HESI Milestone Practice Exam Study Guides
with Answers Graded A+ 2025
1. Following a stroke, a client is experiencing dysphagia and left-sided facial
paralysis. Which feeding technique will the nurse use at this time?: Provide
thickened liquids and pureed feeds at the right side of the mouth.
Position the client with the bed at 30 degrees.
Encourage sipping diluted liquid meal supplements from a straw.
Feed the client solid foods at the left side of the mouth.
2. A client with a right lower extremity fracture begins reporting the cast is now
too tight. Which of the following is the priority?: Pulselessness in casted extremity
Right extremity is paler than left
Decreased capillary refill in toes of right foot
Increased pain in right leg
3. A health care provider is assessing a client with type 2 diabetes mellitus'
glycosylated hemoglobin (HgbA1C). The client asks what the level should be for
,them?: Less than 7%
Greater than 10%
Between 8% and 10%
Less than 4%
4. A client is reporting fatigue and shortness of breath on exertion. Which of the
following lab values will the nurse evaluate?: Partial thromboplastin time
Hematocrit
Platelets
Prothrombin time
5. The client with an open femoral fracture was discharged to home and reports
having a fever, night sweats, chills, restlessness, and restrictive move- ment of the
fractured leg. The nurse should interpret these findings that the client may be
experiencing which of the following?: Pulmonary embolus
Fat embolus
Urinary tract infection
Osteomyelitis
6. The nurse is instructing an unlicensed assistive personnel (UAP) to set up a room
for a client experiencing seizures. Which of the following will the nurse communicate
to the UAP?: "Place a suction set up in the room and I'll check it when I go in."
,"Place all four bed side rails up."
"Always keep the client in a high fowlers position."
"Insert an airway in the client's mouth during every seizure."
7. The nurse is preparing a client diagnosed with chronic obstructive pul-
monary disease (COPD) for discharge. Which of the following statements
, indicates the client understands the plan of care?: "I will avoid direct contact with
family and friends."
"I understand smoking cessation medications are contraindicated."
"I will contact my health care provider if shortness of breath with effort increases."
"I will use oxygen via nasal cannula at 5 L/min."
8. The nurse measures the fundal height during every maternity appointment. What
is the rationale for this action?: Assessment of fetal weight
Evaluation of fetal heart rate
Measurement of fetal growth
Determination of fetal movement
9. The nurse is providing breastfeeding teaching with a postpartum client. Which of
the following describes the "sandwich technique"?: Encourage moth- ers to avoid any
stimulation to the breasts that might foster milk production, such as warm showers
or pumping or massaging the breasts
This technique if for non-lactating mother to learn to assess their breasts to identify
any problems, such as engorgement or mastitis
Instruct the mother to use ice packs or cool compresses (e.g., cool cabbage leaves)
inside the bra to decrease local pain and swelling
with Answers Graded A+ 2025
1. Following a stroke, a client is experiencing dysphagia and left-sided facial
paralysis. Which feeding technique will the nurse use at this time?: Provide
thickened liquids and pureed feeds at the right side of the mouth.
Position the client with the bed at 30 degrees.
Encourage sipping diluted liquid meal supplements from a straw.
Feed the client solid foods at the left side of the mouth.
2. A client with a right lower extremity fracture begins reporting the cast is now
too tight. Which of the following is the priority?: Pulselessness in casted extremity
Right extremity is paler than left
Decreased capillary refill in toes of right foot
Increased pain in right leg
3. A health care provider is assessing a client with type 2 diabetes mellitus'
glycosylated hemoglobin (HgbA1C). The client asks what the level should be for
,them?: Less than 7%
Greater than 10%
Between 8% and 10%
Less than 4%
4. A client is reporting fatigue and shortness of breath on exertion. Which of the
following lab values will the nurse evaluate?: Partial thromboplastin time
Hematocrit
Platelets
Prothrombin time
5. The client with an open femoral fracture was discharged to home and reports
having a fever, night sweats, chills, restlessness, and restrictive move- ment of the
fractured leg. The nurse should interpret these findings that the client may be
experiencing which of the following?: Pulmonary embolus
Fat embolus
Urinary tract infection
Osteomyelitis
6. The nurse is instructing an unlicensed assistive personnel (UAP) to set up a room
for a client experiencing seizures. Which of the following will the nurse communicate
to the UAP?: "Place a suction set up in the room and I'll check it when I go in."
,"Place all four bed side rails up."
"Always keep the client in a high fowlers position."
"Insert an airway in the client's mouth during every seizure."
7. The nurse is preparing a client diagnosed with chronic obstructive pul-
monary disease (COPD) for discharge. Which of the following statements
, indicates the client understands the plan of care?: "I will avoid direct contact with
family and friends."
"I understand smoking cessation medications are contraindicated."
"I will contact my health care provider if shortness of breath with effort increases."
"I will use oxygen via nasal cannula at 5 L/min."
8. The nurse measures the fundal height during every maternity appointment. What
is the rationale for this action?: Assessment of fetal weight
Evaluation of fetal heart rate
Measurement of fetal growth
Determination of fetal movement
9. The nurse is providing breastfeeding teaching with a postpartum client. Which of
the following describes the "sandwich technique"?: Encourage moth- ers to avoid any
stimulation to the breasts that might foster milk production, such as warm showers
or pumping or massaging the breasts
This technique if for non-lactating mother to learn to assess their breasts to identify
any problems, such as engorgement or mastitis
Instruct the mother to use ice packs or cool compresses (e.g., cool cabbage leaves)
inside the bra to decrease local pain and swelling
