HESI Exam- Integration Questions With Complete
Solutions
A 30-year-old male client tells the nurse that about half of this
diet comes from eating meat and eggs. What instruction should
the nurse provide?
A. Maintain protein intake but substitute fish and nuts for meat
and eggs
B. Increase protein intake with the additional intake of dairy
products
C. Maintain protein intake and increase intake of fruits and
vegetables
D. Decrease protein intake and eat more whole grains and
vegetables Correct Answer C. Maintain protein intake and
increase intake of fruits and vegetables
A 6-year-old male with a body mass index (BMI) in the 95th
percentile for gender and age arrives at the clinic after a referral
from the school nurse. His laboratory findings include
hemoglobin A1c of 5.5% (0.06), blood pressure (BP) in the 50th
percentile for age, height int he 75th percentile, and an LDL
cholesterol of 90 mg/dL (2.33 mmol/L). Which lifestyle
modification should the nurse discuss with the parents?
A. Recommend increasing daily fruits and vegetables and daily
exercise
B. See a healthcare provider to further assess for diabetes and
hypertension
C. Return in one month for another evaluation of serum lipids
and blood pressure
,D. Instruct the parents to weight the child weekly and measure
his BP daily Correct Answer B. See a healthcare provider to
further assess for diabetes and hypertension
A client has a viral hepatitis A and hepatic encephalopathy. An
unlicensed assistive personnel (UAP) is assigned to help the
client with a bath. Which information should the nurse reinforce
with the UAP?
A. Don a mask when handling bedpan
B. Maintain strict reverse isolation
C. Wear gloves while giving the bath
D. Restrict the client's family visitation Correct Answer C.
Wear gloves while giving the bath
A client has been on bed rest following a cerebrovascular
accident or stroke that occurred two days ago. On the third day,
the plan of care includes getting the client out of bed and into a
bedside chair. Prior to assisting the client out of bed for the first
time, which action should the nurse take?
A. Offer the client to void before getting out of bed
B. Assess the client''s brain stem reflexes
C. Perform pupillary response assessment
D. Assess the client's blood pressure Correct Answer A. Offer
the client to void before getting out of bed
A client is recovering from an episode of urinary tract calculi.
During discharge teaching, the client asks about dietary
restrictions. In discussion fluid intake, the nurse should include
which type of fluid limitation?
,A. Tea and hot chocolate
B. Low-sodium soups
C. Citrus fruit juices
D. Over-all fluid intake Correct Answer A. Tea and hot
chocolate
A client receives a new prescription for a selective serotonin
reuptake inhibitor (SSRI). Which information should the nurse
include in the discharge teaching?
A. Monitor blood pressure regularly
B. Assess heart rate before each dose
C. Report a decrease in sexual interest
D. Avoid consumption of aged cheeses Correct Answer C.
Report a decrease in sexual interest
A client receives a new prescription for a selective serotonin
reuptake inhibitor (SSRI). Which information should the nurse
include in the discharge teaching?
A. Monitor blood pressure regularly
B. Assess heart rate before each dose
C. Report a decrease in sexual interest
D. Avoid consumption of aged cheeses Correct Answer B.
Assess heart rate before each dose
D. Avoid consumption of aged cheeses
Can't choose
, A client reports epigastric pain after receiving an oral dose of
ketolorac. Which action should the nurse implement?
A. Offer the client a PRN dose of ibuprofen
B. Ask if the client is taking home remedies
C. Administer subsequent doses with meals
D. Continue to monitor the client for GI distress Correct
Answer B. Ask if the client is taking home remedies
A client reports epigastric pain an hour after receiving an oral
dose of ketolorac. Which action should the nurse implement?
A. Offer the client a PRN dose of ibuprofen
B. Ask if the client is taking home remedies
C. Administer subsequent doses with meals
D. Continue to monitor the client for GI distress Correct
Answer B. Ask if the client is taking home remedies
A client taking atorvastatin develops an increased serum creatine
phosphokinase (CK) level. The nurse should assess the client for
the onset of which problem?
A. Excessive bruising
B. Muscle tenderness
C. Peripheral edema
D. Nausea and vomiting Correct Answer B. Muscle tenderness
(Could indicate a type of myopathy know as rhabdomyolysis:
destruction of striated muscle cells)
Solutions
A 30-year-old male client tells the nurse that about half of this
diet comes from eating meat and eggs. What instruction should
the nurse provide?
