HESI Comprehensive RN Exam
VERSION 12
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A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint?
Answer:
In the correct image, the adolescent is abduction the hip joint by moving the leg away from the midline of the body.
A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect?
Answer:
Tremors Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia.
A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following findings should the nurse expect?
Answer:
Nuchal rigidity This is a manifestation of bacterial meningitis.
A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take?
Answer:
Auscultate the apical pulse at least 1 min.The nurse should auscultate the apical pulse to obtain an accurate assessment of heart rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of the rapid rate and the transmission of respiratory sounds. 2 / 4
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions?
Answer:
Instruct the client to avoid coughing during the procedure.It is important for the nurse to remind the client to avoid coughing and to lie still during a thoracentesis to avoid puncturing the pleura.
A nurse in the ED is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse?
Answer:
The child exhibits discomfort while walking.The nurse should identify this finding as a potential indication of child sexual abuse.
A nurse is preparing to teach about dietary management to a client who has Crohn’s disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet?
Answer:
Fiber The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and inflammation.
A nurse is caring for a client who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? 3 / 4
Answer:
Turn off the CPM machine during mealtime.This promotes client comfort and dietary intake.
A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for the client?
Answer:
Radial vein of the inner arm.This site will have adequate subcutaneous tissue.
A nurse is developing a client education program about osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis?
Answer:
Sedentary lifestyle.This is a risk factor for osteoporosis. The nurse should encourage older adult clients to engage in weight-bearing exercises because they will promote bone health by increasing calcium and phosphorus levels.
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