HESI Makeup Day Practice Test

These questions are part of the practice quiz. Start practicing

• Which finding most clearly signals dehydration in a patient with three days of vomiting and diarrhea?
• Which physical change would the nurse observe in a client with malnutrition?
• After assessing several clients, which would indicate a need for parenteral nutrition?
• A client with heat stroke has a measured temperature of 39°C. What temperature in Fahrenheit should be documented?
• In evaluating cardiovascular risk, which client has the highest risk?
• What is the approximate normal angle between the nail bed and the nail plate, around 160 degrees?
• Which sensory-related change is commonly seen in aging and can influence safety in daily activities?
• When assessing an older adult male client, which clinical finding would the nurse expect as a response to the aging process?
• Which action should the nurse take if a gastrostomy feeding patient coughs during administration?
• During an elderly checkup, signs of elder abuse are observed. Which physical finding would confirm the nurse's suspicion?
• A client weighs 150 lb and is 5 ft 7 in tall. Which numerical value reflects this client's BMI?
• In Weber test, if sound lateralizes to the unaffected ear, what type of hearing loss is suspected in the affected ear?
• After assessing a client's muscle functionality, the nurse assigns a Lovett scale grade of F. Which statement best describes the muscle functionality?
• Which nursing intervention would the nurse use to encourage the client to verbalize their personal health problem?
• Which statement best reflects effective weight management education after BMI instruction?
• Which Korotkoff sound represents the diastolic pressure for children?
• An older adult who cannot see nearby objects most likely has which condition?
• Which term describes an exaggerated posterior curvature of the thoracic spine?
• A client reports sleeping until noon every day and taking frequent naps during the rest of the day. Initially which action would the nurse take?
• Metabolic acidosis triggers compensatory changes in which two body systems?
• When a nurse reviews a new admit's forms and orders, which task should be a priority in the initial plan of care?
• Which statement indicates effective learning about measures to promote health?
• For which involuntary physiologic response would the nurse monitor development in a client experiencing pain?
• What is the highest risk factor for developing a deep vein thrombosis?
• Pain described as arising from internal organs such as the abdomen is best categorized as which type?
• Which finding during a wound assessment would most likely require gloves and a gown as part of protective precautions?
• Which finding would prompt further assessment for nutritional risk?
• When initiating an assessment interview, which action best demonstrates respect for the patient?
• Which term denotes a regular and slow respiratory rate?
• Which factor would lead the nurse to identify an illness as chronic?
• Which condition would the nurse suspect when a client reports itching two days after a physical exam?
• A client shows enlarged lymph nodes and reports history of IV drug use and bisexual activity. Which diagnosis would the nurse suspect?
• If a client with heart disease develops digital cyanosis, which site should the nurse assess to confirm cyanosis?
• When preparing to assess a client with active tuberculosis, which piece of PPE should the nurse put on before entering the room?
• Which statement about total parenteral nutrition administration is correct?
• In the emergency department, an unconscious patient who has severe bleeding from a motor vehicle crash is in hypovolemic shock. At which pulse site should the nurse obtain the pulse rate?
• Arrange the steps of the bimanual deep palpation technique in sequence:
• Which of the following is a key consideration when interpreting a TB skin test result in a patient at risk for infection?
• Which statement best describes how fever is measured to assess core body temperature?
• A adolescent is brought to the ED after stepping on a nail. The nurse asks about tetanus vaccination; the patient says all immunizations are up to date. A few days later the patient is admitted with tetanus. Which statement best describes the nurse's responsibility in this situation?
• Based on current research, when asked about spanking as a disciplinary technique, which response would the nurse utilize?
• In a four-client ED triage, which client would be treated last?
• Which clinical indicator is most commonly used to determine whether a patient has a fluid deficit when the patient has three days of vomiting and diarrhea?
• In which sequential order would the nurse assess the visual field of a client?
