HESI 101 LATEST EXAM 2024 ACTUAL EXAM / HESI EXIT
COMPREHENSIVE REVIEW TEST BANK 400 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY
GRADED A+
A client is scheduled for an IVP (intravenosa pyelogram Which of the following data from the client 's
history indicates a potential hazard for this test?
A) Reflex incontinence
B) allergies to shellfish
C) claustrophobia
D) hypotension - ANSWER-allergic to shellfish
The nurse is preparing a handout on infant feeding to be distributed to families visiting included the
clinic. Which notation should be included in teaching materials A) Solid foods are introduced 1 at a
time beginning with cereal
B) Finely ground meat should be started early to provide iron
C) Egg white is added early to increase protein intake
D) Solid foods should be mixed with formula in a bottle - ANSWER-Solid foods are introduced 1 at a
time beginning with cereal
The nurse is caring for a client with sickle cell disease who is scheduled to receive a unit of packed red
blood cells. Which of the following is an appropriate action for the nurse when administering the
infusion?
A) Storing the packed red cells in the medicine refrigerator while starting IV
B) Slow the rate of infusion if the client develops fever or chillis
C) Limit the infusion time of each of the unit to a maximum of 4 hours
D) Assess vital signs every 15 minutes throughout the entire infusion - ANSWER-Limit the infusion
time of each of the unit to a maximum of 4 hours
,A 2 year old child is brought to the health care provider 's office with a chief complaint of the mild
diarrhea for 2 days. Nutritional counseling by the nurse should include which statement?
A) Place the child on clear liquids and gelatin for 24 hours
B) Continue with the regular diet and include oral rehydration fluids
C) Give bananas, apples, rice, and toast as tolerated
D) Place NPO for 24 hours, then rehydrate with milk and water - ANSWER-B) Continue with the regular
diet and include oral rehydration fluids
The nurse is teaching an elderly client how to use MDI's ( multidose inhalers) The nurse is concerned that
the client is unable to coordinate the release of the medication with the inhalation phase. What is the
nurse's best recommendation to improve delivery of the medication?
A) Nebulized treatment for home care
B) Adding a spacer device to the MDI canister
C) Asking a family member to assist the client with the MDI
D) Request a visiting nurse to follow the client at home - ANSWER-Adding a spacer device to the MDI
canister
Which of the following manifestation observed by the school nurse confirms the presence of pediculosis
capital in students?
A) Scratching the head more than usual
B) Flakes evident on a student's shoulders
C) Oval pattern occipital hair loss
D) Whitish oval specks sticking to the hair - ANSWER-Whitish oval specks sticking to the hair
When parents call the emergency room to report that a toddler has swallowed drain cleaner, the nurse
instructs them to call for emergency transport to the hospital. While waiting for an ambulance, the nurse
would suggest for the parents to give sips of which substance?
A) Tea
B) Walter
C) Milk
D) soda - ANSWER-Water
,A client with a documented pulmonary embolism has the following arterial blood gases: P02 - 70 mm hg,
PCO2-32mm hg, pH-7.45, SaO2-87%, HCO3-22. Based on this data, what is the first nursing action?
A) Review other lab data
B) Notify the health care provider
C) Administer Oxygen
D) Calm the client - ANSWER-Administer oxygen
A client with diagnosed with hepatitis C discussed his health history with the admitting nurse. The nurse
should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago
B) I had the best raw oysters last week
C) I have many different sex parents
D) I had a blood transfusion 15 years ago - ANSWER-I had a blood transfusion
A client is recovering from a thyroidectomy. While monitoring the client 's initial post operative
condition, which of the following should the nurse report immediately?
A) tetany and paresthesia
B) Mild stridor and hoarseness
C) irritability and insomnia
D) headache and nausea - ANSWER-Tetany and parasthesia
A client is admitted with a right upper lobe infiltrate and to rule out tuberculosis. The most appropriate
action by the nurse to protect the self would be which of these?
A) negative room ventilation
B) Face mask with shield
C) Particulate respiratory mask
D) airborne precautions - ANSWER-particulate respiratory mask
, a client had 20 mg of Lasix ( furosemide) PO at 10 am. Which would be essential for the nurse to include
at the change of shift report?
A) The client lost 2 pounds in 24 hours
B) The client's potassium level is 4 mEq/liter.
C) The client's urine output was 1500 cc in 5 hours
D) The client is to receive another dose of Lasix at 10 PM - ANSWER-the client's urine output was 1500
cc in five hours
An antibiotic IM injection for a 2 yr old child is ordered. The total volume of the injection equals 2.0ml
the correct action is to
A)administer the medication in 2 separate injections
B)give the medication in the dorsal gluteal site
C)call to get a smaller volume ordered
D)check with the pharmacy for a liquid form of the medication skip. - ANSWER-administer the
medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse know that the reason for
this route is to
A)enhance absorption of the medication
B)ensure that the entire dose of medication is given
C)provide more even distribution of the drug
D)prevent the drug from tissue irritation skip - ANSWER-prevent the drug from tissue irritation skip
While providing home care to a client with congestive heart failure, the nurse is asked long diuretics
must be taken. what is the nurses best response
A)"as you urinate more, you will need less medication
B)"you will have to take this medication for about a year
C)"the medication must be continued so the fluid problem is controlled
D)"please talk to your health care provider about medications and treatments - ANSWER-the
medication must be continued so the fluid problem is controlled
COMPREHENSIVE REVIEW TEST BANK 400 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY
GRADED A+
A client is scheduled for an IVP (intravenosa pyelogram Which of the following data from the client 's
history indicates a potential hazard for this test?
