EVALUATED HESI PRACTICE
EXAM QUESTIONS AND
ANSWERS
An older male client comes to the geriatric screening clinic complaining of pain in his left calf. The nurse
notices a reddened area on the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain would further confirm this suspicion? - CORRECT ANSWER -pain in
the calf upon exertion that is relieved by rest and elevating the extremity. Rationale
Thrombophlebitis pain is relieved by rest and elevation of the extremity. It typically occurs with exercise
at the site of the thrombus and is aggravated by placing the extremity in a dependent position, such as
standing in one place.
In preparing to administer intravenous albumin to a client following surgery, which is the priority nursing
intervention? (Select all that apply.) - CORRECT ANSWER -1. set the albumin to infuse within 4 hours 2.
monitor hgb&hct 3. assess for increased bleeding after administration
The nurse is providing dietary instructions to a 68-year-old client who is at high risk for the development
of coronary heart disease (CHD). Which information should the nurse include? - CORRECT ANSWER -
increase intake of soluble fiber to 10-25 g daily
How should the nurse position the electrodes for three lead telemetry monitoring? - CORRECT ANSWER
-white/negative lead at right 2nd intercostal space, black/positive at left intercostal space, and
red/ground at left 8/9th rib space
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary modification is most
important for the nurse to teach this client? - CORRECT ANSWER -restrict salt and fluid intake
,A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg. Which action should
the nurse implement? - CORRECT ANSWER -give an antihypertensive med
The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for
toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply.) -
CORRECT ANSWER -do not leave the diaphragm in place longer than 8 hours after intercourse 2. replace
the old diaphragm every 3 months
Which milestone indicates to the nurse of successful achievement of young adulthood? - CORRECT
ANSWER -completes education and becomes self-supporting
A 32-year-old female client reports severe abdominal pain each month before her menstrual period,
painful intercourse, and painful defecation. Which additional history should the nurse obtain that is
consistent with the client's concerns? - CORRECT ANSWER -inability to get pregnant
A female client receiving IV vasopressin for esophageal variceal rupture reports to the nurse that she
feels substernal tightness and pressure across her chest. Which PRN protocol should the nurse initiate? -
CORRECT ANSWER -start an IV nitroglycerin infusion
The nurse knows that laboratory values sometimes vary for the older client. Which data would the nurse
expect to find when reviewing the laboratory values of an 80-year-old male? - CORRECT ANSWER -
bacteria in the urine, slightly increased serum glucose levels
A 58-year-old client, who has no health problems asks the nurse about the Pneumovax vaccine. The
nurse's response to the client should be based on which information? - CORRECT ANSWER -the
immunization is administered once to older adults or persons with a history of chronic illness
A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse
anticipates which change in prescription for the client? - CORRECT ANSWER -a potassium supplement
will be perscribed
, A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse
knows the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor because? - CORRECT ANSWER -gram-negative organisms are more resistant to
antibiotic therapy
What types of medications should the nurse expect to administer to a client during an acute respiratory
failure episode? - CORRECT ANSWER -bronchodilators and steroids
The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is
dated two years ago. The client reports that he has a history of "heart trouble," but has no problems at
present. Hospital protocol requires that those over 50 years of age have a recent ECG prior to surgery.
Which nursing action is best for the nurse to implement? - CORRECT ANSWER -call for an ecg to be
performed immediately
The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in the
client's history presents the greatest risk for developing a cerebral vascular accident (CVA)? - CORRECT
ANSWER -diabetes
Twenty-four hours after a client returns from surgical gastric bypass, the nurse observes large amounts
of blood in the nasogastric tube (NGT) canister. Which assessment finding should the nurse report as
early signs of hypovolemic shock? - CORRECT ANSWER -confusion
The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive.
