HESI 366 Practice Test

These questions are part of the practice quiz. Start practicing

• Fifteen minutes after receiving sulfamethoxazole-trimethoprim, a client reports a burning sensation in multiple areas. What intervention is most important?
• Which finding requires immediate follow-up by the nurse? (Choose the most urgent)
• While admitting a female client with bipolar disorder, the client begins to take off her clothes and throw them around the room. What action should the nurse take first?
• Which food should the nurse encourage a patient on a postoperative full liquid diet to eat?
• A patient presents with facial droop, garbled speech, and a history of hypertension. These findings are most consistent with which condition?
• An infant with trisomy 21 and a large ventricular septal defect requires monitoring. Which actions are prioritized for detecting potential heart failure?
• A T-score is used to compare bone density to which reference?
• Which intervention is appropriate as an initial step when elder mistreatment is suspected?
• A client is receiving IV fluids by gravity infusion and exhibits signs of fluid volume overload. When assessing the IV delivery system, where should the nurse assess first?
• Which symptom is commonly associated with hypoglycemia in a person with type 1 diabetes?
• Which statement correctly matches the clinical role with its typical focus?
• Which statements by the client indicate depression is improving?
• Which statement best explains how foods rich in Vitamin K affect warfarin therapy?
• When educating parents about home phototherapy for a 4-day-old with a bilirubin level of 19 mg/dL, which instruction should be included?
• To evaluate the effectiveness of an antibiotic prescribed for a respiratory tract infection, which laboratory value should be monitored?
• Untreated pressure injuries are most consistent with which elder mistreatment category?
• A toddler is being followed up after corticosteroid treatment for minimal change nephrotic syndrome (MCNS). Which finding is an early sign of relapse?
• When evaluating outcomes in rehabilitation, which sources of information should be considered?
• A client on ramelteon reports several side effects. Which side effect should be reported to the healthcare provider?
• In the PACU, a client who has had a hypophysectomy for Cushing's disease requires which intervention to be most important in the plan of care?
• An impaired nurse requests return to duty after mandatory counseling. What action by the charge nurse is best?
• A toddler with URI symptoms and fever has a throat culture with no growth. During discharge education, which instruction should the nurse include?
• A client with influenza needs assistance to transfer to the bedside commode. The UAP dons gloves and a gown to assist. What action should the nurse take next to ensure proper infection control?
• Which monitoring is essential for a patient who is on haloperidol and lithium to minimize risk?
• Which single finding would most strongly indicate the infant’s condition is improving?
• A UAP requests a change in assignment because she has not yet been fitted for a particulate filter mask while caring for a client on droplet precautions. Which action should the nurse take?
• How many aspirin tablets are needed for a 650 mg dose if each tablet is 325 mg?
• A pregnant client’s prenatal immunization history is reviewed. Which immunization should the nurse instruct the client to receive after pregnancy?
• Which nursing intervention is indicated for the second stage of labor?
• Which statement by a client with an impulse control disorder indicates effective coping?
• Nurses on a surgical unit are concerned about a healthcare provider's treatment of clients during invasive procedures. What is the first action the nurses should take to resolve this problem?
• Which intervention is most important in the plan of care for a client who is 12 hours post-thyroidectomy?
• When performing venipuncture in an older adult, which technique helps reduce vessel trauma?
• A patient recently underwent lung tumor removal and has a chest drainage system with multiple chambers. If the second chamber reads 850 mL, which description correctly identifies this finding?
• A client with a new colostomy asks about the purpose of colostomy irrigation. How should the nurse describe it?
• When monitoring a TURP patient with a continuous bladder irrigation, which finding indicates a potential catheter obstruction?
• Which parameter is explicitly listed as a monitorable concern after retinal detachment surgery?
• In an infant with trisomy 21 and a large VSD, which tests would be appropriate to evaluate the potential for heart failure?
• Which intervention is appropriate to prevent spread of symptoms until a specific day?
• After taking SMZ-TMP, a patient experiences a burning sensation. Which assessment should the nurse perform to evaluate a possible adverse reaction?
• If cefazolin dose is reduced to 400 mg using the same concentration (1 gram per 3 mL), what volume should be administered?
• Small spots with bluish white center are characteristic of which disease?
• Which fever-management action is appropriate for a febrile patient?
• What is the primary purpose of the drip chamber in an IV setup?
• A child weighing 25 kg is prescribed methylprednisolone 0.5 mg/kg/day to be given IM in divided doses every 12 hours. The medication is in a 20 mg/mL vial. How many mL should be given with each dose?
• Which child is most susceptible to lead poisoning during intake interviews?
• When discussing caregiver stress with the client's daughter, which statements should the nurse include?