• Which statement indicates understanding of teaching about lice control?
• In assessing a client's skin, which factor would most likely contribute to dry skin?
• When there is uncertainty about cuff size, what is the best action to ensure accurate blood pressure measurement?
• Which client would have a health promotion nursing diagnosis?
• After STI prevention education, which statement indicates effective learning?
• Which client would the nurse suspect has an increased risk of hyperlipidemia?
• In a group of four clients, which is identified as at risk for breast cancer?
• Which statement demonstrates proper food safety practice?
• A client with renal failure states illness is a punishment for sins. Which cultural health belief is the client communicating?
• Which statement indicates the client's interview is coming to a close?
• Which term describes the exaggerated posterior curvature of the thoracic spine?
• Which condition involves redness and swelling around the nail folds?
• In the left lateral recumbent position, which body system is most appropriately examined?
• Which piece of information obtained during a client's health history would be classified as biographical information?
• Which priority assessment would the nurse include when caring for a client who is experiencing depression?
• Which action best sets the stage for a client-centered interview?
• When assessing clients with gastrointestinal problems, which client would the nurse suspect has shigellosis?
• During a physical assessment, patchy areas with pigmentation loss on the skin, hands, and arms are observed. With which probable cause would the nurse associate this finding?
• In nursing diagnosis, which related factor would the nurse attach?
• Which factor can cause a pulse oximeter reading to falsely appear elevated, potentially masking hypoxemia?
• For a pelvic examination during a health checkup, which position should the client be prepared for?
• After presenting info about falls risk assessment to nursing staff, which participant statement needs review for corrective action?
• While assessing a client's vascular system, the nurse finds a diminished and barely capable pulse strength. Which documentation would the nurse utilize?
• Which factor would elevate a client’s oxygen saturation reading?
• In the same visual field testing sequence, which step comes last?
• A client experiencing hypercarbia would exhibit which pattern of breathing?
• A circumscribed elevation of the skin, 0.6 cm in diameter, filled with serous fluid on the cheek is most accurately documented as which term?
• Which intervention is essential to prevent DVT in postoperative patients?
• Which site for temperature measurement is most cost-effective and safe in general practice?
• While assessing a pediatric patient, an ophthalmologist notes inability to focus with both eyes. Which finding would confirm diagnosis of strabismus?
• Which UAP statement reflects effective learning about sites for assessing body temperature?
• What respiratory rate would be expected for a 2-year-old child?
• Which functional pattern addresses coping with altered body image in a patient undergoing chemotherapy?
• Which long-term effect would the nurse associate with marijuana use?
• What is the proper sequential order of steps when assessing a lesion?
• For a client arriving for an appointment, which action would be beneficial during the assessment interview?
• A client has a tuberculin skin test showing a 7 mm induration. Which statement best describes this result?
• Which statement describes the cultural health belief that illness is caused by supernatural forces?
• When obtaining a health history, which question would the nurse most appropriately ask?
• A client who does not understand English requires an interpreter. Which action may exacerbate health disparities?
• Which description matches coarse rhonchi that clear with coughing?
• A client reports difficulty breathing and the nurse auscultates bilateral wheezing in the anterior upper lobes. Which rationale would explain this sound?
• After performing an optical assessment, a client has impaired near vision. Which finding would confirm presbyopia?
• Which symptom is a potential result of anticholinergic medication?
• If a nurse observes a pulse deficit during a physical assessment, which pulses would be used to assess the pulse deficit?
• The nurse documents data that was gathered during an assessment in a client's medical record. Which action would the nurse take to ensure that the data is meaningful to other health care providers?
• The inflammation of the skin at the bases of the nails would most likely be associated with which event?
• Which skin finding is described as increased visibility of oxyhemoglobin due to capillary dilation?
• Which question best helps identify whether diabetes may contribute to pneumonia risk in a patient?
• After teaching an obese client how to calculate the body mass index, which statement indicates effective learning?
