HESI Management Practice Questions and Correct Answers
A 15yo sexually active girl diagnosed with PID is admitted to the hospital with a temp of 101.6 F and purulent
vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which room should the
nurse assign this client?
A. A semi-private room with a 4yo girl who is currently receiving chemotherapy.
B. A semi-private room with an older adolescent girl who had surgery yesterday.
C. A room close to the nurse's station.
D. A private room. - ansD. A private room.
Rationale: Despite the fact that the client has no insurance and enjoys small children, she in infected and
should be placed in a private room. The client is not acutely ill and does not need to be assigned next to the
nurse's station.
A female client is receiving an enteral feeding via nasogastric feeding tube. The daughter reports to the charge
nurse that her mother is coughing vigorously and sounds congested. Which staff member should the charge
nurse ask the check on the client?
A. RN who is admitting a new postop client to the unit.
B. PN who is giving routine medications.
C. PN who is talking with anxious family members.
D. RN who is entering nursing notes at the computer. - ansD. RN who is entering nursing notes at the
computer.
Rationale: The RN who is entering notes is working on a task that has less priority than A. The client requires
advanced, problem solving assessment skills and the RN is best qualified to assess the client's lungs, position of
NGT, and the possibility that the feeding tube has moved or kninked, allowing the tube feeding to enter the
lungs.
A nurse who works in an acute minor illness clinic returns from lunch and finds several clients who need
attention. Which client should the nurse attend to first?
A. A 10yo with asthma who is responding well to nebulizer treatments.
B. A 3-week-old infant who is nursing and was brought in because he had a fever.
C. A 4yo receiving IV fluid for dehydration whose fluid bag is empty.
D. A 6yo with Down syndrome who has been coughing productively. - ansC. A 4yo receiving IV fluid for
, dehydration whose fluid bag is empty.
Rationale: The child who is dehydrated needs care first. Not knowing how long the fluid bag has been empty,
the nurse should hang a new bag, see if it flow, and if not, assess for infiltration. A is stable. B is not in acute
distress. D is of less immediacy than C.
A RN is caring for several clients on a progressive care "step-down" unit. After assessing the clients, which
clerical task should the nurse assign to a UAP?
A. Chart pulse ox readings and type of breath sounds auscultated in the medical record.
B. Record the presence of blood-tinged urine and the hourly Foley output on the flow sheet.
C. Document the type and amount of drainage on a new surgical dressing in the progress note.
D. Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts. - ansD.
Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts.
Rationale: Recording the VS on the graphic record does not entail assessment or evaluation of the findings, so
the UAP may perform. RNs may not delegate assessment or documentation responsibilities to UAPs. RNs must
complere assessment activities and record findings in the medical record.
An ER anticipates an influx of injured clients from a large motor vehicle collision on a major freeway. Which
client should the triage nurse send to the trauma staff for immediate intervention?
A. A young adult male with a suspected closed head injury who has no respiration despite having his airway
repositioned.
B. An adult with a suspected intraabdominal bleed who was not breathing on arrival, but is currently
responding since repositioning the airway.
C. A teen with a suspected fractured left leg whose respirations are 26, cap refill less than 2 sec, and able to
follow commands.
D. A young adult with a facial laceration that is controlled by pressure and whose respiratory rate, cap refill,
and ability to follow commands are all WNL. - ansB. An adult with a suspected intraabdominal bleed who was
not breathing on arrival, but is currently responding since repositioning the airway.
Rationale: Clients with life-threatening injuries and a respiratory rate >30 (B) are red tagged and recieve
immediate treatment. Clients with catastrophic injuries (A) and no respiratory rate have minimal chance of
survival and should be black tagged and receive no treatment. Clients whose injuries have systemic effects and
complications, but whose respiratory rate, cap refill, and mental status are WNL (C) are yellow tagged and
should receive treatment within 30-60 min. The "walking wounded" with no systemic complications (D) should
be removed to a separate area and treatment can be delayed.