• A child with acquired aplastic anemia has the best prognosis with which treatment regimen?
• What is the purpose of continuous bladder irrigation after TURP?
• In a client with bipolar disorder experiencing a manic episode who is being treated with haloperidol and lithium, which action should the nurse take to minimize risk?
• For a client diagnosed with psoriasis, which behavior by the nurse addresses the client's psychosocial need for acceptance?
• For a migraine patient awaiting the effect of sumatriptan, which environmental modification is appropriate to help reduce sensory stimulation?
• A liter of normal saline to infuse over 4 hours requires what rate in mL/hour?
• A client with Alzheimer's disease is taking trazodone; the caregiver reports mood and sleep have improved but there is no change in cognitive ability. How should the nurse respond?
• Which time window is critical for initiating thrombolytic therapy in ischemic stroke?
• Which intervention is appropriate to include in the client's plan of care?
• An older adult with pneumonia and COPD is weak after prolonged endotracheal intubation with mechanical ventilation. Which single action should the nurse implement first?
• Which of the following is NOT appropriate for this client?
• For acquired aplastic anemia, which treatment option offers the best prognosis?
• In the described toddler with URI symptoms, which symptom is notably absent?
• Which statement accurately reflects the required action when elder mistreatment is suspected?
• Which action is most appropriate when a patient with a respiratory infection has a negative COVID-19 test result but later develops fever and cough?
• In evaluating a 21-year-old patient with fatigue and missing labs, which priority area should the nurse assess to help avoid misdiagnosis before referring to the PCP?
• A client on mechanical ventilation has pH 7.26, PaCO2 68 mm Hg, PaO2 92 mm Hg. What action should the nurse take?
• The charge nurse is assigning one practical nurse (PN) and three registered nurses (RN) to neurologically compromised clients. Which client change is best to assign to the PN?
• Two critical care clients are under the nurse’s care. Which intervention should be implemented first?
• In a postoperative patient with signs of infection, which laboratory value is most useful to assess the body's acute inflammatory response?
• When an HCP instructs the nurse to administer a dosage that cannot be programmed into the pump, what action should the nurse take?
• Which option is an example of nontherapeutic communication?
• Following a bone marrow biopsy in a patient with thrombocytopenia, which site requires close inspection for bleeding?
• A patient is to receive 1 liter of lactated Ringer's solution over 8 hours. What should the infusion pump be programmed to deliver in mL per hour?
• A school nurse is assessing a 5-year-old with recurrent joint pain and bruising. Which action should the nurse take first?
• A client with atrial fibrillation has a new prescription for extended-release diltiazem. Which nursing instruction is most important to emphasize?
• During the initial mental health assessment, which information should the nurse consider as relevant?
• In a patient with pleural effusion and heart failure, which intervention best reduces cardiac workload?
• In suspected cerebrovascular accident with facial paralysis and left-sided weakness, a spouse tries to give the patient water. What action should the nurse take first?
• For a child with sickle cell disease, which sign most strongly indicates a life-threatening complication requiring urgent care?
• Which observation would most readily indicate patency of an arteriovenous fistula in a dialysis patient?
• In a toddler with MCNS, which finding indicates an early relapse after corticosteroid treatment?
• A nurse prepares to administer 1.6 mL of medication intramuscularly to a 4-month-old infant. Which action should the nurse include?
• Postoperative care for a patient who recently had a hypophysectomy should include which head-of-bed position to help prevent complications?
• Several weeks before scheduled thyroid surgery, a client is prescribed methimazole. The nurse should instruct the client to perform which daily self-assessment?
• A client with sudden visual changes is evaluated for ischemic CVA. Which initial nursing action is most appropriate?
• In the toddler with URI, which test result was negative?
• Which nutrient interacts with warfarin and requires monitoring of dietary intake?
• To assess the quality of the client’s pain from recurring migraine headaches, which approach should the nurse use?
• Discharge instruction for gout with colchicine and ibuprofen should include which dietary modification?
• When providing care to a patient with influenza, which precaution is essential for close contact?
• A client with atrial fibrillation is scheduled for an elective cardioversion. Which action is most important before deploying the current?
• Which professional focuses on activities of daily living and fine motor skills during stroke recovery?
• Depression or withdrawn behavior is typically categorized as which form of elder mistreatment?
• In a community with a large uninsured population, which barrier to accessing quality healthcare is most directly linked to cost?
• Before undergoing an intravenous pyelogram, the most important information for the nurse to gather is whether the patient has an allergy to shellfish.
• A patient has a T-score of -2.8. This finding indicates which condition?
• The statement 'Client symptoms are indicators of depression' most closely represents which concept?
• Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?