• Which client is at a high risk for a rise in blood pressure based on common risk factors (age and obesity)?
• Which feature distinguishes nursing diagnoses from medical diagnoses?
• Paronychia is best described as inflammation around which part?
• A patient with a history of cardiac dysrhythmias is admitted with fluid volume deficit due to a pulmonary infection. The nurse records several vital signs. Which sign requires reassessment?
• During range-of-motion assessment, the nurse explains adduction to the UAP. Which statement indicates effective learning?
• During assessment of four clients, which client demonstrates Cheyne-stokes respiration?
• Which factor appears to influence the client's health practices?
• Which condition is indicated by a thin white ring around the margin of the iris in an older adult?
• Which client scenario represents a health promotion nursing diagnosis?
• Presbyopia is best described as which of the following?
• To ensure breast health, the nurse teaches a client about prevention and detection practices. Which client statement indicates the need for further teaching?
• Which of the following is a normal blood pressure for a 12-year-old?
• Which reliable site would the nurse utilize to assess a client for jaundice?
• Upon entering the exam room of a client and spouse, the client appears withdrawn and fearful of the spouse. What action should the nurse take?
• Which measurement is used to determine the size of a lesion?
• Damage to which nerve would cause the inability to move the eyes laterally?
• In the wound care scenario, what action would most help prevent tetanus?
• Which statement describes a nursing process step involved in selecting a nursing diagnosis?
• The nurse uses a thermometer to obtain the client's temperature when the forehead is warm. This action is called what?
• In the transtheoretical model of health behavior change, which stage describes a client who has not started walking 30 minutes daily and exercising five days a week?
• During fever resolution, what happens to pyrogens?
• A client develops wheezing and hives within minutes of latex exposure. This reaction is most consistent with which hypersensitivity?
• Which temperature range indicates moderate hypothermia?
• During a falls risk assessment, what action should the nurse take after learning the client recently fell?
• For which age group would the nurse expect the occurrence of chronic illness to be the highest?
• During a physical examination, which assessment would the nurse anticipate when a client is placed in the lithotomy position?
• Which temperature measurement method is most accurate for core body temperature?
• A swollen area in front of the ear in a patient with ear pain most likely involves which lymph node?
• Health disparities can be introduced when care is delivered by a staff member who does what?
• The nurse just arrived on the unit for his shift. Which action would the nurse take first to collect an initial set of data about the clients assigned to the nurses care?
• During a Romberg test, where should the nurse position themselves in relation to the client?
• Which potential cause would the nurse associate with eyes not focusing on an object simultaneously and appearing crossed?
• Which route is used to measure core body temperature most accurately in adults?
• Which client profile represents the highest medical risk for coronary heart disease and hypertension?
• Post pelvic surgery, majority of pulmonary emboli begin as DVT in which area?
• Arcus senilis is most commonly observed in which population?
• After reviewing otoscope use for assessment of the ear with the nursing staff, which participant response reflects safe follow up care for earwax near the tympanic membrane?
• What term refers to inflammation of the skin at the base of the nail?
• While assessing the nails of a client with diabetes, the nurse finds the skin on hands and feet dry due to infection. Which rationale would the nurse associate with this dryness?
• In a client with diarrhea, which clinical indicator would the nurse anticipate decreasing?
• Which transmission focus must be prevented when caring for a client with Hepatitis A?
• Which client would the nurse anticipate needing a referral to a support group for people with vision loss?
• Which home modification best reduces fall risk for an older adult?
• When assessing a patient for malnutrition the nurse would monitor for increase in liver enzymes and a decrease in which water soluble vitamin?
• Cheyne-stokes respiration is described as alternating periods of what pattern?
• Which of the following would indicate a person is in the initial phase of fever development?
• A patient who has just had a falls risk assessment should have which action prioritized?
• In a knee replacement patient, which of the following is an example of subjective data?
