HESI NUR 314 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
What |is |the |primary |purpose |of |interviewing |a |patient?
a. |To |get |the |patient's |health |history |and |current |health |status.
b. |To |allow |the |patient |to |become |acquainted |with |the |nurse.
c. |To |teach |preventive |health |care |methods |to |the |patient.
d. |To |correlate |the |patient's |complaints |with |objective |signs. |- |CORRECT |ANSWER✔✔-a. |To |get
|the |*patient's |health |history |and |current |health |status.*
The |nurse |is |assessing |a |patient |who |has |an |*unsteady |gait |and |lacks |coordination*. |The |nurse
|finds |that |the |*patient |abuses |alcohol*. |What |should |be |the |first |question |the |nurse |asks |
during |the |interview?
a. |Has |anyone |asked |you |to |quit |drinking?
b. |When |did |you |have |your |last |drink?
c. |Have |you |injured |anyone |due |to |your |drinking?
d. |With |whom |did |you |drink |last? |- |CORRECT |ANSWER✔✔-b. |When |did |you |have |your |last |
drink?
The |nurse |has |assessed |the |patients |on |the |unit. |Which |patient |requires |immediate |attention?
a. |A |patient |with |a |heart |rate |of |84 |beats |per |minute |and |oxygen |saturation |of |99%
b. |A |patient |who |reports |amber-colored |urine |after |a |ureteroscopy |procedure
,c. |A |patient |with |a |blood |pressure |of |180/110 |and |urine |output |of |30 |mL/hour
d. |A |patient |with |a |respiratory |rate |of |16 |bpm |and |a |temperature |of |98.6°F |(37° |C) |- |CORRECT |
ANSWER✔✔-c. |A |patient |with |*blood |pressure |of |180/110 |and |urine |output |of |30 |mL/hour*
The |student |nurse |is |*caring |for |a |patient |with |a |urinary |catheter*. |The |nurse |instructs |the |
student |to |assess |vital |signs |every |hour. |What |other |parameters |should |the |nursing |student |
assess |every |hour?
a. |Skin |integrity
b. |Blood |glucose |levels
c. |Hemoglobin |levels
d. |Quantity |and |quality |of |urine |- |CORRECT |ANSWER✔✔-d. |Quantity |and |quality |of |urine
A |patient |with |*congestive |heart |failure* |reports |to |the |nurse |a |*ringing |sensation |in |the |
ears*. |After |reviewing |the |medication |reports, |the |nurse |suspects |the |patient |is |having |*side |
effects |from |one |of |the |prescribed |medications*. |Which |medication |is |likely |to |cause |these |
symptoms |in |the |patient?
a. |Mannitol |(Osmitrol)
b. |Digitalis |(Digoxin)
c. |Ethacrynic |acid |(Edecrin)
d. |Captopril |(Capoten) |- |CORRECT |ANSWER✔✔-c. |Ethacrynic |acid |(Edecrin)
The |nurse |is |caring |for |a |patient |who |was |in |an |accident. |The |*nurse |notices |that |the |patient |
has |clear, |watery |drainage |from |the |ear*. |What |is |the |priority |*nursing |intervention |in |this |
situation*?
a. |Irrigate |the |patient's |ear |canal |with |a |warm |solution
b. |Report |to |the |primary |health |care |provider |about |the |patient
c. |Instill |antibiotic |solution |into |the |patient's |ear
,d. |Instill |2% |acetic |acid |solution |in |the |patient's |ear |- |CORRECT |ANSWER✔✔-b. |Report |to |the |
primary |health |care |provider |about |the |patient
The |nurse |documents |observations |about |the |light |reflex |seen |on |the |tympanic |membrane |
during |an |otoscopic |examination. |Which |observation |signifies |that |the |ears |are |normal?
a. |The |light |reflection |is |at |the |5 |o'clock |position |on |the |right |tympanic |membrane, |and |the |7 |
o'clock |position |on |the |left.
b. |The |light |reflection |is |amber |yellow |in |color.
c. |The |light |reflection |is |at |the |7 |o'clock |position |in |both |the |ears. |- |CORRECT |ANSWER✔✔-a. |
The |*light |reflection |is |at |the |5 |o'clock |position* |on |*the |right |tympanic |membrane*, |and |the |
*7 |o'clock |position |on |the |left.*
The |nurse |takes |special |care |while |checking |a |patient's |*tail |of |Spence*. |What |is |the |reason |
for |this |intervention?
