HESI HESI Dumps

Question # 1

When assisting a client with range-of-motion exercises, which movements should be carried out on the client'selbows? Select all that apply.

A. Supination
B. Flexion
C. Circumduction
D. Pronation
E. Rotation
F. Hyperextension

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Question # 2

A client has returned from surgery after removal of a tumor of the colon and creation of a temporary colostomy.She refuses to take a deep breath and cough then refuses to turn. Which of the following should the nurse assessfirst in trying to understand her lack of cooperation?

A. Delirium status
B. Vital signs
C. Oxygen saturation
D. Level of pain

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Question # 3

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the followingare barriers to learning? Select all that apply.

A. The client is 55 years old.
B. The client is fearful.
C. The client is illiterate.
D. The client is weak and frail.
E. The client has many questions about the procedures.
F. The client is hard of hearing.

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Question # 4

A client is confused after receiving morphine for analgesia and repeatedly tries to pull out the intravenous (IV) linein her left arm. Which of the following actions is the best initial solution?

A. Attempt to camouflage the IV and tie a piece of tubing to the bedrail so the client can pull on that safely.
B. Apply wrist restraints.
C. Apply wrist and vest restraints.
D. Discontinue the IV line and reinsert at a more distant site.

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Question # 5

An electrical fire occurs in a client's room shortly after the client returns from the recovery room after repair of ahip fracture with insertion of prosthesis. What is the best method of removing the client from the room?

A. Place the client in a wheelchair.
B. Transfer the client to a gurney.
C. Move the bed with the client on it.
D. Do a two-person carry.

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Question # 6

The physician had prescribed 10 mL of oral suspension twice daily for a child, but the mother is confused aboutthe metric system and wants to know how many teaspoons of medication to give the child. How many teaspoonsare equivalent to 10 mL of oral suspension? Record your answer as a whole number.___________teaspoons

A. Two
B. Three
C. Four
D. Five

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Question # 7

A client states that he takes five grains of aspirin daily, but the hospital issues aspirin in milligrams.How many milligrams are approximately equivalent to five grains of aspirin?

A. 81 mg
B. 120 mg
C. 325 mg
D. 500 mg

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Question # 8

A client develops anaphylaxis syndrome and loses consciousness after eating fruit salad containing kiwi fruit,which the client is severely allergic to. The nurse is aware that the concern is which of the following?

A. Establish a patent airway. 
B. Administer intravenous fluids.
C. Administer oxygen at 100% high flow.
D. Administer epinephrine.

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Question # 9

A client with recurrent episodes of gout has been advised to eat a low-purine diet. Which of the following foodsshould the nurse advise him to limit or avoid? Select all that apply.

A. Liver
B. Sardines
C. Wine
D. Low-fat yogurt
E. Beef broth
F. Potatoes

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Question # 10

A 60-year-old client has undergone a nerve-sparing prostatectomy and has been advised by his physician that hemay not recover normal sexual functioning. The client is very concerned about this and asks the nurse for moreinformation. Which of the following information should the nurse include? Select all that apply. 

A. Retrograde ejaculation may occur.
B. Recovery rates vary but can take up to a year or more.
C. If sexual functioning is going to return, it will do so within a month.
D. Attempts at sexual intercourse are usually avoided for 1 month after surgery.
E. Anxiety can interfere with sexual functioning.
F. Other forms of sexual intimacy are more important than sexual intercourse.

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Question # 11

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 

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Question # 12

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 

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Question # 13

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. 

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Question # 14

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.

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Question # 15

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

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Question # 16

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

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Question # 17

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

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Question # 18

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."

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Question # 19

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

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Question # 20

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

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