HESI 1 Test Questions with 100% Verified Answers
Before administering a client's medication, the Obtain a prescription for removal of the catheter
nurse assesses a change in the client's condition as soon as possible - ANSWER -Obtain a
and decides to withhold the medication until prescription for removal of the catheter as soon
consulting with the healthcare provider. After as possible
consultation with the healthcare provider, the
dose of the medication is changed and the nurse
administers the newly prescribed dose an hour
later than the originally scheduled time. What A client is admitted to the hospital with intractable
action should the nurse implement in response to pain. What instruction should the nurse provide
this situation? the unlicensed assistive personnel (UAP) who is
preparing to assist this client with a bed bath?
Notify the charge nurse that a medication error
occurred. Take measures to promote as much comfort as
Submit a medication variance report to the possible.
supervisor. Report any signs of drug addiction to the nurse
Document the events that occurred in the nurses' immediately.
notes. Wait until the client's pain is gone before
Discard the original medication administration assisting with personal care.
record. - ANSWER -Document the events This client's pain will be difficult to manage, since
that occurred in the nurses' notes. the cause is unknown. - ANSWER -Take
measures to promote as much comfort as
possible.
A male client with venous incompetence stands
up and his blood pressure subsequently drops.
Which finding should the nurse identify as a Which statement correctly identifies a written
compensatory response? learning objective for a client with peripheral
vascular disease?
Bradycardia.
Increase in pulse rate. The nurse will provide client instruction for daily
Peripheral vasodilation. foot care.
Increase in cardiac output. - ANSWER - The client will demonstrate proper trimming
Increase in pulse rate. toenail technique.
Upon discharge, the client will list three ways to
protect the feet from injury.
After instruction, the nurse will ensure the client
Which nursing intervention is most beneficial in understands foot care rationale. -
reducing the risk of urosepsis in a hospitalized ANSWER -Upon discharge, the client will
client with an indwelling urinary catheter? list three ways to protect the feet from injury.
Ensure that the client's perineal area is cleansed
twice a day.
Maintain accurate documentation of the fluid A male client has a nursing diagnosis of "spiritual
intake and output. distress." What intervention is best for the nurse
Encourage frequent ambulation if allowed or to implement when caring for this client?
regular turning if on bedrest.
, HESI 1 Test Questions with 100% Verified Answers
Use distraction techniques during times of ambulate receives a prescription to be mobilized
spiritual stress and crisis. into a chair as tolerated during each day. What is
Reassure the client that his faith will be regained the best action for the nurse to implement when
with time and support. assisting the client from the bed to the chair?
Consult with the staff chaplain and ask that the
chaplain visit with the client. Use a mechanical lift to transfer from the bed to a
Use reflective listening techniques when the chair.
client expresses spiritual doubts. - Place a roller board under the client who is sitting
ANSWER -Use reflective listening on the side of the bed and slide the client to the
techniques when the client expresses spiritual chair.
doubts. Lift the client out of bed to the chair with another
staff member using a coordinated effort on the
count of three.
Place a transfer belt around the client, assist to
A client has a nursing diagnosis of, "Spiritual stand, and pivot to a chair that is placed at a right
distress related to a loss of hope, secondary to angle to the bed. - ANSWER -Place a
impending death." What intervention is best for transfer belt around the client, assist to stand,
the nurse to implement when caring for this and pivot to a chair that is placed at a right angle
client? to the bed.
Help the client to accept the final stage of life.
Assist and support the client in establishing
short-term goals. A client who has moderate, persistent, chronic
Encourage the client to make future plans, even neuropathic pain due to diabetic neuropathy
if they are unrealistic. takes gabapentin (Neurontin) and ibuprofen
Instruct the client's family to focus on positive (Motrin, Advil) daily. If Step 2 of the World Health
aspects of the client's life - ANSWER - Organization (WHO) pain relief ladder is
Assist and support the client in establishing prescribed, which drug protocol should be
short-term goals. implemented?
Continue gabapentin.
Discontinue ibuprofen.
When teaching a female client to perform Add aspirin to the protocol.
intermittent self-catheterization, the nurse should Add oral methadone to the protoco -
ensure the client's ability to perform which ANSWER -Continue gabapentin.
action?
Locate the perineum.
Transfer to a commode. The nurse is discussing dietary preferences with
Attach the catheter to a drainage bag. a client who adheres to a vegan diet. Which
Manipulate a syringe to inflate the balloon. - dietary supplement should the nurse encourage
ANSWER -Locate the perineum. the client to include in the dietary plan?
Fiber.
Folate.