• During orientation, an RN reviews content about the third heart sound S3. Which statement indicates ineffective learning?
• Which action would the nurse take when a client is receiving total parenteral nutrition?
• The nurse expects a client with an elevated temp to exhibit which indicator of pyrexia?
• Which nursing functional pattern focuses on self-concept and body image?
• Which nursing action would increase the effectiveness of teaching a client to self-inject insulin?
• Which assessment test differentiates conduction from sensorineural hearing loss?
• Which temperature would the nurse associate with shivering uncontrollably and memory loss, depression, and poor judgment?
• The nurse providing primary preventive care at a community health care center focuses on which type of activity?
• Which term describes the elasticity of the skin?
• For an older adult admitted after a stroke, how should the nurse respond when the client's cousin asks to see the client's health record?
• When interviewing and assessing a 17 year old client, which finding alters the nurse to explore substance abuse with the adolescent?
• Which physical skin finding would the nurse associate with opioid abuse?
• Which dental development question is appropriate to assess growth in pediatric health history?
• A drug that causes pupillary dilation belongs to which category?
• Which assessment item needs to be documented on a client with restraints?
• When interpreting findings from a pain assessment, which factors would the nurse consider the most significant influences on a client's perception of pain?
• Which sequence correctly represents the order of the nursing process steps?
• Which data collection item is used to confirm assessment data?
• Which question would be most appropriate to assess growth in a pediatric health history?
• Patchy depigmentation of the skin in localized areas is most commonly associated with which type of disorder?
• When assessing a confused client upon room entry, which action should the nurse take?
• If the defining characteristics of a client's assessment data apply to more than one diagnosis, which action should the nurse take?
• Which is a benefit of using standard, formal nursing diagnostic statements?
• Gastric lavage would be questioned for which clinical indicator?
• Which factor would the nurse assess for a client reporting constipation?
• Remittent fever is best described as fever that:
• Which term describes inflammation around the nail base?
• A deficit in which action would indicate impairment of the cranial nerve XI?
• A patient with chest pain, shortness of breath, weakness, and vomiting; which site would the nurse check for a pulse?
• Pupillary dilation is commonly associated with which drug class?
• Which client’s findings indicate risk for heart disease?
• After a home assessment of an older adult fall risk, which intervention would the nurse suggest?
• After abdominal surgery, which cue would the nurse use to form a data cluster?
• A client with a blood pressure of 130/80 mmHg would most likely be advised to follow up with the primary care provider in which timeframe?
• Bilateral wheezing in the upper lung regions is most consistent with which pathophysiological process?
• In a patient with a chest tube drainage system, persistent absence of bubbling in the suction control chamber most likely indicates what?
• In primary prevention, the nurse's focus is on what type of activity?
• After teaching a male client about measures to maintain sexual health and prevent transmission of STI, which statement indicates effective learning?
• Long-term marijuana use is associated with an increased risk of which health condition?
• Which practice most effectively encourages a client to discuss personal health concerns during an interview?
• Which nursing diagnosis would be most helpful in guiding the right nursing intervention for a client who is not aware of perineal care and has impaired skin integrity?
• Which statement indicates a risk of breast cancer?
• Which client would experience impaired near vision?
• A nurse notes a patient with pneumonia has a history of diabetes. Which assessment would be most informative for monitoring infection control?
• An assessment of an 89-year-old client with a history of severe congenital spinal deformity describes which condition?
• Which type of interview would the nurse utilize when admitting a client to a clinic?
• When a client asks about tetanus antitoxin, which immunologic benefit does it provide?
• Which term describes aging-related loss of near vision?
• A bluish coloration of the skin during assessment would most likely lead the nurse to suspect which condition?
• Corneal arcus is most strongly associated with increased risk of which condition?
• In strabismus assessment, which finding would support diagnosis aside from misalignment?
• Which statement best describes kyphosis?
