HESI Level 1 Practice Exam

These questions are part of the practice quiz. Start practicing

• In terms of pain management in older adults, which factor should be prioritized by the nurse?
• What is the best intervention for a client experiencing spiritual distress due to impending death?
• To assess the effectiveness of an analgesic for a 4-year-old child, what intervention should the nurse implement?
• What action should the nurse take after supporting the client's knee with one hand during passive ROM exercises?
• After a visual inspection of a client's abdomen, what should the nurse do next in the examination?
• What activity should the nurse use in the evaluation phase of the nursing process?
• What are two key components assessed in the Math section of the HESI exam?
• Which finding during a preschool assessment warrants further evaluation by the nurse?
• What should the nurse assess last when conducting an examination on a 5-year-old child?
• What does witnessing a client's signature on an informed consent form best explain about the nurse's responsibility?
• What is the primary focus of health promotion in nursing?
• When digitally removing a fecal impaction, under what condition should the nurse stop the procedure?
• What should the nurse consider when adding sterile liquids to a sterile field?
• What action should the nurse implement when a 6-year-old squirms during an abdominal palpation?
• During a preoperative assessment, what question should the nurse prioritize for a client scheduled for surgery?
• According to Maslow's hierarchy, what stage is the adult male sales manager attempting to achieve by considering a job change?
• A nurse prepares 5% Dextrose Injection, USP, 1,000 ml IV to be infused over 8 hours. How many drops per minute should the nurse regulate the IV to administer?
• What is the expected outcome when monitoring a client receiving Dextrose 5% in Water (D5W) for hydration?
• Which nursing intervention is most effective in preventing further excoriation in a 2-year-old with severe eczema?
• For a 73-year-old client with a history of protein malnutrition, what initial information should the nurse obtain?
• What is the impact of cultural competence in nursing?
• What is the priority nursing intervention when preparing to administer intravenous albumin post-surgery?
• What home care activity should the nurse reinforce for a client with osteoporosis?
• Why is it important to understand pharmacokinetics in nursing?
• What is the purpose of a health history interview?
• What is a primary nursing intervention for a patient experiencing dyspnea?
• When admitting a client with Parkinson's disease, which nursing diagnosis should have priority?
• In chronic pain management, which method would be most beneficial for the nurse to recommend?
• To prevent nosocomial infections in a resident with candidiasis, what protocol should be reinforced?
• Why is it important to document nursing care?
• Which factor is most likely to affect medication absorption in older adults?
• Which sign would indicate a positive response to treatment in a client diagnosed with depression?
• What should the nurse do when an 88-year-old client on high dose aspirin therapy reports ringing in her ears?
• Which topic should the nurse include in planning a secondary prevention project for the local retirement community?
• In assessing a postmenopausal woman with urinary complaints, which condition is most likely responsible for her symptoms?
• When a male client states he does not know where he is or what year it is, how should the nurse document this?
• What is the benefit of patient-centered care?
• What is the impact of chronic pain on a patient's psychological health?
• What should the nurse do first when a client's IV infusion has infiltrated and they are in pain?
• What is a primary focus of the Mental Health section on the HESI exam?
• What explanation might clarify why Hispanic parents offer only broth to their child post-surgery?
• What is the significance of the 'Six Rights' in medication administration?
• At what time should the infusion of Dextrose 5% in Water (D5W) be completed if it started at 0300 and is administered at 75 ml/hour?
• What should the nurse prioritize when caring for a patient with anxiety symptoms?
• What is the importance of regular vital sign monitoring?
• A client with decreased lean body mass is likely to have a prescription adjusted based on which pharmacokinetic process?
• What action should the nurse take when a male client holds his breath while bearing down for a rectal suppository insertion?
• What is a priority nursing intervention for a client experiencing spiritual distress?
• What should a nurse do with a unit of blood received while a patient is in the X-ray department?
• What is the primary purpose of the HESI exam?
• In the HESI exam, what does the acronym "ADPIE" stand for in nursing?
• Which question should the nurse ask to obtain the most complete assessment data for a client with chronic pain?