Which information should the nurse provide? - CORRECT ANSWER -two weeks before menstruation
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which
assessment finding is of most concern to the nurse? - CORRECT ANSWER -purulent sputum
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate? - CORRECT ANSWER -bilateral lower leg stasis dermatitis
EXAM QUESTIONS AND
ANSWERS
An older male client comes to the geriatric screening clinic complaining of pain in his left calf. The nurse
notices a reddened area on the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain would further confirm this suspicion? - CORRECT ANSWER -pain in
the calf upon exertion that is relieved by rest and elevating the extremity. Rationale
Thrombophlebitis pain is relieved by rest and elevation of the extremity. It typically occurs with exercise
at the site of the thrombus and is aggravated by placing the extremity in a dependent position, such as
standing in one place.
In preparing to administer intravenous albumin to a client following surgery, which is the priority nursing
intervention? (Select all that apply.) - CORRECT ANSWER -1. set the albumin to infuse within 4 hours 2.
monitor hgb&hct 3. assess for increased bleeding after administration
The nurse is providing dietary instructions to a 68-year-old client who is at high risk for the development
of coronary heart disease (CHD). Which information should the nurse include? - CORRECT ANSWER -
increase intake of soluble fiber to 10-25 g daily
How should the nurse position the electrodes for three lead telemetry monitoring? - CORRECT ANSWER
-white/negative lead at right 2nd intercostal space, black/positive at left intercostal space, and
red/ground at left 8/9th rib space
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary modification is most
important for the nurse to teach this client? - CORRECT ANSWER -restrict salt and fluid intake
,A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg. Which action should
the nurse implement? - CORRECT ANSWER -give an antihypertensive med
The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for
toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply.) -
CORRECT ANSWER -do not leave the diaphragm in place longer than 8 hours after intercourse 2. replace
the old diaphragm every 3 months
Which milestone indicates to the nurse of successful achievement of young adulthood? - CORRECT
ANSWER -completes education and becomes self-supporting
A 32-year-old female client reports severe abdominal pain each month before her menstrual period,
painful intercourse, and painful defecation. Which additional history should the nurse obtain that is
consistent with the client's concerns? - CORRECT ANSWER -inability to get pregnant
A female client receiving IV vasopressin for esophageal variceal rupture reports to the nurse that she
feels substernal tightness and pressure across her chest. Which PRN protocol should the nurse initiate? -
CORRECT ANSWER -start an IV nitroglycerin infusion
The nurse knows that laboratory values sometimes vary for the older client. Which data would the nurse
expect to find when reviewing the laboratory values of an 80-year-old male? - CORRECT ANSWER -
bacteria in the urine, slightly increased serum glucose levels
A 58-year-old client, who has no health problems asks the nurse about the Pneumovax vaccine. The
nurse's response to the client should be based on which information? - CORRECT ANSWER -the
immunization is administered once to older adults or persons with a history of chronic illness
A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse
anticipates which change in prescription for the client? - CORRECT ANSWER -a potassium supplement
will be perscribed
, A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse
knows the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor because? - CORRECT ANSWER -gram-negative organisms are more resistant to
antibiotic therapy
What types of medications should the nurse expect to administer to a client during an acute respiratory
failure episode? - CORRECT ANSWER -bronchodilators and steroids
The nurse notes that the only ECG for a 55-year-old male client scheduled for surgery in two hours is
dated two years ago. The client reports that he has a history of "heart trouble," but has no problems at
present. Hospital protocol requires that those over 50 years of age have a recent ECG prior to surgery.
Which nursing action is best for the nurse to implement? - CORRECT ANSWER -call for an ecg to be
performed immediately
The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in the
client's history presents the greatest risk for developing a cerebral vascular accident (CVA)? - CORRECT
ANSWER -diabetes
Twenty-four hours after a client returns from surgical gastric bypass, the nurse observes large amounts
of blood in the nasogastric tube (NGT) canister. Which assessment finding should the nurse report as
early signs of hypovolemic shock? - CORRECT ANSWER -confusion
The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive.
Which information should the nurse provide? - CORRECT ANSWER -two weeks before menstruation
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which
assessment finding is of most concern to the nurse? - CORRECT ANSWER -purulent sputum
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate? - CORRECT ANSWER -bilateral lower leg stasis dermatitis
