HESI Study EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
The nurse is assessing a client in the clinic who is frightened and
does not understand English. Which intervention should the
nurse implement first?
A. Use drawings that are universal for all cultures.
B. Request a family member to remain with the client.
C. Obtain a staff member who is a bilingual interpreter.
D. Ask for the support of one of the client’s friends.
C. Obtain a staff member who is a bilingual interpreter.
A female client with metastatic breast cancer is admitted with
shortness of breath and pleural effusions. The client has a living
will and the family is requesting hospice information. Which
information should the nurse provide regarding hospice? Select
all that apply.
A Provides comfort, dignity, and emotional support.
B A living will becomes invalid when receiving hospice care.
C Hospice services can be initiated prior to discharge.
D Family members can be involved in the plan of care.
E Can be provided within comforts of home.
A. Provides comfort, dignity, and emotional support.
C. Hospice services can be initiated prior to discharge.
,D. Family members can be involved in the plan of care.
E. Can be provided within comforts of home.
A client is admitted with a fever of unknown origin. To assess
fever patterns, which intervention should the nurse implement?
A Vary sites for temperature measurement.
B Assess for flushed, warm skin regularly.
C Measure temperature at regular intervals.
D Document the client's circadian rhythms.
A. Vary sites for temperature measurement.
The nurse has a prescription for bilateral soft wrist restraints for
an older adult client who has repeatedly remove the nasogastric
(NG) tube and IV catheters. After applying the restraints, which
action is most important for the nurse to take?
A Reinsert the peripheral IV catheter.
B Assess capillary refill distal to the restraints.
C Verify that the restraints can be quickly released.
D Replace the nasogastric tube.
B Assess capillary refill distal to the restraints.
The nurse is using guided imagery with a client who is
experiencing chronic pain. The nurse should direct the client's
attention on which focus?
A Motivational phrases.
B Positive external places.
C Emotional reflection.
D Tranquil sounds.
, D Tranquil sounds.
The nurse is caring for a client one week postsurgery. Which
finding should the nurse expect to see if the surgical incision is
healing properly?
A A well approximated incision site.
B Erythema and serosanguineous exudate.
C Beefy red granulation tissue.
D Eschar and slough in the wound.
A. A well approximated incision site.
An older adult female client tells the clinic nurse about
frequently awakening during the night and not being able to go
back to sleep. Which action(s) should the nurse suggest to the
client to help improve sleep? Select all that apply.
A Ask the healthcare provider for a mild sedative for bedtime.
B Avoid drinking caffeinated beverages late in the day.
C Establish a regular time for going to bed and getting up.
D Take an afternoon nap to make up for missed sleep.
E Drink a mixture of warm water, whiskey, and honey at
bedtime.
B. Avoid drinking caffeinated beverages late in the day.
C. Establish a regular time for going to bed and getting up.
The home health nurse identifies several nursing problems for a
client with celiac disease, who had knee replacement surgery 2
weeks ago. The client is experiencing diarrhea and the primary
SOLUTIONS
The nurse is assessing a client in the clinic who is frightened and
does not understand English. Which intervention should the
nurse implement first?
A. Use drawings that are universal for all cultures.
B. Request a family member to remain with the client.
C. Obtain a staff member who is a bilingual interpreter.
D. Ask for the support of one of the client’s friends.
C. Obtain a staff member who is a bilingual interpreter.
A female client with metastatic breast cancer is admitted with
shortness of breath and pleural effusions. The client has a living
will and the family is requesting hospice information. Which
information should the nurse provide regarding hospice? Select
all that apply.
A Provides comfort, dignity, and emotional support.
B A living will becomes invalid when receiving hospice care.
C Hospice services can be initiated prior to discharge.
D Family members can be involved in the plan of care.
E Can be provided within comforts of home.
A. Provides comfort, dignity, and emotional support.
C. Hospice services can be initiated prior to discharge.
,D. Family members can be involved in the plan of care.
E. Can be provided within comforts of home.
A client is admitted with a fever of unknown origin. To assess
fever patterns, which intervention should the nurse implement?
A Vary sites for temperature measurement.
B Assess for flushed, warm skin regularly.
C Measure temperature at regular intervals.
D Document the client's circadian rhythms.
A. Vary sites for temperature measurement.
The nurse has a prescription for bilateral soft wrist restraints for
an older adult client who has repeatedly remove the nasogastric
(NG) tube and IV catheters. After applying the restraints, which
action is most important for the nurse to take?
A Reinsert the peripheral IV catheter.
B Assess capillary refill distal to the restraints.
C Verify that the restraints can be quickly released.
D Replace the nasogastric tube.
B Assess capillary refill distal to the restraints.
The nurse is using guided imagery with a client who is
experiencing chronic pain. The nurse should direct the client's
attention on which focus?
A Motivational phrases.
B Positive external places.
C Emotional reflection.
D Tranquil sounds.
, D Tranquil sounds.
The nurse is caring for a client one week postsurgery. Which
finding should the nurse expect to see if the surgical incision is
healing properly?
A A well approximated incision site.
B Erythema and serosanguineous exudate.
C Beefy red granulation tissue.
D Eschar and slough in the wound.
A. A well approximated incision site.
An older adult female client tells the clinic nurse about
frequently awakening during the night and not being able to go
back to sleep. Which action(s) should the nurse suggest to the
client to help improve sleep? Select all that apply.
A Ask the healthcare provider for a mild sedative for bedtime.
B Avoid drinking caffeinated beverages late in the day.
C Establish a regular time for going to bed and getting up.
D Take an afternoon nap to make up for missed sleep.
E Drink a mixture of warm water, whiskey, and honey at
bedtime.
B. Avoid drinking caffeinated beverages late in the day.
C. Establish a regular time for going to bed and getting up.
The home health nurse identifies several nursing problems for a
client with celiac disease, who had knee replacement surgery 2
weeks ago. The client is experiencing diarrhea and the primary
