HESI RN FINAL EXAM 150 QUESTIONS WITH
VERIFIED ANSWERS GRADED A+ 2025
1) The nuse is caring for a client who has developed cardiac tamponade. Which finding
would the nurse anticipate?
A) Widening pulse pressure
B) Pleural friction rub
C) Distended neck veins
D) Bradycardia
C) Distended neck veins
2) Which nursing action is a priority as the plan of care is developed for a 7 year-old
child hospitalized for acute glomerulonephritis?
A) Assess for generalized edema
B) Monitor for increased urinary output
C) Encourage rest during hyperactive periods
D) Note patterns of increased blood pressure
D) Note patterns of increased blood pressure
3) The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the
following actions by the nurse would be appropriate?
A) Schedule the therapy thirty minutes after meals
B) Teach the child not to cough during the treatment
C) Confine the percussion to the rib cage area
,D) Place the child in a prone position for the therapy
C) Confine the percussion to the rib cage area
4) Why is it important for the nurse to monitor blood pressure in clients receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
B) Most antipsychotic drugs cause elevated blood pressure
C) This provides information on the amount of sodium allowed in the diet
D) It will indicate the need to institute anti parkinsonian drugs
A) Orthostatic hypotension is a common side effect
5) The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity.
Which choice indicates the client understands dietary needs?
A) Three apricots
B) Medium banana
C) Naval orange
D) Baked potato
D) Baked potato
6) An 86 year-old nursing home resident who has decreased mental status is hospitalized with
pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid
diet, the client begins to cough. What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
C) Feed the client only solid foods
D) Increase the rate of intravenous fluids
B) Check the client's gag reflex
,7) The nurse is planning care for a client with a CVA. Which of the following measures planned by the
nurse would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence
C) Reposition every two hours
8) A nurse is assessing several clients in a long term health care facility. Which client is at highest risk
for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client
C) A client who had 3 incontinent diarrhea stools
9) Constipation is one of the most frequent complaints of elders. When assessing this problem, which
action should be the nurse's priority?
A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight
B) Obtain a health and dietary history
, 10) After a client has an enteral feeding tube inserted, the most accurate method for verification of
placement is
A) Abdominal x-ray
B) Auscultation
C) Flushing tube with saline
D) Aspiration for gastric contents
A) Abdominal x-ray
11) A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile
colored liquids. Which nursing measure will provide the most comfort to the client?A) Allow the
client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs
C) Perform frequent oral care with a tooth sponge
12) The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most
important instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to strengthen muscles and
thereby protect bones
A) Exercise doing weight bearing activities
VERIFIED ANSWERS GRADED A+ 2025
1) The nuse is caring for a client who has developed cardiac tamponade. Which finding
would the nurse anticipate?
A) Widening pulse pressure
B) Pleural friction rub
C) Distended neck veins
D) Bradycardia
C) Distended neck veins
2) Which nursing action is a priority as the plan of care is developed for a 7 year-old
child hospitalized for acute glomerulonephritis?
A) Assess for generalized edema
B) Monitor for increased urinary output
C) Encourage rest during hyperactive periods
D) Note patterns of increased blood pressure
D) Note patterns of increased blood pressure
3) The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the
following actions by the nurse would be appropriate?
A) Schedule the therapy thirty minutes after meals
B) Teach the child not to cough during the treatment
C) Confine the percussion to the rib cage area
,D) Place the child in a prone position for the therapy
C) Confine the percussion to the rib cage area
4) Why is it important for the nurse to monitor blood pressure in clients receiving antipsychotic drugs?
A) Orthostatic hypotension is a common side effect
B) Most antipsychotic drugs cause elevated blood pressure
C) This provides information on the amount of sodium allowed in the diet
D) It will indicate the need to institute anti parkinsonian drugs
A) Orthostatic hypotension is a common side effect
5) The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity.
Which choice indicates the client understands dietary needs?
A) Three apricots
B) Medium banana
C) Naval orange
D) Baked potato
D) Baked potato
6) An 86 year-old nursing home resident who has decreased mental status is hospitalized with
pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid
diet, the client begins to cough. What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
C) Feed the client only solid foods
D) Increase the rate of intravenous fluids
B) Check the client's gag reflex
,7) The nurse is planning care for a client with a CVA. Which of the following measures planned by the
nurse would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence
C) Reposition every two hours
8) A nurse is assessing several clients in a long term health care facility. Which client is at highest risk
for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client
C) A client who had 3 incontinent diarrhea stools
9) Constipation is one of the most frequent complaints of elders. When assessing this problem, which
action should be the nurse's priority?
A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight
B) Obtain a health and dietary history
, 10) After a client has an enteral feeding tube inserted, the most accurate method for verification of
placement is
A) Abdominal x-ray
B) Auscultation
C) Flushing tube with saline
D) Aspiration for gastric contents
A) Abdominal x-ray
11) A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile
colored liquids. Which nursing measure will provide the most comfort to the client?A) Allow the
client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs
C) Perform frequent oral care with a tooth sponge
12) The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most
important instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to strengthen muscles and
thereby protect bones
A) Exercise doing weight bearing activities
