HESI Level 1 Practice Exam Questions And Correct Solutions Graded A+

Healthcare workers must protect themselves against becoming infected with HIV. The Center for Disease Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines include which recommendation? A. Place HIV positive clients in strict isolation and limit visitors. B. Wear gloves when coming in contact with the blood or body fluids of any client. C. Conduct mandatory HIV testing of those who work with AIDS clients. D. Freeze HIV blood specimens at -70 F to kill the virus. - B The nurse hears short, high-pitched sounds just before the end of inspiration in the right and left lower lobes when auscultating a client's lungs. How should this finding be recorded? A. Inspiratory wheezes in both lungs. B. Crackles in the right and left lower lobes. C. Abnormal lung sounds in the bases of both lungs. D. Pleural friction rub in the right and left lower lobes. - B A male nurse is assigned to care for a female Muslim client. When the nurse offers to bathe the client, the client requests that a female nurse perform this task. How should the male nurse respond? A. "May I ask your daughter to help you with your personal hygiene?" B. "I will ask one of the female nurses to bathe you." C. "A staff member on the next shift will help you." D. "I will keep you draped and hand you the supplies as you need them." - B How should the nurse measure the length of a 14-month-old child ? A. Standing height. B. Prone recumbent position. C. Supine recumbent position. D. Side-lying position. - C When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which home care activity? A. A diet low in phosphates. B. Skin inspection for bruising. C. Exercise regimen, including swimming. D. Elimination of hazards to home safety. - D A client's IV infusion of 0.9% Sodium Chloride (normal saline) infiltrated earlier today, and approximately 500 ml of normal saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications." What action is most important for the nurse to take? A. Ask about any past history of drug abuse or addiction. B. Measure the pulse volume and capillary refill distal to the infiltration. C. Compress the infiltrated tissue to measure the degree of edema. D. Evaluate the extent of ecchymosis over the forearm area. - B A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells the nurse, "I don't want any more blood taken for those useless tests." Which narrative documentation should the nurse enter in the client's medical record? A. Healthcare provider notified of failure to collect specimens for prescribed blood studies. B. Blood specimens not collected because client no longer wants blood tests performed. C. Healthcare provider notified of client's refusal to have blood specimens collected for testing. D. Client irritable, uncooperative, and refuses to have blood collected. Healthcare provider notified. - C How should the nurse handle linens that are soiled with incontinent feces? A. Put the soiled linens in an isolation bag, then place it in the dirty linen hamper. B. Place an isolation hamper in the client's room and discard the linens in it. C. Place the soiled linens in a pillow case and deposit them in the dirty linen hamper. D. Ask the housekeeping staff to pick up the soiled linen from the dirty utility room. - C A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which response is best for the nurse to provide? A. "It may hurt a little because of the incision made in your throat." B. "It won't hurt because you're such a big boy." C. "It won't hurt because we put you to sleep." D. "It may hurt but we'll give you medicine to help you feel better." - D The nurse is assessing a client who is bedfast and refuses to turn or move from a supine position. How should the nurse assess the client for possible dependent edema? A. Compress the flank and upper buttocks. B. Measure the client's abdominal girth. C. Gently palpate the lower abdomen. D. Apply light pressure over the shins. - A A client with chronic gouty arthritis takes allopurinol (Zyloprim) and experiences an acute attack of gouty arthritis. The healthcare provider prescribes concurrent low-dose colchicine. What information should the nurse provide the client that best explains the action of the colchicine? A. Acts like aspirin to relieve pain. B. Facilitates the excretion of uric acid. C. Reduces inflammation at the affected site. D. Prevents formation of uric acid crystals. - C