Pre-Test HESI Review Questions With Complete Solutions
A child with osteosarcoma who required amputation of a lower
limb is experiencing phantom limb pain. The nurse attempts to
comfort the child by explaining that: Correct Answers The pain
is a normal, temporary condition.
A client has just been found to have deep veins thrombosis
(DVT) of the right leg. Which of the Following interventions
does the nurse immediately implement? Correct Answers
Elevating the foot of the bed 6 inches.
A client hospitalized on a mental health unit with schizophrenia
tells the nurse, "The voices in my head say that I'm worthless
and that I don't deserve to be alive." What is the nurse's priority
concern for this client? Correct Answers Risk for self-directed
violence
A client in a manic state emerges from her room and quickly
enters the dayroom. She announces to the group that she is the
star of a burlesque show and will begin her performance shortly.
The priority nursing action is to: Correct Answers Quietly and
firmly assist the client to her room and help her dress in
appropriate clothes.
A client is receiving parenteral nutrition (PN) solution at 60
mL/hr by means of infusion pump through a subclavian central
line. The client calls the nurse and complains of difficulty
breathing and chest pain. The nurse notes that the client's pulse
rate is increased, the blood pressure has dropped, and oxygen
saturation is 89%. The nurse should erform the following actions
,in which priority order? Correct Answers Clamping the PN
infusion catheter
Placing the client in lateral Trendelenburg position on the left
side
Notifying the physician
Obtaining an electrocargiogram
A client who has just received a diagnosis of asthma says to the
nurse, "This is just another nail in my coffin." Which response
by the nurse is therapeutic? Correct Answers "You seem very
distressed at learning that you have asthma."
A client who is delusional says to the nurse, "Terrorists have
been sent here to kill me." How should the nurse respond to the
client? Correct Answers "Are you worried that people are
trying to hurt you?"
A client who was recently sexually assaulted is self-contained
and calm. The client says to the nurse, "It doesn't seem real."
Which defense mechanism is the client using? Correct Answers
Denial.
A client with a basilar skull fracture has clear fluid leaking form
the ears. The nurse should: Correct Answers Check the clear
fluid for the presence of glucose.
A client with a diagnosis of preeclampsia suddenly begins to
exhibit seizure activity. The first action on the part of the nurse
is: Correct Answers Turning the client on her side.
, A client with a manic disorder monopolizes group therapy. What
should the nurse leading the group say to the client? Correct
Answers "Thank you for your comments. Now, try to stop
talking and listen to others."
A client with diabetes mellitus who is scheduled to have blood
drawn for determination of the glycosylated hemoglobin
(HbA1c) level asks the nurse why the test is necessary if he is
performing blood glucose monitoring at home. The nurse tells
the client that this test is used specifically to: Correct Answers
Assess long-term glycemic control
A client with skeletal traction applied to the right leg complains
to the nurse of pain at a level 7 on a 1 to 10 scale. The nurse
realigns the client's position, but this intervention does not
relieve the pain. Which action would the nurse take next?
Correct Answers Contact the RN.
A client's arterial blood gases (ABGs) are analyzed: pH 7.49,
Paco2 31 mm Hg, Pao2 97 mm Hg, HCO3- 22 mEq/L. Which of
the following acid-base disturbances does the nurse identify
from theses results? Correct Answers Respiratory Alkalosis
A clinic nurse reviews the record of a pregnant client and notes
the the physician has documented that the client exhibits the
Heger sign. The nurse understands that: Correct Answers
Softening and compressibility of the lower uterine segment had
been detected.
A contraction stress test is scheduled, and the nurse provides
instructions to the client regarding the test. Which of the
A child with osteosarcoma who required amputation of a lower
limb is experiencing phantom limb pain. The nurse attempts to
comfort the child by explaining that: Correct Answers The pain
is a normal, temporary condition.
A client has just been found to have deep veins thrombosis
(DVT) of the right leg. Which of the Following interventions
does the nurse immediately implement? Correct Answers
Elevating the foot of the bed 6 inches.
A client hospitalized on a mental health unit with schizophrenia
tells the nurse, "The voices in my head say that I'm worthless
and that I don't deserve to be alive." What is the nurse's priority
concern for this client? Correct Answers Risk for self-directed
violence
A client in a manic state emerges from her room and quickly
enters the dayroom. She announces to the group that she is the
star of a burlesque show and will begin her performance shortly.
The priority nursing action is to: Correct Answers Quietly and
firmly assist the client to her room and help her dress in
appropriate clothes.
A client is receiving parenteral nutrition (PN) solution at 60
mL/hr by means of infusion pump through a subclavian central
line. The client calls the nurse and complains of difficulty
breathing and chest pain. The nurse notes that the client's pulse
rate is increased, the blood pressure has dropped, and oxygen
saturation is 89%. The nurse should erform the following actions
,in which priority order? Correct Answers Clamping the PN
infusion catheter
Placing the client in lateral Trendelenburg position on the left
side
Notifying the physician
Obtaining an electrocargiogram
A client who has just received a diagnosis of asthma says to the
nurse, "This is just another nail in my coffin." Which response
by the nurse is therapeutic? Correct Answers "You seem very
distressed at learning that you have asthma."
A client who is delusional says to the nurse, "Terrorists have
been sent here to kill me." How should the nurse respond to the
client? Correct Answers "Are you worried that people are
trying to hurt you?"
A client who was recently sexually assaulted is self-contained
and calm. The client says to the nurse, "It doesn't seem real."
Which defense mechanism is the client using? Correct Answers
Denial.
A client with a basilar skull fracture has clear fluid leaking form
the ears. The nurse should: Correct Answers Check the clear
fluid for the presence of glucose.
A client with a diagnosis of preeclampsia suddenly begins to
exhibit seizure activity. The first action on the part of the nurse
is: Correct Answers Turning the client on her side.
, A client with a manic disorder monopolizes group therapy. What
should the nurse leading the group say to the client? Correct
Answers "Thank you for your comments. Now, try to stop
talking and listen to others."
A client with diabetes mellitus who is scheduled to have blood
drawn for determination of the glycosylated hemoglobin
(HbA1c) level asks the nurse why the test is necessary if he is
performing blood glucose monitoring at home. The nurse tells
the client that this test is used specifically to: Correct Answers
Assess long-term glycemic control
A client with skeletal traction applied to the right leg complains
to the nurse of pain at a level 7 on a 1 to 10 scale. The nurse
realigns the client's position, but this intervention does not
relieve the pain. Which action would the nurse take next?
Correct Answers Contact the RN.
A client's arterial blood gases (ABGs) are analyzed: pH 7.49,
Paco2 31 mm Hg, Pao2 97 mm Hg, HCO3- 22 mEq/L. Which of
the following acid-base disturbances does the nurse identify
from theses results? Correct Answers Respiratory Alkalosis
A clinic nurse reviews the record of a pregnant client and notes
the the physician has documented that the client exhibits the
Heger sign. The nurse understands that: Correct Answers
Softening and compressibility of the lower uterine segment had
been detected.
A contraction stress test is scheduled, and the nurse provides
instructions to the client regarding the test. Which of the
