HESI Prep Questions
Which electrical activity of the cardiac conduction system is reflected in the P wave? 1 Atrial depolarization 2 Atrial repolarization 3 Ventricular depolarization 4 Ventricular repolarization
1
Which risk factor for head and neck cancer would the nurse assess for in a client with a persistent, nagging cough? Select all that apply. One, some, or all responses may be correct. 1 Type of employment 2 Presence of ear pain 3 History of tobacco use 4 Oral hygiene practices 5 Amount of alcohol intake
1-2-3-4-5
How would the nurse position a client to practice supraglottic swallowing after tracheostomy? 1 In bed 2 Upright 3 Lying down 4 Position of comfort
2
Which explanation will the nurse give when a client asks about what causes varicose veins? 1 "Abnormal configurations of the veins." 2 "Incompetent valves of superficial veins." 3 "Decreased pressure within the deep veins." 4 "Atherosclerotic plaque formation in the veins."
2
Which group of clients would the nurse anticipate to have the highest incidence of non-Hodgkin lymphomas? 1 Children 2 Older adults 3 Young adults 4 Middle-aged persons
2
Which parameter describes the maximum volume of air a client's lungs may contain? 1 Vital capacity 2 Total lung capacity 3 Inspiratory capacity 4 Functional residual capacity
2
Which rationale would the nurse use when explaining the purpose of pursed-lip breathing to a client with emphysema? 1 Prevents bronchial spasm 2 Decreases air trapping in lung 3 Improves alveolar surface area 4 Strengthens diaphragmatic contraction
2
A client just had a total hip replacement and is experiencing restlessness and changes in mentation. Which complication would the nurse consider the client may be experiencing based on these responses? 1 Bladder spasms 2 Polycythemia vera 3 Hypovolemic shock 4 Pulmonary hypertension
3
A client with a coronary occlusion is experiencing chest pain and distress. Which is the primary reason that the nurse administers oxygen? 1 To prevent dyspnea 2 To prevent cyanosis 3 To increase oxygen concentration to heart cells 4 To increase oxygen tension in the circulating blood
3
How would the nurse position a client with epistaxis? 1 Supine 2 Side-lying 3 Upright leaning forward 4 Sitting with the head tipped backward
3
Which intervention would the nurse offer the client to help relieve the symptoms of sinusitis? 1 Repositioning 2 Humidified air 3 Saline irrigation 4 Frequent suctioning
3
Which laboratory result is most important to communicate quickly to the health care provider? 1 Blood glucose 98 mg/dL (5.44 mmol/L) 2 Hemoglobin 14.1 g/dL (141 mmol/L) 3 Potassium 3.0 mEq/L (3.0 mmol/L) 4 White blood cell 9200/mm3 (9.2 × 109/L)
3
In which area would the nurse place the stethoscope when taking an apical pulse? 1 aortic area 2 epigastric area 3 pulmonic area 4 mitral area
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Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system for a pneumothorax? Select all that apply. One, some, or all responses may be correct. 1 Emptying the drainage system when full 2 Keeping the drainage system at heart level 3 Notifying the health care provider of drainage greater than 50 mL/h 4 Marking the time on the drainage unit every shift 5 Laying the drainage system on its side during transport
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Which part of the electrocardiogram (ECG) represents depolarization of the ventricles? 1 P wave 2 T wave 3 PR interval 4 QRS interval
4
How is hemophilia A inherited? 1 X-linked recessive trait 2 Y-linked recessive trait 3 X-linked dominant trait 4 Y-linked dominant trait
1
How would anxiety affect outcomes for a client with heart failure? 1 Increases the cardiac workload 2 Interferes with usual respirations 3 Produces an elevation in temperature 4 Decreases the amount of oxygen used
1
Which object would the nurse teach the client with a newly implanted pacemaker to avoid? 1 Strong magnet 2 Microwave oven 3 Mobile telephone 4 Remote control device
1
While in the postanesthesia care unit, a client reports shortness of breath and chest pain. Which is the most appropriate initial response by the nurse? 1 Initiate oxygen via a nasal cannula 2 Administer the prescribed morphine 3 Prepare the client for endotracheal intubation 4 Place a nitroglycerin tablet under the client's tongue
1
A client reports left-sided chest pain after playing racquetball. The client is hospitalized and diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which finding? 1 Dull sound on percussion 2 Vocal fremitus on palpation 3 Rales with rhonchi on auscultation 4 Absence of breath sounds on auscultation
4
When calculating a client's heart rate on an electrocardiogram (ECG) strip, which action would the nurse take? 1 Count the P waves. 2 Count the T waves. 3 Count the PR interval. 4 Count the QRS complexes.
4
Which action would the nurse take after having difficulty in palpating the pedal pulse of a client with venous insufficiency? 1 Count the pulse at another site. 2 Notify the primary health care provider. 3 Lower the legs to increase blood flow. 4 Verify the pulse by using a Doppler.
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