• Which lymph node is located just anterior to the ear and commonly involved with ear infections?
• In a client with enlarged lymph nodes and a history of intravenous drug use, which diagnosis would the nurse suspect?
• Which drug would be most likely to cause mydriasis?
• A patient weighed 210 pounds on admission and after two days of diuretic therapy weighs 205 pounds. Which value best represents the liters of fluid excreted?
• An older client with chills and fever; which rectal temperature reading would the nurse anticipate?
• Arrange the sequence of events occurring during a fever in chronological order.
• The nurse records temperatures for four febrile clients over four days. Which client demonstrates remittent fever?
• Which statement best describes nursing diagnoses as distinct from medical diagnoses?
• When preparing to assess a client with Clostridium difficile infection, which piece of PPE should the nurse put on before entering the room?
• A recent immigrant from China is critically ill and dying. To address emotional needs, which question would the nurse ask when collecting information?
• When gathering data for a clients health history, which intellectual factor would the nurse consider as a dimension?
• When assessing LOC, which one of the four clients would the nurse identify as having the lowest neurological function?
• Which factor would the nurse associate with dry skin in the context of skin assessment?
• The ratio of the anteroposterior diameter to the transverse diameter of the chest is 1:1. Which finding best supports this conclusion?
• Which body area is most commonly observed first to detect jaundice?
• Which term would describe a small blister containing clear fluid?
• To screen for disease-related weight change, which question would you ask?
• A client reports right ear hearing loss. When performing a Weber test, the client hears the sound better with the right ear. Which condition would the nurse suspect?
• In a client with a closed chest tube drainage system connected to suction, which finding requires additional evaluation?
• Which step would the nurse take first when preparing a concept map for as assigned client?
• Which pulse site would the nurse use to perform the Allen test?
• Which sign is commonly associated with fever?
• Paresthesias are most closely associated with which postoperative electrolyte disturbance after thyroidectomy?
• To evaluate the function of the extraocular muscles, which task would you perform?
• Which action is important for establishing good communication with a client who has impaired hearing?
• A patient has pupillary dilation; which drug would most likely cause this effect?
• Based on provided data, which client would nurse suspect of having hypertension?
• To prevent heatstroke, a client on diuretic therapy should avoid which activity?
• During pulse assessment, the RN asks the student to check the apical pulse after assessing the radial pulse. What is the rationale for this request?
• What is an appropriate initial step when preparing to palpate the abdomen using a two-handed deep technique?
• After teaching measures to protect against food-borne illness, which client statement reflects ineffective learning?
• Which assessment finding would prompt a nurse to wear a protective gown?
• When documenting care for a restrained patient, which item is essential to record?
• Gastric lavage should be questioned if which lab value is elevated?
• What is the first step in the described sequence for assessing a client's visual field?
• During an interview with an older adult following a stroke, which approach supports confidentiality when family asks for access to records?
• A nurse documents a client's pulse as 3+. What does this indicate about pulse strength?
• Which position would be contraindicated for a client with chronic obstructive respiratory disease?
• A client develops allergic reaction during physical assessment. Which nurse statement indicates a lack of understanding?
• The Allen test assesses collateral circulation in which artery?
• While collecting a client's urine sample, which condition would the nurse suspect if the sample has a strong odor of ammonia?
• Which step immediately follows asking the client to close the right eye gently in the described visual field assessment sequence?
• Obstruction to the outflow of aqueous humor; Which finding would support a diagnosis of glaucoma?
• Which finding would necessitate holding gastrostomy feedings and meds and notifying HCP immediately?
• Ten days after abdominal surgery, a patient reports abdominal pain. This pain is best categorized as which type?
• A pulse strength of 3+ is described as which term?
• Which site would be safer and less expensive for temperature measurement of a human?
• During a thorough assessment to identify the cause of a client’s anxiety, which critical thinking attitude is involved?
