HESI 366 V1: EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A client experiencing an acute dystonic reaction presents with a
laryngeal spasm. Which treatment should the nurse prepare?
A. intravenous administration of benztropine.
B. oral administration of divalproex
C. intravenous administration of isotonic crystalloid fluid
D. oral administration of lorazepam - CORRECT ANSWERS- A.
intravenous administration of benztropine.
.assessment findings for a client following a colectomy for familial
polyposis include an ileostomy bag that contains large amount of
fecal liquid and an IV infusion of dextrose 5% in lactated ringer's
infusing at a rate of 100ml/hour. Which assessment is most
important for the nurse monitor? Serum electrolytes.
a. urinary output
b. serum electrolytes
c. peristomal skin integrity
d. skin turgor - CORRECT ANSWERS- b. serum electrolytes
The charge nurse is making assignments for one practical nurse
(PN) and three registered nurses (RN) who are caring for
,neurologically compromised clients. Which client with which
change in status is best to assign to the PN?
A.
viral meningitis whose temperature changed from 101° F (38.3°C)
to 102° F (38.9° C).
B.
myxedema coma whose blood pressure changed from 80/50 mm
Hg to 70/40 mm Hg
C.
diabetic ketoacidosis whose glasgow coma scale score changed
from 10 to 7
D.
subdural hematoma whose blood pressure changed from 150/80
mm Hg to 170/60 mm Hg - CORRECT ANSWERS- Viral meningitis
whose temperature changed from 101° F (38.3°C) to 102° F
(38.9° C).
Following an acute myocardial infarction that occurred two weeks
ago, an adult male presents for his follow up appointment,
accompanied by his spouse. He tells the nurse that he has lost his
appetite, cannot seem to make decisions and cannot sleep at
night. Which intervention is most important for the nurse to
implement?
A. ask the spouse if the client seems to be depressed
B. tell the spouse to wait outside so the client can be assessed for
depression
,C. explain that depression often occurs after life-threatening
experience
D. encourage the client to further describe his feelings. -
CORRECT ANSWERS- D. encourage the client to further describe
his feelings.
The nurse is caring for a client with the sexually transmitted
infection (STI) syphilis. The client reports having had prior
sexually transmitted infections. Which response should the nurse
provide?
A. discuss that partners without similar symptoms may not be
infected
B. answer the question directly and correct any misinformation.
C. provide counseling that most contraceptives protect against
infections
D. notify that persons with STIs are reported to local health
departments - CORRECT ANSWERS- Answer the question directly
and correct any misinformation.
Four hours after surgery, a client reports nausea and begins to
vomit. The nurse notes that the client has a scopolamine
transdermal patch applied behind the ear. What action should the
nurse take?
a. Reposition the transdermal patch to the client's trunk.
b. Remove the transdermal patch until the vomiting subsides.
c. Notify the healthcare provider of the vomiting.
, d. Explain that this is a side effect of the medication in the patch.
- CORRECT ANSWERS- c. Notify the healthcare provider of the
vomiting.
A client is receiving "Heparin Sodium 25,000 Units in 250 mL 5%
Dextrose" IV at 7 mL/hour. The healthcare provider changes the
prescription to 900 units/hour. The nurse should program the
infusion pump to deliver how many mL/hour? (enter numeric
number only). - CORRECT ANSWERS- 900 units
In evaluating the effectiveness of a postoperative client's
intermittent pneumatic compression devices, which assessment is
most important for the nurse to complete?
a. Evaluate the client's ability to use an incentive spirometer
b. Monitor the amount of drainage from the client's incision
c. Observe both lower extremities for redness and swelling
d. Palpate all peripheral pulse points for volume and strength -
CORRECT ANSWERS- d. Palpate all peripheral pulse points for
volume and strength
A client is admitted with rapid atrial flutter is receiving
amiodarone 1mg/min via a peripheral line. The UAP reports to the
nurse that the client's HR is 90 BPM, and BP is 110/50. Which
intervention should the nurse implement?
