HESI EXAM uy
Exam Solution uy
Access to this page has been denied 2026 A+ GRADE AS uy uy uy uy uy uy uy uy uy uy
SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER uy uy uy uy uy
S (2574F)
uy
QUESTION 1 uy
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he w
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ill drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
is the best follow-up action by the nurse?
uy uy uy uy uy uy uy
ANSWER
Review with the client the need to avoid foods that are rich in milk and cream
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 2 uy
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitt
uy uy uy uy uy uy uy uy uy uy uy
ed client who has a seizure disorder. The client is supine and the UAP is placing soft pill
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ows along the side rails. What action should the nurse implement?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 3 uy
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) fo
uy uy uy uy uy uy uy uy uy uy uy
r the past 12 days. Which assessment finding requires immediate follow-up?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Describes life without purpose uy uy uy
QUESTION 4 uy
,A 60-year-
uy
old female client with a positive family history of ovarian cancer has developed an abdo
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
minal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) s
uy uy uy uy uy uy uy uy uy uy uy uy uy
mear results are negative. What information should the nurse include in the client's tea
uy uy uy uy uy uy uy uy uy uy uy uy uy
ching plan? uy
ANSWER
Further evaluation involving surgery may be needed
uy uy uy uy uy uy
QUESTION 5 uy
A client who recently underwear a tracheostomy is being prepared for discharge to ho
uy uy uy uy uy uy uy uy uy uy uy uy uy
me. Which instructions is most important for the nurse to include in the discharge plan
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
?
ANSWER
Teach tracheal suctioning techniques
uy uy uy
QUESTION 6 uy
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
gen reservoir bag does not deflate completely during inspiration and the client's respira
uy uy uy uy uy uy uy uy uy uy uy uy
tory rate is 14 breaths / minute. What action should the nurse implement?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Document the assessment data Rational: reservoir bag should not deflate completely during inspiration
uy uy uy uy uy uy uy uy uy uy uy uy
and the client's respiratory rate is within normal limits.
uy uy uy uy uy uy uy uy uy
QUESTION 7 uy
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
uy uy uy uy uy uy uy uy uy uy
ch client alarm should the nurse investigate firs?
uy uy uy uy uy uy uy
ANSWER
Respiratory apnea of 30 seconds uy uy uy uy
QUESTION 8 uy
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wh
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
at action should the nurse take first?
uy uy uy uy uy uy
ANSWER
Check the client for lacerations or fractures
uy uy uy uy uy uy
,QUESTION 9 uy
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
uy uy uy uy uy uy uy uy uy uy uy uy
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wa
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
nted to avoid getting a headache. Which action should the nurse take first?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Inform the anesthesia care provider
uy uy uy uy
QUESTION 10 uy
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u
sounds. To determine if an S3 heart sound is present, what action should the nurse tak
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e first?
uy
ANSWER
Listen with the bell at the same location
uy uy uy uy uy uy uy
QUESTION 11 uy
A 66-year-
uy
old woman is retiring and will no longer have a health insurance through her place of e
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
mployment. Which agency should the client be referred to by the employee health nurs
uy uy uy uy uy uy uy uy uy uy uy uy uy
e for health insurance needs?
uy uy uy uy
ANSWER
Medicare
QUESTION 12 uy
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
What snack should the nurse instruct the client to take with the tetracycline?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Toasted wheat bread and jelly uy uy uy uy
QUESTION 13 uy
Following a lumbar puncture, a client voices several complaints. What complaint indicat
uy uy uy uy uy uy uy uy uy uy uy
ed to the nurse that the client is experiencing a complication?
uy uy uy uy uy uy uy uy uy uy
ANSWER
, "I have a headache that gets worse when I sit up" "I am having pain in my lower back when I move m
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
y legs" "My throat hurts when I swallow" "I feel sick to my stomach and am going to throw up"
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 14 uy
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
with incontinence. Which action should the nurse implement?
uy uy uy uy uy uy uy
ANSWER
Obtain a clean catch mid-stream specimen
uy uy uy uy uy
QUESTION 15 uy
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
that are in keeping with the child's dietary restrictions. Which foods are contraindicate
uy uy uy uy uy uy uy uy uy uy uy uy
d for this child?
uy uy uy
ANSWER
Foods sweetened with aspartame
uy uy uy
QUESTION 16 uy
Before preparing a client for the first surgical case of the day, a part-
uy uy uy uy uy uy uy uy uy uy uy uy uy
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequat
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e preparation for this client. Which response should the circulating nurse provide?
uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Direct the nurse to continue the surgical hand scrub for a 5 minute duration
uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 17 uy
Which breakfast selection indicates that the client understands the nurse's instructions
uy uy uy uy uy uy uy uy uy uy uy
about the dietary management of osteoporosis?
uy uy uy uy uy
ANSWER
Bagel with jelly and skim milk
uy uy uy uy uy
QUESTION 18 uy
The charge nurse of a critical care unit is informed at the beginning of the shift that less
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
than the optimal number of registered nurses will be working that shift. In planning as
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
signments, which client should receive the most care hours by a registered nurse (RN)?
