ELABORATED HESI FINAL
EXAM QUESTIONS AND
ANSWERS
An65elderly65male65client65who65is65unresponsive65following65a65cerebral65vascular65accident65is65recei
ving65bolus65enteral65feedings65through65a65gastronomy65tube.65What65is65the65best65client65position65
for65administration65of65the65bolus65tube65feedings?
a. Prone
b. Fowler's
c. Sims'
d. Supine65-65CORRECT65ANSWER65-b
A65client65with65pneumonia65has65a65decrease65in65oxygen65saturation65from6594%65to6588%65while65a
mbulating.65Based65on65these65findings,65which65intervention65should65the65nurse65implement65first?
a. Assist65the65client65in65ambulating65back65to65bed
b. Encourage65the65client65to65ambulate65to65resolve65pneumonia
c. Obtain65a65prescription65for65portable65d.65oxygen65while65ambulating
Move65the65oximetry65probe65from65the65finger65to65the65earlobe65-65CORRECT65ANSWER65-a
Which65intervention65is65most65important65for65the65nurse65to65implement65for65a65male65client65who6
5is65experiencing65urinary65retention?
a. Apply65a65condom65catheter
b. Apply65a65skin65protectant
c. Encourage65increased65fluid65intake
d. Assess65for65bladder65distention65-65CORRECT65ANSWER65-d
, The65nurse65prepares65a651,00065ml65IV65of65water65to65be65infused65over65865hours.65The65infusion65s
et65delivers651065drops65per65ml.65The65nurse65should65regulate65the65IV65to65administer65approx65ho
w65many65drops65per65minute?
a. 80
b. 8
c. 21
d. 2565-65CORRECT65ANSWER65-c
An65adult65male65client65with65a65history65of65hypertension65tells65the65nurse65that65he65is65tired65of
65taking65antihypertensive65medications65and65is65going65to65try65spiritual65meditation65instead.65Wh
at65should65be65the65nurse's65first65response?
a. "It65is65important65that65you65continue65your65medication65while65learning65to65meditate"
b. "Spiritual65meditation65requires65a65time65commitment65of6515-2065minutes65daily"
c. "Obtain65your65healthcare65provider's65permission65before65starting65meditation"
d. "Complementary65therapy65and65western65medicine65can65be65effective65for65you"65-
65CORRECT65ANSWER65-a
A65young65mother65of65three65children65complains65of65increased65anxiety65during65her65annual65physi
cal65exam.65What65information65should65the65nurse65obtain65first?
a. Sexual65activity65patterns
b. Nutritional65history
c. Leisure65activities
d. Financial65stressors65-65CORRECT65ANSWER65-b
Which65action65is65most65important65for65the65nurse65to65implement65when65donning65sterile65gloves?
a. Maintain65thumb65at65a659065degree65angle
b. Hold65hands65with65fingers65down65while65gloving
c. Keep65gloved65hands65above65the65elbows
EXAM QUESTIONS AND
ANSWERS
An65elderly65male65client65who65is65unresponsive65following65a65cerebral65vascular65accident65is65recei
ving65bolus65enteral65feedings65through65a65gastronomy65tube.65What65is65the65best65client65position65
for65administration65of65the65bolus65tube65feedings?
a. Prone
b. Fowler's
c. Sims'
d. Supine65-65CORRECT65ANSWER65-b
A65client65with65pneumonia65has65a65decrease65in65oxygen65saturation65from6594%65to6588%65while65a
mbulating.65Based65on65these65findings,65which65intervention65should65the65nurse65implement65first?
a. Assist65the65client65in65ambulating65back65to65bed
b. Encourage65the65client65to65ambulate65to65resolve65pneumonia
c. Obtain65a65prescription65for65portable65d.65oxygen65while65ambulating
Move65the65oximetry65probe65from65the65finger65to65the65earlobe65-65CORRECT65ANSWER65-a
Which65intervention65is65most65important65for65the65nurse65to65implement65for65a65male65client65who6
5is65experiencing65urinary65retention?
a. Apply65a65condom65catheter
b. Apply65a65skin65protectant
c. Encourage65increased65fluid65intake
d. Assess65for65bladder65distention65-65CORRECT65ANSWER65-d
, The65nurse65prepares65a651,00065ml65IV65of65water65to65be65infused65over65865hours.65The65infusion65s
et65delivers651065drops65per65ml.65The65nurse65should65regulate65the65IV65to65administer65approx65ho
w65many65drops65per65minute?
a. 80
b. 8
c. 21
d. 2565-65CORRECT65ANSWER65-c
An65adult65male65client65with65a65history65of65hypertension65tells65the65nurse65that65he65is65tired65of
65taking65antihypertensive65medications65and65is65going65to65try65spiritual65meditation65instead.65Wh
at65should65be65the65nurse's65first65response?
a. "It65is65important65that65you65continue65your65medication65while65learning65to65meditate"
b. "Spiritual65meditation65requires65a65time65commitment65of6515-2065minutes65daily"
c. "Obtain65your65healthcare65provider's65permission65before65starting65meditation"
d. "Complementary65therapy65and65western65medicine65can65be65effective65for65you"65-
65CORRECT65ANSWER65-a
A65young65mother65of65three65children65complains65of65increased65anxiety65during65her65annual65physi
cal65exam.65What65information65should65the65nurse65obtain65first?
a. Sexual65activity65patterns
b. Nutritional65history
c. Leisure65activities
d. Financial65stressors65-65CORRECT65ANSWER65-b
Which65action65is65most65important65for65the65nurse65to65implement65when65donning65sterile65gloves?
a. Maintain65thumb65at65a659065degree65angle
b. Hold65hands65with65fingers65down65while65gloving
c. Keep65gloved65hands65above65the65elbows
