HESI Practice Exam

HESI PRACTICE EXAM QUESTIONS AND
CORRECT ANSWERS




Whichrhassessmentrhisrhmostrhimportantrhforrhtherhnurserhtorhperformrhonrharhclie
ntrhwhorhisrhhospitalizedrhforrhGuillain-
Barrerhsyndromerhthatrhisrhrapidlyrhprogressing?



Respiratoryrheffort.

Unsteadyrhgait.

Intensityrhofrhpain.

Abilityrhtorheat.rh-rhanswersRespiratoryrheffort.



Guillain-
Barrerhsyndromerhcausesrhparalysisrhorrhweaknessrhthatrhtypicallyrhstartsrhatrhtherhf
eetrhandrhprogressesrhupwards.rhAsrhtherhconditionrhprogresses,rhtherhnurserhmustr
hensurerhthatrhtherhclientrhisrhablerhtorhbreatherheffectively.



Arhmalerhclientrhcomesrhintorhtherhclinicrhwithrharhhistoryrhofrhpenilerhdischargerh
withrhpainful,rhburningrhurination.rhWhichrhactionrhshouldrhtherhnurserhimplement?



Collectrharhculturerhofrhtherhpenilerhdischarge.

Palpaterhtherhinguinalrhlymphrhnodesrhgently.

Observerhforrhscrotalrhswellingrhandrhredness.

Expressrhtherhdischargerhtorhdeterminerhcolor.rh-
rhanswersCollectrharhculturerhofrhtherhpenilerhdischarge.

,Penilerhdischargerhwithrhpainfulrhurinationrhisrhcommonlyrhassociatedrhwithrhgonorr
hea.rhTherhnurserhshouldrhcollectrharhculturerhofrhtherhpenilerhdischargerhtorhdeter
minerhtherhcauserhofrhtheserhsymptoms.rhTherhcauserhmustrhberhdeterminedrhorrhc
onfirmedrhthroughrhculturerhtorhidentifyrhtherhorganismrhandrhensurerheffectiverhtre
atment.



Arhclientrhwithrhhistoryrhofrhatrialrhfibrillationrhisrhadmittedrhtorhtherhtelemetryrhun
itrhwithrhsuddenrhonsetrhofrhshortnessrhofrhbreath.rhTherhnurserhobservesrharhnewr
hirregularrhheartrhrhythmrhandrhshouldrhperformrhwhichrhassessmentrhatrhthisrhtime
?



Checkrhforrharhpulserhdeficit.

Palpaterhtherhapicalrhimpulse.

Inspectrhjugularrhveinrhpulse.

Examinerhforrharhcarotidrhbruit.rh-rhanswersCheckrhforrharhpulserhdeficit.



Arhclientrhwithrharhpastrhhistoryrhofrhatrialrhfibrillationrhmayrhreturnrhtorhthatrhrhyt
hm.rhAnyrhsignsrhofrhatrialrhfibrillation,rhsuchrhasrhsuddenrhonsetrhshortnessrhofrhbr
eath,rhrequiresrhfurtherrhinvestigation.rhTherhnurserhshouldrhassessrhthisrhclientrhforr
harhpulserhdeficitrhbecauserhthisrhconditionrhoccursrhwithrhatrialrhfibrillation.



Whichrhclientrhshouldrhberhfurtherrhassessedrhforrhanrhectopicrhpregnancy?



Arh24-year-oldrhwithrhshoulderrhandrhlowerrhabdominalrhquadrantrhpain.

Arh33-year-oldrhwithrhintermittentrhlowerrhabdominalrhcramping.

Arh20-year-oldrhwithrhfeverrhandrhrightrhlowerrhabdominalrhcolic.

Arh40-year-oldrhwithrhjaundicerhandrhrightrhlowerrhabdominalrhpain.rh-
rhanswersArh24-year-oldrhwithrhshoulderrhandrhlowerrhabdominalrhquadrantrhpain.rh



Arh24-year-
oldrhwithrhsuddenrhonsetrhofrhlowerrhabdominalrhquadrantrhpainrhshouldrhberhasse

,ssedrhforrhanrhectopicrhpregnancy.rhTherhpainrhcanrhalsorhberhreferredrhtorhtherhsh
oulderrhandrhmayrhberhassociatedrhwithrhvaginalrhbleeding.



