HESI 2019 V1.docx - HESI 2019 New Version 1

HESI 2019 Version 1

4. A client with skin grafts covering in full-thickness burns on both arms and legs is scheduled for a dressing change. The client is nervous and requests that the dressing change be skipped this time. What action is most important for the nurse at the time?

A. Proceed with the scheduled dressing change.

B. Encourage the client to express any anxieties.

C. Administer an anti-anxiety medication.

D. Explain the importance of regular dressing changes.

ANS: B

5. A client with angina pectoris is being discharge from the hospital. What instruction should the nurse plan to include in this discharge teaching?

A. Engage in physical exercise immediately after eating to help decrease cholesterol levels.

B. Walk briskly in cold weather to increase cardiac output

C. Keep nitroglycerin in a light-colored plastic bottle and readily available

D. Avoid all isometric exercises but walk regularly

ANS: D

6. A client is admitted to a mental health unit after attempting suicide by taking a handful of medications. In developing a plan of care for this client, which goal has the highest priority?

A. Signs a no-self-harm contract.

B. Sleep at least 6 hours nightly.

C. Attends group therapy every day

D. Verbalizes a positive self-image.

ANS: A

7. A client collapses while showering and is found discovered by the nurse while making rounds. The client is not breathing and does not have a palpable pulse. The nurse obtains the Automated External Defibrillator (AED). What action should the nurse implement next?

A. Move the client from the bathroom.

B. Apply AED pads to the client’s chest.

C. Wipes the client’s chest dry.

D. Follow the prompts of the AED.

ANS: C

8. A female client with cancer tells the home care nurse that she has a good appetite but experiences nausea whenever she smells food cooking. What action should the nurse implement?

A. Encourage family members to cook meals outdoors and bring the cooked foods inside.

B. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting.

C. Advise the client to replace cooked foods with a variety of different nutritional supplements.

D. Assess the client’s mucous membranes and report the findings to the healthcare provider.

ANS: A

9. After administering perindopril (Aceon) 4 mg PO, the healthcare provider tells the nurse to increase and adjust the last dose just administered to 6 mg PO. The medication is available in 4 mg tablets. How many additional tablets should the nurse administer to achieve the newly prescribed dose?

10. When entering a client’s room to administer an 0900 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which actions should the nurse implement?

A. Ignore the behavior and hang the IV antibiotic

B. Tell the client to stop the inappropriate behavior

C. Leave the room and close the door quietly

D. Complete an unusual occurrence report

ANS: C

11. The nurse is conducting intake interviews of children at a city clinic. Which child is most susceptible to contracting lead poisoning?

A. An adolescent who works part time in a paint factory.

B. A 10-yearold who has Type 1 diabetes mellitus.

C. A 2-year-old who plays on an aging playground equipment.

D. An 8-year-old who lives in a housing project.

ANS: C

12. Which instruction is most important for the nurse to provide a client who receives a new plan of care to treat osteoporosis?

A. Increase intake of foods reach in calcium

B. Remain upright after taking the medication.

C. Begin weight bearing exercise plan

D. Schedule a bone density test every year

B