HESI Mid Curricular Exam Study Guide with
All Predictor Terms and Answers Bundled
together New Updated Version 2025
1. A young adult client, admitted to the emergency department
following a motor vehicle collision is receiving transfusion of 4 units
of packed red blood cells (PRBC). The client's pretransfusion
hematocrit is 17% (0.17 volume). How many hematocrit value should
the nurse expect the client to have after all of the PRBCs have been
transfused
Reference Range:
Hematocrit (42% to 52% (0.4Lto 0.52 volume fraction)]
A 9% (0.09 volume fraction).
B 39% (0.39 volume fraction).
C 19% (0.19 volume traction)
D 29% (0.29 volume fraction)--- correct answer --- D 29% (0.29
volume fraction).
2. A female client on a psychiatric unit is sweating profusely while
she vigor- ously does push- ups and then runs the length of the
corridor several times before crashing into furniture in the sitting
room. Picking herself up, she begins to toss chairs aside, looking for a
red one to sit in. When another client objects to the disturbance, the
,client shouts, "I am the boss here. I do what I want." Which nursing
problem best supports these observations?
• A Disturbed personal identity related to grandiosity.
• B Risk for activity intolerance related to hyperactivity.
• C Risk for other related violence related to disruptive behavior.
• D Deficient diversional activity related to excess energy level---
correct answer --- • C Risk for other related violence related to
disruptive behavior.
3. The antitubular drug isoniazid is prescribed for a client with
active tubercu- losis. To evaluate the effectiveness of this medication,
which outcome can the nurse expect this client to exhibit?
A Decreased appetite and weight loss.
B A positive sputum smear and culture.
C Decreased cough and sputum.
D Vertigo and tinnitus--- correct answer --- C Decreased cough and
sputum.
4. 5 The nurse performs a routine assessment on a 12-hour-old
infant. Which finding requires the nurse to intervene?
• A Crying for more than 10 minutes.
• B Acrocyanosis with hands and feet cool to touch.
• C Respiratory rate of 73 breaths/minute.
,• D No voiding or stooling since birth--- correct answer --- • C
Respiratory rate of 73 breaths/minute.
’ infant is hyperventilating; should be 30-60 breaths/min
5. A client with acquired immunodeficiency syndrome (AIDS) has
impaired gas exchange from a respiratory infection. Which
assessment finding warrants immediate intervention by the nurse?
• A Diminished lung sounds.
• B Generalized weakness.
• C Elevated temperature.
• D Pain when swallowing--- correct answer --- • A Diminished
lung sounds.
6. A client who is terminally ill has an advance directive that
stipulates no resuscitative measures are to be taken. The client's
death is imminent and the family is in the client's room. The client is
currently exhibiting Cheyne-Stokes respirations and has a blood
pressure of 60/30 mm Hg. Which is the priority nursing action?
• A Allow privacy for the family and client to express their feelings
to one another.
• B. Elevate the head of the client's bed and apply oxygen using a
face mask.
• C Apply an automatic blood pressure cuff and take readings
every 15 minutes.
, • D Teach the client's family how to use an oral suction device to
clear the airway--- correct answer --- • A Allow privacy for the family
and client to express their feelings to one another.
7. A client with cirrhosis has ascites and reports feeling short of
breath. The client is in a Semi-Fowler's position with arms posit
Which action should the nurse implement?
A Reposition the client in a side-lying position and support his
abdomen with pillows.
B Raise the head of the bed to a Fowler's position and support his
arms with a pillow.
C Place the client in a shock position and monitor his vital signs at
frequent intervals.
D. Elevate the client's feet on a pillow while keeping the head of the
bed elevated--- correct answer --- B Raise the head of the bed to a
Fowler's position and support his arms with a pillow.
8. A school-aged child is admitted with status asthmaticus. The
child is receiv- ing oxygen at 4 liters/minute per nasal cannula, but
remains dyspneic and is
extremely anxious. Which intervention should the nurse implement?
• A Administer an as needed (PRN) anxiolytic.
• B Orient the child to the hospital unit.
