HESI practice test 2 | Questions and answers
2024\2025 with complete answers
/. A client who has just tested positive for human immunodeficiency virus (HIV) does not
appear to hear what the nurse is saying during post-test counseling. Which information
should the nurse offer to facilitate the client's adjustment to HIV infection?
a. Inform the client how to protect sexual and needle-sharing partners
b. Teach the client about the medications that are available for treatment.
c. Identify the need to test others who have had risky contact with the client.
d. Discuss retesting to verify the results, which will ensure continuing contact. - Answer-
d. Discuss retesting to verify the results, which will ensure continuing contact.
/.A client with type II diabetes arrives at the clinic with a blood glucose of 50 mg/dL. The
nurse provides the client with 6 oz of orange juice. In 15 mins the client's capillary
glucose is 74 mg/dL. What action should the nurse take?
a. Obtain a specimen for serum glucose level
b. Administer insulin per sliding scale
c. Provide cheese and bread to eat
d. Collect a glycosylated hemoglobin specimen - Answer-c. Provide cheese and bread
to eat
/.In planning care for a client with an acute stroke resulting in right-sided hemiplegia,
which positioning should the nurse should use to maintain optimal functioning?
a. Mid-Fowler's with knees supported
b. Supine with trochanter rolls to the hips
c. Sim's position alternated with right lateral position q2 hrs
d. left lateral, supine, brief periods on the right side, and prone - Answer-d. left lateral,
supine, brief periods on the right side, and prone
/.The nurse is assessing a client with a cuffed tracheostomy tube in place who is
breathing spontaneously. To evaluate if the client can tolerate cuff deflation to promote
speaking and swallowing, what action should the nurse implement?
a. Ask the client to try to speak
b. assess for respiratory distress
c. auscultate for pulmonary crackles after the client drinks a small amount of clear water
d. Observe the client for coughing colored sputum after drinking a small amount of
colored water - Answer-d. Observe the client for coughing colored sputum after drinking
a small amount of colored water
/.Which finding should the nurse report to the healthcare provider for a client with a
circumferential extremity burn?
a. Full thickness burns rather than partial thickness
b.. Supinates extremity but unable to fully pronate the extremity
c. Slow capillary refill in the digits with absent distal pulse points
,d. Inability to distinguish sharp versus dull sensations in the extremity - Answer-c. Slow
capillary refill in the digits with absent distal pulse points
/.The nurse is completing the health assessment of a 79 yr old male client who denies
any significant health problems. Which findings requires the most immediate follow-up
assessment?
a. Kyphosis with a reduction in height
b. dilated superficial veins on both legs
c. external hemorrhoids with itching
d. yellowish discoloration of the sclerae - Answer-d. yellowish discoloration of the
sclerae
/.A male client with chronic atrial fibrillation and a slow ventricular response is scheduled
for surgical placement of a permanent pacemaker. The client asks the nurse how this
device will help him. How should the nurse explain the action of a synchronous
pacemaker?
a. Ventricular irritability is prevented by the constant rate setting of pacemaker.
b. Ectopic stimulus in the atria is suppressed by the device usurping depolarization.
c. An impulse is fired every second to maintain a heart rate of 60 beats per minute
d. An electrical stimulus is discharged when no ventricular response is sensed -
Answer-d. An electrical stimulus is discharged when no ventricular response is sensed
/.The nurse is caring for a client who is two days postoperative. Which observation
should alert the nurse to call the Rapid Response Team (RRT)?
a. Fresh bleeding noted on abdominal surgical wound dressing
b. Pulse change from 85 to 160 beats/minute lasting more than 10 mins
c. Temp of 103.1 F and white blood cell (WBC) count of 16,000 mm3
d. Weakness, diaphoresis, complaints of feeling faint. BP 100/56 mm HG - Answer-b.
Pulse change from 85 to 160 beats/minute lasting more than 10 mins
/.The nurse is caring for a client with a small bowel obstruction. The client is vomiting
foul smelling fecal-like material. What action should the nurse implement?
a. Administer antiemetics every 2 to 3 hours
b. Position on the left side with knees drawn up
c. encourage ice chips sparingly
d. give IV fluids with electrolytes - Answer-d. give IV fluids with electrolytes
/.The nurse is caring for a client with human immunodeficiency virus (HIV) infection who
develops Mycobacterium avium complex (MAC). What is the most significant desired
outcome for this client?
