HESI RN Exit practice test
A client with chronic osteomyelitis is scheduled for surgery to treat the infection which has not
responded to three months of intravenous antibiotic therapy. The client asks the nurse why
surgery is necessary. Which is the best response for the nurse to provide?
A. The dead bone needs to be removed to provide a blood supply for new bone growth.
B. The infection is caused by a mutated bacteria that is resistant to most antibiotics.
C. If the infected dead bone is not removed, it will make a path to the skin and drain pus.
D. The infection has walled off into an area of infected bone creating a barrier to antibiotics. - D.
The infection has walled off into an area of infected bone creating a barrier to antibiotics.
A female client tells the nurse that she does not know which day of the month is best to do
breast self-exams (BSE). Which instruction should the nurse provide?
A. Midway between menstrual cycles.
B. One week before your period.
C. The first day of your period.
D. Five to seven days after menses cease. - D
A low potassium diet is prescribed for a client. What foods should the nurse teach this client to
avoid?
A. Dried prunes.
B. Cottage cheese.
C. Mashed potatoes.
D. Mustard greens. - A
A male client who lives in an area endemic with Lyme disease asks the nurse what to do if he
thinks he may have been exposed. Which response should the nurse provide?
A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clear center.
, C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations. - B
A male client with a history of chronic back pain that was managed with opiate analgesics calls
the nurse after having back surgery. The client reports that the back pain is finally gone, but
after stopping the pain medication, the client has been having severe diarrhea and painful
muscle cramps. Which assessment information should the nurse obtain next?
A. Did the client receive a prescription for methadone or clonidine?
B. Is the client using a fentanyl patch after stopping the opiate analgesic?
C. Has the client taken any over-the-counter agents for these symptoms?
D. When did the symptoms begin after the last dose of opiate analgesic? - D. When did the
symptoms begin after the last dose of opiate analgesic?
A male client, who has been smoking 1 pack of cigarettes every day for the last 20 years, is
scheduled for surgery and will be unable to smoke after surgery. During preoperative teaching,
the client asks the nurse what symptoms he may expect after surgery from nicotine withdrawal.
Which response is best for the nurse to provide?
A. "You should have minimal withdrawal symptoms."
B. "Headache and hyperirritability are common "
C. "A common withdrawal response is hypertension."
D. "Expect to have a loss of appetite and tachycardia." - B
A client is admitted with a medical diagnosis of Addisonian crisis. When completing the
admission assessment, the nurse expects this client to exhibit which clinical manifestations?
A. Thin, fragile skin, ecchymoses, and complaints of weakness.
B. Headache, diaphoresis, and palpitations.
C. Hypotension, rapid weak pulse, and rapid respiratory rate.
D. Abrupt onset of hyperpyrexia, extreme tachycardia, and delirium. - A
A client with chronic osteomyelitis is scheduled for surgery to treat the infection which has not
responded to three months of intravenous antibiotic therapy. The client asks the nurse why
surgery is necessary. Which is the best response for the nurse to provide?
A. The dead bone needs to be removed to provide a blood supply for new bone growth.
B. The infection is caused by a mutated bacteria that is resistant to most antibiotics.
C. If the infected dead bone is not removed, it will make a path to the skin and drain pus.
D. The infection has walled off into an area of infected bone creating a barrier to antibiotics. - D.
The infection has walled off into an area of infected bone creating a barrier to antibiotics.
A female client tells the nurse that she does not know which day of the month is best to do
breast self-exams (BSE). Which instruction should the nurse provide?
A. Midway between menstrual cycles.
B. One week before your period.
C. The first day of your period.
D. Five to seven days after menses cease. - D
A low potassium diet is prescribed for a client. What foods should the nurse teach this client to
avoid?
A. Dried prunes.
B. Cottage cheese.
C. Mashed potatoes.
D. Mustard greens. - A
A male client who lives in an area endemic with Lyme disease asks the nurse what to do if he
thinks he may have been exposed. Which response should the nurse provide?
A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clear center.
, C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations. - B
A male client with a history of chronic back pain that was managed with opiate analgesics calls
the nurse after having back surgery. The client reports that the back pain is finally gone, but
after stopping the pain medication, the client has been having severe diarrhea and painful
muscle cramps. Which assessment information should the nurse obtain next?
A. Did the client receive a prescription for methadone or clonidine?
B. Is the client using a fentanyl patch after stopping the opiate analgesic?
C. Has the client taken any over-the-counter agents for these symptoms?
D. When did the symptoms begin after the last dose of opiate analgesic? - D. When did the
symptoms begin after the last dose of opiate analgesic?
A male client, who has been smoking 1 pack of cigarettes every day for the last 20 years, is
scheduled for surgery and will be unable to smoke after surgery. During preoperative teaching,
the client asks the nurse what symptoms he may expect after surgery from nicotine withdrawal.
Which response is best for the nurse to provide?
A. "You should have minimal withdrawal symptoms."
B. "Headache and hyperirritability are common "
C. "A common withdrawal response is hypertension."
D. "Expect to have a loss of appetite and tachycardia." - B
A client is admitted with a medical diagnosis of Addisonian crisis. When completing the
admission assessment, the nurse expects this client to exhibit which clinical manifestations?
A. Thin, fragile skin, ecchymoses, and complaints of weakness.
B. Headache, diaphoresis, and palpitations.
C. Hypotension, rapid weak pulse, and rapid respiratory rate.
D. Abrupt onset of hyperpyrexia, extreme tachycardia, and delirium. - A