A. tell the UAP to turn off the amiodarone
B. evaluate the rhythm of the heart rate
C. determine the regularity of peripheral pulses
CORRECT/ACCURATE ANSWERS
A client experiencing an acute dystonic reaction presents with a
laryngeal spasm. Which treatment should the nurse prepare?
A. intravenous administration of benztropine.
B. oral administration of divalproex
C. intravenous administration of isotonic crystalloid fluid
D. oral administration of lorazepam - CORRECT ANSWERS- A.
intravenous administration of benztropine.
.assessment findings for a client following a colectomy for familial
polyposis include an ileostomy bag that contains large amount of
fecal liquid and an IV infusion of dextrose 5% in lactated ringer's
infusing at a rate of 100ml/hour. Which assessment is most
important for the nurse monitor? Serum electrolytes.
a. urinary output
b. serum electrolytes
c. peristomal skin integrity
d. skin turgor - CORRECT ANSWERS- b. serum electrolytes
The charge nurse is making assignments for one practical nurse
(PN) and three registered nurses (RN) who are caring for
,neurologically compromised clients. Which client with which
change in status is best to assign to the PN?
A.
viral meningitis whose temperature changed from 101° F (38.3°C)
to 102° F (38.9° C).
B.
myxedema coma whose blood pressure changed from 80/50 mm
Hg to 70/40 mm Hg
C.
diabetic ketoacidosis whose glasgow coma scale score changed
from 10 to 7
D.
subdural hematoma whose blood pressure changed from 150/80
mm Hg to 170/60 mm Hg - CORRECT ANSWERS- Viral meningitis
whose temperature changed from 101° F (38.3°C) to 102° F
(38.9° C).
Following an acute myocardial infarction that occurred two weeks
ago, an adult male presents for his follow up appointment,
accompanied by his spouse. He tells the nurse that he has lost his
appetite, cannot seem to make decisions and cannot sleep at
night. Which intervention is most important for the nurse to
implement?
A. ask the spouse if the client seems to be depressed
B. tell the spouse to wait outside so the client can be assessed for
depression
,C. explain that depression often occurs after life-threatening
experience
D. encourage the client to further describe his feelings. -
CORRECT ANSWERS- D. encourage the client to further describe
his feelings.
The nurse is caring for a client with the sexually transmitted
infection (STI) syphilis. The client reports having had prior
sexually transmitted infections. Which response should the nurse
provide?
A. discuss that partners without similar symptoms may not be
infected
B. answer the question directly and correct any misinformation.
C. provide counseling that most contraceptives protect against
infections
D. notify that persons with STIs are reported to local health
departments - CORRECT ANSWERS- Answer the question directly
and correct any misinformation.
Four hours after surgery, a client reports nausea and begins to
vomit. The nurse notes that the client has a scopolamine
transdermal patch applied behind the ear. What action should the
nurse take?
a. Reposition the transdermal patch to the client's trunk.
b. Remove the transdermal patch until the vomiting subsides.
c. Notify the healthcare provider of the vomiting.
, d. Explain that this is a side effect of the medication in the patch.
- CORRECT ANSWERS- c. Notify the healthcare provider of the
vomiting.
A client is receiving "Heparin Sodium 25,000 Units in 250 mL 5%
Dextrose" IV at 7 mL/hour. The healthcare provider changes the
prescription to 900 units/hour. The nurse should program the
infusion pump to deliver how many mL/hour? (enter numeric
number only). - CORRECT ANSWERS- 900 units
In evaluating the effectiveness of a postoperative client's
intermittent pneumatic compression devices, which assessment is
most important for the nurse to complete?
a. Evaluate the client's ability to use an incentive spirometer
b. Monitor the amount of drainage from the client's incision
c. Observe both lower extremities for redness and swelling
d. Palpate all peripheral pulse points for volume and strength -
CORRECT ANSWERS- d. Palpate all peripheral pulse points for
volume and strength
A client is admitted with rapid atrial flutter is receiving
amiodarone 1mg/min via a peripheral line. The UAP reports to the
nurse that the client's HR is 90 BPM, and BP is 110/50. Which
intervention should the nurse implement?
A. tell the UAP to turn off the amiodarone
B. evaluate the rhythm of the heart rate
C. determine the regularity of peripheral pulses