• When would the nurse observe a client to assess their level of functioning?
• On admission, what sequence reflects proper initial assessment planning?
• Which infant has an abnormal weight?Four infants are being assessed: Infant 1 weighs 6 lb 8 oz, Infant 2 weighs 4 lb 2 oz, Infant 3 weighs 7 lb 8 oz, Infant 4 weighs 8 lb 3 oz.
• When assessing a client with Hepatitis A, which substance must the nurse be especially careful to prevent transmitting?
• A patient opens eyes to speech, verbal response is disoriented, and motor response localizes to pain. What is the GCS score?
• When assessing an older client as they walk into the exam room, which finding would the nurse document as abnormal?
• Which documentation practice best enhances clarity for other providers?
• The RN measures a client's BP as 130/80, while the UAP's measurement is 120/90. Which rationale would explain the measurement difference?
• Which lab parameter is commonly monitored closely in patients on total parenteral nutrition?
• In an older adult with dehydration, which finding would the nurse identify as an early sign?
• Inflammation at the bases of the nails is most likely related to which event?
• The nurse, after a cardiac catheterization, notes the client's skin at the site is cool, tender to touch, with edema. Which condition would the nurse suspect?
• The Glasgow Coma Scale scoring scenario: a patient is alert and opens eyes to sound or conversation, speaks confusedly, and obeys commands. What is the approximate score?
• Which temperature site is described as the preferred method for measuring body temperature in unconscious clients?
• What type of fever is characterized by fever spikes with a normal body temperature occurring at least once a day?
• Postoperative care for a client who had surgery to repair a deviated septum: which complication should the nurse monitor for?
• For a client admitted with metabolic acidosis, which two body systems would the nurse assess for compensatory changes?
• During a Romberg test, what is the correct nurse position relative to the client?
• During a general checkup of four female clients, which client is most at risk of developing breast cancer?
• When a new nurse develops pulse assessment plans for multiple clients, which client's plan correctly yields effective results?
• Which action is appropriate to avoid health disparities when communicating with someone who has limited English proficiency?
• During a physical assessment of a female client in a left lateral recumbent position, which body system would the nurse assess?
• In which situation would the nurse consider family members as the primary source of information?
• Which cranial nerve is assessed when asking the client to shrug their shoulders and to turn their head against passive resistance?
• When conducting an assessment of a client who does not speak English and an interpreter is unavailable, which action would the nurse not utilize?
• When assessing a client's blood pressure, obtained via the unsupported left arm, which reading error would the nurse expect?
• Which position would the nurse utilize to assess the musculoskeletal system, but contraindicated for clients experiencing chronic obstructive respiratory disease?
• The nurse auscultates coarse rhonchi in the anterior upper lung fields bilaterally that clears with coughing. Which condition would the nurse associate with these sounds?
• The chest with an AP diameter approximately equal to its transverse diameter is most commonly described as which chest shape seen in older adults?
• A patient’s BMI of 23.53 falls into which category?
• A slight convex curve at the nail angle where the nail meets the skin, measuring about 160 degrees, is most appropriately described as which finding?
• The condition where the eyes do not focus on a single object simultaneously and appear crossed is most accurately called what?
• What is the most appropriate description of a pulse that is not detectable?
• Based on the transtheoretical model, which stage would the nurse document for a client who has maintained the behavior for 8 months?
• Which assessment finding most strongly indicates risk for heart disease?
• Which part of the body would the nurse assess to confirm a diagnosis of frostbite?
• After conducting a falls risk assessment education session for the staff and observing falls risk assessments on the unit, which staff action needs review for corrective action?
• When assessing a client who had a thyroidectomy yesterday, which cue would the nurse associate with an initial sign of hypocalcemia?
• Which item would be considered biographical data in a health history?
• During blood pressure measurement, which error will most likely produce a false high diastolic reading?
• Paronychia is best described as inflammation around the skin adjacent to which structure?