ADULT HEALTH HESI PRACTICE QUESTIONS WITH
VERIFIED ANSWERS
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
hest tube. Which intervention has the highest priority and should be anticipated by the RN a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
fter the removal of the chest tube?
xz xz xz xz xz xz
A.Prepare the client for chest x-ray at the bedside. xz xz xz xz xz xz xz xz
B.Review arterial blood gases after removal. xz xz xz xz xz
C.Elevate the head of bed to 45 degrees. xz xz xz xz xz xz xz
D.Assist with disassembling the drainage system. - ans-A.Prepare the client for chest x-
xz xz xz xz xz xz xz xz xz xz xz xz
ray at the bedside.
xz xz xz
The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
at the client is stabilizing?
xz xz xz xz
A.Urine output of 40 mL/hour. xz xz xz xz
B.Apical pulse 100 and blood pressure 76/42.xz xz xz xz xz xz
C.Urine specific gravity 1.001. xz xz xz
D.Tented skin on dorsal surface of hands. - ans-A.Urine output of 40 mL/hour.
xz xz xz xz xz xz xz xz xz xz xz xz
Which action should the registered nurse (RN) implement to complete an assessment for a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
client while using an interpreter?
xz xz xz xz
A.Ask closed-ended questions with the assistance of the interpreter.
xz xz xz xz xz xz xz xz
B.Maintain eye contact with the client while listening to the translation.
xz xz xz xz xz xz xz xz xz xz
C.Instruct interpreter to answer questions from interpreter's point of view.
xz xz xz xz xz xz xz xz xz
D.Protect the client's privacy by asking a limited number of questions. - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
B.Maintain eye contact with the client while listening to the translation.
xz xz xz xz xz xz xz xz xz xz
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a combi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nation drug regimen. The client complains about taking "so many pills." W hat information s
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
hould the RN provide to the client about the prescribed treatement?
xz xz xz xz xz xz xz xz xz xz
A.The development of resistant strains of TB are decreased with a combination of drugs.
xz xz xz xz xz xz xz xz xz xz xz xz xz
B.Compliance to the medication regimen is challenging but should be maintained. xz xz xz xz xz xz xz xz xz xz
C.Side effects are minimized with the use of a single medication but is less effective.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
D.The treatment time is decreased from 6 months to 3 months with this standard regimen. -
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ans-
xz
A.The development of resistant strains of TB are decreased with a combination of drugs.
xz xz xz xz xz xz xz xz xz xz xz xz xz
, The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
should the RN document that are consistent with diminished peripheral circulation?
xz xz xz xz xz xz xz xz xz xz xz
(Select all that apply.) xz xz xz
A.Diminished hair on legs xz xz xz
B.Bruising on extremities xz xz
C.Skin cool to touch xz xz xz
D.Capillary refill less than 3 seconds xz xz xz xz xz
E.Darkened skin on extremities - ans-A.Diminished hair on legs xz xz xz xz xz xz xz xz
C.Skin cool to touch xz xz xz
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact duri
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ng conversations. How should the RN assess this client's response?
xz xz xz xz xz xz xz xz xz
A.The client cannot understand the nurse.
xz xz xz xz xz
B.The client is uncomfortable with the nurse.
xz xz xz xz xz xz
C.The client is treating the nurse with respect.
xz xz xz xz xz xz xz
D.The client is purposefully disrespecting the nurse. - ans-
xz xz xz xz xz xz xz xz
C.The client is treating the nurse with respect.
xz xz xz xz xz xz xz
A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose vei
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ns can occur in the esophagus. Which statement should the RN provide to teach the client a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
bout the physiological etiology?
xz xz xz
A.The enlarged liver presses on the lower half of the esophagus which weakens blood vess
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
el walls.
xz
B.Abnormal vessels form as a result of liver damage that causes chronic low serum protein
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
levels.
C.Esophageal swelling and tissue damage causes blood to circulate blood back through th xz xz xz xz xz xz xz xz xz xz xz xz
e stomach.
xz
D.Increased portal pressure causes blood flow through liver to be shunted to the esophage
xz xz xz xz xz xz xz xz xz xz xz xz xz
al vessels. - ans-
xz xz xz
D.Increased portal pressure causes blood flow through liver to be shunted to the esophage
xz xz xz xz xz xz xz xz xz xz xz xz xz
al vessels.
xz
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the client's
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
history, the registered nurse (RN) discovers that the client's spouse died 2 weeks ago. Whi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ch nursing interventions should the RN implement to help the client begin the process of de
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
aling with loss? xz xz
Select all that apply xz xz xz
A.Establish trust by creating an safe atmosphere for sharing. xz xz xz xz xz xz xz xz
B.Share personal stories about how other clients dealt with grief.
xz xz xz xz xz xz xz xz xz
C.Help the client identify ways to adapt lifestyle to accommodate loss.
xz xz xz xz xz xz xz xz xz xz
D.Assure the client that their grief will last a short period of time.