• C Talk to child while holding the child's hand.
All Predictor Terms and Answers Bundled
together New Updated Version 2025
1. A young adult client, admitted to the emergency department
following a motor vehicle collision is receiving transfusion of 4 units
of packed red blood cells (PRBC). The client's pretransfusion
hematocrit is 17% (0.17 volume). How many hematocrit value should
the nurse expect the client to have after all of the PRBCs have been
transfused
Reference Range:
Hematocrit (42% to 52% (0.4Lto 0.52 volume fraction)]
A 9% (0.09 volume fraction).
B 39% (0.39 volume fraction).
C 19% (0.19 volume traction)
D 29% (0.29 volume fraction)--- correct answer --- D 29% (0.29
volume fraction).
2. A female client on a psychiatric unit is sweating profusely while
she vigor- ously does push- ups and then runs the length of the
corridor several times before crashing into furniture in the sitting
room. Picking herself up, she begins to toss chairs aside, looking for a
red one to sit in. When another client objects to the disturbance, the
,client shouts, "I am the boss here. I do what I want." Which nursing
problem best supports these observations?
• A Disturbed personal identity related to grandiosity.
• B Risk for activity intolerance related to hyperactivity.
• C Risk for other related violence related to disruptive behavior.
• D Deficient diversional activity related to excess energy level---
correct answer --- • C Risk for other related violence related to
disruptive behavior.
3. The antitubular drug isoniazid is prescribed for a client with
active tubercu- losis. To evaluate the effectiveness of this medication,
which outcome can the nurse expect this client to exhibit?
A Decreased appetite and weight loss.
B A positive sputum smear and culture.
C Decreased cough and sputum.
D Vertigo and tinnitus--- correct answer --- C Decreased cough and
sputum.
4. 5 The nurse performs a routine assessment on a 12-hour-old
infant. Which finding requires the nurse to intervene?
• A Crying for more than 10 minutes.
• B Acrocyanosis with hands and feet cool to touch.
• C Respiratory rate of 73 breaths/minute.
,• D No voiding or stooling since birth--- correct answer --- • C
Respiratory rate of 73 breaths/minute.
’ infant is hyperventilating; should be 30-60 breaths/min
5. A client with acquired immunodeficiency syndrome (AIDS) has
impaired gas exchange from a respiratory infection. Which
assessment finding warrants immediate intervention by the nurse?
• A Diminished lung sounds.
• B Generalized weakness.
• C Elevated temperature.
• D Pain when swallowing--- correct answer --- • A Diminished
lung sounds.
6. A client who is terminally ill has an advance directive that
stipulates no resuscitative measures are to be taken. The client's
death is imminent and the family is in the client's room. The client is
currently exhibiting Cheyne-Stokes respirations and has a blood
pressure of 60/30 mm Hg. Which is the priority nursing action?
• A Allow privacy for the family and client to express their feelings
to one another.
• B. Elevate the head of the client's bed and apply oxygen using a
face mask.
• C Apply an automatic blood pressure cuff and take readings
every 15 minutes.
, • D Teach the client's family how to use an oral suction device to
clear the airway--- correct answer --- • A Allow privacy for the family
and client to express their feelings to one another.
7. A client with cirrhosis has ascites and reports feeling short of
breath. The client is in a Semi-Fowler's position with arms posit
Which action should the nurse implement?
A Reposition the client in a side-lying position and support his
abdomen with pillows.
B Raise the head of the bed to a Fowler's position and support his
arms with a pillow.
C Place the client in a shock position and monitor his vital signs at
frequent intervals.
D. Elevate the client's feet on a pillow while keeping the head of the
bed elevated--- correct answer --- B Raise the head of the bed to a
Fowler's position and support his arms with a pillow.
8. A school-aged child is admitted with status asthmaticus. The
child is receiv- ing oxygen at 4 liters/minute per nasal cannula, but
remains dyspneic and is
extremely anxious. Which intervention should the nurse implement?
• A Administer an as needed (PRN) anxiolytic.
• B Orient the child to the hospital unit.
• C Talk to child while holding the child's hand.
