ADULT HEALTH HESI EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (A+)
A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates in his room and sometimes opens the door to peek into the
hall. Which problem can the RN anticipate?
a. Visual hallucinations.
b. Auditory hallucinations.
c. Excessive motor activity.
d. Delusions of persecution.: D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admittedto the
hospital for a cardiac catheterization. The afternoon before the pro- cedure, the
client begins to keep detailed notes of the nursing care she is receiving, and reports
her findings to the RN at bedtime. What action should the nurse implement?
a. Explain to the client that her behavior invades the rights of the nursing staff.
b. Ask the client to explain why she is keeping a detailed record of her nursingcare.
c. Teach the client strategies to control her obsessive compulsive behavior.
d. Encourage the client to express her feelings regarding the upcoming pro-cedure.:
D. Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anx- ious and
states that she is worried about the sun coming up the next day. Whatintervention is
most important for the RN to implement during the admissionprocess?
a. Assist the client in developing alternative coping skills.
,b. Remain calm and use a matter of fact approach.
c. Ask the client why she is so anxious
d. Administer a PRN sedative to help relieve her anxiety.: A. Assist the client in
developing alternative coping skills.
A female client is brought to the emergency department after police officersfound her
disoriented, disorganized, and confused. The RN also determines that the client is
homeless and is exhibiting suspiciousness. The client's planof care should include
what priority problem?
a. Acute confusion.
b. Ineffective community coping
c. Disturbed sensory perception.
d. Self-care deficit.: A. Acute confusion.
The occupational health nurse is working with a female employee who wasjust
notified that her child was involved in a MVA and taken to the hospital. The
employee states, "I can't believe this. What should I do?" Which responseis best for
the RN to provide in this crisis?
a. Tell me what you think should happen.
b. How serious was the collision?
c. What do you think you should do?
d. Call for transportation to the hospital.: D. Call for transportation to the hospital.
,A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reports that he is married to a female movie star and thinks that his brother wants a
sexual relationship with her. What is the priority nursingproblem for admission to the
psychiatric unit?
a. Ineffective sexual patterns.
b. Impaired environmental interpretation.
c. Disturbed sensory perception.
d. Compromised family coping.: A. Ineffective sexual patterns.
The RN is providing care for a client diagnosed with borderline personality disorder
who has self-inflicted lacerations on the abdomen. Which approach should the RN
use when changing this client's dressing?
a. Provide detailed thorough explanations when cleansing wound.
b. Perform the dressing change in a non-judgmental manner.
c. Ask in a non-threatening manner why the client cut own abdomen.
d. Request another staff member assist with the dressing change.: B. Performthe
dressing change in a non-judgmental manner.
While sitting in the day room of the mental health unit, a male adolescent avoids
eye contact,looks at the floor, and talks softly when interacting ver- bally with the
RN. The two trade places,and the RN demonstrates the client'sbehaviors. What is the
main goal of this therapeutic technique?
, a. Initiate a non-threatening conversation with the client.
b. Dialog about the ineffectiveness of his interactions.
c. Allow the client to identify the way he interacts.
d. Discuss the client's feelings when he responds.: C. Allow the client to identifythe
way he interacts.
An antidepressant medication is prescribed for a client who reports sleep-ing only 4
hours in the past 2 days and weight loss of 9 lbs within the last month. Which client
goal is most important to achieve within the first three days of treatment?
a. Meet scheduled appointment with dietitian.
b. Sleep at least 6 hours a night.
c. Understands the purpose of the medication regimen.
d. Describes the reasons for hospitalization.: B. Sleep at least 6 hours a night.
