N 241 HESI PRACTICE TEST
EXAM WITH CORRECT
ANSWERS 2025 GRADED A+
The nurse is examining a male client who reports itching on his right arm.
The nurse observes a rash made up of multiple flat areas of redness ranging
from pinpoint to 0.5 cm in diameter. How should the nurse record this
finding?
a. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm
to 0.5 cm.
b. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
c. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
d. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in
diameter. ( correct answers ) b
Macules are localized flat skin discolorations less than 1 cm in diameter.
However, when recording such a finding the nurse should describe the
appearance rather than simply naming the condition.
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
a. Determine the etiology of the problem.
b. Prioritize nursing care interventions.
c. Plan appropriate interventions.
d. Collaborate with the client to set goals. ( correct answers ) a
GRADED A+
,Before planning care, the nurse should determine the etiology, or cause, of
the problem, because this will help determine goals, plan of care, and
priorities of interventions.
The nurse is assessing the nutritional status of several clients. Which client
has the greatest nutritional need for additional intake of protein?
a. A college-age track runner with a sprained ankle.
b. A lactating woman nursing her 3-day-old infant.
c. A school-aged child with Type 2 diabetes.
d. An elderly man being treated for a peptic ulcer. ( correct answers ) b
A lactating woman has the greatest need for additional protein intake due to
the increased metabolic protein demands of lactation.
A young mother of three children complains of increased anxiety during her
annual physical exam. Which information should the nurse obtain first?
a. Sexual activity patterns.
b. Nutritional history.
c. Leisure activities.
d. Financial stressors. ( correct answers ) b
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history should be obtained first so that health teaching can be
initiated if indicated.
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital
signs from a very anxious client. Which instructions should the nurse give the
UAP?
a. Remain calm with the client and record abnormal results in the chart.
b. Notify the medication nurse immediately if the pulse or blood pressure is
low.
c. Report the results of the vital signs to the nurse.
d. Reassure the client that the vital signs are normal. ( correct answers ) c
GRADED A+
, Interpretation of vital signs is the responsibility of the nurse, so the
unlicensed assistive personnel (UAP) should report vital sign measurements
to the nurse. Any instructions requiring the UAP to interpret the vital signs
causes the UAP to function beyond the scope of the UAP's authority.
At the beginning of the shift, the nurse assesses a client who is admitted
from the postanesthesia care unit (PACU). When should the nurse document
the client's findings?
a. At the beginning, middle, and end of the shift.
b. After client priorities are identified for the development of the nursing care
plan.
c. At the end of the shift, so full attention can be given to the client's needs.
d. Immediately after the assessments are completed. ( correct answers )
d
Documentation of client findings should occur immediately after any
component of the nursing process, so assessments should be entered in the
client's medical record as readily as findings are obtained.
The nurse is evaluating a client's learning about a low-sodium diet. The
selection of which meal would indicate to the nurse that this client
understands the dietary restrictions?
a. Tossed salad, low-sodium dressing, bacon, and tomato sandwich.
b. New England clam chowder, no-salt crackers, and fresh fruit salad.
c. Skim milk, turkey salad, roll, and vanilla ice cream.
d. Macaroni and cheese, diet Coke, and a slice of cherry pie. ( correct
answers ) c
Skim milk, turkey, bread, and ice cream, while containing some sodium, are
considered low-sodium foods. Bacon, canned soups, especially those with
seafood, hard cheeses, macaroni, and most diet drinks are very high in
sodium.
A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
GRADED A+
EXAM WITH CORRECT
ANSWERS 2025 GRADED A+
The nurse is examining a male client who reports itching on his right arm.
The nurse observes a rash made up of multiple flat areas of redness ranging
from pinpoint to 0.5 cm in diameter. How should the nurse record this
finding?
a. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm
to 0.5 cm.
b. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
c. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
d. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in
diameter. ( correct answers ) b
Macules are localized flat skin discolorations less than 1 cm in diameter.
However, when recording such a finding the nurse should describe the
appearance rather than simply naming the condition.
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
a. Determine the etiology of the problem.
b. Prioritize nursing care interventions.
c. Plan appropriate interventions.
d. Collaborate with the client to set goals. ( correct answers ) a
GRADED A+
,Before planning care, the nurse should determine the etiology, or cause, of
the problem, because this will help determine goals, plan of care, and
priorities of interventions.
The nurse is assessing the nutritional status of several clients. Which client
has the greatest nutritional need for additional intake of protein?
a. A college-age track runner with a sprained ankle.
b. A lactating woman nursing her 3-day-old infant.
c. A school-aged child with Type 2 diabetes.
d. An elderly man being treated for a peptic ulcer. ( correct answers ) b
A lactating woman has the greatest need for additional protein intake due to
the increased metabolic protein demands of lactation.
A young mother of three children complains of increased anxiety during her
annual physical exam. Which information should the nurse obtain first?
a. Sexual activity patterns.
b. Nutritional history.
c. Leisure activities.
d. Financial stressors. ( correct answers ) b
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history should be obtained first so that health teaching can be
initiated if indicated.
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital
signs from a very anxious client. Which instructions should the nurse give the
UAP?
a. Remain calm with the client and record abnormal results in the chart.
b. Notify the medication nurse immediately if the pulse or blood pressure is
low.
c. Report the results of the vital signs to the nurse.
d. Reassure the client that the vital signs are normal. ( correct answers ) c
GRADED A+
, Interpretation of vital signs is the responsibility of the nurse, so the
unlicensed assistive personnel (UAP) should report vital sign measurements
to the nurse. Any instructions requiring the UAP to interpret the vital signs
causes the UAP to function beyond the scope of the UAP's authority.
At the beginning of the shift, the nurse assesses a client who is admitted
from the postanesthesia care unit (PACU). When should the nurse document
the client's findings?
a. At the beginning, middle, and end of the shift.
b. After client priorities are identified for the development of the nursing care
plan.
c. At the end of the shift, so full attention can be given to the client's needs.
d. Immediately after the assessments are completed. ( correct answers )
d
Documentation of client findings should occur immediately after any
component of the nursing process, so assessments should be entered in the
client's medical record as readily as findings are obtained.
The nurse is evaluating a client's learning about a low-sodium diet. The
selection of which meal would indicate to the nurse that this client
understands the dietary restrictions?
a. Tossed salad, low-sodium dressing, bacon, and tomato sandwich.
b. New England clam chowder, no-salt crackers, and fresh fruit salad.
c. Skim milk, turkey salad, roll, and vanilla ice cream.
d. Macaroni and cheese, diet Coke, and a slice of cherry pie. ( correct
answers ) c
Skim milk, turkey, bread, and ice cream, while containing some sodium, are
considered low-sodium foods. Bacon, canned soups, especially those with
seafood, hard cheeses, macaroni, and most diet drinks are very high in
sodium.
A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
GRADED A+