a. Free from injury of drug side effects
b. Return to pre-illness weight
c. Adequate oxygenation
d. Maintenance of intact perineal skin - Answer-b. Return to pre-illness weight
, /.The nurse should explain to a client with lung cancer that pleurodesis is performed to
achieve which expected outcome?
a. Prevent the formation of effusion fluid
b. Remove fluid from the intrapleural space
c. Debulk tumor to maintain patency of air passages
d. Relieve empyema after pneumonectomy - Answer-a. Prevent the formation of
effusion fluid
/.A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a liver
biopsy. Which intervention should the nurse perform after the procedure?
a. Progress activity as soon as possible
b. Assess for signs of bleeding and hypovolemia
c. Place the client in the left lateral position
d. Monitor blood pressure, pulse and breathing every 4 hrs - Answer-b. Assess for signs
of bleeding and hypovolemia
/.A client asks the nurse about the purpose of beginning chemotherapy (CT) because
the tumor is still very small. Which information supports the explanation that the nurse
should provide?
a. Side effects are less likely if therapy is started early
b. Collateral circulation increases as the tumor grows
c. Sensitivity of cancel cells to CT is based on cell cycle rate
d. The cell count of the tumor reduces by half with each dose - Answer-d. The cell count
of the tumor reduces by half with each dose
/.The nurse is assessing a client with a chest tube that is attached to suction and a
closed drainage system. Which finding is most important for the nurse to further
assess?
a. Upper chest subcutaneous emphysema
b. Tidaling (fluctuation) of fluid in the water-seal chamber
c. Constant air bubbling in the suction-control chamber
d. Pain rated "8" (0-10) at the insertion site - Answer-a. Upper chest subcutaneous
emphysema
/.When planning care for a client with right renal calculi, which nursing diagnosis has the
highest priority?
a. Acute pain related to movement of the stone
b. Impaired urinary elimination related to obstructed flow of urine
c. Risk for infection related to urinary stasis
d. Deficient knowledge related to need for prevention of recurrence of calculi - Answer-
a. Acute pain related to movement of the stone
/.The home health nurse is assessing a client with terminal lung cancer who is receiving
hospice care. Which activity should be assigned to the hospice practical nurse (PN)?
a. Administer medications for pain relief, shortness of breath, and nausea
b. Clarify family members' feelings about the meaning of client behaviors and symptoms
2024\2025 with complete answers
/. A client who has just tested positive for human immunodeficiency virus (HIV) does not
appear to hear what the nurse is saying during post-test counseling. Which information
should the nurse offer to facilitate the client's adjustment to HIV infection?
a. Inform the client how to protect sexual and needle-sharing partners
b. Teach the client about the medications that are available for treatment.
c. Identify the need to test others who have had risky contact with the client.
d. Discuss retesting to verify the results, which will ensure continuing contact. - Answer-
d. Discuss retesting to verify the results, which will ensure continuing contact.
/.A client with type II diabetes arrives at the clinic with a blood glucose of 50 mg/dL. The
nurse provides the client with 6 oz of orange juice. In 15 mins the client's capillary
glucose is 74 mg/dL. What action should the nurse take?
a. Obtain a specimen for serum glucose level
b. Administer insulin per sliding scale
c. Provide cheese and bread to eat
d. Collect a glycosylated hemoglobin specimen - Answer-c. Provide cheese and bread
to eat
/.In planning care for a client with an acute stroke resulting in right-sided hemiplegia,
which positioning should the nurse should use to maintain optimal functioning?
a. Mid-Fowler's with knees supported
b. Supine with trochanter rolls to the hips
c. Sim's position alternated with right lateral position q2 hrs
d. left lateral, supine, brief periods on the right side, and prone - Answer-d. left lateral,
supine, brief periods on the right side, and prone
/.The nurse is assessing a client with a cuffed tracheostomy tube in place who is
breathing spontaneously. To evaluate if the client can tolerate cuff deflation to promote
speaking and swallowing, what action should the nurse implement?
a. Ask the client to try to speak
b. assess for respiratory distress
c. auscultate for pulmonary crackles after the client drinks a small amount of clear water
d. Observe the client for coughing colored sputum after drinking a small amount of
colored water - Answer-d. Observe the client for coughing colored sputum after drinking
a small amount of colored water
/.Which finding should the nurse report to the healthcare provider for a client with a
circumferential extremity burn?
