HESI RN Practive test and
quiz
Nursing (Walden University)
,1. 1.An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
A. Pulmonary embolism.
B. Heart failure.
C. Tuberculosis.
D. Bronchitis.
2. 2.Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (Select all that apply.)
A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
D. Muscle strength testing.
E. Visible deformities of the joint.
3. 3.Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
A. Joint pain is worse in the morning and involves symmetric joints.
B. Joint pain is better in the morning and worsens
throughout the day.
C. Joint pain is consistent throughout the day and is relieved by
pain medication.
D. Joint pain is worse during the day and involves unilateral
joints.
4. 4.Which physical assessment finding should the nurse anticipate in a
client with long-term gastroesophagealreflux disease (GERD)?
A. Hoarseness.
B. Dry mouth.
C. Mouth ulcers.
D. Weight loss.
5. 5.A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?
A. Bilateral lower leg stasis dermatitis.
B. Clubbing of fingers and toes.
C. Intermittent claudication.
D. Peripheral cyanosis.
6. 6.A client has been hospitalized with a femur fracture and is being
treated with traction. Which action by the nurse is the priority when
caring for this client?
A. Assess neurovascular status.
B. Change the client's position.
C. Inspect the traction equipment.
D. Review pain medication orders.
7. 7.Which statement made by a client with chronic pancreatitis
indicates that further education is needed?
A. I will cut back on smoking cigarettes daily.
, B. I will avoid drinking caffeinated beverages.
C. I will rest frequently and avoid vigorous exercise.
D. I will eat a bland, low-fat, high-protein diet.
8. 8.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.)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent conception during the
menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours
after intercourse.
E. Replace the old diaphragm every 3 months.
9. 9.A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that
he and his wife are having in getting pregnant and wants to know if other
factors could be contributing to their difficulty. What information is best
for the nurse to provide? (Select all that apply.)
A. Marijuana cigarettes do not affect sperm count.
B. Alcohol consumption can cause erectile dysfunction.
C. Low testosterone levels affect sperm production.
D. Cessation of smoking improves general health and fertility.
E. Obesity has no effect on sperm production.
10. 10.Twenty four hours after a client returns from surgical gastric bypass,
the registered nurse (RN) observes large amounts of blood in the
nasogastric tube (NGT) cannister. Which assessment finding should the
RN report as early signs of hypovolemic shock?
A. Faint pedal pulses.
B. Decrease in blood pressure.
C. Lethargy.
D. Slow breathing.
11. 11.The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with rectal
bleeding. When taking the client's medical history, which information is
most for the nurse to obtain?
A. Irritable bowel syndrome.
B. Diverticulitis.
C. Crohn's disease.
D. Ulcerative colitis.
12. 12.A client is newly diagnosed with diverticulosis. The registered nurse
(RN) is assessing the client's basic knowledge about the disease
process. Which statement by the client conveys an understanding of the
etiology of diverticula?
, A. Over use of laxatives for bowel regularity result in
loss of peristaltic tone.
B. Inflammation of the colon mucosa cause growths that
protrude into the colon lumen.
C. Diverticulosis is the result of high fiber diet and
sedentary life style.
D. Chronic constipation causes weakening of colon wall which
result in out-pouching sacs.
13. 13.The registered nurse (RN) is assessing a client who was discharged
home after management of chronic hypertension. Which equipment
should the RN instruct the client to use at home?
A. Exercise bicycle.
B. Sphygmomanometer.
C. Blood glucose monitor.
D. Weekly medication box.
14. 14.A young adult male is diagnosed with Stage 4 Hodgkin's lymphoma
in the abdominopelvic region and is scheduled for radiation therapy
(RT). The client expresses concern about becoming infertile. How
should the nurse respond?
A. Propose sperm banking before RT then artificial
insemination is an option.
B. Suggest adoption when the client is in remission or
ready for parenting.
C. Tell the client that infertility is a non-reversible side
effect of radiotherapy.
D. Explain that sperm production will be suppressed
after radiotherapy is over.
15. 15.A client’s susceptibility to ulcerative colitis is most likely due to which
aspect in the client’s history?
A. Jewish European ancestry.
B. H. pylori bowel infection.
C. Family history of irritable bowel syndrome.
D. Age between 25 and 55 years.
16. 16.
Small bowel obstruction is a condition characterized by which finding?
A. Severe fluid and electrolyte imbalances.
B. Metabolic acidosis.
C. Ribbon-like stools.
D. Intermittent lower abdominal cramping.
17. 17.Which client should the nurse recognize as most likely to experience
sleep apnea?
