NURSING PRACTICE QUESTIONS & ANSWERS | HIGH-YIELD HESI EXAM
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1. If a nurse encounters a client who is ambulating and suddenly becomes dizzy
and unstable, what should the nurse do immediately?
Call for assistance before approaching the client.
Assist the ambulating client back to the bed.
Encourage the client to take deep breaths.
Check the client's vital signs before taking action.
2. What is the primary focus of the preoperative assessment for a client
scheduled for surgery?
Determining the client's surgical history.
Evaluating the client's pain management needs.
Confirming the client's insurance coverage.
Assessing the client's nutritional status and supplement intake.
3. Describe the importance of timing when using an inhaler for medication
delivery.
Timing is not important as long as the medication is taken.
Timing is crucial because medication should be administered during
inhalation to ensure it reaches the lungs effectively.
Timing only matters for certain types of inhalers.
Timing is only important for patients with severe asthma.
4. What is the primary reason for observing the skin under an ice pack?
, To assess for any skin damage or adverse reactions.
To determine how long the ice has been applied.
To instruct the client on proper ice pack use.
To check if the ice pack is still cold.
5. The health care provider's order is 500 mL 0.9% NaCl intravenously over 4
hours. Which rate does a nurse program into the infusion pump?
1000 mL/hr
200 mL/hr
125 mL/hr
167 mL/hr
6. Which client in the provided scenario requires the most protein intake?
An elderly man being treated for a peptic ulcer.
A lactating woman nursing her 3-day-old infant.
A school-aged child with Type 2 diabetes.
A college-age track runner with a sprained ankle.
7. What is the recommended grip position for a caregiver performing passive
range-of-motion exercises on a patient's joint?
At the wrist
Directly under the joint
Directly over the joint
At the elbow
,8. What is a high biologic value protein that a client with chronic renal failure
might choose for breakfast?
Scrambled egg
Tofu
Lentils
Brown rice
9. The nurse has taught a client with renal disease about high biologic value
protein. Which of the following statements by the client indicates the need for
more teaching?
"I can eat only a limited amount of protein so should select those
sources with a high biologic value."
"Eggs are a good source of high biologic value protein."
"A good vegetarian source of high biologic value is soy protein."
"Eating protein at each meal increases its biologic value."
10. If a nurse finds that a client's blood pressure reading is consistently normal
with a small cuff, but the UAP continues to use it, what should the nurse do
to ensure patient safety?
Ignore the UAP's technique since the readings are normal.
Document the UAP's actions without further intervention.
Educate the UAP on the importance of using the correct cuff size
and reassess the blood pressure with the appropriate cuff.
Request a change in UAP staff for the unit.
11. The nurse is caring for a patient who needs to have a peripheral intravenous
catheter placed. When the patient requests to have the intravenous (IV)
, started in the foot, what is the best response by the nurse?
"Placing an IV in your foot is more painful."
"There is an increased risk of a clot or inflammation if an IV is
started in your foot."
"Placing an IV in your foot decreases blood flow to your feet."
"There is an increased risk of infection if an IV is started in your feet or
legs."
12. What is the first action a nurse should take if a client's fingers are blue while
in wrist restraints?
Loosen the right wrist restraint.
Palpate the right radial pulse.
Apply a pulse oximeter to the right hand.
Compare hand color bilaterally.
13. Why does the lactating woman have a higher protein requirement compared
to the other clients?
The school-aged child requires protein for growth and development.
The elderly man needs protein to heal from his ulcer.
The lactating woman needs additional protein to support milk
production for her infant.
The college-age track runner needs protein for muscle recovery.
14. What nutrient is commonly linked to malnutrition when found at low levels?
protein
fats