HESI 366 V1 (UPDATED
2025)ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE \EXPERT VERIFIED
FOR GUARANTEED PASS\ALREADY
GRADED A+
An older adult client presents to the emergency department with abdominal pain due to constipation.
The nurse is providing a list of high-fiber foods to the client that the healthcare provider has
recommended. Which action should the nurse implement when reviewing the list of foods?
A Provide handouts written at a 12th grade reading level.
B Use background music to promote relaxation.
C Turn on overhead lights while giving instructions.
D Stand behind the client to avoid intimidation.
C Turn on overhead lights while giving instructions.
After receiving report on an inpatient acute care unit , which client should the nurse assess first ?
A The client with an obstruction of the large intestine who is experiencing abdominal distention .
B The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds
C The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid .
D The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity .
D The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity .
122. .An older woman who has difficulty hearing is being discharged from day surgery following a
cataract extraction and lens implantation. Which intervention is most important for the nurse to
implement to help ensure the client's compliance with self-care? Provide written instructions for eye
drop administration.--------NOT SURE HAS 2 ANSWERS
The nurse is providing discharge teaching for an old client who had phacoemulsification of the left
eye. Which instruction should the nurse provide?
A. Keep eye drops close at hand for use when vision is cloudy.
B. Avoid straining at stool, stooping, or lifting heavy objects.
C. Do not try to read for at least six weeks.
D. Have someone stay with you at all times for six weeks following surgery.
,A client who underwent an uncomplicated gastric bypass surgery has difficulty with diet management.
What dietary instruction is most important for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food
b. Plan volume-controlled evenly-spaced meals throughout the day
The nurse is assessing the feet of a client with type 1 diabetes mellitus. Which finding requires
immediate intervention by the nurse?
A. Decreased response to pain discrimination on dorsal surface of foot.
B. Erythema and edema at the base of the left great toe.
C. Hard, painless nodule over metatarsophalangeal joint of first toe.
D. Painful corns and calluses over hammer toes on both feet.
A. Decreased response to pain discrimination on dorsal surface of foot.
The nurse is planning to assess the client's oxygen saturation to determine if additional oxygen is
needed via nasal
cannula. The client has bilateral below-the-knee amputations and radial pulses that are weak and
thready. What action
should the nurse take?
A. Document that an accurate oxygen saturation reading cannot be obtained.
B. Elevate the client's hands for five minutes prior to obtaining a reading from the finger.
C. Increase the oxygen based on the client's breathing patterns and lung sounds.
D. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
D. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
While completing an admission assessment for a client with unstable angina, which closed questions
should the nurse ask about the client's pain?
A. tell me about the activities that cause your pain
B. does your pain occur when walking short distances?
C. when did you first notice the pain in your chest
D. how did you feel when the pain becomes noticeable
B. does your pain occur when walking short distances?
.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
b. serum electrolytes
. An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left
hip replacement. When reviewing the client's prescribed medications, which intervention should the
nurse implement FIRST?
a. reconcile prescribed medication dosages with published recommended dosage ranges
b. compare admission prescriptions with the list of medications previously taken by the client
c. determine which medications may be given in generic form rather than brand name only
d. provide client teaching regarding the desired effects of the client's admission prescriptions
b. compare admission prescriptions with the list of medications previously taken by the client
A new nurse preparing to irrigate an intravenous cath is attaching a 24-gauge action should the charge
nurse implement
A. Suggest the nurse use a 20-gauge
B. Direct the nurse to change IV tubing
C. Instruct the nurse to remove the needle
D. Prompt the nurse to apply pressure to the site
C-Instruct the nurse to remove the needle
The nurse observes an unlicensed assistive personnel (UAP) applying an alcohol-based hand rub while
leaving a client's room after taking vital signs. What action should the nurse take?
A. Instruct the UAP to return to the client's room to perform handwashing
B. Supervise the UAP in the next client's room to evaluate hand hygiene
C. Remind the UAP to continue rubbing the hands together until they are dry
D. Advice the UAP to wear gloves when obtaining vital signs for all clients
C. Remind the UAP to continue rubbing the hands together until they are dry
A client is undergoing peritoneal dialysis. After several fluid exchanges, the abdomen is distended,
blood pressure is elevated, and 6500 mL were infused while 5,500 mL were drained. In response to
this finding, what action should the nurse take?
A. Instruct the client to cough
B. turn the client from side to side
C. irrigate the drainage tube with normal Saline
D.lower the head of the bed
B.turn the client from side to side
The nurse is developing the plan of care for a client with pneumonia and includes the nursing problem
of Ineffective airway clearance related to thick pulmonary secretions. Which intervention is most
important for the nurse to include in the client's plan of care?
A. Provide frequent rest periods.
B. Administer at minute per nasal cannula.
2025)ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE \EXPERT VERIFIED
FOR GUARANTEED PASS\ALREADY
GRADED A+
An older adult client presents to the emergency department with abdominal pain due to constipation.
