood specimens not collected because client no longer wants blood tests
performed.
