Page 1 of 57
HESI FINAL EXAM STUDY QUESTIONS WITH CORRECT ANSWERS
A client has been hospitalized with a femur fracture and is being treated
with traction. Which action by the nurse is the priority when caring for this
client?
A. Assess neurovascular status.
B. Change the client's position.
C. Inspect the traction equipment.
D. Review pain medication orders.
A
An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
A. Pulmonary embolism.
B. Heart failure.
C. Tuberculosis.
D Bronchitis.
A
Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (Select all that apply.)
a. Quality of the pain.
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b. Signs of inflammation.
c. Ankle range of motion.
d. Muscle strength testing.
e. Visible deformities of the joint.
A,B,C,E
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
A. Joint pain is worse in the morning and involves symmetric joints.
B. Joint pain is better in the morning and worsens throughout the day.
C. Joint pain is consistent throughout the day and is relieved by pain
medication.
D. Joint pain is worse during the day and involves unilateral joints.
A
Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
A. Hoarseness.
B. Dry mouth.
C. Mouth ulcers.
D. Weight loss.
A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?
A. Bilateral lower leg stasis dermatitis.
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B. Clubbing of fingers and toes.
C. Intermittent claudication.
D. Peripheral cyanosis.
A
Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
A. I will cut back on smoking cigarettes daily.
B. I will avoid drinking caffeinated beverages.
C. I will rest frequently and avoid vigorous exercise.
D. I will eat a bland, low-fat, high-protein diet.
A
The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply.)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent conception during the menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours after
intercourse.
E. Replace the old diaphragm every 3 months.
D,E
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that he
and his wife are having in getting pregnant and wants to know if other
factors could be contributing to their difficulty. What information is best for
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the nurse to provide? (Select all that apply.)
A. Marijuana cigarettes do not affect sperm count.
B. Alcohol consumption can cause erectile dysfunction.
C. Low testosterone levels affect sperm production.
D. Cessation of smoking improves general health and fertility.
E. Obesity has no effect on sperm production.
B,C,D
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric
tube (NGT) cannister. Which assessment finding should the RN report as
early signs of hypovolemic shock?
A. Faint pedal pulses.
B. Decrease in blood pressure.
C. Lethargy.
D. Slow breathing.
C
The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with rectal
bleeding. When taking the client's medical history, which information is most
for the nurse to obtain?
A. Irritable bowel syndrome.
B. Diverticulitis.
C. Crohn's disease.
D. Ulcerative colitis.
HESI FINAL EXAM STUDY QUESTIONS WITH CORRECT ANSWERS
A client has been hospitalized with a femur fracture and is being treated
with traction. Which action by the nurse is the priority when caring for this
client?
A. Assess neurovascular status.
B. Change the client's position.
C. Inspect the traction equipment.
D. Review pain medication orders.
A
An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly
cyanotic. The nurse should further assess the client for which condition?
A. Pulmonary embolism.
B. Heart failure.
C. Tuberculosis.
D Bronchitis.
A
Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (Select all that apply.)
a. Quality of the pain.
, Page 2 of 57
b. Signs of inflammation.
c. Ankle range of motion.
d. Muscle strength testing.
e. Visible deformities of the joint.
A,B,C,E
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?
A. Joint pain is worse in the morning and involves symmetric joints.
B. Joint pain is better in the morning and worsens throughout the day.
C. Joint pain is consistent throughout the day and is relieved by pain
medication.
D. Joint pain is worse during the day and involves unilateral joints.
A
Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?
A. Hoarseness.
B. Dry mouth.
C. Mouth ulcers.
D. Weight loss.
A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?
A. Bilateral lower leg stasis dermatitis.
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B. Clubbing of fingers and toes.
C. Intermittent claudication.
D. Peripheral cyanosis.
A
Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
A. I will cut back on smoking cigarettes daily.
B. I will avoid drinking caffeinated beverages.
C. I will rest frequently and avoid vigorous exercise.
D. I will eat a bland, low-fat, high-protein diet.
A
The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply.)
A. Remove the diaphragm immediately after intercourse.
B. Wash the diaphragm with an alcohol solution.
C. Use the diaphragm to prevent conception during the menstrual cycle.
D. Do not leave the diaphragm in place longer than 8 hours after
intercourse.
E. Replace the old diaphragm every 3 months.
D,E
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that he
and his wife are having in getting pregnant and wants to know if other
factors could be contributing to their difficulty. What information is best for
, Page 4 of 57
the nurse to provide? (Select all that apply.)
A. Marijuana cigarettes do not affect sperm count.
B. Alcohol consumption can cause erectile dysfunction.
C. Low testosterone levels affect sperm production.
D. Cessation of smoking improves general health and fertility.
E. Obesity has no effect on sperm production.
B,C,D
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric
tube (NGT) cannister. Which assessment finding should the RN report as
early signs of hypovolemic shock?
A. Faint pedal pulses.
B. Decrease in blood pressure.
C. Lethargy.
D. Slow breathing.
C
The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with rectal
bleeding. When taking the client's medical history, which information is most
for the nurse to obtain?
A. Irritable bowel syndrome.
B. Diverticulitis.
C. Crohn's disease.
D. Ulcerative colitis.