A 15yo sexually active girl diagnosed with PID is admitted to the hospital with a temp of 101.6 F and purulent
vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which room should the
nurse assign this client?
A. A semi-private room with a 4yo girl who is currently receiving chemotherapy.
B. A semi-private room with an older adolescent girl who had surgery yesterday.
C. A room close to the nurse's station.
D. A private room. - ansD. A private room.
Rationale: Despite the fact that the client has no insurance and enjoys small children, she in infected and
should be placed in a private room. The client is not acutely ill and does not need to be assigned next to the
nurse's station.
A female client is receiving an enteral feeding via nasogastric feeding tube. The daughter reports to the charge
nurse that her mother is coughing vigorously and sounds congested. Which staff member should the charge
nurse ask the check on the client?
A. RN who is admitting a new postop client to the unit.
B. PN who is giving routine medications.
C. PN who is talking with anxious family members.
D. RN who is entering nursing notes at the computer. - ansD. RN who is entering nursing notes at the
computer.
Rationale: The RN who is entering notes is working on a task that has less priority than A. The client requires
advanced, problem solving assessment skills and the RN is best qualified to assess the client's lungs, position of
NGT, and the possibility that the feeding tube has moved or kninked, allowing the tube feeding to enter the
lungs.
A nurse who works in an acute minor illness clinic returns from lunch and finds several clients who need
attention. Which client should the nurse attend to first?
A. A 10yo with asthma who is responding well to nebulizer treatments.
B. A 3-week-old infant who is nursing and was brought in because he had a fever.
C. A 4yo receiving IV fluid for dehydration whose fluid bag is empty.
D. A 6yo with Down syndrome who has been coughing productively. - ansC. A 4yo receiving IV fluid for
, dehydration whose fluid bag is empty.
Rationale: The child who is dehydrated needs care first. Not knowing how long the fluid bag has been empty,
the nurse should hang a new bag, see if it flow, and if not, assess for infiltration. A is stable. B is not in acute
distress. D is of less immediacy than C.
A RN is caring for several clients on a progressive care "step-down" unit. After assessing the clients, which
clerical task should the nurse assign to a UAP?
A. Chart pulse ox readings and type of breath sounds auscultated in the medical record.
B. Record the presence of blood-tinged urine and the hourly Foley output on the flow sheet.
C. Document the type and amount of drainage on a new surgical dressing in the progress note.
D. Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts. - ansD.
Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts.
Rationale: Recording the VS on the graphic record does not entail assessment or evaluation of the findings, so
the UAP may perform. RNs may not delegate assessment or documentation responsibilities to UAPs. RNs must
complere assessment activities and record findings in the medical record.
An ER anticipates an influx of injured clients from a large motor vehicle collision on a major freeway. Which
client should the triage nurse send to the trauma staff for immediate intervention?
A. A young adult male with a suspected closed head injury who has no respiration despite having his airway
repositioned.
B. An adult with a suspected intraabdominal bleed who was not breathing on arrival, but is currently
responding since repositioning the airway.
C. A teen with a suspected fractured left leg whose respirations are 26, cap refill less than 2 sec, and able to
follow commands.
D. A young adult with a facial laceration that is controlled by pressure and whose respiratory rate, cap refill,
and ability to follow commands are all WNL. - ansB. An adult with a suspected intraabdominal bleed who was
not breathing on arrival, but is currently responding since repositioning the airway.
Rationale: Clients with life-threatening injuries and a respiratory rate >30 (B) are red tagged and recieve
immediate treatment. Clients with catastrophic injuries (A) and no respiratory rate have minimal chance of
survival and should be black tagged and receive no treatment. Clients whose injuries have systemic effects and
complications, but whose respiratory rate, cap refill, and mental status are WNL (C) are yellow tagged and
should receive treatment within 30-60 min. The "walking wounded" with no systemic complications (D) should
be removed to a separate area and treatment can be delayed.