xz xz xz xz xz xz xz xz xz xz xz xz
VERIFIED ANSWERS
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
hest tube. Which intervention has the highest priority and should be anticipated by the RN a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
fter the removal of the chest tube?
xz xz xz xz xz xz
A.Prepare the client for chest x-ray at the bedside. xz xz xz xz xz xz xz xz
B.Review arterial blood gases after removal. xz xz xz xz xz
C.Elevate the head of bed to 45 degrees. xz xz xz xz xz xz xz
D.Assist with disassembling the drainage system. - ans-A.Prepare the client for chest x-
xz xz xz xz xz xz xz xz xz xz xz xz
ray at the bedside.
xz xz xz
The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
at the client is stabilizing?
xz xz xz xz
A.Urine output of 40 mL/hour. xz xz xz xz
B.Apical pulse 100 and blood pressure 76/42.xz xz xz xz xz xz
C.Urine specific gravity 1.001. xz xz xz
D.Tented skin on dorsal surface of hands. - ans-A.Urine output of 40 mL/hour.
xz xz xz xz xz xz xz xz xz xz xz xz
Which action should the registered nurse (RN) implement to complete an assessment for a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
client while using an interpreter?
xz xz xz xz
A.Ask closed-ended questions with the assistance of the interpreter.
xz xz xz xz xz xz xz xz
B.Maintain eye contact with the client while listening to the translation.
xz xz xz xz xz xz xz xz xz xz
C.Instruct interpreter to answer questions from interpreter's point of view.
xz xz xz xz xz xz xz xz xz
D.Protect the client's privacy by asking a limited number of questions. - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
B.Maintain eye contact with the client while listening to the translation.
xz xz xz xz xz xz xz xz xz xz
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a combi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nation drug regimen. The client complains about taking "so many pills." W hat information s
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
hould the RN provide to the client about the prescribed treatement?
xz xz xz xz xz xz xz xz xz xz
A.The development of resistant strains of TB are decreased with a combination of drugs.
xz xz xz xz xz xz xz xz xz xz xz xz xz
B.Compliance to the medication regimen is challenging but should be maintained. xz xz xz xz xz xz xz xz xz xz
C.Side effects are minimized with the use of a single medication but is less effective.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
D.The treatment time is decreased from 6 months to 3 months with this standard regimen. -
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ans-
xz
A.The development of resistant strains of TB are decreased with a combination of drugs.
xz xz xz xz xz xz xz xz xz xz xz xz xz
, The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
should the RN document that are consistent with diminished peripheral circulation?
xz xz xz xz xz xz xz xz xz xz xz
(Select all that apply.) xz xz xz
A.Diminished hair on legs xz xz xz
B.Bruising on extremities xz xz
C.Skin cool to touch xz xz xz
D.Capillary refill less than 3 seconds xz xz xz xz xz
E.Darkened skin on extremities - ans-A.Diminished hair on legs xz xz xz xz xz xz xz xz
C.Skin cool to touch xz xz xz
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact duri
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ng conversations. How should the RN assess this client's response?
xz xz xz xz xz xz xz xz xz
A.The client cannot understand the nurse.
xz xz xz xz xz
B.The client is uncomfortable with the nurse.
xz xz xz xz xz xz
C.The client is treating the nurse with respect.
xz xz xz xz xz xz xz
D.The client is purposefully disrespecting the nurse. - ans-
xz xz xz xz xz xz xz xz
C.The client is treating the nurse with respect.
xz xz xz xz xz xz xz
A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose vei
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ns can occur in the esophagus. Which statement should the RN provide to teach the client a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
bout the physiological etiology?
xz xz xz
A.The enlarged liver presses on the lower half of the esophagus which weakens blood vess
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
el walls.
xz
B.Abnormal vessels form as a result of liver damage that causes chronic low serum protein
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
levels.
C.Esophageal swelling and tissue damage causes blood to circulate blood back through th xz xz xz xz xz xz xz xz xz xz xz xz
e stomach.
xz
D.Increased portal pressure causes blood flow through liver to be shunted to the esophage
xz xz xz xz xz xz xz xz xz xz xz xz xz
al vessels. - ans-
xz xz xz
D.Increased portal pressure causes blood flow through liver to be shunted to the esophage
xz xz xz xz xz xz xz xz xz xz xz xz xz
al vessels.
xz
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the client's
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
history, the registered nurse (RN) discovers that the client's spouse died 2 weeks ago. Whi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ch nursing interventions should the RN implement to help the client begin the process of de
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
aling with loss? xz xz
Select all that apply xz xz xz
A.Establish trust by creating an safe atmosphere for sharing. xz xz xz xz xz xz xz xz
B.Share personal stories about how other clients dealt with grief.
xz xz xz xz xz xz xz xz xz
C.Help the client identify ways to adapt lifestyle to accommodate loss.
xz xz xz xz xz xz xz xz xz xz
D.Assure the client that their grief will last a short period of time.
xz xz xz xz xz xz xz xz xz xz xz xz
