Page 1 of 76
“PRACTICE URINARY HESI TEST “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
PRACTICE URINARY HESI TEST
The laboratory values of a client with renal calculi reveal a serum calcium
within expected limits and an elevated serum purine. The nurse concludes that
the stone probably is composed of:
1 Cystine
2 Uric acid
3 Calcium oxalate
4 Magnesium ammonium phosphate
2
Purines are precursors of uric acid, which crystallizes. Cystine stones are caused by
a rare hereditary defect resulting in inadequate renal tubular reabsorption of cystine
(inborn error of cystine metabolism). Serum purine will not be elevated if the stone is
composed of calcium oxalate. A struvite stone sometimes is called a magnesium
ammonium phosphate stone and is precipitated by recurrent urinary tract infections
with coliform bacteria
A nurse is planning to administer a prescribed intravenous solution that
contains potassium chloride. What assessment should be brought to the
health care provider's attention before administration of the intravenous (IV)
line?
1 Uncharacteristic irritability
2 Poor tissue turgor with tenting
, Page 2 of 76
3 Urinary output of 200 mL during the previous 8 hours
4 Oral fluid intake of 300 mL during the previous 12 hours
3
Decreased urinary output will result in the retention of potassium, causing
hyperkalemia. Reporting uncharacteristic irritability is unnecessary; this is a sign of
dehydration, which can be corrected with appropriate hydration. Reporting poor
tissue turgor with tenting is unnecessary; this may indicate dehydration, which is
probably the rationale for the fluid prescribed. Reporting an oral fluid intake of 300
mL during the previous 12 hours is unnecessary; this can precipitate dehydration or
can compound an existing dehydration, which can be treated with appropriate
hydration.
A nurse is notified that the latest potassium level for a client in acute renal
failure is 6.2 mEq. What action should the nurse take?
1 Alert the cardiac arrest team
2 Call the laboratory to repeat the test
3 Take vital signs and notify the primary health care provider
4 Obtain an ECG strip and obtain an antiarrhythmic medication
3
Vital signs monitor the cardiopulmonary status; the health care provider must treat
this hyperkalemia to prevent cardiac dysrhythmias. The cardiac arrest team
responds to a cardiac arrest; there is no sign of arrest in this client. A repeat
laboratory test will take time and probably reaffirm the original results; the client
needs medical attention. Obtaining an ECG strip and having an antiarrhythmic
available are correct interventions if available, but the priority is medical attention
and the health care provider should be notified immediately.
The nurse recalls that what scientific principle is basic to caring for a client
with an indwelling urinary catheter?
1 Inertia
2 Gravity
3 Osmosis
4 Diffusion
, Page 3 of 76
2
An indwelling urinary catheter always is positioned so that the level of the bladder is
higher than the level of the drainage container; gravity promotes urine flow. Inertia
refers to a property of matter. Osmosis refers to the movement of water across a
semipermeable membrane; it is not responsible for the flow of urine through a
catheter. Diffusion refers to the passage of molecules from an area of higher
concentration to one of lower concentration.
Content Area - Medic
A 40-year-old client scheduled for a hemi-colectomy because of ulcerative
colitis asks if having a hemi-colectomy means wearing a pouch and having
bowel movements in an abnormal way. Which is the best response by the
nurse?
1 "Yes, hemi-colectomy is the same as a colostomy."
2 "Yes, but it will be temporary until the colitis is cured."
3 "No, that is necessary when a tumor is blocking the rectum."
4 "No, only part of the colon is removed and the rest reattached."
4
Hemi-colectomy is removal of part of the colon with an anastomosis between the
ileum and transverse colon; a colostomy is not necessary. With a colostomy the
intestine opens on the abdomen, whereas in a hemi-colectomy a portion of the
intestine is resected and the ends reconnected. "Yes, but it will be temporary until
the colitis is cured" is the description of a temporary colostomy; a cure occurs only
when the entire colon is removed. A colostomy is done for a variety of reasons other
than a tumor; a colectomy with a colostomy is only one intervention that may be
used to treat a tumor.
