HESI Practice Test #1 Questions With
Verified Answers.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
a. Flush the tube with 50 mL of water q 8 hrs
b. Check for tube placement and residual volume q4 hrs
c. obtain a daily x-ray to verify tube placement
d. position on left side with head of bed elevated 45 degrees - answer✔b. Check for tube
placement and residual volume q4 hrs
A 77-year-old female client is admitted to the hospital. She is confused, has no appetite, is
nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43 beats per minute.
Which question is a priority for the nurse to ask this client or her family on admission? "Does the
client
a. haver her own teeth or dentures?"
b. take aspirin and if so, how much?"
c. take nitroglycerin?"
d. take digitalis?" - answer✔d. take digitalis?"
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During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not
moving. What action should the nurse take first?
a. use a laryngoscope to check for a foreign body lodged in the esophagus
b. reposition the head to validate that the head is in the proper position to open the airway
c. Turn the client to the side and administer three back blows
d. Perform a finger sweep of the mouth to remove any vomitus - answer✔b. reposition the head
to validate that the head is in the proper position to open the airway
A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is the
priority for this client?
a. Fluid and electrolyte balance
b. prevention of water toxicity
c. Reduced glucose in the urine
d. adequate cellular nourishment - answer✔d. adequate cellular nourishment
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the healthcare provider?
a. lung tissue biopsy
b. positive blood cultures
c. magnetic resonance imaging
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d. computerized tomography (CT) of the thorax - answer✔a. lung tissue biopsy
What is the correct procedure for performing an ophthalmoscopic examination on a client's right
retina?
a. Instruct the client to look at examiner's nose and nor move his/her eyes during the exam.
b. set ophthalmoscope on the plus 2 to 3 lens and hold it in front of the examiner's right eye.
c. From a distance of 12 to 15 inches and slightly to the side, shine the light into the client's
pupil.
d. For optimum visualization, keep the ophthalmoscope at least 3 inches from the client's eye. -
answer✔c. From a distance of 12 to 15 inches and slightly to the side, shine the light into the
client's pupil.
A 46 yr old female client is admitted for acute renal failure secondary to diabetes and
hypertension. Which test is the best indicator of adequate glomerular filtration?
a. Serum creatinine
b. BUN
c. Sedimentation rate
d. urine specific gravity - answer✔a. Serum creatinine
The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the
client may have developed septic emboli?
a. Cyanosis of the fingertips
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b. Bradycardia and bradypnea
c. Presence of S3 and S4 heart sounds
d. 3+ pitting edema of the lower extremities - answer✔a. Cyanosis of the fingertips
The nurse is assisting a client out of bed for the first time after surgery. What action should the
nurse do first?
a. Place a chair at a night angle to the bedside
b. encourage deep breathing prior to standing
c. help the client to sit and dangle legs on the side of the bed
d. allow the client to sit with the bed in a high Fowler's position - answer✔d. allow the client to
sit with the bed in a high Fowler's position
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The
client attempts to use the left hand for feeding and other self-care activities. The spouse becomes
frustrated and insists on doing everything for the client. Based on this data, which nursing
diagnosis should the nurse document for this client?
a. situational low-self esteem related to functional impairment and change in role function
b. disabled family coping related to dissonant coping style of significant person
c. Interrupted family processes related to shift in health status of family member
d. risk for ineffective therapeutic regimen management related to complexity of care - answer✔b.
disabled family coping related to dissonant coping style of significant person