A) Reflex incontinence
B) allergies to shellfish
C) claustrophobia
D) hypotension - ANSWER-allergic to shellfish
The nurse is preparing a handout on infant feeding to be distributed to families visiting included the
clinic. Which notation should be included in teaching materials A) Solid foods are introduced 1 at a
time beginning with cereal
B) Finely ground meat should be started early to provide iron
C) Egg white is added early to increase protein intake
D) Solid foods should be mixed with formula in a bottle - ANSWER-Solid foods are introduced 1 at a
time beginning with cereal
The nurse is caring for a client with sickle cell disease who is scheduled to receive a unit of packed red
blood cells. Which of the following is an appropriate action for the nurse when administering the
infusion?
A) Storing the packed red cells in the medicine refrigerator while starting IV
B) Slow the rate of infusion if the client develops fever or chillis
C) Limit the infusion time of each of the unit to a maximum of 4 hours
D) Assess vital signs every 15 minutes throughout the entire infusion - ANSWER-Limit the infusion
time of each of the unit to a maximum of 4 hours
,A 2 year old child is brought to the health care provider 's office with a chief complaint of the mild
diarrhea for 2 days. Nutritional counseling by the nurse should include which statement?
A) Place the child on clear liquids and gelatin for 24 hours
B) Continue with the regular diet and include oral rehydration fluids
C) Give bananas, apples, rice, and toast as tolerated
D) Place NPO for 24 hours, then rehydrate with milk and water - ANSWER-B) Continue with the regular
diet and include oral rehydration fluids
The nurse is teaching an elderly client how to use MDI's ( multidose inhalers) The nurse is concerned that
the client is unable to coordinate the release of the medication with the inhalation phase. What is the
nurse's best recommendation to improve delivery of the medication?
A) Nebulized treatment for home care
B) Adding a spacer device to the MDI canister
C) Asking a family member to assist the client with the MDI
D) Request a visiting nurse to follow the client at home - ANSWER-Adding a spacer device to the MDI
canister
Which of the following manifestation observed by the school nurse confirms the presence of pediculosis
capital in students?
A) Scratching the head more than usual
B) Flakes evident on a student's shoulders
C) Oval pattern occipital hair loss
D) Whitish oval specks sticking to the hair - ANSWER-Whitish oval specks sticking to the hair
When parents call the emergency room to report that a toddler has swallowed drain cleaner, the nurse
instructs them to call for emergency transport to the hospital. While waiting for an ambulance, the nurse
would suggest for the parents to give sips of which substance?
A) Tea
B) Walter
C) Milk
D) soda - ANSWER-Water
,A client with a documented pulmonary embolism has the following arterial blood gases: P02 - 70 mm hg,
PCO2-32mm hg, pH-7.45, SaO2-87%, HCO3-22. Based on this data, what is the first nursing action?
A) Review other lab data
B) Notify the health care provider
C) Administer Oxygen
D) Calm the client - ANSWER-Administer oxygen
A client with diagnosed with hepatitis C discussed his health history with the admitting nurse. The nurse
should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago
B) I had the best raw oysters last week
C) I have many different sex parents
D) I had a blood transfusion 15 years ago - ANSWER-I had a blood transfusion
A client is recovering from a thyroidectomy. While monitoring the client 's initial post operative
condition, which of the following should the nurse report immediately?
A) tetany and paresthesia
B) Mild stridor and hoarseness
C) irritability and insomnia
D) headache and nausea - ANSWER-Tetany and parasthesia
A client is admitted with a right upper lobe infiltrate and to rule out tuberculosis. The most appropriate
action by the nurse to protect the self would be which of these?
A) negative room ventilation
B) Face mask with shield
C) Particulate respiratory mask
D) airborne precautions - ANSWER-particulate respiratory mask
, a client had 20 mg of Lasix ( furosemide) PO at 10 am. Which would be essential for the nurse to include
at the change of shift report?
A) The client lost 2 pounds in 24 hours
B) The client's potassium level is 4 mEq/liter.
C) The client's urine output was 1500 cc in 5 hours
D) The client is to receive another dose of Lasix at 10 PM - ANSWER-the client's urine output was 1500
cc in five hours
An antibiotic IM injection for a 2 yr old child is ordered. The total volume of the injection equals 2.0ml
the correct action is to
A)administer the medication in 2 separate injections
B)give the medication in the dorsal gluteal site
C)call to get a smaller volume ordered
D)check with the pharmacy for a liquid form of the medication skip. - ANSWER-administer the
medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse know that the reason for
this route is to
A)enhance absorption of the medication
B)ensure that the entire dose of medication is given
C)provide more even distribution of the drug
D)prevent the drug from tissue irritation skip - ANSWER-prevent the drug from tissue irritation skip
While providing home care to a client with congestive heart failure, the nurse is asked long diuretics
must be taken. what is the nurses best response
A)"as you urinate more, you will need less medication
B)"you will have to take this medication for about a year
C)"the medication must be continued so the fluid problem is controlled
D)"please talk to your health care provider about medications and treatments - ANSWER-the
medication must be continued so the fluid problem is controlled