When preparing to administer to domestic violence screening tool to a female client,
which statement should the RN provide?
a. If your partner is abusing you, I need to ask these questions.
b. State law mandates that I ask if you are a victim of domestic violence.
c. The HCP provider needs to know if you are experiencing any domesticabuse.
d. All clients are screened for domestic abuse because it is common in our society.:
D. All clients are screened for domestic abuse because it is common in oursociety.
CORRECT DETAILED ANSWERS (A+)
A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates in his room and sometimes opens the door to peek into the
hall. Which problem can the RN anticipate?
a. Visual hallucinations.
b. Auditory hallucinations.
c. Excessive motor activity.
d. Delusions of persecution.: D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admittedto the
hospital for a cardiac catheterization. The afternoon before the pro- cedure, the
client begins to keep detailed notes of the nursing care she is receiving, and reports
her findings to the RN at bedtime. What action should the nurse implement?
a. Explain to the client that her behavior invades the rights of the nursing staff.
b. Ask the client to explain why she is keeping a detailed record of her nursingcare.
c. Teach the client strategies to control her obsessive compulsive behavior.
d. Encourage the client to express her feelings regarding the upcoming pro-cedure.:
D. Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anx- ious and
states that she is worried about the sun coming up the next day. Whatintervention is
most important for the RN to implement during the admissionprocess?
a. Assist the client in developing alternative coping skills.
,b. Remain calm and use a matter of fact approach.
c. Ask the client why she is so anxious
d. Administer a PRN sedative to help relieve her anxiety.: A. Assist the client in
developing alternative coping skills.
A female client is brought to the emergency department after police officersfound her
disoriented, disorganized, and confused. The RN also determines that the client is
homeless and is exhibiting suspiciousness. The client's planof care should include
what priority problem?
a. Acute confusion.
b. Ineffective community coping
c. Disturbed sensory perception.
d. Self-care deficit.: A. Acute confusion.
The occupational health nurse is working with a female employee who wasjust
notified that her child was involved in a MVA and taken to the hospital. The
employee states, "I can't believe this. What should I do?" Which responseis best for
the RN to provide in this crisis?
a. Tell me what you think should happen.
b. How serious was the collision?
c. What do you think you should do?
d. Call for transportation to the hospital.: D. Call for transportation to the hospital.
,A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reports that he is married to a female movie star and thinks that his brother wants a
sexual relationship with her. What is the priority nursingproblem for admission to the
psychiatric unit?
a. Ineffective sexual patterns.
b. Impaired environmental interpretation.
c. Disturbed sensory perception.
d. Compromised family coping.: A. Ineffective sexual patterns.
The RN is providing care for a client diagnosed with borderline personality disorder
who has self-inflicted lacerations on the abdomen. Which approach should the RN
use when changing this client's dressing?
a. Provide detailed thorough explanations when cleansing wound.
b. Perform the dressing change in a non-judgmental manner.
c. Ask in a non-threatening manner why the client cut own abdomen.
d. Request another staff member assist with the dressing change.: B. Performthe
dressing change in a non-judgmental manner.
While sitting in the day room of the mental health unit, a male adolescent avoids
eye contact,looks at the floor, and talks softly when interacting ver- bally with the
RN. The two trade places,and the RN demonstrates the client'sbehaviors. What is the
main goal of this therapeutic technique?
, a. Initiate a non-threatening conversation with the client.
b. Dialog about the ineffectiveness of his interactions.
c. Allow the client to identify the way he interacts.
d. Discuss the client's feelings when he responds.: C. Allow the client to identifythe
way he interacts.
An antidepressant medication is prescribed for a client who reports sleep-ing only 4
hours in the past 2 days and weight loss of 9 lbs within the last month. Which client
goal is most important to achieve within the first three days of treatment?
a. Meet scheduled appointment with dietitian.
b. Sleep at least 6 hours a night.
c. Understands the purpose of the medication regimen.
d. Describes the reasons for hospitalization.: B. Sleep at least 6 hours a night.
When preparing to administer to domestic violence screening tool to a female client,
which statement should the RN provide?
a. If your partner is abusing you, I need to ask these questions.
b. State law mandates that I ask if you are a victim of domestic violence.
c. The HCP provider needs to know if you are experiencing any domesticabuse.
d. All clients are screened for domestic abuse because it is common in our society.:
D. All clients are screened for domestic abuse because it is common in oursociety.
