HESI V2 QUESTIONS AND ANSWERS
1. A consumer describes a poorly localized pain as a squeezing and stress sensation. If the
ache is because of inflammation, what sort of ache is it? - ANS -Visceral.
2. A customer is experiencing cancer-related fatigue. What should the nurse recommend to
help alleviate the signs? - ANS -Try to eat a well-balanced weight loss program.
Participate in recurring physical workout.
Develop habitual drowsing conduct.
3. A customer is experiencing dyspnea, respirations 24 breaths/ minute, O2 saturation of
89% on room air, nasal flaring, and audible expiratory and inspiratory wheezing
mentioned three ft away. Which set of arterial blood gasoline (ABG) outcomes is steady
with the nurse's assessment of this purchaser? - ANS -pH 7.28; PaCO2 fifty five;
HCO3 24
4. A purchaser with extracellular fluid extent deficit has received 500ml bolus of regular
saline intravenously. Which locating from the nurse's assessment indicates that the fluid
deficit is improving? - ANS -Capillary fill up less than 2 seconds.
5. A consumer's pulse oximeter is alarming and displaying eighty% O2 saturation. The
purchaser is lying in mattress with O2 running at 2 liters/min via nasal cannula. The
customer's breathing price is sixteen, mucous membranes are crimson, and respiratory
isn't worked. What need to the nurse do next? - ANS -Check that the position of the
heartbeat oximeter is correct
6. A nursing group is reviewing its satisfactory improvement plan. Which source of records
will solution the question, "Are there fewer nosocomial infections this 12 months"? - ANS
-Client's consequences from delivery of care strategies.
7. A partner of a client appears to be in non secular distress over the predicted dying of the
consumer and is crying "Why is this going on to me?" What is the nurse's most healing
response? - ANS -Remain with the spouse and concentrate empathetically.
8. A survivor of a awful motor car twist of fate whose loved one changed into killed has no
longer been able to move back to paintings and spends maximum of the day ingesting
alcohol and looking television for the past ten months. Which form of complicated
grieving is being exhibited? - ANS -Exaggerated grief.
9. A terminally sick consumer is demonstrating anger through regularly blaming the partner
for the disorder. The partner asks the nurse how excellent to address this anger. Which
are healing responses from the nurse? - ANS -Advise the spouse now not to argue
with the consumer, however listen to the issues.
Reassure the spouse that displaced anger is not unusual within the grieving
process.
Encourage the partner to awareness on the prevailing time and now not to stay on
previous poor behavior.
10.Along with suitable hand hygiene and respiration etiquette, what nursing movements
must be done subsequent to save you spread of a communicable sickness from an
, infected patron? - ANS -Assist with swiftly identifying the ailment and right now
keeping apart.
11.An person consumer has vomiting, diarrhea, dry mucous membranes, pores and skin
camping, and behind schedule capillary top off. The patron's essential signs are: HR
110, sitting BP 104/72 that drops to 84/sixty two when the consumer stands up. The
purchaser's laboratory results encompass: BUN 24 mg/dl and urine particular gravity
1.032. Which conditions should the nurse do not forget in planning care for this
customer? - ANS -Extracellular fluid extent deficit..
Postural hypotension.
Impaired tissue perfusion.
12.As the nurse inflates the balloon of a purchaser's indwelling urinary catheter, the
purchaser reviews ache and pain. What must the nurse do subsequent? - ANS -Stop
and deflate the balloon of the catheter.
13.How should a nurse instruct a patron at the proper use of the inducement spirometer? -
ANS -Wrap lips across the mouthpiece and inhale thru the mouthpiece.
14.In an grownup patron, which pulse ought to the nurse examine to determine if there's a
pulse discrepancy or pulse deficit with the radial pulse? - ANS -Apical.
15.In what approaches does the Health Insurance Portability and Accountability Act
(HIPAA) guard people? - ANS -It offers customers the proper to consent to
disclosure in their records.
It requires nurses to hold reasonable privacy whilst communicating with or about
customers.
16.The mom of a four year old purchaser reviews that the kid has been drowsy, isn't eating
properly, and has a cough. The nurse notes that the child's essential symptoms are
inside ordinary limits. Which laboratory take a look at could satisfactory indicate a
growing systemic infection? - ANS -CBC with differential.
17.The nurse calculates a consumer's body mass index (BMI). The patron's height is 6 feet
and six inches (198cm) and the BMI is 30. How ought to the nurse categorize this BMI? -
ANS -Obesity.
18.The nurse is administering beta-blocker eye drops for a client's glaucoma. What is the
maximum important step to prevent the purchaser from experiencing syncope or a fall
damage? - ANS -Apply pressure to the nasolacrimal duct after administration
19.The nurse is assessing a client who has stated 7 episodes of diarrhea in the past 24
hours. What questions might decide a likely causative thing of the diarrhea? - ANS
-Have you been experiencing any strain or tension recently?
Does the diarrhea have a robust, unsightly scent to it?
What sort of meals have you eaten within the last 36 hours?
What medications and dietary supplements are you presently taking?
20.The nurse is assessing a consumer with dehydration. Which nursing movement gives
the first-rate evaluation data to decide the severity of the dehydration? - ANS
-Measuring the consumer's weight.
21.The nurse is assessing a purchaser's peripheral pulses. What facts must the nurse
include within the documentation? - ANS -Bilateral evaluation of peripheral pulses.
