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NURS HESI RN ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED A+ SUCCESS GUARANTEED 2023
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NURS HESI RN ACTUAL EXAM QUESTIONS WITHCORRECT ANSWERS GRADED A+ SUCCESS
GUARANTEED 2023
Based on the information provided in this client's medical record during
labor, which should the nurse implement? (Click on each chart tab for
additional information. Please be sure to scroll to the bottom right corner of
each tab to view all information contained in the client's medical record.)
a. Apply oxygen 10
l/mask b. Stop the
oxytocin infusion
c. Turn the client to the right lateral position.
d. Continue to monitor the progress of labor. - Continue to monitor the
progress of labor
Rationale: Early deceleration are indicative of head compression as the fetus
descends in the birth canal, which is a normal patter during active labor, so
labor progression should continue to be monitored
Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated
coffee and tea. b. Suggest that the client also plan to eat frequent small
meals to reduce discomfort c. Review with the client the need to avoid
foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he
might select. - Review with the client the need to avoid foods that are rich
in milk and cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and
should be avoided.
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate
his blood pressure (BP). His BP is 158/106 and he admits that he has not
been taking the prescribed medication because the drugs make him "feel
bad". In explaining the need for hypertension control, the nurse should
stress that an elevated BP places the client at risk for which
pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage c. Stroke secondary to
hemorrhage
,NURS HESI RN ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ SUCCESS
GUARANTEED 2023
d. Heart block due to myocardial damage - Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and
the UAP is placing soft pillows along the side rails. What action should the
nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows. c. Assume responsibility for placing the pillows while the UAP
completes another task. d. Ask the UAP to use some of the pillows to prop
the client in a side lying position. - Instruct the UAP to obtain soft blankets
to secure to the side rails instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with soft
blankest because the use of pillows could result in suffocation and would
need to be removed at the onset of the seizure. The nurse can delegate
paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of
appetite c. States is often fatigued
and drowsy
d. Exhibits an increase in sweating. - Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake
inhibitor that is known to increase the risk of suicidal thinking in adolescents
and young adults with major depressive disorder. B, C and D are side effects
A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible
ovarian cancer. Her Papanicolau (Pap) smear results are negative. What
information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. - Further
evaluation involving surgery may be needed
,NURS HESI RN ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ SUCCESS
GUARANTEED 2023
Rationale: An abdominal mass in a client with a family history for ovarian
cancer should be evaluated carefully
, NURS HESI RN ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ SUCCESS
GUARANTEED 2023
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
a. Explain how to use communication
tools. b. Teach tracheal suctioning
techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - Teach tracheal suctioning
techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway,
which is critical.
In assessing an adult client with a partial rebreather mask, the nurse
notes that the oxygen reservoir bag does not deflate completely during
inspiration and the client's respiratory rate is 14 breaths / minute. What
action should the nurse implement
a. Encourage the client to take deep
breaths b. Remove the mask to deflate
the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and
the client's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30
seconds b. Oxygen saturation
rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - Respiratory
apnea of 30 seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea
that should be assessed first.
During a home visit, the nurse observed an elderly client with diabetes
slip and fall. What action should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency
assistance c. Check the client for
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