DANC 2325 HESI NURSING VERSION EXAM REVIEW SOLVED QUESTIONS COMPLETE
ANSWERS GRADED A PLUS
Question:
● A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical
procedure. Which laboratory test indicated the client's protein status for the longest length of time.
A. Urine urea B. transferrin C. prealbumin D. serum albumin
Answer:
D. serum albumin
Question:
● What client statement indicates to the nurse that the client requires assistance with bathing? A. "I
only bathe every other day" B. "I left my eyeglasses at home" C. "I don't understand why I'm so
weak and tired" D. "I wasn't able to pack a bag before I left for the hospital"
Answer:
C. "I don't understand why I'm so weak and tired"
Question:
● How should a nurse handle linens that are soiled with incontinent feces? A. Place the soiled linens
in a pillow case and deposit them in the dirty linen hamper B. put the soiled linens in an isolation
bag, then place it in the dirty linen hamper C. Ask the housekeeping staff to pick up the soiled linen
from the dirty utility room D. place an isolation hamper in the client's room and discard the linens in
it
Answer:
D. place an isolation hamper in the client's room and discard the linens in it
Question:
, ● When caring for an immobile client, what nursing diagnosis has the highest priority? A. altered
tissue perfusion B. impaired gas exchange C. risk for fluid volume deficit D. risk for impaired skin
integrity
Answer:
B. impaired gas exchange
Question:
● The nurse assess an immobile, elderly male client and determines that his blood pressure is
138/60, his temperature is 95.8F, and his output is 100 mL of concentrated urine during the last
hour. He has wet- sounding lung sounds, and increased respiratory secretions. Based on these
assessment findings, what nursing action is the most important for the nurse to implement? A.
encourage additional additional fluid intake B. provide the client with an additional blanket C. turn
the patient Q2 D. administer a PRN anti hypertensive prescription
Answer:
C. turn the patient Q2
Question:
● The home health nurse visits an elderly female client who had a brain attack three months ago and
is now able to ambulate with the assistance of a quad cane. Which assessment finding has the
greatest implications for this client's case? A. The client's pulse rate is 10 beats higher than it was at
the last visit one week ago B. the client tells the nurse that she does not have much of an appetite
today C. the husband, who is the caregiver, begins to weep when you ask how he is doing D. the
nurse notes that there are numerous scatter rubs throughout the house
Answer:
D. the nurse notes that there are numerous scatter rubs throughout the house
Question:
● The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in
diameter and finds that there is straw-colored drainage seeping from the wound. What description of
this finding should the nurse include in the client's record? A. stage 1 pressure sore draining
sero-anguineous drainage B. one-inch pressure sore draining serous fluid C. pressure sore draining
serous fluid D. pressure sore on heel with a small amount of purulent drainage
ANSWERS GRADED A PLUS
Question:
● A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical
procedure. Which laboratory test indicated the client's protein status for the longest length of time.
A. Urine urea B. transferrin C. prealbumin D. serum albumin
Answer:
D. serum albumin
Question:
● What client statement indicates to the nurse that the client requires assistance with bathing? A. "I
only bathe every other day" B. "I left my eyeglasses at home" C. "I don't understand why I'm so
weak and tired" D. "I wasn't able to pack a bag before I left for the hospital"
Answer:
C. "I don't understand why I'm so weak and tired"
Question:
● How should a nurse handle linens that are soiled with incontinent feces? A. Place the soiled linens
in a pillow case and deposit them in the dirty linen hamper B. put the soiled linens in an isolation
bag, then place it in the dirty linen hamper C. Ask the housekeeping staff to pick up the soiled linen
from the dirty utility room D. place an isolation hamper in the client's room and discard the linens in
it
Answer:
D. place an isolation hamper in the client's room and discard the linens in it
Question:
, ● When caring for an immobile client, what nursing diagnosis has the highest priority? A. altered
tissue perfusion B. impaired gas exchange C. risk for fluid volume deficit D. risk for impaired skin
integrity
Answer:
B. impaired gas exchange
Question:
● The nurse assess an immobile, elderly male client and determines that his blood pressure is
138/60, his temperature is 95.8F, and his output is 100 mL of concentrated urine during the last
hour. He has wet- sounding lung sounds, and increased respiratory secretions. Based on these
assessment findings, what nursing action is the most important for the nurse to implement? A.
encourage additional additional fluid intake B. provide the client with an additional blanket C. turn
the patient Q2 D. administer a PRN anti hypertensive prescription
Answer:
C. turn the patient Q2
Question:
● The home health nurse visits an elderly female client who had a brain attack three months ago and
is now able to ambulate with the assistance of a quad cane. Which assessment finding has the
greatest implications for this client's case? A. The client's pulse rate is 10 beats higher than it was at
the last visit one week ago B. the client tells the nurse that she does not have much of an appetite
today C. the husband, who is the caregiver, begins to weep when you ask how he is doing D. the
nurse notes that there are numerous scatter rubs throughout the house
Answer:
D. the nurse notes that there are numerous scatter rubs throughout the house
Question:
● The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in
diameter and finds that there is straw-colored drainage seeping from the wound. What description of
this finding should the nurse include in the client's record? A. stage 1 pressure sore draining
sero-anguineous drainage B. one-inch pressure sore draining serous fluid C. pressure sore draining
serous fluid D. pressure sore on heel with a small amount of purulent drainage