uy uy uy uy uy uy uy uy uy uy uy uy uy
Exam Solution uy
Access to this page has been denied 2026 A+ GRADE AS uy uy uy uy uy uy uy uy uy uy
SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER uy uy uy uy uy
S (2574F)
uy
QUESTION 1 uy
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he w
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ill drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
is the best follow-up action by the nurse?
uy uy uy uy uy uy uy
ANSWER
Review with the client the need to avoid foods that are rich in milk and cream
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 2 uy
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitt
uy uy uy uy uy uy uy uy uy uy uy
ed client who has a seizure disorder. The client is supine and the UAP is placing soft pill
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ows along the side rails. What action should the nurse implement?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 3 uy
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) fo
uy uy uy uy uy uy uy uy uy uy uy
r the past 12 days. Which assessment finding requires immediate follow-up?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Describes life without purpose uy uy uy
QUESTION 4 uy
,A 60-year-
uy
old female client with a positive family history of ovarian cancer has developed an abdo
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
minal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) s
uy uy uy uy uy uy uy uy uy uy uy uy uy
mear results are negative. What information should the nurse include in the client's tea
uy uy uy uy uy uy uy uy uy uy uy uy uy
ching plan? uy
ANSWER
Further evaluation involving surgery may be needed
uy uy uy uy uy uy
QUESTION 5 uy
A client who recently underwear a tracheostomy is being prepared for discharge to ho
uy uy uy uy uy uy uy uy uy uy uy uy uy
me. Which instructions is most important for the nurse to include in the discharge plan
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
?
ANSWER
Teach tracheal suctioning techniques
uy uy uy
QUESTION 6 uy
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
gen reservoir bag does not deflate completely during inspiration and the client's respira
uy uy uy uy uy uy uy uy uy uy uy uy
tory rate is 14 breaths / minute. What action should the nurse implement?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Document the assessment data Rational: reservoir bag should not deflate completely during inspiration
uy uy uy uy uy uy uy uy uy uy uy uy
and the client's respiratory rate is within normal limits.
uy uy uy uy uy uy uy uy uy
QUESTION 7 uy
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
uy uy uy uy uy uy uy uy uy uy
ch client alarm should the nurse investigate firs?
uy uy uy uy uy uy uy
ANSWER
Respiratory apnea of 30 seconds uy uy uy uy
QUESTION 8 uy
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wh
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
at action should the nurse take first?
uy uy uy uy uy uy
ANSWER
Check the client for lacerations or fractures
uy uy uy uy uy uy
,QUESTION 9 uy
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
uy uy uy uy uy uy uy uy uy uy uy uy
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wa
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
nted to avoid getting a headache. Which action should the nurse take first?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Inform the anesthesia care provider
uy uy uy uy
QUESTION 10 uy
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u
sounds. To determine if an S3 heart sound is present, what action should the nurse tak
y uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e first?
uy
ANSWER
Listen with the bell at the same location
uy uy uy uy uy uy uy
QUESTION 11 uy
A 66-year-
uy
old woman is retiring and will no longer have a health insurance through her place of e
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
mployment. Which agency should the client be referred to by the employee health nurs
uy uy uy uy uy uy uy uy uy uy uy uy uy
e for health insurance needs?
uy uy uy uy
ANSWER
Medicare
QUESTION 12 uy
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
What snack should the nurse instruct the client to take with the tetracycline?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Toasted wheat bread and jelly uy uy uy uy
QUESTION 13 uy
Following a lumbar puncture, a client voices several complaints. What complaint indicat
uy uy uy uy uy uy uy uy uy uy uy
ed to the nurse that the client is experiencing a complication?
uy uy uy uy uy uy uy uy uy uy
ANSWER
, "I have a headache that gets worse when I sit up" "I am having pain in my lower back when I move m
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
y legs" "My throat hurts when I swallow" "I feel sick to my stomach and am going to throw up"
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 14 uy
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
with incontinence. Which action should the nurse implement?
uy uy uy uy uy uy uy
ANSWER
Obtain a clean catch mid-stream specimen
uy uy uy uy uy
QUESTION 15 uy
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
that are in keeping with the child's dietary restrictions. Which foods are contraindicate
uy uy uy uy uy uy uy uy uy uy uy uy
d for this child?
uy uy uy
ANSWER
Foods sweetened with aspartame
uy uy uy
QUESTION 16 uy
Before preparing a client for the first surgical case of the day, a part-
uy uy uy uy uy uy uy uy uy uy uy uy uy
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequat
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e preparation for this client. Which response should the circulating nurse provide?
uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Direct the nurse to continue the surgical hand scrub for a 5 minute duration
uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 17 uy
Which breakfast selection indicates that the client understands the nurse's instructions
uy uy uy uy uy uy uy uy uy uy uy
about the dietary management of osteoporosis?
uy uy uy uy uy
ANSWER
Bagel with jelly and skim milk
uy uy uy uy uy
QUESTION 18 uy
The charge nurse of a critical care unit is informed at the beginning of the shift that less
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
than the optimal number of registered nurses will be working that shift. In planning as
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
signments, which client should receive the most care hours by a registered nurse (RN)?
uy uy uy uy uy uy uy uy uy uy uy uy uy