a. Full thickness burns rather than partial thickness
b.. Supinates extremity but unable to fully pronate the extremity
c. Slow capillary refill in the digits with absent distal pulse points
,d. Inability to distinguish sharp versus dull sensations in the extremity - Answer-c. Slow
capillary refill in the digits with absent distal pulse points
/.The nurse is completing the health assessment of a 79 yr old male client who denies
any significant health problems. Which findings requires the most immediate follow-up
assessment?
a. Kyphosis with a reduction in height
b. dilated superficial veins on both legs
c. external hemorrhoids with itching
d. yellowish discoloration of the sclerae - Answer-d. yellowish discoloration of the
sclerae
/.A male client with chronic atrial fibrillation and a slow ventricular response is scheduled
for surgical placement of a permanent pacemaker. The client asks the nurse how this
device will help him. How should the nurse explain the action of a synchronous
pacemaker?
a. Ventricular irritability is prevented by the constant rate setting of pacemaker.
b. Ectopic stimulus in the atria is suppressed by the device usurping depolarization.
c. An impulse is fired every second to maintain a heart rate of 60 beats per minute
d. An electrical stimulus is discharged when no ventricular response is sensed -
Answer-d. An electrical stimulus is discharged when no ventricular response is sensed
/.The nurse is caring for a client who is two days postoperative. Which observation
should alert the nurse to call the Rapid Response Team (RRT)?
a. Fresh bleeding noted on abdominal surgical wound dressing
b. Pulse change from 85 to 160 beats/minute lasting more than 10 mins
c. Temp of 103.1 F and white blood cell (WBC) count of 16,000 mm3
d. Weakness, diaphoresis, complaints of feeling faint. BP 100/56 mm HG - Answer-b.
Pulse change from 85 to 160 beats/minute lasting more than 10 mins
/.The nurse is caring for a client with a small bowel obstruction. The client is vomiting
foul smelling fecal-like material. What action should the nurse implement?
a. Administer antiemetics every 2 to 3 hours
b. Position on the left side with knees drawn up
c. encourage ice chips sparingly
d. give IV fluids with electrolytes - Answer-d. give IV fluids with electrolytes
/.The nurse is caring for a client with human immunodeficiency virus (HIV) infection who
develops Mycobacterium avium complex (MAC). What is the most significant desired
outcome for this client?
a. Free from injury of drug side effects
b. Return to pre-illness weight
c. Adequate oxygenation
d. Maintenance of intact perineal skin - Answer-b. Return to pre-illness weight
, /.The nurse should explain to a client with lung cancer that pleurodesis is performed to
achieve which expected outcome?
a. Prevent the formation of effusion fluid
b. Remove fluid from the intrapleural space
c. Debulk tumor to maintain patency of air passages
d. Relieve empyema after pneumonectomy - Answer-a. Prevent the formation of
effusion fluid
/.A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a liver
biopsy. Which intervention should the nurse perform after the procedure?
a. Progress activity as soon as possible
b. Assess for signs of bleeding and hypovolemia
c. Place the client in the left lateral position
d. Monitor blood pressure, pulse and breathing every 4 hrs - Answer-b. Assess for signs
of bleeding and hypovolemia
/.A client asks the nurse about the purpose of beginning chemotherapy (CT) because
the tumor is still very small. Which information supports the explanation that the nurse
should provide?
a. Side effects are less likely if therapy is started early
b. Collateral circulation increases as the tumor grows
c. Sensitivity of cancel cells to CT is based on cell cycle rate
d. The cell count of the tumor reduces by half with each dose - Answer-d. The cell count
of the tumor reduces by half with each dose
/.The nurse is assessing a client with a chest tube that is attached to suction and a
closed drainage system. Which finding is most important for the nurse to further
assess?
a. Upper chest subcutaneous emphysema
b. Tidaling (fluctuation) of fluid in the water-seal chamber
c. Constant air bubbling in the suction-control chamber
d. Pain rated "8" (0-10) at the insertion site - Answer-a. Upper chest subcutaneous
emphysema
/.When planning care for a client with right renal calculi, which nursing diagnosis has the
highest priority?
a. Acute pain related to movement of the stone
b. Impaired urinary elimination related to obstructed flow of urine
c. Risk for infection related to urinary stasis
d. Deficient knowledge related to need for prevention of recurrence of calculi - Answer-
a. Acute pain related to movement of the stone
/.The home health nurse is assessing a client with terminal lung cancer who is receiving
hospice care. Which activity should be assigned to the hospice practical nurse (PN)?
a. Administer medications for pain relief, shortness of breath, and nausea
b. Clarify family members' feelings about the meaning of client behaviors and symptoms