• Which lunch choice indicates that the patient’s diet teaching for wound healing was effective after leg wound treatment?
• An intravenous pyelogram visualizes which structures?
• A client began an exercise program to lose weight to improve sleep but reports it still takes at least two hours to fall asleep. Which action should the nurse implement?
• A patient reports fatigue and has missed several days of work in two weeks. Which diagnosis is most supported by these symptoms?
• Which symptom pattern is most consistent with a gastric ulcer and should prompt a full physical evaluation?
• To assess outcomes after rehabilitation, which information should the nurse consider?
• A postpartum client who is bottle feeding develops breast engorgement. What is the best recommendation?
• What is the primary correct purpose of the synchronization mode in synchronized cardioversion?
• A nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicates the program is effective?
• A client with leukemia receiving myelosuppressive chemotherapy has a platelet count of 25,000/mm3. Which intervention is most important to include in the plan of care?
• Which acid-base disturbance is present with pH 7.26 and PaCO2 68 mm Hg in a ventilated patient?
• Which finding in a patient with acute neurologic symptoms best indicates a stroke and requires immediate evaluation?
• A patient with diabetic peripheral neuropathy on pregabalin for 4 days shows improvement. Which finding indicates effectiveness?
• In discharge teaching after a liver transplant, which instruction is most important to include?
• Which rehabilitation professional is most focused on improving mobility and gait after a stroke?
• A client is admitted with Wernicke's encephalopathy. Which assessment finding should the nurse use when developing the plan of care?
• Leaving an older adult in a public space is categorized as which form of elder mistreatment?
• Which antidote is used for acetaminophen overdose?
• What is the optimal nursing action to support airway clearance for a patient after pneumonia and COPD with recent extubation?
• When establishing peripheral IV access for an older adult, which action should the nurse implement?
• Which intervention best promotes safety for a patient at risk for falls in the hospital setting?
• In a community clinic with limited English proficiency, which action best ensures accurate understanding of health information?
• Why is avoiding crowds important after a liver transplant?
• Which parameter should be monitored in the infant with a large VSD to assess for heart failure?
• A client has an elevated serum bilirubin level. Which assessment action should the nurse include?
• Which nursing action is an example of therapeutic communication?
• Oversedation is most closely associated with which category of elder mistreatment?
• What is the most direct method to evaluate pain quality in a patient experiencing a migraine?
• A client with a history of bilateral adrenalectomy presents with a weak, irregular pulse and hypotension. Which assessment finding warrants immediate intervention?
• An adolescent in the ED with fever and persistent right lower quadrant abdominal pain is anxious, fearful, and hyperventilating. The nurse anticipates which acid-base imbalance?
• Which action is appropriate to fever management when considering tepid baths?
• During tissue plasminogen activator (tPA) administration for acute ischemic stroke, which action should the nurse prioritize?
• The second step in the escalation process for concerns about a colleague's behavior during invasive procedures is:
• An older adult patient is upset after waking in a bed that is wet and has a strong urine odor. Which immediate nursing action is appropriate?
• Red spots with a bluish center are most likely to indicate which disease?
• A patient arrives postoperatively with clear fluid present on the lumbar dressing. Which action should be performed first?
• During a visual screening of older adults, which finding should the nurse report immediately to the healthcare provider?
• The nurse is planning care for a client with chronic kidney disease who is anuric and undergoes hemodialysis three times weekly. Which intervention belongs in the plan of care?
• A client with syphilis reports unprotected sex. Which response should the nurse provide regarding reinfection?
• A nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing action is appropriate to assign to the PN?
• An admission assessment for a patient with bipolar disorder includes signs of boundary testing when the patient undresses during the interview. What is the most appropriate initial nursing action?
• An older adult client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during postprocedure care in the outpatient surgical unit?
• The nurse is the team leader for a client in cardiopulmonary arrest. Compressions are 120/min with two one-second bag-valve-mask ventilations. There is visible rise and fall of the chest with ventilations. The patient remains cyanotic and no pulse is palpable with compressions. Which action should the team implement next?
• The nurse applies gloves and a face mask to perform a morning assessment of a client on droplet precautions. A small amount of mucous lands on the nurse's face mask. After removing the contaminated mask, what is the appropriate next action?
• Which PPE combination is appropriate for close contact when caring for a client with a respiratory infection on droplet precautions?
• Which findings are consistent with elder mistreatment?
• When giving sumatriptan 25 mg orally for a migraine, a patient reports the medication takes about 45 minutes to work. Which intervention should the nurse implement until the medication is effective?
• Among four clients with increased pain, which requires immediate intervention by the nurse?
• During a community health event offering bone density screening, which condition would be most concerning and require immediate reporting to the nurse?
