266 HESI EXAM WITH CORRECT
ANSWERS 2025 GRADED A+
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis? ( correct answers )
Crohn's disease with colectomy.
Which information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)? ( correct
answers ) Minimize symptoms by wearing loose, comfortable clothing
The nurse assesses a client with petechiae and ecchymosis scattered across
the arms and legs. Which laboratory result should the nurse review?
( correct answers ) Platelet count.
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted
with possible anastomosis leakage. The client's abdomen is tender to touch,
and the vital signs are: temperature 101° F (38.3° C), heart rate 130
beats/minute, respiratory rate 26 breaths/minute, and blood pressure 100/50
mm Hg. Which intervention is most important for the nurse to include in the
client's plan of care? ( correct answers ) Strict intravenous (IV) fluid
replacement.
A client presents to the emergency department reporting chest pain that is
radiating to the left arm, shortness of breath, and diaphoresis. Which
medication should the nurse anticipate being prescribed by the healthcare
provider? ( correct answers ) Morphine
GRADED A+
, The nurse is preparing a client for surgery who was admitted to the
emergency center following a motor vehicle collision. The client has an open
fracture of the femur and is bleeding moderately from the bone protrusion
site. During the preoperative assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily.
Which is the priority nursing action? ( correct answers ) Notify the
healthcare provider of the client's medication history
The nurse is caring for a client who reports a sudden, severe headache, and
facial numbness. The nurse asks the client to smile observes an uneven
smile with facial droop to the right side and a hand grasp strength that is
weaker on the right than the left. The client denies a recent history of
headaches or trauma. Which intervention should the nurse perform in the
immediate management of the client? ( correct answers ) Start two large
bore IV catheters and review inclusion criteria for IV fibrinolytic therapy.
The nurse is caring for a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage the pain,
which assessment data is most important for the nurse to obtain? ( correct
answers ) Eating patterns of dietary intake.
The nurse is providing teaching to a client admitted with a blood glucose
level of 580 mg/dL about preventing complications related to diabetes
mellitus. Which information stated by the client indicates understanding
( correct answers ) Include no more than 1-2 alcoholic beverages in diet per
day
After falling down the basement steps, a client is brought to the emergency
room. X-rays confirms that the client's right leg is fractured. Following
application of a leg cast, which assessment finding warrants immediate
intervention by the nurse ( correct answers ) Right foot pale with sluggish
capillary refill.
A client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising.
Which action should the nurse implement? ( correct answers ) Determine
if the client is using an inhaler before exercising.
GRADED A+
ANSWERS 2025 GRADED A+
A client is diagnosed with chronic kidney disease and needs to begin dialysis.
Which condition entered on the client's medical record should the nurse
recognize as a contraindication for peritoneal dialysis? ( correct answers )
Crohn's disease with colectomy.
Which information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)? ( correct
answers ) Minimize symptoms by wearing loose, comfortable clothing
The nurse assesses a client with petechiae and ecchymosis scattered across
the arms and legs. Which laboratory result should the nurse review?
( correct answers ) Platelet count.
An adult client who had a gastric bypass surgery 2 weeks ago, is admitted
with possible anastomosis leakage. The client's abdomen is tender to touch,
and the vital signs are: temperature 101° F (38.3° C), heart rate 130
beats/minute, respiratory rate 26 breaths/minute, and blood pressure 100/50
mm Hg. Which intervention is most important for the nurse to include in the
client's plan of care? ( correct answers ) Strict intravenous (IV) fluid
replacement.
A client presents to the emergency department reporting chest pain that is
radiating to the left arm, shortness of breath, and diaphoresis. Which
medication should the nurse anticipate being prescribed by the healthcare
provider? ( correct answers ) Morphine
GRADED A+
, The nurse is preparing a client for surgery who was admitted to the
emergency center following a motor vehicle collision. The client has an open
fracture of the femur and is bleeding moderately from the bone protrusion
site. During the preoperative assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily.
Which is the priority nursing action? ( correct answers ) Notify the
healthcare provider of the client's medication history
The nurse is caring for a client who reports a sudden, severe headache, and
facial numbness. The nurse asks the client to smile observes an uneven
smile with facial droop to the right side and a hand grasp strength that is
weaker on the right than the left. The client denies a recent history of
headaches or trauma. Which intervention should the nurse perform in the
immediate management of the client? ( correct answers ) Start two large
bore IV catheters and review inclusion criteria for IV fibrinolytic therapy.
The nurse is caring for a client with chronic pancreatitis who reports
persistent gnawing abdominal pain. To help the client manage the pain,
which assessment data is most important for the nurse to obtain? ( correct
answers ) Eating patterns of dietary intake.
The nurse is providing teaching to a client admitted with a blood glucose
level of 580 mg/dL about preventing complications related to diabetes
mellitus. Which information stated by the client indicates understanding
( correct answers ) Include no more than 1-2 alcoholic beverages in diet per
day
After falling down the basement steps, a client is brought to the emergency
room. X-rays confirms that the client's right leg is fractured. Following
application of a leg cast, which assessment finding warrants immediate
intervention by the nurse ( correct answers ) Right foot pale with sluggish
capillary refill.
A client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while exercising.
Which action should the nurse implement? ( correct answers ) Determine
if the client is using an inhaler before exercising.
GRADED A+