Whichrhdietaryrhassessmentrhfindingrhisrhmostrhimportantrhforrhtherhnurserhtorhadd
ressrhwhenrhcaringrhforrharhclientrhwithrhdiabeticrhnephropathy?



Drinksrharhsixrhpackrhofrhbeerrheveryrhday.

Enjoysrharhhamburgerrhoncerharhmonth.

Eatsrhfortifiedrhbreakfastrhcerealrhdaily.

Consumesrhbeansrhandrhricerheveryrhday.rh-
rhanswersDrinksrharhsixrhpackrhofrhbeerrheveryrhday.



Drinkingrhsixrhbeersrheveryrhdayrhisrhtherhdietaryrhassessmentrhfindingrhmostrhimpo
rtantrhforrhtherhnurserhtorhaddressrhwhenrhcaringrhforrharhclientrhwithrhdiabeticrhn
ephropathy.rhTherhusualrhcanrhofrhbeerrhisrh12rhouncesrh(355rhmL).rhClientsrhwithrh
diabetesrharerhrecommendedrhtorhdrinkrhnorhmorerhthanrh12rhouncesrhofrhbeerrhpe
rrhdayrhbecauserhbeerrhcontainsrhcarbohydratesrhthatrhcanrhcreaterhunhealthyrhfluct
uationsrhinrhbloodrhglucoserhandrhpromoterhpoorrhglucoserhcontrol.rhNephropathyrhi
srhexacerbatedrhbyrhpoorrhbloodrhglucoserhcontrol.



Whichrhassessmentrhfindingrhisrhofrhgreatestrhconcernrhtorhtherhnurserhwhorhisrhcar
ingrhforrharhclientrhwithrhstomatitis?



Coughrhbroughtrhonrhbyrhswallowing.

Sorerhthroatrhcausedrhbyrhspeaking.

Painfulrhandrhdryrhoralrhcavity.

Unintendedrhweightrhloss.rh-rhanswersCoughrhbroughtrhonrhbyrhswallowing.



Arhcoughrhbroughtrhonrhbyrhswallowingrhisrharhsignrhofrhdysphagia,rhwhichrhisrharh
findingrhofrhparticularrhconcernrhinrharhclientrhwithrhstomatitis.rhDysphagiarhcanrhca
userhnumerousrhproblems,rhincludingrhairwayrhobstruction,rhandrhshouldrhberhreport
edrhtorhtherhhealthcarerhproviderrhimmediately.

, Therhnurserhisrhteachingrharhclientrhdiagnosedrhwithrhperipheralrharterialrhdisease.rh
Whichrhgenitourinaryrhsystemrhcomplicationrhshouldrhtherhnurserhincluderhinrhtherht
eaching?



Alteredrhsexualrhresponse.

Sterility.

Urinaryrhincontinence.

Decreasedrhpelvicrhmusclerhtone.rh-rhanswersAlteredrhsexualrhresponse.rh



Peripheralrharterialrhdiseaserh(PAD)rhisrharhcardiovascularrhconditionrhcharacterizedrh
byrhnarrowingrhofrhtherharteriesrhandrhreducedrhbloodrhflowrhtorhtherhextremities.r
hPADrhisrhknownrhtorhalterrhtherhbloodrhflowrhtorhtherhmale'srhpenisrhandrhisrhass
ociatedrhwithrherectilerhdysfunctionrhinrhmen.



Arh40-year-
oldrhfemalerhclientrhhasrharhhistoryrhofrhsmoking.rhWhichrhfindingrhshouldrhtherhnu
rserhidentifyrhasrharhriskrhfactorrhforrhmyocardialrhinfarction?



Oralrhcontraceptives.

Senilerhosteopenia.

Levothyroxinerhtherapy.

Perniciousrhanemia.rh-rhanswersOralrhcontraceptives.



Womenrholderrhthanrh35rhyearsrholdrhwhorhsmokerhandrhtakerhoralrhcontraceptivesr
hhaverhanrhincreasedrhriskrhofrhmyocardialrhinfarctionrhorrhstroke.



Arhclientrhhasrhbeenrhtoldrhthatrhthererhisrhcataractrhformationrhoverrhbothrheyes.r
hWhichrhfindingrhshouldrhtherhnurserhexpectrhwhenrhassessingrhtherhclient?



Decreasedrhcolorrhperception.