HESI Comprehensive Exam
A Practice Questions &
Answers
LATEST EDITION
1. A nurse is assessing the skin of an immobilized patient. What will the nurse do?
a. Assess the skin every 4 hours.
b. Limit the amount of fluid intake.
c. Use a standardized tool such as the Braden Scale.
d. Have special times for inspection so as to not interrupt routine care.
ANS: C
Consistently use a standardized tool, such as the Braden Scale. This identifies patients
with a high risk for impaired skin integrity. Skin assessment can be as oftenas every
hour. Limiting fluids can lead to dehydration, increasing skin breakdown. Observe the
skin often during routine care.
2. The nurse is caring for an older-adult patient with a diagnosis of urinary tract
infection (UTI). Upon assessment the nurse finds the patient confused and
agitated. How will the nurse interpret these assessment findings?
a. These are normal signs of aging.
b. These are early signs of dementia.
c. These are purely psychological in origin.
d. These are common manifestation with UTIs.
ANS: D
The primary symptom of compromised older patients with an acute urinary tract
infection or fever is confusion. Acute confusion in older adults is not normal; a
thorough nursing assessment is the priority. With the diagnosis of urinary tract
infection, these are not early signs of dementia and they are not purely psychological.
, 3. A patient has damage to the cerebellum. Which disorder is most important for the
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A Practice Questions &
Answers
LATEST EDITION
1. A nurse is assessing the skin of an immobilized patient. What will the nurse do?
a. Assess the skin every 4 hours.
b. Limit the amount of fluid intake.
c. Use a standardized tool such as the Braden Scale.
d. Have special times for inspection so as to not interrupt routine care.
ANS: C
Consistently use a standardized tool, such as the Braden Scale. This identifies patients
with a high risk for impaired skin integrity. Skin assessment can be as oftenas every
hour. Limiting fluids can lead to dehydration, increasing skin breakdown. Observe the
skin often during routine care.
2. The nurse is caring for an older-adult patient with a diagnosis of urinary tract
infection (UTI). Upon assessment the nurse finds the patient confused and
agitated. How will the nurse interpret these assessment findings?
a. These are normal signs of aging.
b. These are early signs of dementia.
c. These are purely psychological in origin.
d. These are common manifestation with UTIs.
ANS: D
The primary symptom of compromised older patients with an acute urinary tract
infection or fever is confusion. Acute confusion in older adults is not normal; a
thorough nursing assessment is the priority. With the diagnosis of urinary tract
infection, these are not early signs of dementia and they are not purely psychological.
, 3. A patient has damage to the cerebellum. Which disorder is most important for the
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