a. |To |detect |supernumerary |nipple
b. |To |detect |breast |cancer
c. |To |detect |Paget's |disease
d. |To |detect |skin |retraction |- |CORRECT |ANSWER✔✔-b. |To |detect |breast |cancer
An |elderly |patient |with |insomnia |has |been |prescribed |hypnotics |and |sedatives. |What |does |the
|nurse |inform |the |patient |about |the |side |effects |of |these |medications?
a. |"You |may |develop |hypoglycemia."
b. |"You |may |have |decreased |appetite."
c. |"You |may |increase |the |risk |of |delirium."
d. |"You |may |experience |nausea." |- |CORRECT |ANSWER✔✔-c. |"You |may |increase |the |risk |of |
delirium."
, While |assessing |an |*older |adult*, |the |nurse |finds |that |the |patient |*does |not |speak |or |
understand |English*. |What |should |be |the |most |important |nursing |intervention |in |this |
situation?
a. |Report |to |the |primary |healthcare |provider.
b. |Request |that |family |members |translate.
c. |Schedule |another |day |for |the |assessment.
d. |Use |interpreters |for |better |communication. |- |CORRECT |ANSWER✔✔-d. |Use |interpreters |for |
better |communication
Which |disease |conditions |are |associated |with |hard, |nontender |Heberden |and |Bouchard |
nodules?
a. |Osteoporosis
b. |Osteoarthritis
c. |Carpal |tunnel |syndrome
d. |Scoliosis |- |CORRECT |ANSWER✔✔-b. |Osteoarthritis
Which |intervention |helps |the |nurse |to |listen |to |the |lung |sounds |in |a |young |child?
a. |Encouraging |the |child |to |exercise |prior |to |auscultation
b. |Giving |the |child |a |pinwheel |and |asking |the |child |to |blow
c. |Allowing |the |child |to |listen |to |a |parent's |lung |sounds
d. |Allowing |the |child |to |examine |the |tongue |blade |- |CORRECT |ANSWER✔✔-b. |Giving |the |child |
a |pinwheel |and |asking |the |child |to |blow
The |nurse |is |*teaching |a |patient |with |diabetes |about |foot |care*. |Which |instructions |should |
the |nurse |include |about |maintaining |blood |flow |to |the |feet?
COMPLETE SOLUTIONS
What |is |the |primary |purpose |of |interviewing |a |patient?
a. |To |get |the |patient's |health |history |and |current |health |status.
b. |To |allow |the |patient |to |become |acquainted |with |the |nurse.
c. |To |teach |preventive |health |care |methods |to |the |patient.
d. |To |correlate |the |patient's |complaints |with |objective |signs. |- |CORRECT |ANSWER✔✔-a. |To |get
|the |*patient's |health |history |and |current |health |status.*
The |nurse |is |assessing |a |patient |who |has |an |*unsteady |gait |and |lacks |coordination*. |The |nurse
|finds |that |the |*patient |abuses |alcohol*. |What |should |be |the |first |question |the |nurse |asks |
during |the |interview?
a. |Has |anyone |asked |you |to |quit |drinking?
b. |When |did |you |have |your |last |drink?
c. |Have |you |injured |anyone |due |to |your |drinking?
d. |With |whom |did |you |drink |last? |- |CORRECT |ANSWER✔✔-b. |When |did |you |have |your |last |
drink?
The |nurse |has |assessed |the |patients |on |the |unit. |Which |patient |requires |immediate |attention?
a. |A |patient |with |a |heart |rate |of |84 |beats |per |minute |and |oxygen |saturation |of |99%
b. |A |patient |who |reports |amber-colored |urine |after |a |ureteroscopy |procedure
,c. |A |patient |with |a |blood |pressure |of |180/110 |and |urine |output |of |30 |mL/hour
d. |A |patient |with |a |respiratory |rate |of |16 |bpm |and |a |temperature |of |98.6°F |(37° |C) |- |CORRECT |
ANSWER✔✔-c. |A |patient |with |*blood |pressure |of |180/110 |and |urine |output |of |30 |mL/hour*
The |student |nurse |is |*caring |for |a |patient |with |a |urinary |catheter*. |The |nurse |instructs |the |
student |to |assess |vital |signs |every |hour. |What |other |parameters |should |the |nursing |student |
assess |every |hour?