Comparison of the apical pulse to peripheral pulses.
1. A consumer describes a poorly localized pain as a squeezing and stress sensation. If the
ache is because of inflammation, what sort of ache is it? - ANS -Visceral.
2. A customer is experiencing cancer-related fatigue. What should the nurse recommend to
help alleviate the signs? - ANS -Try to eat a well-balanced weight loss program.
Participate in recurring physical workout.
Develop habitual drowsing conduct.
3. A customer is experiencing dyspnea, respirations 24 breaths/ minute, O2 saturation of
89% on room air, nasal flaring, and audible expiratory and inspiratory wheezing
mentioned three ft away. Which set of arterial blood gasoline (ABG) outcomes is steady
with the nurse's assessment of this purchaser? - ANS -pH 7.28; PaCO2 fifty five;
HCO3 24
4. A purchaser with extracellular fluid extent deficit has received 500ml bolus of regular
saline intravenously. Which locating from the nurse's assessment indicates that the fluid
deficit is improving? - ANS -Capillary fill up less than 2 seconds.
5. A consumer's pulse oximeter is alarming and displaying eighty% O2 saturation. The
purchaser is lying in mattress with O2 running at 2 liters/min via nasal cannula. The
customer's breathing price is sixteen, mucous membranes are crimson, and respiratory
isn't worked. What need to the nurse do next? - ANS -Check that the position of the
heartbeat oximeter is correct
6. A nursing group is reviewing its satisfactory improvement plan. Which source of records
will solution the question, "Are there fewer nosocomial infections this 12 months"? - ANS
-Client's consequences from delivery of care strategies.
7. A partner of a client appears to be in non secular distress over the predicted dying of the
consumer and is crying "Why is this going on to me?" What is the nurse's most healing
response? - ANS -Remain with the spouse and concentrate empathetically.
8. A survivor of a awful motor car twist of fate whose loved one changed into killed has no
longer been able to move back to paintings and spends maximum of the day ingesting
alcohol and looking television for the past ten months. Which form of complicated
grieving is being exhibited? - ANS -Exaggerated grief.
9. A terminally sick consumer is demonstrating anger through regularly blaming the partner
for the disorder. The partner asks the nurse how excellent to address this anger. Which
are healing responses from the nurse? - ANS -Advise the spouse now not to argue
with the consumer, however listen to the issues.
Reassure the spouse that displaced anger is not unusual within the grieving
process.
Encourage the partner to awareness on the prevailing time and now not to stay on
previous poor behavior.
10.Along with suitable hand hygiene and respiration etiquette, what nursing movements
must be done subsequent to save you spread of a communicable sickness from an
, infected patron? - ANS -Assist with swiftly identifying the ailment and right now
keeping apart.
11.An person consumer has vomiting, diarrhea, dry mucous membranes, pores and skin
camping, and behind schedule capillary top off. The patron's essential signs are: HR
110, sitting BP 104/72 that drops to 84/sixty two when the consumer stands up. The
purchaser's laboratory results encompass: BUN 24 mg/dl and urine particular gravity
1.032. Which conditions should the nurse do not forget in planning care for this
customer? - ANS -Extracellular fluid extent deficit..
Postural hypotension.
Impaired tissue perfusion.
12.As the nurse inflates the balloon of a purchaser's indwelling urinary catheter, the
purchaser reviews ache and pain. What must the nurse do subsequent? - ANS -Stop
and deflate the balloon of the catheter.
13.How should a nurse instruct a patron at the proper use of the inducement spirometer? -
ANS -Wrap lips across the mouthpiece and inhale thru the mouthpiece.
14.In an grownup patron, which pulse ought to the nurse examine to determine if there's a
pulse discrepancy or pulse deficit with the radial pulse? - ANS -Apical.
15.In what approaches does the Health Insurance Portability and Accountability Act
(HIPAA) guard people? - ANS -It offers customers the proper to consent to
disclosure in their records.
It requires nurses to hold reasonable privacy whilst communicating with or about
customers.
16.The mom of a four year old purchaser reviews that the kid has been drowsy, isn't eating
properly, and has a cough. The nurse notes that the child's essential symptoms are
inside ordinary limits. Which laboratory take a look at could satisfactory indicate a
growing systemic infection? - ANS -CBC with differential.
17.The nurse calculates a consumer's body mass index (BMI). The patron's height is 6 feet
and six inches (198cm) and the BMI is 30. How ought to the nurse categorize this BMI? -
ANS -Obesity.
18.The nurse is administering beta-blocker eye drops for a client's glaucoma. What is the
maximum important step to prevent the purchaser from experiencing syncope or a fall
damage? - ANS -Apply pressure to the nasolacrimal duct after administration
19.The nurse is assessing a client who has stated 7 episodes of diarrhea in the past 24
hours. What questions might decide a likely causative thing of the diarrhea? - ANS
-Have you been experiencing any strain or tension recently?
Does the diarrhea have a robust, unsightly scent to it?
What sort of meals have you eaten within the last 36 hours?
What medications and dietary supplements are you presently taking?
20.The nurse is assessing a consumer with dehydration. Which nursing movement gives
the first-rate evaluation data to decide the severity of the dehydration? - ANS
-Measuring the consumer's weight.
21.The nurse is assessing a purchaser's peripheral pulses. What facts must the nurse
include within the documentation? - ANS -Bilateral evaluation of peripheral pulses.
Comparison of the apical pulse to peripheral pulses.
