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HESI Psychiatric/Mental Health Practice Exam (150 Questions) 1. At the first meeting of a group at a daycare center for older adults, the nurse asks one of the members what kinds of things the client would like to do with the group. The older adult shrugs and says, "You tell me. You're the leader." What would be the best response for the nurse to make? A. "Yes, I am the leader today. Would you like to be the leader tomorrow?" B. "Yes, I will be leading this group. W...

HESI Pharmacology 1. A client with heart failure is prescribed digoxin. Which assessment finding indicates the medication is effective? A. Increased heart rate B. Decreased shortness of breath C. Increased peripheral edema D. Decreased urine output Answer: B *Rationale: * Digoxin increases cardiac contractility (positive inotrope), improving cardiac output and decreasing symptoms of heart failure such as dyspnea and fatigue. Increased heart rate (A) is not a therapeutic effe...

HESI Critical Care 1. A patient in the intensive care unit with septic shock has a central venous pressure (CVP) of 2 mmHg, heart rate of 120 bpm, and blood pressure of 80/50 mmHg. What is the priority nursing intervention? A. Administer a vasopressor B. Administer a fluid bolus C. Prepare for intubation D. Administer a beta-blocker Answer: B *Rationale: * A low CVP (<4 mmHg) indicates hypovolemia. In septic shock, initial fluid resuscitation is the priority to improve pr...

HESI Leadership/Management 1. The charge nurse on a medical-surgical unit is making assignments for the next shift. Which client should be assigned to the most experienced registered nurse? A. A 45-year-old with pneumonia who is stable and receiving oral antibiotics B. A 60-year-old with congestive heart failure requiring complex medication titration C. A 30-year-old with a minor wound infection scheduled for discharge D. A 70-year-old with hypertension requiring routine vital signs...

HESI Community/Public Health 1. The public health nurse is implementing a community-wide immunization program for influenza. This is an example of which core public health function? A. Assessment B. Policy development C. Assurance D. Research Answer: C *Rationale: * Assurance focuses on ensuring that essential community health services are available and accessible. Immunization programs ensure that the population has access to preventive services. Assessment (A) involves col...

HESI Dosage Calculations 1. Convert 0.75 to a fraction in simplest form. A. 3/4 B. 7/10 C. 3/5 D. 5/8 Answer: A *Rationale: * *0.75 = 75/100 = 3/4 after dividing numerator and denominator by 25 .* 2. Convert 3/5 to a decimal. A. 0.35 B. 0.6 C. 0.5 D. 0.65 Answer: B *Rationale: * *3 ÷ 5 = 0.6 .* 3. Convert 0.25% to a decimal. A. 0.25 B. 0.025 C. 0.0025 D. 2.5 Answer: C *Rationale: * *To convert a percentage to a decimal, divide by 100 or move the decima...

HESI Pathophysiology 1. A 75-year-old woman develops weakness in her lower extremities after a prolonged period of bed rest following hip surgery. This is most likely caused by which cellular adaptation? A. Dysplasia B. Hypertrophy C. Hyperplasia D. Atrophy Answer: D *Rationale: * Atrophy is a decrease in cell size due to disuse, denervation, ischemia, malnutrition, or loss of endocrine stimulation. Prolonged bed rest reduces workload on muscles, leading to decreased cell ...

ATI RN Targeted Medical-Surgical New Multiple-Choice Questions A Level Exam 1. A nurse is assessing a client who has heart failure. Which of the following findings should the nurse expect? A. Dry cough and weight loss B. Peripheral edema and jugular vein distention C. Flat neck veins and increased appetite D. Bradycardia and hypotension An

1. A nurse is assigning tasks to an LPN. Which task should the LPN question? A. Assisting a post-op patient to use an incentive spirometer B. Collecting a clean-catch urine specimen C. Providing nasopharyngeal suctioning for a stable patient D. Replacing the cartridge and tubing on a PCA pump Answer: D. Replacing the cartridge and tubing on a PCA pump Rationale: Replacing PCA pump cartridges is a high-risk intervention that requires the critical thinking and responsibility of an RN...

Topic 1: Cardiovascular Disorders 1. A nurse is caring for a client with hypertension. Which dietary recommendation should the nurse provide? A. Increase sodium intake B. Limit saturated fats C. Avoid fresh fruits D. Consume processed foods Answer: B. Limit saturated fats Rationale: Saturated fats contribute to atherosclerosis, which can worsen hypertension. A low-fat diet supports cardiovascular health. Increasing sodium and consuming processed foods are discouraged, while f...