The nurse provides discharge instructions to a male client that had a
ureterolithotomy. The client has a history of recurrent urinary tract infections
(UTIs). The teaching should include that indicators of a UTI are:
1 Urgency or frequency of urination
2 The inability to maintain an erection
, Page 4 of 76
3 Pain radiating to the external genitalia
4 An increase in the alkalinity of the urine
1
Urgency or frequency of urination occur with a urinary tract infection because of
bladder irritability; burning on urination and fever are additional signs of a UTI. The
inability to maintain an erection is not related to a UTI. Pain radiating to the external
genitalia is a symptom of a urinary calculus, not infection. An increase in alkalinity or
acidity of urine is not a sign of a UTI; this may be caused by altering the diet to
include foods that form acid ash or alkaline ash.
A client is admitted to the hospital from the emergency department with a
diagnosis of urolithiasis. The nurse reviews the client’s clinical record and
performs an admission assessment. What is the priority nursing action?
1 Strain the client’s urine.
2 Administer the prescribed morphine.
3 Place in the high-Fowler position.
4 Collect a urine specimen for culture and sensitivity.
00:00:26
2
Pain relief is the priority. Clients report that ureteral colic is excruciatingly painful.
Once pain is under control and the client is comfortable, other medical and nursing
interventions can be implemented. Although straining all urine is required, pain relief
is the priority. Once the client is medicated for pain, the urine that was set aside can
be strained. The high-Fowler position is not necessary. The client can be assisted to
assume a position of comfort. The urine was sent for a culture and sensitivity in the
emergency department.
A female client has a history of recurrent urinary tract infections. What should
the nurse include in the teaching plan when teaching the client about health
practices that may help decrease future urinary tract infections?
1 Wear cotton underpants.
2 Void at least every 6 hours.
3 Increase alkaline ash foods in the diet.
4 Wipe from back to front after toileting
“PRACTICE URINARY HESI TEST “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
PRACTICE URINARY HESI TEST
The laboratory values of a client with renal calculi reveal a serum calcium
within expected limits and an elevated serum purine. The nurse concludes that
the stone probably is composed of:
1 Cystine
2 Uric acid
3 Calcium oxalate
4 Magnesium ammonium phosphate
2
Purines are precursors of uric acid, which crystallizes. Cystine stones are caused by
a rare hereditary defect resulting in inadequate renal tubular reabsorption of cystine
(inborn error of cystine metabolism). Serum purine will not be elevated if the stone is
composed of calcium oxalate. A struvite stone sometimes is called a magnesium
ammonium phosphate stone and is precipitated by recurrent urinary tract infections
with coliform bacteria
A nurse is planning to administer a prescribed intravenous solution that
contains potassium chloride. What assessment should be brought to the
health care provider's attention before administration of the intravenous (IV)
line?
1 Uncharacteristic irritability
2 Poor tissue turgor with tenting
, Page 2 of 76
3 Urinary output of 200 mL during the previous 8 hours
4 Oral fluid intake of 300 mL during the previous 12 hours
3
Decreased urinary output will result in the retention of potassium, causing
hyperkalemia. Reporting uncharacteristic irritability is unnecessary; this is a sign of
dehydration, which can be corrected with appropriate hydration. Reporting poor
tissue turgor with tenting is unnecessary; this may indicate dehydration, which is
probably the rationale for the fluid prescribed. Reporting an oral fluid intake of 300
mL during the previous 12 hours is unnecessary; this can precipitate dehydration or
can compound an existing dehydration, which can be treated with appropriate
hydration.
A nurse is notified that the latest potassium level for a client in acute renal
failure is 6.2 mEq. What action should the nurse take?
