HESI Health Assessment Review Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI Health Assessment Review Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• The registered nurse (RN) is caring for an older client who has been bedridden for

two weeks. Which assessment findings indicate to the RN that the client is developing a complication related to immobility?

• Decreased pedal pulses.
• Edema in upper extremities.
• Loss of appetite for food.
• Stiffness in right ankle joint.

Correct Answer: D

(Rationale: Stiffness in joints is an early sign of contractures and muscle atrophy related to inactivity and immobility.)

• After a liver biopsy is performed at the bedside, the registered nurse (RN) is

assigned the care of the client. Which nursing intervention is most important for the RN to implement?

• Position client on left side with pillow placed under the costal margin.
• Assist the client with voiding immediately after the procedure.
• Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
• Ambulate client 3 times in first hour with pillow held at abdomen.

Correct Answer: C

• The registered nurse (RN) is caring for a client who developed oliguria and was

diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN that the client is stabilizing?

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• Urine output of 40 mL/hour.
• Apical pulse 100 and blood pressure 76/42.
• Urine specific gravity 1.001.
• Tented skin on dorsal surface of hands.

Correct Answer: A

(Rationale: When the urine output returns to a normal range, 40 mL/hour, the client's kidneys are perfusing adequately and indicates the client's status is stabilizing.)

• The registered nurse (RN) is caring for an Asian client who refuses to make eye

contact during conversations. How should the RN assess this client's response?

• The client cannot understand the nurse.
• The client is uncomfortable with the nurse.
• The client is treating the nurse with respect.
• The client is purposefully disrespecting the nurse.

Correct Answer: C

• A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for

evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage?

• Creatine Kinase (CK-MB).
• Serum troponin.
• Myoglobin.
• Ischemia modified albumin.

Correct Answer: B

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• The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a client for

the first time. What side effects should the RN assess the client for during the initial dose?

• Bradykinesia.
• Dystonia.
• Somatization.
• Akathisia.

Correct Answer: B

• The nurse palpates a weak pedal pulse in the client's right foot. Which assessment

findings should the RN document that are consistent with diminished peripheral circulation? (Select all that apply.)

• Diminished hair on legs
• Bruising on extremities
• Skin cool to touch
• Capillary refill less than 3 seconds
• Darkened skin on extremities

Correct Answer: A & C

• The registered nurse (RN) is caring for a client with a newly placed nasogastric tube

(NGT). Once the placement of the NG tube is verified by x-ray, which technique should the RN use as a reliable method to ensure the NGT is not displaced?

• Check pH of aspirated stomach contents obtained from the NGT.
• Auscultate over the epigastrium while injecting air into the NGT.
• Disconnect and place the end of NGT in water to see if bubbles appear.
• Listen for hyperactive bowel sounds in all four quadrants of abdomen.

Correct Answer: A

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• A male client is admitted after falling from his bed. The healthcare provider (HCP)

tells the family that he has an incomplete fracture of the humerus. The family ask the RN what this means. Which type of fracture should the RN explain from these findings?

• Straight fracture line that is also a simple, closed fracture.
• Nondisplaced fracture line that wraps around the bone.
• A complete fracture that also punctures the skin.
• A fracture that bends or splinters part of the bone.

Correct Answer: D

• The registered nurse (RN) is caring for a client with acute pancreatitis and assesses

the admission laboratory results. What laboratory value should the RN anticipate being elevated with this diagnosis?

• Triglycerides.
• Amylase.
• Creatinine.
• Uric acid.

Correct Answer: B

• A client with cirrhosis of the liver asks the registered nurse (RN) to explain how

varicose veins can occur in the esophagus. Which statement should the RN provide to teach the client about the physiological etiology?

• The enlarged liver presses on the lower half of the esophagus which weakens blood

vessel walls.

• Abnormal vessels form as a result of liver damage that causes chronic low serum protein

levels.

• Esophageal swelling and tissue damage causes blood to circulate blood back through

the stomach.