HESI RN PRACTICE TEST 2024

HESI RN PRACTICE TEST 2024

Take your time and good luck!

1.

A patient will be discharged from the hospital today. Which person will most likely arrange the discharge of this patient to his or her own home, to a nursing home, or assisted living facility?

 
 
 
 

2.

The charge nurse is notified that the unit will be receiving an admission of a client from another bed in the hospital in order to make room for others being admitted through the emergency room. The unit is the Women’s Health Center of the hospital. Which of the following people would be most appropriate to be transferred to this unit?

 
 
 
 

3.

The nurse working at an acute care hospital is transferring a patient to a skilled nursing facility. The patient’s vital signs documented at 1400 are: T-37.5 degrees Celsius, P- 88, RR-16, BP135/70, Sp02 93% on RA. The following vital signs documented at 1800, just prior to discharge, are as follows: T-38.5 degrees Celsius, P-102, RR- 18, BP- 158/82, Sp02-91% on RA. What should be the nurse’s next course of action?

 
 
 
 

4.

A group of nurses who work on the quality assurance council of a unit have gathered to discuss ideas about how to educate their coworkers about Joint Commission requirements. Each of the nurses gives ideas, which are listed together without initially criticizing any of the suggestions. Eventually, all ideas on the list will be discussed as to their validity. This activity is known as:

 
 
 
 

5.

Richard is a 72-year-old with stage 4 lung cancer who has been admitted to the hospital for pneumonia. He is alert and oriented, and states he would like to sign a do not resuscitate (DNR) order. His wife enters the room after he has signed it and is very upset that he has made this decision without discussing it with her. She wants to know what she can do to get the DNR reversed. What should your first response be?

 
 
 
 

6.

You are on the unit and overhear another nurse talking on the phone to a patient’s friend who wants to see her patient who is comatose and on a ventilator. Since you cared for that patient yesterday, you know that the patient’s significant other, who is also the designated health care surrogate (HCS) and has power of attorney (POA), has expressly stated that he wants this person on the list for restricted visitors. The nurse whispers that she’ll call him to visit as soon as the significant other has gone home. What should your first response be? 

 
 
 
 

7.

Upon entering an elderly patient’s room, you find a research assistant with a clipboard, obtaining consent to participate in a new study. After signing the form, the patient begins to ask questions about the study. The assistant smiles and says, “Don’t worry about all that, we’ll take good care of you. Now enjoy the chocolate I brought.” What should your first response be?

 
 
 
 

8.

Jack is a 2-month-old with a diagnosis of spinal muscular atrophy (SMA) type I. He has been admitted to the hospital for progressive respiratory difficulty. His parents have been informed that if he is not placed on ventilatory support, he will continue to decompensate and die of respiratory failure. Jack’s physician discusses the poor prognosis of Jack’s condition, and tells the parents that he will not be able to be removed from ventilatory support once it is initiated, due to his progressive neurological disease. After much discussion, the parents have decided to decline ventilatory support, agree to a do not resuscitate (DNR) order, and request hospice care for Jack. Another parent heard them discussing Jack’s situation in the waiting room and says she could never do that to her baby. What is the most appropriate response to this parent?

 
 
 
 

9.

Victor is a 43-year-old patient who is HIV positive with a diagnosis of pneumocystis carinii pneumonia (PCP) who has been admitted to the hospital. His prognosis is very poor, and his partner, Roger, would like to have a ceremony performed in his room to honor their union in case something happens to Victor, who is in agreement. What is the most appropriate response to their request?

 
 
 
 

10.

A victim of a gunshot wound to the abdomen has been admitted to the hospital, accompanied by a police officer. When questioned, the officer states that the patient is a suspect in a homicide, which occurred as part of the same incident. A small child was killed as the result of a stray bullet. The patient is combative, yells that he’s in pain and demands medication. What is your most appropriate response?

 
 
 
 

11.

Which of the following is an example of a positive effect of exercise on a client?

 
 
 
 

12.

