HESI Health Assessment Practice Exam With Answers (50 Solved Questions)

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1/19Health Assessment HESI Exam1.The registered nurse (RN) recognizes which client group is at the greatestrisk for developing a urinary tract infection (UTI)? (Rank from highest risk tolowest risk.)-School-agedfemales-Older males-Older females-Adolescent males:1. older females2.school-aged females3.older males4.adolescent males2.The registered nurse (RN) is interviewing a female client who states shehas a persistent productive cough during the winter caused bybronchitis.Which additional finding should the RN assess for bronchitis?A.)Phlegm production & wheezingB.)Smoking historyC.)HemoptysisD.)Night sweats:A.) phlegm production & wheezing3.The registered nurse (RN) is caring for a client with tuberculosis (TB) whois taking a combination drug regimen. The client complains about taking "somany pills." What information should the RN provide to the client about theprescribed treatement?A.)ThedevelopmentofresistantstrainsofTBaredecreasedwithacombina-tion of drugs.B.)Compliance to the medication regimen is challenging but should bemain-tained.C.)Side effects are minimized with the use of a single medication but is lesseffective.D.)The treatment time is decreased from 6 months to 3 months with thisstandard regimen.:A.) The development of resistant strains of TB are decreasedwith a combination of drugs.

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2/194.A client with progressive hearing lossappearsdistressedwhentheregistered nurse (RN) asks open-ended questions about the client's healthhistory. Which forms of communication should the RN use? (SATA)A.)Face the client so the client can see the RN's mouth.B.)Increase one's speech volume when interacting with the client.C.)Repeat informationto the client if misunderstood.D.)Check if the client's hearing aides are working properly.E.)Reduce environmental noise surrounding the client.:A.) Face the client sothe client can see the RN's mouth.D.)Check if the client's hearing aides are working properly.E.)Reduce environmental noise surrounding the client.Speaking clearly with enunciation and in a regular tone is easier for a client tounderstand than increasing the volume of speech. If a client shows signs ofconfusion,rephrasing thequestion,insteadofrepeating,should bedonetodecrease client anxiety and facilitate understanding.5.The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to aclient for the first time. What side effects should the RN assess the client forduring the initial dose?A.)Bradykinesia.B.)Dystonia.C.)Somatization.D.)Akathisia.:B.) Dystonia6.An older client is admitted to the hospital with severe diarrhea. Theregistered nurse (RN) is completing an assessment and notes the client hasdry mucous membranes and poor skin turgor. Which assessment data shouldthe RN gather to determine if the client has a fluid volume deficit?A.)Lower extremity edema.B.)Orthostatic hypotension.C.)Elevated blood pressure.D.)Cheyne-Stokes respirations:B.) Orthostatic hypotension.

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3/19Orthostatic hypotension can be a sign of fluid volume deficit in an older client whohas experienced severe diarrhea.7.The registered nurse (RN) notifies the spouse of a client who was admittedto hospice with shallow respirations, of a change in the client's condition.Over the past hour, the client's respiratory pattern has changed to a CheyneStokes pattern. After receiving this information, the client's spouse beginsvacuuming around the bed. Which stage of grief is the spouse displayingduring the visit?A.)Acceptance.B.)Denial.C.)Bargaining.D.)Depression.:B.) Denial.The spouse is exhibiting the first stage of denial of Kubler-Ross's grief model byignoring that the client's death is imminent.8.The registered nurse (RN) is teaching a client who is being discharged aftertreatment of tuberculosis (TB). Which cultural issues should the RN assesswhen preparing the client for discharge? (Select all that apply.)A.)Native language.B.)Education level.C.)Type of lifestyle.D.)Financial resources.E.)Previous medical history.:A.) Native language.B.)Education level.C.)Type of lifestyle.D.)Financial resources.9.The registered nurse (RN) is assisting the healthcare provider (HCP) withthe removal of a chest tube. Which intervention has the highest priority andshould be anticipated by the RN afterthe removal of the chest tube?A.)Prepare the client for chest x-ray at the bedside.B.)Review arterial blood gases after removal.C.)Elevate the head of bed to 45 degrees.

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4/19D.)Assist with disassembling the drainage system.:A.) Prepare the client forchest x-ray at the bedside.A chest x-ray should be performed immediately after the removal of a chest tubeto ensure lung expansion has been maintained after its removal.10.The registered nurse (RN) is developing the plan of care for a client whois admitted for alcoholdetoxification. Which goal should be most importantfor the RN to primarily focus the client's care?A.)The client maintains optimal nutritional status.B.)The client will remain alert and oriented.C.)The client will remain free from injury.D.)The client will remain alcohol free during hospitalization.:C.) The client willremain free from injury.Theclientisathighestriskforinjurydueto altered cognitiveandsensorydisturbances as well as delirium tremors during withdrawal. Remaining free frominjury is themost important goal for the acute phase of alcohol withdrawal.11.The registered nurse (RN) assesses a client's results for arterial bloodgases who has emphysema. Which finding is consistent with respiratoryacidosis?A.)pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.B.)pH 7.45 , pCO2 37 mmHg, HCO3 24 mEq/L.C.)pH 7.34, pCO2 36 mmHg, HCO3 21 mEq/L.D.)pH 7.46, pCO2 35 mmHg, HCO3 28 mEq/L.:A.) pH 7.32, pCO2 46 mmHg,HCO3 24 MEq/L.Represents a client with respiratory acidosis which is characterized by: low pH,pCO2 higher than normal, and HCO3 within normal limits.12.The registered nurse (RN) is caring for a client with peptic ulcer disease(PUD).WhatassessmentshouldtheRNidentify anddocumentthatisconsistent with PUD? (Select all that apply).A.)Hematemesis.

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5/19B.)Gastric pain on an empty stomachC.) Colic-like pain withfatty food ingestion.D.)Intolerance of spicy foods.E.)Diarrhea and stearrhea.:A.) Hematemesis.B.) Gastric pain on an empty stomachD.) Intolerance of spicy foods13.A client with cirrhosis of the liver asksthe registered nurse (RN) to explainhow varicose veins can occur in the esophagus. Which statement should theRN provide to teach the client about the physiological etiology?A.)The enlarged liver presses on the lower half of the esophagus whichweakens blood vessel walls.B.)Abnormal vessels form as a result of liver damage that causes chroniclow serum protein levels.C.)Esophageal swelling and tissue damage causes blood to circulate bloodback through the stomach.D.)Increased portal pressure causes blood flow through liver to be shuntedto the esophageal vessels.:D.) Increased portal pressure causes blood flowthrough liver to be shunted to the esophageal vessels.Cirrhotic and fibrosed liver damage causes obstructed blood flow through portalvessels to the liverwhich increases the portal pressure causing the blood flowthrough the liver to be shunted to the esophageal vessels. The result of this shuntingof blood causes the esophageal vessels (veins) to balloon out and weaken. As theportal hypertension increases, these esophageal varices can rupture and causebleeding resulting in bloody emesis and black tarry stools.14.A client is admitted for dehydration, weight loss, and a flat affect. Afterreviewing the client's history, the registered nurse (RN) discoversthat theclient's spouse died 2 weeks ago. Which nursing interventions should the RNimplement to help the client begin the process of dealing with loss?A.)Establish trust by creating an safe atmosphere for sharing.B.)Share personal stories about how other clients dealt with grief.C.)Help the client identify ways to adapt lifestyle to accommodate loss.D.)Assure the client that their grief will last a short period of time.

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