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HESI HESI Exam Questions

HESI HESI Exam Questions Answers

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HESI HESI Practice Test Questions ( Updated) – Real Exam Questions & Dumps PDF

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HESI HESI Sample Questions – Free Practice Test & Real Exam Prep

Question #1

A client with epilepsy is taking phenytoin. What long-term effects should the nurse advise the client can occur with prolonged administration of phenytoin? Select all that apply. 

  • A. Gingival hypertrophy 
  • B. Hirsutism
  • C. Hypertrophy of facial subcutaneous tissue
  • D. Dementia
  • E. Anemia 
Answer: A, B, C  
Question #2

A client is hospitalized in a long-term care facility because of Alzheimer's disease. The client is incontinent of urineand feces. The nurse has delegated incontinent care to unlicensed assistive personnel (UAP). How frequentlyshould the nurse advice that the UAP check the client for dryness? 

  • A. Every 2 hours
  • B. Every hour
  • C. When the client appears restless
  • D. Before meals and at bedtime 
Answer: A  

Explanation:
If a client with Alzheimer's disease is incontinent of urine and feces and incontinent care has been
delegated to UAP. then the LIAP should be advised to check the client for dryness on a regular schedule of every
2 hours. Eating and drinking often trigger urination and/or bowel movements, so scheduling checks after
meals is advisable. However, if the client appears restless or pulls at their clothing at other times. the UAP
should check for dryness then as well. 
Question #3

A client is receiving an opioid per patient-controlled analgesia (PCA) pump to control postoperative pain; however,when the nurse assesses the client, she finds the client is pale and hypertensive with a respiratory rate of 6breaths per minute. The PCA pump record shows that the limit for maximum dosage was set far too high, resultingin an overdose. The client is very somnolent and barely responsive. What interventions should the nurseanticipate? Select all that apply. 

  • A. Immediately stop the infusion.
  • B. Discontinue the PCA pump.
  • C. Administer naloxone per standing orders.
  • D. Administer supplementary oxygen.
  • E. File an incident report. 
Answer: A, C, D, E  

Explanation:
In this scenario, the nurse should immediately stop the infusion. The nurse should also
administer naloxone per standing order (or immediately consult the physician to obtain the order). Because
the respirations are so slow, supplementary oxygen will generally be administered. Because an error occurred
in setting the parameters of dosage on the PCA an incident report must be filed. 
Question #4

If teaching a client to use a metered-dose inhaler (MDI) without a spacer, how far away from the mouth shouldthe nurse advise the client that the inhaler be positioned when administering a dose of inhaled medication? 

  • A. The inhaler should be enclosed within the clients’ lips.
  • B. The inhaler should be immediately outside of the client's lips.
  • C. The inhaler should be 1-2 inches away from the client's lips. 
  • D. The inhaler should be 3—4 inches away from the client's lips.
Answer: C  

Explanation: If teaching a client to use a metered-dose inhaler without A spacer, the inhaler should be positioned 1—2 inches away from the client's lips for administration of a dose of inhaled medication. The client should be advised to exhale and then to deliver a dose while breathing in slowly for about 5 seconds. followed by holding the breath for 10 seconds before exhaling. If an adult has difficulty with coordinating breathing and delivering of a dosage or holding the inhaler at the correct distance. then a spacer should be used. Children should also use a spacer.
Question #5

Two days postpartum, a nursing mother develops swollen, taut, and very painful breasts. Which of the following isthe most likely cause?

  • A. Engorgement
  • B. Insufficient milk
  • C. Blocked milk ducts
  • D. Mastitis
Answer: A
Explanation:
Engorgement often occurs in the first two to three days after delivery as the mother begins to produce
milk and nurse the infant. Because the infant's intake the first few days is usually very small, the production of
milk may exceed demand, resulting in breasts that are swollen, taut, and painful. The mother should be
encouraged to continue to nurse and gently massage the breast toward the nipple. Application of cold
compresses for 15-20 minutes in between feedings may relieve swelling and discomfort. The mother may take
acetaminophen for pain. Engorgement usually lasts only 24—48 hours. 
Question #6

Which of the following tasks are appropriate for the nurse to delegate to unlicensed assistive personnel? Select allthat apply.

