HESI VN CERTIFICATION EVALUATION
PRACTICE SOLUTION TESTED QUESTIONS
WITH COMPLETE ANSWERS
●● A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicates
client's protein status for the longest length of time?
Answer: Serum albumin
Rationale: Serum albumin has a long half-life.
●● What client statement indicates to the nurse that the client requires
assistance with bathing?
Answer: "I don't understand why I'm so weak & tired."
●● How should the nurse handle linens that are soiled with incontinent
feces?
Answer: Place the soiled linens in a pillow case & deposit them in the
dirty linen hamper
●● When caring for an immobile client, what nursing diagnosis has the
highest priority?
Answer: Impaired gas exchange
,●● The nurse assesses an immobile, elderly male client & determines
that his blood pressure is 138/60, his temperature is 95.8F & his output
is 100 mL of concentrated urine during the last hour. He has wet
sounding lungs & increased respiratory secretions. Based on these
assessment findings , what nursing action is most important for the nurse
to implement?
Answer: Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent
pneumonia from occurring.
●● The home health nurse visits an elderly female client who had a
brain attack 3 months ago & is now able to ambulate with the assistance
of a quad cane. Which assessment finding has the greatest implications
for this client's care?
Answer: The nurse notes there are numerous scatter rugs throughout the
house
●● The nurse removes the dressing on a client's heel that is cover a
pressure sore 1" in diameter & finds that there is straw-colored drainage
seeping from the wound. What description of this finding should the
nurse include in the client's record?
Answer: One-inch pressure sore draining serous fluid
, ●● Medication is prescribed to be given QID. What schedule should the
nurse use to administer this Rx?
Answer: 0800, 1200, 1600, 2000
●● The nurse working in the ED is assessing 4 clients' ability to tolerate
pain. Which client is likely to tolerate a higher level of pain?
Answer: 1 55y/o woman who has had moderate low back pain for 3
months
Rationale: Experiences with the same type of pain that has successfully
been relieved makes it easier for the client to interpret the pain sensation
and, as a result, the client is better prepared to take steps to relieve the
pain. All other clients are having new experiences with pain.
●● A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy
asks the nurse, "Will it hurt to have my tonsils & adenoids taken out?"
Which response is best for the nurse to provide?
Answer: "It may hurt, but we'll give you medicine to help you feel
better."
●● A low-sodium, low-protein diet is prescribed for a 45y/o client with
renal insufficiency & HTN, who gained 3lbs in the last month. The nurse
determines that the client has been noncompliant with the diet, based on
which report from the 24hr diet recall?
Answer: 1. Snack of potato chips & diet soda
PRACTICE SOLUTION TESTED QUESTIONS
WITH COMPLETE ANSWERS
●● A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicates
client's protein status for the longest length of time?
Answer: Serum albumin
Rationale: Serum albumin has a long half-life.
●● What client statement indicates to the nurse that the client requires
assistance with bathing?
Answer: "I don't understand why I'm so weak & tired."
●● How should the nurse handle linens that are soiled with incontinent
feces?
Answer: Place the soiled linens in a pillow case & deposit them in the
dirty linen hamper
●● When caring for an immobile client, what nursing diagnosis has the
highest priority?
Answer: Impaired gas exchange
,●● The nurse assesses an immobile, elderly male client & determines
that his blood pressure is 138/60, his temperature is 95.8F & his output
is 100 mL of concentrated urine during the last hour. He has wet
sounding lungs & increased respiratory secretions. Based on these
assessment findings , what nursing action is most important for the nurse
to implement?
Answer: Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent
pneumonia from occurring.
●● The home health nurse visits an elderly female client who had a
brain attack 3 months ago & is now able to ambulate with the assistance
of a quad cane. Which assessment finding has the greatest implications
for this client's care?
Answer: The nurse notes there are numerous scatter rugs throughout the
house
●● The nurse removes the dressing on a client's heel that is cover a
pressure sore 1" in diameter & finds that there is straw-colored drainage
seeping from the wound. What description of this finding should the
nurse include in the client's record?
Answer: One-inch pressure sore draining serous fluid
, ●● Medication is prescribed to be given QID. What schedule should the
nurse use to administer this Rx?
Answer: 0800, 1200, 1600, 2000
●● The nurse working in the ED is assessing 4 clients' ability to tolerate
pain. Which client is likely to tolerate a higher level of pain?
Answer: 1 55y/o woman who has had moderate low back pain for 3
months
Rationale: Experiences with the same type of pain that has successfully
been relieved makes it easier for the client to interpret the pain sensation
and, as a result, the client is better prepared to take steps to relieve the
pain. All other clients are having new experiences with pain.
●● A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy
asks the nurse, "Will it hurt to have my tonsils & adenoids taken out?"
Which response is best for the nurse to provide?
Answer: "It may hurt, but we'll give you medicine to help you feel
better."
●● A low-sodium, low-protein diet is prescribed for a 45y/o client with
renal insufficiency & HTN, who gained 3lbs in the last month. The nurse
determines that the client has been noncompliant with the diet, based on
which report from the 24hr diet recall?
Answer: 1. Snack of potato chips & diet soda