The nurse is providing a list of high-fiber foods to the client that the healthcare provider has
recommended. Which action should the nurse implement when reviewing the list of foods?
A Provide handouts written at a 12th grade reading level.
B Use background music to promote relaxation.
C Turn on overhead lights while giving instructions.
D Stand behind the client to avoid intimidation.
C Turn on overhead lights while giving instructions.
After receiving report on an inpatient acute care unit , which client should the nurse assess first ?
A The client with an obstruction of the large intestine who is experiencing abdominal distention .
B The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds
C The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid .
D The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity .
D The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity .
122. .An older woman who has difficulty hearing is being discharged from day surgery following a
cataract extraction and lens implantation. Which intervention is most important for the nurse to
implement to help ensure the client's compliance with self-care? Provide written instructions for eye
drop administration.--------NOT SURE HAS 2 ANSWERS
The nurse is providing discharge teaching for an old client who had phacoemulsification of the left
eye. Which instruction should the nurse provide?
A. Keep eye drops close at hand for use when vision is cloudy.
B. Avoid straining at stool, stooping, or lifting heavy objects.
C. Do not try to read for at least six weeks.
D. Have someone stay with you at all times for six weeks following surgery.
,A client who underwent an uncomplicated gastric bypass surgery has difficulty with diet management.
What dietary instruction is most important for the nurse to explain to the client?
a. Chew food slowly and thoroughly before attempting to swallow
b. Plan volume-controlled evenly-spaced meals throughout the day
c. Sip fluid slowly with each meal and between meals
d. Eliminate or reduce intake of fatty and gas-forming food
b. Plan volume-controlled evenly-spaced meals throughout the day
The nurse is assessing the feet of a client with type 1 diabetes mellitus. Which finding requires
immediate intervention by the nurse?
A. Decreased response to pain discrimination on dorsal surface of foot.
B. Erythema and edema at the base of the left great toe.
C. Hard, painless nodule over metatarsophalangeal joint of first toe.
D. Painful corns and calluses over hammer toes on both feet.
A. Decreased response to pain discrimination on dorsal surface of foot.
The nurse is planning to assess the client's oxygen saturation to determine if additional oxygen is
needed via nasal
cannula. The client has bilateral below-the-knee amputations and radial pulses that are weak and
thready. What action
should the nurse take?
A. Document that an accurate oxygen saturation reading cannot be obtained.
B. Elevate the client's hands for five minutes prior to obtaining a reading from the finger.
C. Increase the oxygen based on the client's breathing patterns and lung sounds.
D. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
D. Place the oximeter clip on the earlobe to obtain the oxygen saturation reading.
While completing an admission assessment for a client with unstable angina, which closed questions
should the nurse ask about the client's pain?
A. tell me about the activities that cause your pain
B. does your pain occur when walking short distances?
C. when did you first notice the pain in your chest
D. how did you feel when the pain becomes noticeable
B. does your pain occur when walking short distances?
.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
b. serum electrolytes
. An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left
hip replacement. When reviewing the client's prescribed medications, which intervention should the
nurse implement FIRST?
a. reconcile prescribed medication dosages with published recommended dosage ranges
b. compare admission prescriptions with the list of medications previously taken by the client
c. determine which medications may be given in generic form rather than brand name only
d. provide client teaching regarding the desired effects of the client's admission prescriptions
b. compare admission prescriptions with the list of medications previously taken by the client
A new nurse preparing to irrigate an intravenous cath is attaching a 24-gauge action should the charge
nurse implement
A. Suggest the nurse use a 20-gauge
B. Direct the nurse to change IV tubing
C. Instruct the nurse to remove the needle
D. Prompt the nurse to apply pressure to the site
C-Instruct the nurse to remove the needle
The nurse observes an unlicensed assistive personnel (UAP) applying an alcohol-based hand rub while
leaving a client's room after taking vital signs. What action should the nurse take?
A. Instruct the UAP to return to the client's room to perform handwashing
B. Supervise the UAP in the next client's room to evaluate hand hygiene
C. Remind the UAP to continue rubbing the hands together until they are dry
D. Advice the UAP to wear gloves when obtaining vital signs for all clients
C. Remind the UAP to continue rubbing the hands together until they are dry
A client is undergoing peritoneal dialysis. After several fluid exchanges, the abdomen is distended,
blood pressure is elevated, and 6500 mL were infused while 5,500 mL were drained. In response to
this finding, what action should the nurse take?
A. Instruct the client to cough
B. turn the client from side to side
C. irrigate the drainage tube with normal Saline
D.lower the head of the bed
B.turn the client from side to side
The nurse is developing the plan of care for a client with pneumonia and includes the nursing problem
of Ineffective airway clearance related to thick pulmonary secretions. Which intervention is most
important for the nurse to include in the client's plan of care?
A. Provide frequent rest periods.
B. Administer at minute per nasal cannula.
