NU272 HESI Practice Exam Questions &
Answers (Grade A+)
A male client with chronic atrial fibrillation and a slow ventricular
response is scheduled for surgical placement of a permanent
pacemaker. The client asks the nurse how this device will help him.
How should the nurse explain the action of a synchronous
pacemaker? -
correct answer ✅An electrical stimulus is discharged when no
ventricular response is sensed.
-
The artificial cardiac pacemaker is an electronic device used to pace
the heart when the normal conduction pathway is damaged or
diseased, such as a symptomatic dysrhythmias like atrial fibrillation
with a slow ventricular response. Pacing modes that are
synchronous (impulse generated on demand or as needed
according to the patient's intrinsic rhythm) send an electrical signal
from the pacemaker to the wall of the myocardium stimulating it to
contract when no ventricular depolarization is sensed.
The nurse is caring for a client with end stage liver disease who is
being assessed for the presence of asterixis. To assess the client for
asterixis, what position should the nurse ask the client to
demonstrate? -
correct answer ✅Extend the arm, dorsiflex the wrist, and extend
the fingers.
-
,NU272 HESI Practice Exam Questions &
Answers (Grade A+)
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that
is often seen frequently in hepatic encephalopathy. The tremor is
induced by extending the arm and dorsiflexing the wrist causing
rapid, non-rhythmic extension and flexion of the wrist while
attempting to hold position.
The nurse is giving discharge instructions to a client with chronic
prostatitis. What instruction should the nurse provide the client to
reduce the risk of spreading the infection to other areas of the
client's urinary tract? -
correct answer ✅Have intercourse or masturbate at least twice a
week.
-
The prostate is not easily penetrated by antibiotics and can serve as
a reservoir for microorganisms, which can infect other areas of the
genitourinary tract. Draining the prostate regularly through
intercourse or masturbation decreases the number of
microorganisms present and reduces the risk for further infection
from stored contaminated seminal fluids.
Which action should the nurse implement on the scheduled day of
surgery for a client with type 1 diabetes mellitus (DM)? -
,NU272 HESI Practice Exam Questions &
Answers (Grade A+)
correct answer ✅Obtain a prescription for an adjusted dose of
insulin.
-
Stressors, such as surgery, increase serum glucose levels. A client
with type 1 DM who is NPO for scheduled surgery should receive a
prescribed adjusted dose of insulin.
A client with osteoarthritis receives a prescription for Naproxen
(Naprosyn). Which potential side effect should the nurse provide to
the client about this medication? -
correct answer ✅Gastrointestinal disturbance.
-
Prostaglandin synthesis inhibitors such as naproxen can have
gastrointestinal side effects such as nausea and gastric burning. It is
recommended that this drug be taken with food to avoid
gastrointestinal upset.
The nurse is caring for a male client who had an inguinal
herniorrhaphy 3 hours ago. The nurse determines the client's lower
abdomen is distended and assesses dullness to percussion. What is
the priority nursing action? -
correct answer ✅Determine the time the client last voided.
-
, NU272 HESI Practice Exam Questions &
Answers (Grade A+)
Swelling at the surgical site in the immediate postoperative period
can impact the bladder and prostate area causing the client to
experience difficulty voiding due to pressure on the urethra. To
provide additional data supporting bladder distention, the last time
the client voided should be determined next.
When teaching a client with breast cancer about the prescribed
radiation therapy for treatment, what information is important to
include? -
correct answer ✅Dry, itchy skin changes may occur.
-
Side effects from radiation to the breast most often include
temporary skin changes such as: dryness, tenderness, redness,
swelling, and pruritis.
Which finding should the nurse identify as an indication of carbon
monoxide poisoning in a client who experienced a burn injury
during a house fire? -
correct answer ✅Cherry red color to the mucous membranes.
-
Answers (Grade A+)
A male client with chronic atrial fibrillation and a slow ventricular
response is scheduled for surgical placement of a permanent
pacemaker. The client asks the nurse how this device will help him.
How should the nurse explain the action of a synchronous
pacemaker? -
correct answer ✅An electrical stimulus is discharged when no
ventricular response is sensed.
-
The artificial cardiac pacemaker is an electronic device used to pace
the heart when the normal conduction pathway is damaged or
diseased, such as a symptomatic dysrhythmias like atrial fibrillation
with a slow ventricular response. Pacing modes that are
synchronous (impulse generated on demand or as needed
according to the patient's intrinsic rhythm) send an electrical signal
from the pacemaker to the wall of the myocardium stimulating it to
contract when no ventricular depolarization is sensed.
The nurse is caring for a client with end stage liver disease who is
being assessed for the presence of asterixis. To assess the client for
asterixis, what position should the nurse ask the client to
demonstrate? -
correct answer ✅Extend the arm, dorsiflex the wrist, and extend
the fingers.
-
,NU272 HESI Practice Exam Questions &
Answers (Grade A+)
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that
is often seen frequently in hepatic encephalopathy. The tremor is
induced by extending the arm and dorsiflexing the wrist causing
rapid, non-rhythmic extension and flexion of the wrist while
attempting to hold position.
The nurse is giving discharge instructions to a client with chronic
prostatitis. What instruction should the nurse provide the client to
reduce the risk of spreading the infection to other areas of the
client's urinary tract? -
correct answer ✅Have intercourse or masturbate at least twice a
week.
-
The prostate is not easily penetrated by antibiotics and can serve as
a reservoir for microorganisms, which can infect other areas of the
genitourinary tract. Draining the prostate regularly through
intercourse or masturbation decreases the number of
microorganisms present and reduces the risk for further infection
from stored contaminated seminal fluids.
Which action should the nurse implement on the scheduled day of
surgery for a client with type 1 diabetes mellitus (DM)? -
,NU272 HESI Practice Exam Questions &
Answers (Grade A+)
correct answer ✅Obtain a prescription for an adjusted dose of
insulin.
-
Stressors, such as surgery, increase serum glucose levels. A client
with type 1 DM who is NPO for scheduled surgery should receive a
prescribed adjusted dose of insulin.
A client with osteoarthritis receives a prescription for Naproxen
(Naprosyn). Which potential side effect should the nurse provide to
the client about this medication? -
correct answer ✅Gastrointestinal disturbance.
-
Prostaglandin synthesis inhibitors such as naproxen can have
gastrointestinal side effects such as nausea and gastric burning. It is
recommended that this drug be taken with food to avoid
gastrointestinal upset.
The nurse is caring for a male client who had an inguinal
herniorrhaphy 3 hours ago. The nurse determines the client's lower
abdomen is distended and assesses dullness to percussion. What is
the priority nursing action? -
correct answer ✅Determine the time the client last voided.
-
, NU272 HESI Practice Exam Questions &
Answers (Grade A+)
Swelling at the surgical site in the immediate postoperative period
can impact the bladder and prostate area causing the client to
experience difficulty voiding due to pressure on the urethra. To
provide additional data supporting bladder distention, the last time
the client voided should be determined next.
When teaching a client with breast cancer about the prescribed
radiation therapy for treatment, what information is important to
include? -
correct answer ✅Dry, itchy skin changes may occur.
-
Side effects from radiation to the breast most often include
temporary skin changes such as: dryness, tenderness, redness,
swelling, and pruritis.
Which finding should the nurse identify as an indication of carbon
monoxide poisoning in a client who experienced a burn injury
during a house fire? -
correct answer ✅Cherry red color to the mucous membranes.
-