A. Maintain protein intake but substitute fish and nuts for meat
and eggs
B. Increase protein intake with the additional intake of dairy
products
C. Maintain protein intake and increase intake of fruits and
vegetables
D. Decrease protein intake and eat more whole grains and
vegetables Correct Answer C. Maintain protein intake and
increase intake of fruits and vegetables
A 6-year-old male with a body mass index (BMI) in the 95th
percentile for gender and age arrives at the clinic after a referral
from the school nurse. His laboratory findings include
hemoglobin A1c of 5.5% (0.06), blood pressure (BP) in the 50th
percentile for age, height int he 75th percentile, and an LDL
cholesterol of 90 mg/dL (2.33 mmol/L). Which lifestyle
modification should the nurse discuss with the parents?
A. Recommend increasing daily fruits and vegetables and daily
exercise
B. See a healthcare provider to further assess for diabetes and
hypertension
C. Return in one month for another evaluation of serum lipids
and blood pressure
,D. Instruct the parents to weight the child weekly and measure
his BP daily Correct Answer B. See a healthcare provider to
further assess for diabetes and hypertension
A client has a viral hepatitis A and hepatic encephalopathy. An
unlicensed assistive personnel (UAP) is assigned to help the
client with a bath. Which information should the nurse reinforce
with the UAP?
A. Don a mask when handling bedpan
B. Maintain strict reverse isolation
C. Wear gloves while giving the bath
D. Restrict the client's family visitation Correct Answer C.
Wear gloves while giving the bath
A client has been on bed rest following a cerebrovascular
accident or stroke that occurred two days ago. On the third day,
the plan of care includes getting the client out of bed and into a
bedside chair. Prior to assisting the client out of bed for the first
time, which action should the nurse take?
A. Offer the client to void before getting out of bed
B. Assess the client''s brain stem reflexes
C. Perform pupillary response assessment
D. Assess the client's blood pressure Correct Answer A. Offer
the client to void before getting out of bed
A client is recovering from an episode of urinary tract calculi.
During discharge teaching, the client asks about dietary
restrictions. In discussion fluid intake, the nurse should include
which type of fluid limitation?
,A. Tea and hot chocolate
B. Low-sodium soups
C. Citrus fruit juices
D. Over-all fluid intake Correct Answer A. Tea and hot
chocolate
A client receives a new prescription for a selective serotonin
reuptake inhibitor (SSRI). Which information should the nurse
include in the discharge teaching?
A. Monitor blood pressure regularly
B. Assess heart rate before each dose
C. Report a decrease in sexual interest
D. Avoid consumption of aged cheeses Correct Answer C.
Report a decrease in sexual interest
A client receives a new prescription for a selective serotonin
reuptake inhibitor (SSRI). Which information should the nurse
include in the discharge teaching?
A. Monitor blood pressure regularly
B. Assess heart rate before each dose
C. Report a decrease in sexual interest
D. Avoid consumption of aged cheeses Correct Answer B.
Assess heart rate before each dose
D. Avoid consumption of aged cheeses
Can't choose
, A client reports epigastric pain after receiving an oral dose of
ketolorac. Which action should the nurse implement?
A. Offer the client a PRN dose of ibuprofen
B. Ask if the client is taking home remedies
C. Administer subsequent doses with meals
D. Continue to monitor the client for GI distress Correct
Answer B. Ask if the client is taking home remedies
A client reports epigastric pain an hour after receiving an oral
dose of ketolorac. Which action should the nurse implement?
A. Offer the client a PRN dose of ibuprofen
B. Ask if the client is taking home remedies
C. Administer subsequent doses with meals
D. Continue to monitor the client for GI distress Correct
Answer B. Ask if the client is taking home remedies
A client taking atorvastatin develops an increased serum creatine
phosphokinase (CK) level. The nurse should assess the client for
the onset of which problem?
A. Excessive bruising
B. Muscle tenderness
C. Peripheral edema
D. Nausea and vomiting Correct Answer B. Muscle tenderness
(Could indicate a type of myopathy know as rhabdomyolysis:
destruction of striated muscle cells)