An older client who is able to stand but not to Ascorbic acid.
Before administering a client's medication, the Obtain a prescription for removal of the catheter
nurse assesses a change in the client's condition as soon as possible - ANSWER -Obtain a
and decides to withhold the medication until prescription for removal of the catheter as soon
consulting with the healthcare provider. After as possible
consultation with the healthcare provider, the
dose of the medication is changed and the nurse
administers the newly prescribed dose an hour
later than the originally scheduled time. What A client is admitted to the hospital with intractable
action should the nurse implement in response to pain. What instruction should the nurse provide
this situation? the unlicensed assistive personnel (UAP) who is
preparing to assist this client with a bed bath?
Notify the charge nurse that a medication error
occurred. Take measures to promote as much comfort as
Submit a medication variance report to the possible.
supervisor. Report any signs of drug addiction to the nurse
Document the events that occurred in the nurses' immediately.
notes. Wait until the client's pain is gone before
Discard the original medication administration assisting with personal care.
record. - ANSWER -Document the events This client's pain will be difficult to manage, since
that occurred in the nurses' notes. the cause is unknown. - ANSWER -Take
measures to promote as much comfort as
possible.
A male client with venous incompetence stands
up and his blood pressure subsequently drops.
Which finding should the nurse identify as a Which statement correctly identifies a written
compensatory response? learning objective for a client with peripheral
vascular disease?
Bradycardia.
Increase in pulse rate. The nurse will provide client instruction for daily
Peripheral vasodilation. foot care.
Increase in cardiac output. - ANSWER - The client will demonstrate proper trimming
Increase in pulse rate. toenail technique.
Upon discharge, the client will list three ways to
protect the feet from injury.
After instruction, the nurse will ensure the client
Which nursing intervention is most beneficial in understands foot care rationale. -
reducing the risk of urosepsis in a hospitalized ANSWER -Upon discharge, the client will
client with an indwelling urinary catheter? list three ways to protect the feet from injury.
Ensure that the client's perineal area is cleansed
twice a day.
Maintain accurate documentation of the fluid A male client has a nursing diagnosis of "spiritual
intake and output. distress." What intervention is best for the nurse
Encourage frequent ambulation if allowed or to implement when caring for this client?
regular turning if on bedrest.
, HESI 1 Test Questions with 100% Verified Answers
Use distraction techniques during times of ambulate receives a prescription to be mobilized
spiritual stress and crisis. into a chair as tolerated during each day. What is
Reassure the client that his faith will be regained the best action for the nurse to implement when
with time and support. assisting the client from the bed to the chair?
Consult with the staff chaplain and ask that the
chaplain visit with the client. Use a mechanical lift to transfer from the bed to a
Use reflective listening techniques when the chair.
client expresses spiritual doubts. - Place a roller board under the client who is sitting
ANSWER -Use reflective listening on the side of the bed and slide the client to the
techniques when the client expresses spiritual chair.
doubts. Lift the client out of bed to the chair with another
staff member using a coordinated effort on the
count of three.
Place a transfer belt around the client, assist to
A client has a nursing diagnosis of, "Spiritual stand, and pivot to a chair that is placed at a right
distress related to a loss of hope, secondary to angle to the bed. - ANSWER -Place a
impending death." What intervention is best for transfer belt around the client, assist to stand,
the nurse to implement when caring for this and pivot to a chair that is placed at a right angle
client? to the bed.
Help the client to accept the final stage of life.
Assist and support the client in establishing
short-term goals. A client who has moderate, persistent, chronic
Encourage the client to make future plans, even neuropathic pain due to diabetic neuropathy
if they are unrealistic. takes gabapentin (Neurontin) and ibuprofen
Instruct the client's family to focus on positive (Motrin, Advil) daily. If Step 2 of the World Health
aspects of the client's life - ANSWER - Organization (WHO) pain relief ladder is
Assist and support the client in establishing prescribed, which drug protocol should be
short-term goals. implemented?
Continue gabapentin.
Discontinue ibuprofen.
When teaching a female client to perform Add aspirin to the protocol.
intermittent self-catheterization, the nurse should Add oral methadone to the protoco -
ensure the client's ability to perform which ANSWER -Continue gabapentin.
action?
Locate the perineum.
Transfer to a commode. The nurse is discussing dietary preferences with
Attach the catheter to a drainage bag. a client who adheres to a vegan diet. Which
Manipulate a syringe to inflate the balloon. - dietary supplement should the nurse encourage
ANSWER -Locate the perineum. the client to include in the dietary plan?
Fiber.
Folate.
An older client who is able to stand but not to Ascorbic acid.