• An older adult with Type 2 diabetes reports leg pain when walking that is relieved by rest. Which behavior indicates understanding of treatment to promote more effective arterial circulation?
• In elder mistreatment case study, bruises in various stages of healing indicate which form of abuse?
• What is the most important information to teach a client newly diagnosed with type 1 diabetes?
• Entering the room of a sedated postoperative client, which assessment requires immediate intervention?
• A postoperative patient with a ureteroileostomy following bladder cancer presents with which finding requires immediate reporting to the healthcare provider?
• Which of the following is NOT appropriate for this client?
• Which finding would indicate the patient with COPD on supplemental oxygen is not adequately oxygenated?
• An 11-month-old child presents to the emergency department with fever, cough, and a recent rash. Which findings should the nurse report to the healthcare professional?
• The healthcare provider prescribes cefazolin 800 mg IM every 6 hours. The vial is labeled Cefazolin 1 gram, and reconstitution states: For IM use, add 2.5 mL sterile water to obtain 3.0 mL total. How many mL should be administered?
• To evaluate the effectiveness of a telehealth program designed for clients with chronic conditions, which method should the nurse use to assess impact on outcomes?
• Which symptom is commonly associated with retinal detachment and requires urgent evaluation?
• Four days after exposure to COVID-19, a client has a negative test result. Eight days later, the client develops fever, fatigue, and cough. What is the most important action for the nurse to take?
• A client reports possible stomach ulcer with heartburn and a dull gnawing pain relieved by eating. What is the best nursing response?
• The nurse explains that sertraline can cause dry mouth. Which combination of education points is appropriate?
• In a postoperative patient after abdominal hysterectomy, which task is appropriate to delegate to the PN?
• After a postoperative admission, a client with type 2 diabetes mellitus has a blood glucose level of 750 mg/dL. Which assessment should be the priority?
• During bedside wound debridement for a mildly confused client with a sterile field, which safety intervention should the nurse implement?
• A TURP patient experiences bladder spasms. Which nursing action should be taken?
• During a dressing change, purulent drainage is observed at the wound site. Before reporting this to the healthcare provider, which laboratory value should the nurse review first?
• A diverse population with limited English proficiency: which action should the nurse use to meet needs? (best single choice)
• A 3-month-old is recovering from a pyloromyotomy and shows signals of pain. Which finding is most indicative of pain in this infant?
• A liter of normal saline is prescribed to infuse at 1.5 mL/kg/hr. The patient weighs 176 pounds. What infusion rate should be set on the pump in mL/hr?
• What is the primary purpose of colostomy irrigation?
• When elder mistreatment is suspected, the nurse should report findings to which agency?
• An older adult with emphysema returns from physical therapy with oxygen at 3 L/min and SpO2 88%. Which intervention should the nurse implement?
• A client with leukemia undergoes a bone marrow biopsy. If thrombocytopenia is present, which nursing assessment is most important after the procedure?
• The final step in the escalation process described for concerns about a colleague's behavior is:
• Which environmental factor is most significant when planning care for a client with osteomalacia?
• In acetaminophen overdose management, if an N-acetylcysteine oral dose is vomited within 1 hour of administration, what should the nurse do?
• What is the most appropriate initial nursing action when a patient with TURP reports bladder spasms?
• A male client who is overweight discusses monitoring the glycemic index to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?
• Which statement best describes the effect of daily exercise on sleep for someone aiming to lose weight?
• Which situation indicates a need for the nurse to discuss mitten restraints with the healthcare provider?
• The care team on a medical-surgical unit is delegating tasks to a practical nurse and an unlicensed assistive personnel. Which activity should be delegated to the UAP?
• A patient previously treated for herpes zoster now reports trunk pain at the site of prior lesions. What is the nurse’s first step?
• In a pediatric patient, calculate the per-dose volume for a methylprednisolone dose of 0.5 mg/kg/day for a 25 kg child, given in two divided doses daily, with a 20 mg/mL vial. What is the per-dose volume rounded to the nearest tenth of a milliliter?
• Which action best supports safety by reducing the risk of falls for hospitalized patients?
• In a patient with chronic kidney disease who has an arteriovenous fistula in the left forearm, which observation most suggests the fistula is patent?
• A client returns from lumbar spinal surgery with a dressing that has clear fluid leaking. Which action should the nurse implement immediately?
• A 75-year-old female presents with visual changes. Which condition is most consistent with this presentation and requires urgent management?
• Which rehabilitation professional is primarily responsible for improving communication and language skills after stroke?
• A client with a prescription for do-not-resuscitate (DNR) begins to manifest signs of impending death. After notifying the family, what is the priority action the nurse should implement?