a. |Skin |integrity
b. |Blood |glucose |levels
c. |Hemoglobin |levels
d. |Quantity |and |quality |of |urine |- |CORRECT |ANSWER✔✔-d. |Quantity |and |quality |of |urine
A |patient |with |*congestive |heart |failure* |reports |to |the |nurse |a |*ringing |sensation |in |the |
ears*. |After |reviewing |the |medication |reports, |the |nurse |suspects |the |patient |is |having |*side |
effects |from |one |of |the |prescribed |medications*. |Which |medication |is |likely |to |cause |these |
symptoms |in |the |patient?
a. |Mannitol |(Osmitrol)
b. |Digitalis |(Digoxin)
c. |Ethacrynic |acid |(Edecrin)
d. |Captopril |(Capoten) |- |CORRECT |ANSWER✔✔-c. |Ethacrynic |acid |(Edecrin)
The |nurse |is |caring |for |a |patient |who |was |in |an |accident. |The |*nurse |notices |that |the |patient |
has |clear, |watery |drainage |from |the |ear*. |What |is |the |priority |*nursing |intervention |in |this |
situation*?
a. |Irrigate |the |patient's |ear |canal |with |a |warm |solution
b. |Report |to |the |primary |health |care |provider |about |the |patient
c. |Instill |antibiotic |solution |into |the |patient's |ear
,d. |Instill |2% |acetic |acid |solution |in |the |patient's |ear |- |CORRECT |ANSWER✔✔-b. |Report |to |the |
primary |health |care |provider |about |the |patient
The |nurse |documents |observations |about |the |light |reflex |seen |on |the |tympanic |membrane |
during |an |otoscopic |examination. |Which |observation |signifies |that |the |ears |are |normal?
a. |The |light |reflection |is |at |the |5 |o'clock |position |on |the |right |tympanic |membrane, |and |the |7 |
o'clock |position |on |the |left.
b. |The |light |reflection |is |amber |yellow |in |color.
c. |The |light |reflection |is |at |the |7 |o'clock |position |in |both |the |ears. |- |CORRECT |ANSWER✔✔-a. |
The |*light |reflection |is |at |the |5 |o'clock |position* |on |*the |right |tympanic |membrane*, |and |the |
*7 |o'clock |position |on |the |left.*
The |nurse |takes |special |care |while |checking |a |patient's |*tail |of |Spence*. |What |is |the |reason |
for |this |intervention?
a. |To |detect |supernumerary |nipple
b. |To |detect |breast |cancer
c. |To |detect |Paget's |disease
d. |To |detect |skin |retraction |- |CORRECT |ANSWER✔✔-b. |To |detect |breast |cancer
An |elderly |patient |with |insomnia |has |been |prescribed |hypnotics |and |sedatives. |What |does |the
|nurse |inform |the |patient |about |the |side |effects |of |these |medications?
a. |"You |may |develop |hypoglycemia."
b. |"You |may |have |decreased |appetite."
c. |"You |may |increase |the |risk |of |delirium."
d. |"You |may |experience |nausea." |- |CORRECT |ANSWER✔✔-c. |"You |may |increase |the |risk |of |
delirium."
, While |assessing |an |*older |adult*, |the |nurse |finds |that |the |patient |*does |not |speak |or |
understand |English*. |What |should |be |the |most |important |nursing |intervention |in |this |
situation?
a. |Report |to |the |primary |healthcare |provider.
b. |Request |that |family |members |translate.
c. |Schedule |another |day |for |the |assessment.
d. |Use |interpreters |for |better |communication. |- |CORRECT |ANSWER✔✔-d. |Use |interpreters |for |
better |communication
Which |disease |conditions |are |associated |with |hard, |nontender |Heberden |and |Bouchard |
nodules?
a. |Osteoporosis
b. |Osteoarthritis
c. |Carpal |tunnel |syndrome
d. |Scoliosis |- |CORRECT |ANSWER✔✔-b. |Osteoarthritis
Which |intervention |helps |the |nurse |to |listen |to |the |lung |sounds |in |a |young |child?
a. |Encouraging |the |child |to |exercise |prior |to |auscultation
b. |Giving |the |child |a |pinwheel |and |asking |the |child |to |blow
c. |Allowing |the |child |to |listen |to |a |parent's |lung |sounds
d. |Allowing |the |child |to |examine |the |tongue |blade |- |CORRECT |ANSWER✔✔-b. |Giving |the |child |
a |pinwheel |and |asking |the |child |to |blow
The |nurse |is |*teaching |a |patient |with |diabetes |about |foot |care*. |Which |instructions |should |
the |nurse |include |about |maintaining |blood |flow |to |the |feet?
