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HESI B Practice 1 Exam Questions and Complete Solutions Graded A+
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HESI B Practice 1 Exam Questions and Complete Solutions Graded A+
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HESI B Practice 1Exam Questions and
Complete Solutions
Graded A+
Denning Muriithi [Date] [Course title]
, HESI B Practice 1
1.1. A client with a history of lung cancer reluctantly comes to the clinic
because of persistent hoarseness and a chronic cough. The client's
respira- tions are labored when speaking and the capillary refill is 3
seconds. Which additional finding warrants intervention by the nurse?
a. Clubbed fingernails.
b. Unexplained fatigue.
c. Coarse breath sounds.
d. Rust colored sputum. Correct Ans: c. Coarse breath sounds.
2.The nurse is assisting the healthcare provider with a wound debridement
at the bedside of a client who is mildly confused. The client is draped, and a
sterile field is created. Which nursing intervention should the nurse
implement for client safety?
a. Instruct the client to keep hands under the sterile field.
b. Verify that the client has given informed consent.
c. Pour cleansing solution onto the sterile field.
d. Assess for discomfort when procedure is completed. Correct Ans: a.
Instruct the client to keep hands under the sterile field.
3.A client with end stage Alzheimer's disease is brought to the clinic by
the caregiver for an appointment with the healthcare provider. The caregiver
speaks privately to the nurse about not sleeping well at night and experiencin
frequent periods of crying. Which intervention should the nurse implement?
a. Advise to have a case management evaluation of the client's home
environ- ment.
b. Proposed the extended family could return to the area to help
provide assistance.
c.Tell the caregiver to consider hiring a private duty nurse for time to be awa
d. Suggest social services be contacted to find a respite care facility for the
client. Correct Ans: d. Suggest social services be contacted to find a
respite care facility for the client.
4.The nurse is caring for a client with the sexually transmitted infection
(STI) genital herpes. The client reports having sex with multiple partners.
Which response should the nurse provide?
a. Remain non-judgmental and assure the client of confidentiality.
b. Inform the client that complications will not result from reinfection.
c. Provide counseling that most contraceptives protect against infection.
d. Clarify that all STIs are transmitted through sexual intercourse. Correct
Ans: a. Remain non-judgmental and assure the client of confidentiality.
5.The nurse is providing care to a client having surgery to repair a retinal
detachment to the left eye. Which intervention should the nurse
, HESI B Practice 1
implement
, HESI B Practice 1
during the postoperative period?
a. Provide an eye shield to be worn while sleeping.
b. Obtain vital signs every 2 hours during hospitalization.
c. Teach a family member to administer eye drops.
d. Encourage deep breathing and coughing exercises. Correct Ans: d.
Encourage deep breathing and coughing exercises.
6.The nurse is providing discharge teaching to a client who underwent a
pneumonectomy. The client wants to resume social activities with family.
How should the nurse respond?
a. Reinforce the need to avoid social contact for several weeks.
b. Recommend the use of a face mask during family events.
c. Encourage family gatherings to reduce feelings of isolation.
d. Explain the need to avoid persons with respiratory infections. Correct
Ans: d. Explain the need to avoid persons with respiratory infections.
7.A mother brings her 3-week-old son to the clinic because he is vomiting
"all the time". In performing a physical assessment, the nurse notes that the
infant has poor skin turgor, has lost 20% of his birth weight, and has a small
palpable oval-shaped mass in his abdomen.
Which intervention should the nurse implement first?
a. Insert a nasogastric tube for feeding.
b. Initiate a prescribed IV for parental fluid.
c. Feed the infant 3 ounces of Isomil.
d. Give the infant 5% dextrose in water orally. Correct Ans: b. Initiate a
prescribed IV for parental fluid.
8.An older client with a history of heart failure and admitted to the medical
unit after falling at home and has become increasingly confused. The
client's spouse is designated as the client's power of attorney. When
reporting to the healthcare provider using SBAR (Situation, Background,
Assessment, Rec- ommendation) communication, which information should
the nurse provide first?
A. Increasing confusion of the client.
B. Fall at home as reason for admission.
C. Client's healthcare power of attorney.
D. Currently prescribed medication. Correct Ans: A. Increasing confusion of
the client.
9.An adult client is admitted for severe pain in his side and back and is
sent for an intravenous pyelogram. Which report from the client is the
earliest indication to the nurse that the client is experiencing an adverse
reaction to this procedure?
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