HESI EXAM 3 QUESTIONS WITH COMPLETE
SOLUTIONS
136. A client is receiving ophthalmic drops
preoperatively for a cataract extraction and asks
the nurse why the healthcare provider has
prescribed all these medications. Which
information should the nurse included when
responding to this client? (Select all that apply.)
A) One of the medications is used to anesthetize
the corneal surface
B) Pupillary dilation is necessary to access the eye
chamber for lens removal
C) The iris must be paralyzed during surgery to
prevent it from reacting to light
D) A medication is used to induce sleep during the
procedureE) These medications assist in
obstructing client ́s vision during the surgery
Encourage family participate in the client's care
E) Play classical music in room while client is
awake Correct Answers A) One of the medications
is used to anesthetize the corneal surface
B) Pupillary dilation is necessary to access the eye
chamber for lens removal
C) The iris must be paralyzed during surgery to
prevent it from reacting to light
60 year-old male client had a hernia repair in an
outpatient surgery clinic. He is awake and alert,
but has not been able to void since he returned
,from surgery 6 hours ago. He received 1000 mL of
IV fluid. Which action would be most likely to help
him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to
void
D) Wait 2 hours and have him try to void again
Correct Answers C) Assist him to stand by the side
of the bed to void
83. When caring for a client with a post right
thoracotomy who has undergone an upper
lobectomy, the nurse focuses on pain management
to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises Correct Answers B)
Deep breathing and coughing
A 14 year-old with a history of sickle cell disease is
admitted to the hospital with a diagnosis of vaso-
occlusive crisis. Which statements by the client
would be most indicative of the etiology of this
crisis?
a. "I knew this would happen. I've been eating too
much red meat lately."
b. "I really enjoyed my fishing trip yesterday. I
caught 2 fish."
,c. "I have really been working hard practicing with
the debate team at school."
d. "I went to the health care provider last week for
a cold and I have gotten worse." Correct Answers
d. "I went to the health care provider last week for
a cold and I have gotten worse."
A 15-year-old male client was recently diagnosed
with type 1 diabetes mellitus. He tells the nurse
that he is having difficulty adhering to his meal
plan when he is with his friends. What nursing
intervention is best for the nurse to implement?
a. Recommend he avoid fast food restaurants until
he is familiar with his prescribed diet.
b. Advise him to take his own food with him when
going to fast food restaurants with his
friends.
c. Encourage him to find activities to do with his
friends that do not involve eating.
d. Assist him in identifying popular fast foods that
are within his meal plan for diabetes. Correct
Answers d. Assist him in identifying popular fast
foods that are within his meal plan for diabetes.
A 20 year-old client has an infected leg wound from
a motorcycle accident, and the client has returned
home from the hospital. The client is to keep the
affected leg elevated and is on contact
precautions. The client wants to know if visitors
, can come. The appropriate response from the
home health nurse is that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of
clients on contact precautions
C) Visitors should wash their hands before and
after touching the client
D) Visitors should wear gloves if they touch the
client Correct Answers C) Visitors should wash
their hands before and after touching the client
A 4 year-old has been hospitalized for 24 hours
with skeletal traction for treatment of a fracture of
the right femur. The nurse finds that the child is
now crying and the rightfoot is pale with the
absence of a pulse. What should the nurse do first?
A) Notify the health care provider
B) Readjust the traction
C) Administer the ordered PRN medication
D) Reassess the foot in fifteen minutes Correct
Answers A) Notify the health care provider
A child is admitted to the pediatric unit with a
diagnosis of suspected meningococcal meningitis.
Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
SOLUTIONS
136. A client is receiving ophthalmic drops
preoperatively for a cataract extraction and asks
the nurse why the healthcare provider has
prescribed all these medications. Which
information should the nurse included when
responding to this client? (Select all that apply.)
A) One of the medications is used to anesthetize
the corneal surface
B) Pupillary dilation is necessary to access the eye
chamber for lens removal
C) The iris must be paralyzed during surgery to
prevent it from reacting to light
D) A medication is used to induce sleep during the
procedureE) These medications assist in
obstructing client ́s vision during the surgery
Encourage family participate in the client's care
E) Play classical music in room while client is
awake Correct Answers A) One of the medications
is used to anesthetize the corneal surface
B) Pupillary dilation is necessary to access the eye
chamber for lens removal
C) The iris must be paralyzed during surgery to
prevent it from reacting to light
60 year-old male client had a hernia repair in an
outpatient surgery clinic. He is awake and alert,
but has not been able to void since he returned
,from surgery 6 hours ago. He received 1000 mL of
IV fluid. Which action would be most likely to help
him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to
void
D) Wait 2 hours and have him try to void again
Correct Answers C) Assist him to stand by the side
of the bed to void
83. When caring for a client with a post right
thoracotomy who has undergone an upper
lobectomy, the nurse focuses on pain management
to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises Correct Answers B)
Deep breathing and coughing
A 14 year-old with a history of sickle cell disease is
admitted to the hospital with a diagnosis of vaso-
occlusive crisis. Which statements by the client
would be most indicative of the etiology of this
crisis?
a. "I knew this would happen. I've been eating too
much red meat lately."
b. "I really enjoyed my fishing trip yesterday. I
caught 2 fish."
,c. "I have really been working hard practicing with
the debate team at school."
d. "I went to the health care provider last week for
a cold and I have gotten worse." Correct Answers
d. "I went to the health care provider last week for
a cold and I have gotten worse."
A 15-year-old male client was recently diagnosed
with type 1 diabetes mellitus. He tells the nurse
that he is having difficulty adhering to his meal
plan when he is with his friends. What nursing
intervention is best for the nurse to implement?
a. Recommend he avoid fast food restaurants until
he is familiar with his prescribed diet.
b. Advise him to take his own food with him when
going to fast food restaurants with his
friends.
c. Encourage him to find activities to do with his
friends that do not involve eating.
d. Assist him in identifying popular fast foods that
are within his meal plan for diabetes. Correct
Answers d. Assist him in identifying popular fast
foods that are within his meal plan for diabetes.
A 20 year-old client has an infected leg wound from
a motorcycle accident, and the client has returned
home from the hospital. The client is to keep the
affected leg elevated and is on contact
precautions. The client wants to know if visitors
, can come. The appropriate response from the
home health nurse is that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of
clients on contact precautions
C) Visitors should wash their hands before and
after touching the client
D) Visitors should wear gloves if they touch the
client Correct Answers C) Visitors should wash
their hands before and after touching the client
A 4 year-old has been hospitalized for 24 hours
with skeletal traction for treatment of a fracture of
the right femur. The nurse finds that the child is
now crying and the rightfoot is pale with the
absence of a pulse. What should the nurse do first?
A) Notify the health care provider
B) Readjust the traction
C) Administer the ordered PRN medication
D) Reassess the foot in fifteen minutes Correct
Answers A) Notify the health care provider
A child is admitted to the pediatric unit with a
diagnosis of suspected meningococcal meningitis.
Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