You have been assigned to take an apical pulse for one of the patients on the nursing unit. How will you do this?

 
 
 
 

13.

When a nurse does a pulse, he should note which of the following?

 
 
 
 

14.

What term is used to describe the sexual response changes among middle aged men?

 
 
 
 

15.

Mr. Roberts, a 68-year-old man, notices a gradual loss of hearing. This sensory change is called______________.

 
 
 
 

16.

Changes, such as retirement, grand parenting and increased dependence on others, are examples of what kind of changes?

 
 
 
 

17.

The community health nurse is educating a group of middle-aged women about recommended health screenings. Which of the following statements indicates that the client has understood the recommended health screenings for a 50-year-old female?

 
 
 
 

18.

A physician’s order instructs a nurse to take a temperature at the axilla. Where would the nurse place the thermometer?

 
 
 
 

19.

The pulse point located on the top of the foot is:

 
 
 
 

20.

Over a patient’s lifespan, the pulse rate: 

 
 
 
 

21.

Geriatric failure to thrive (GFTT) has 4 major characteristics. Of the following, which is NOT one of them?

 
 
 
 

22.

In which of the following ways can the nurse promote the sense of taste for an older adult?

 
 
 
 

23.

A nurse is caring for a client who died approximately one hour ago. The nurse notes that the client’s temperature has decreased in the last hour since his death. Which of the following processes explains this phenomenon?

 
 
 
 

24.

A nurse is caring for Mrs. T, a client with expressive aphasia. During a bath, she begins to gesture wildly and point toward the bath water, yet is unable to say anything. Which response from the nurse is most appropriate?

 
 
 
 

25.

A patient with leukemia is being taken off life support and the patient’s daughter says to the nurse “This should be my mom dying, not my dad. She has drank all these years and is still living.” Which stage of grief is the daughter in according to Kubler-Ross:

 
 
 
 

26.

Which of the following interventions is most appropriate for a client with a diagnosis of Risk for Activity Intolerance?

 
 
 
 

27.

A nurse is working with Mr. L, a client who is being seen for disrupted sleep patterns. The nurse encourages Mr. L to verbalize his feelings about sleep and his inability to maintain adequate sleep habits. What is the rationale for this action?

 
 
 
 

28.

Which of the following is an example of physical abuse?

 
 
 
 

29.

A patient has a goal of eating at least 50% of each meal. The patient refuses to eat so a nurse force feeds the patient in order for them to reach their goal of eating at least 50% of the meal. The nurse has committed_______against this patient.

 
 
 
 

30.

Assuming that an elderly patient will have a difficult time understanding the directions for how to take medication is an example of:

 
 
 
 

31.

A nurse is preparing to administer an enema to a 64-year old client. Which of the following actions of the nurse is most appropriate?

 
 
 
 

32.

Which of the following is a fat-soluble vitamin?

 
 
 
 

33.

A nurse is preparing to administer an enteral feeding through a gastrostomy tube. Before administering the feeding, the nurse aspirates some stomach contents and checks the pH. The result is 3.9. What is the next action of the nurse?

 
 
 
 

34.

How many cc s are there in 25 ounces?

 
 
 
 

35.

Which of the following boney landmarks is described by, “large, blunt, irregularly shaped process, such as that found on the lateral aspect of the proximal femur”?

 
 
 
 

36.

A nurse is assessing an African American client for risks of a pressure ulcer. Which of the following best describes what the nurse might find with an early pressure ulcer in this client?

 
 
 
 

37.

A nurse is preparing to irrigate a client’s indwelling catheter through a closed, intermittent system. Which of the following steps must the nurse take as part of this process?

 
 
 
 

38.

Which of the following is a negative outcome associated with impaired mobility?

 
 
 
 

39.

A client with asthma is being admitted for breathing difficulties. His arterial blood gas results are pH 7.26, PCO2 49, PaO2 90, and HCO3- 21. Which of the following best describes this condition?

 
 
 
 

40.

How does shock usually progress?

 
 
 
 

Question 1 of 40

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