A. Middle-aged female who takes a diuretic nightly.
B. Obese older male client with a short, thick neck.
C. Adolescent female with a history of tonsillectomy.
quiz
Nursing (Walden University)
,1. 1.An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
A. Pulmonary embolism.
B. Heart failure.
C. Tuberculosis.
D. Bronchitis.
2. 2.Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (Select all that apply.)
A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
D. Muscle strength testing.
E. Visible deformities of the joint.
3. 3.Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
A. Joint pain is worse in the morning and involves symmetric joints.
B. Joint pain is better in the morning and worsens
throughout the day.
C. Joint pain is consistent throughout the day and is relieved by
pain medication.
D. Joint pain is worse during the day and involves unilateral
joints.
4. 4.Which physical assessment finding should the nurse anticipate in a
client with long-term gastroesophagealreflux disease (GERD)?
A. Hoarseness.
B. Dry mouth.
C. Mouth ulcers.
D. Weight loss.
5. 5.A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?
A. Bilateral lower leg stasis dermatitis.
B. Clubbing of fingers and toes.
C. Intermittent claudication.
D. Peripheral cyanosis.
6. 6.A client has been hospitalized with a femur fracture and is being
treated with traction. Which action by the nurse is the priority when
caring for this client?
A. Assess neurovascular status.
B. Change the client's position.
C. Inspect the traction equipment.
D. Review pain medication orders.
7. 7.Which statement made by a client with chronic pancreatitis
indicates that further education is needed?
A. I will cut back on smoking cigarettes daily.
, B. I will avoid drinking caffeinated beverages.
C. I will rest frequently and avoid vigorous exercise.
D. I will eat a bland, low-fat, high-protein diet.
8. 8.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.)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent conception during the
menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours
after intercourse.
E. Replace the old diaphragm every 3 months.
9. 9.A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that
he and his wife are having in getting pregnant and wants to know if other
factors could be contributing to their difficulty. What information is best
for the nurse to provide? (Select all that apply.)
A. Marijuana cigarettes do not affect sperm count.
B. Alcohol consumption can cause erectile dysfunction.
C. Low testosterone levels affect sperm production.
D. Cessation of smoking improves general health and fertility.
E. Obesity has no effect on sperm production.
10. 10.Twenty four hours after a client returns from surgical gastric bypass,
the registered nurse (RN) observes large amounts of blood in the
nasogastric tube (NGT) cannister. Which assessment finding should the
RN report as early signs of hypovolemic shock?
A. Faint pedal pulses.
B. Decrease in blood pressure.
C. Lethargy.
D. Slow breathing.
11. 11.The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with rectal
bleeding. When taking the client's medical history, which information is
most for the nurse to obtain?
A. Irritable bowel syndrome.
B. Diverticulitis.
C. Crohn's disease.
D. Ulcerative colitis.
12. 12.A client is newly diagnosed with diverticulosis. The registered nurse
(RN) is assessing the client's basic knowledge about the disease
process. Which statement by the client conveys an understanding of the
etiology of diverticula?
, A. Over use of laxatives for bowel regularity result in
loss of peristaltic tone.
B. Inflammation of the colon mucosa cause growths that
protrude into the colon lumen.
C. Diverticulosis is the result of high fiber diet and
sedentary life style.
D. Chronic constipation causes weakening of colon wall which
result in out-pouching sacs.
13. 13.The registered nurse (RN) is assessing a client who was discharged
home after management of chronic hypertension. Which equipment
should the RN instruct the client to use at home?
A. Exercise bicycle.
B. Sphygmomanometer.
C. Blood glucose monitor.
D. Weekly medication box.
14. 14.A young adult male is diagnosed with Stage 4 Hodgkin's lymphoma
in the abdominopelvic region and is scheduled for radiation therapy
(RT). The client expresses concern about becoming infertile. How
should the nurse respond?
A. Propose sperm banking before RT then artificial
insemination is an option.
B. Suggest adoption when the client is in remission or
ready for parenting.
C. Tell the client that infertility is a non-reversible side
effect of radiotherapy.
D. Explain that sperm production will be suppressed
after radiotherapy is over.
15. 15.A client’s susceptibility to ulcerative colitis is most likely due to which
aspect in the client’s history?
A. Jewish European ancestry.
B. H. pylori bowel infection.
C. Family history of irritable bowel syndrome.
D. Age between 25 and 55 years.
16. 16.
Small bowel obstruction is a condition characterized by which finding?
A. Severe fluid and electrolyte imbalances.
B. Metabolic acidosis.
C. Ribbon-like stools.
D. Intermittent lower abdominal cramping.
17. 17.Which client should the nurse recognize as most likely to experience
sleep apnea?
A. Middle-aged female who takes a diuretic nightly.
B. Obese older male client with a short, thick neck.
C. Adolescent female with a history of tonsillectomy.