  • A. Checking temperature and vital signs for a client acutely ill with sepsis
  • B. Checking routine temperature and vital signs for clients at the beginning of the shift
  • C. Emptying catheter bags and measuring the urinary output from Foley catheters
  • D. Monitoring the transfusion of red blood cells
  • E. Assisting an ambulatory client with walking to the bathroom
Answer: B, C, E
Explanation:
Although unlicensed assistive personnel (UAP) can check routine temperatures and vital signs,
they should not be responsible for assessing the condition of a client who is acutely ill. TJAP may empty
catheter bags and measure urinary output as long as they have been trained in the proper techniques, and they
may assist ambulatory clients with walking to the bathroom or help clients with a bedpan. The nurse who
delegates the task is always responsible for supervising the UAP and ensuring that the task is completed
appropriately
Question #7

Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered braindeath), within what time period should the heart and lungs be transplanted? 

  • A. 4-6 hours
  • B. 8—12 hours
  • C. 24 hours
  • D. 36 hours
Answer: A  

Explanation:
Following procurement of organs from a standard criteria donor (donor younger than 50 years who
suffered brain death), the heart and lungs should be transplanted within 4—6 hours, liver and pancreas within
12 hours. and the kidney within 24 hours. Organ and tissue recovery is carried out in the operating room with
members of the recovery team present and transportation to the recipient available. The corneas and skin can
be harvested for up to 2 hours After death and bone up to 36 hours. Heart valves can be harvested up to 72
hours after death. 
Question #8

If a six-year-old child has influenza with a fever and cough, which statements by the child's caregiver suggest aneed for education? Select all that apply,

  • A. "If his fever gets too high, I'll give him a bath in cold water."
  • B. "I try to offer him plenty of liquids."
  • C. "Sipping hot lemonade seems to help relieve his cough."
  • D. "I've been giving him baby aspirin to lower his fever."
  • E. "I alternate giving him acetaminophen and ibuprofen for this fever."
Answer: A, D  

Explanation:
If a 6-year-old child has influenza with a fever and cough, the statements by the child's caregiver
that suggest a need for information include:
• "If his fever gets too high, I'll give him a bath in cold water": This could lower the child's fever too
quickly. If the child's fever is high (>102 ?F or 39 ?C), then the child may be bathed with lukewarm
water.
• "I've been giving him baby aspirin to lower his fever": Children should not be administered any type of
salicylate for viral infections because this places the child at risk for developing Reye syndrome, which
can cause progressive encephalopathy, liver failure, and death. 
Question #9

A client's wife states that her elderly husband has begun to slightly slur his words and drop word endings. He hasbecome increasingly withdrawn socially and irritable. He has also accused her of talking behind his back andwhispering at him. The nurse suspects that the client should be initially evaluated for which of the following?

  • A. Depression
  • B. Alzheimer's disease
  • C. Hearing loss
  • D. Stroke
Answer: C
Explanation:
These are indications that the client may be experiencing hearing loss. Hearing loss may be insidious,
with the client not being fully aware that his hearing is impaired. Because hearing loss may impair the person's
ability to hear his own voice as well as others' voices, he may begin slurring his words or dropping word
endings. Clients may react to hearing loss by becoming depressed, withdrawn, and irritable, and they may
believe that people are whispering or talking behind their backs because they cannot hear what people are
saying.
Question #10

A client has an open draining wound infected with MRSA and is on contact precautions. If the nurse is entering theroom to care for the client, when are gloving and gowning necessary?

  • A. When the nurse has direct contact with the wound or drainage
  • B. When the nurse has direct contact with the clients’ body, wound, or drainage
  • C. When the nurse enters the room for any type of patient or environmental contact
  • D. When drainage is not contained by a dressing
Answer: C  

Explanation:
If a client is on contact precautions because of a MRSA infection and has an open, draining wound, the
nurse should glove and gown whenever entering the room for any type of patient or environmental contact.
MRSA can be spread from the client to surfaces, such as the bedrails or bedside table. Upon leaving the room,
the gloves and gown should be removed and placed into a receptacle near the door and inside of the client's
room. 
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