1 Alert the cardiac arrest team
2 Call the laboratory to repeat the test
3 Take vital signs and notify the primary health care provider
4 Obtain an ECG strip and obtain an antiarrhythmic medication
3
Vital signs monitor the cardiopulmonary status; the health care provider must treat
this hyperkalemia to prevent cardiac dysrhythmias. The cardiac arrest team
responds to a cardiac arrest; there is no sign of arrest in this client. A repeat
laboratory test will take time and probably reaffirm the original results; the client
needs medical attention. Obtaining an ECG strip and having an antiarrhythmic
available are correct interventions if available, but the priority is medical attention
and the health care provider should be notified immediately.
The nurse recalls that what scientific principle is basic to caring for a client
with an indwelling urinary catheter?
1 Inertia
2 Gravity
3 Osmosis
4 Diffusion
, Page 3 of 76
2
An indwelling urinary catheter always is positioned so that the level of the bladder is
higher than the level of the drainage container; gravity promotes urine flow. Inertia
refers to a property of matter. Osmosis refers to the movement of water across a
semipermeable membrane; it is not responsible for the flow of urine through a
catheter. Diffusion refers to the passage of molecules from an area of higher
concentration to one of lower concentration.
Content Area - Medic
A 40-year-old client scheduled for a hemi-colectomy because of ulcerative
colitis asks if having a hemi-colectomy means wearing a pouch and having
bowel movements in an abnormal way. Which is the best response by the
nurse?
1 "Yes, hemi-colectomy is the same as a colostomy."
2 "Yes, but it will be temporary until the colitis is cured."
3 "No, that is necessary when a tumor is blocking the rectum."
4 "No, only part of the colon is removed and the rest reattached."
4
Hemi-colectomy is removal of part of the colon with an anastomosis between the
ileum and transverse colon; a colostomy is not necessary. With a colostomy the
intestine opens on the abdomen, whereas in a hemi-colectomy a portion of the
intestine is resected and the ends reconnected. "Yes, but it will be temporary until
the colitis is cured" is the description of a temporary colostomy; a cure occurs only
when the entire colon is removed. A colostomy is done for a variety of reasons other
than a tumor; a colectomy with a colostomy is only one intervention that may be
used to treat a tumor.
The nurse provides discharge instructions to a male client that had a
ureterolithotomy. The client has a history of recurrent urinary tract infections
(UTIs). The teaching should include that indicators of a UTI are:
1 Urgency or frequency of urination
2 The inability to maintain an erection
, Page 4 of 76
3 Pain radiating to the external genitalia
4 An increase in the alkalinity of the urine
1
Urgency or frequency of urination occur with a urinary tract infection because of
bladder irritability; burning on urination and fever are additional signs of a UTI. The
inability to maintain an erection is not related to a UTI. Pain radiating to the external
genitalia is a symptom of a urinary calculus, not infection. An increase in alkalinity or
acidity of urine is not a sign of a UTI; this may be caused by altering the diet to
include foods that form acid ash or alkaline ash.
A client is admitted to the hospital from the emergency department with a
diagnosis of urolithiasis. The nurse reviews the client’s clinical record and
performs an admission assessment. What is the priority nursing action?
1 Strain the client’s urine.
2 Administer the prescribed morphine.
3 Place in the high-Fowler position.
4 Collect a urine specimen for culture and sensitivity.
00:00:26
2
Pain relief is the priority. Clients report that ureteral colic is excruciatingly painful.
Once pain is under control and the client is comfortable, other medical and nursing
interventions can be implemented. Although straining all urine is required, pain relief
is the priority. Once the client is medicated for pain, the urine that was set aside can
be strained. The high-Fowler position is not necessary. The client can be assisted to
assume a position of comfort. The urine was sent for a culture and sensitivity in the
emergency department.
A female client has a history of recurrent urinary tract infections. What should
the nurse include in the teaching plan when teaching the client about health
practices that may help decrease future urinary tract infections?
1 Wear cotton underpants.
2 Void at least every 6 hours.
3 Increase alkaline ash foods in the diet.
4 Wipe from back to front after toileting