• According to Erikson's developmental stages, which stage is a middle-aged woman who feels the urge to pass down her knowledge and skills to the younger generation involved in?
• What is the significance of the Client Needs section in the HESI exam?
• How should a nurse communicate with a patient who has hearing impairment?
• Which assessment data provides the most accurate determination of proper placement of a nasogastric tube?
• How can a nurse recognize signs of fluid overload?
• While taking carisoprodol (Soma) for muscle spasms, which product should the client avoid?
• What action should a nurse take to assess a client's femoral pulse?
• What is the first step in the nursing process?
• In the context of patient education, what is the teach-back method?
• How should a nurse instruct a client to schedule their controlled-release oxycodone medication?
• What should the nurse implement for a child with a penetrating eye injury?
• What is the purpose of evidence-based practice in nursing?
• What instruction should the nurse provide the UAP regarding the positioning of a client prior to administering a soap suds enema?
• How should a nurse respond to a patient's question about the necessity of prescribed medication?
• Which physical characteristic of aging increases the risk for developing decubitus ulcers?
• When should an inhaler-delivered medication be administered for proper use?
• In assessing a client with severe osteoarthritis using a goniometer, which measurement is the nurse primarily looking for?
• Which finding would indicate to the nurse that a client is experiencing an adverse reaction to a new medication?
• What color should the nurse recommend to paint the edges of the steps for the client with persistent vision problems?
• What is a primary care consideration for a nurse with a Jehovah's Witness patient?
• Which body system is primarily responsible for hormone regulation?
• What finding in a 79-year-old male client requires the most immediate follow-up assessment?
• A 17-year-old male student has a temperature of 100°F after football practice. What is the best action for the nurse to take?
• How can patient education assist in disease management?
• What vital sign changes might indicate septic shock?
• Which nursing intervention is crucial for patients at risk for pressure ulcers?
• What is the most important intervention for a male client experiencing urinary retention?
• In what situation would a nurse perform a head-to-toe assessment?
• What does the term “aseptic technique” refer to in nursing?
• What information is most appropriately provided by a genogram during a health assessment?
• When a male nurse is assigned to care for a female Muslim client who requests a female nurse for bathing, what is the best response?
• What client statement indicates to the nurse that the client requires assistance with bathing?
• What action should the nurse implement to prevent conductive heat loss in a newborn?
• What action is most important for the nurse to implement when donning sterile gloves?
• What is the most appropriate action for a nurse to take when a crying toddler has a blood pressure measurement of 120/70 mm Hg?
• When assessing a client with an indwelling urinary catheter, which observation requires immediate intervention?
• What does the term "informed consent" mean in the healthcare setting?
• What is the correct procedure for performing an ophthalmoscopic examination on a client's right retina?
• What should the nurse do first when a male client removes the covering from an ice pack applied to his knee?
• What is the correct method for measuring the length of a 14-month-old child?
• For a client receiving bolus enteral feedings via a gastrostomy tube, what is the best position during administration?
• When educating a client about nutrition, which food category is essential for adequate protein intake?
• In the Mental Health section, what is an important concept related to patient care?
• When documenting subjective findings for a client admitted for benign prostatic hypertrophy, which data is the nurse likely to record?
• What action should the nurse take for a hospitalized male client receiving nasogastric feedings who reports severe coughing?
• What would be the most appropriate response if a female client requests a translator for her treatment concerns?
• What instruction should the nurse include in the discharge teaching for self-catheterization?
• How should the nurse handle linens that are soiled with incontinent feces?
• What is the expected outcome of effective nursing interventions?
• Which client is likely to tolerate a higher level of pain according to pain tolerance?
• What neurovascular finding in a child on Russell's traction should be reported to the healthcare provider?
• Which of the following topics is included in the Nursing Fundamentals section of the HESI exam?
• Which nursing intervention is best when promoting comfort for a client in pain?
• What should the nurse first respond to a student nurse who is copying a client's medication administration record without permission?
• What should a nurse do if a client with chronic pain expresses disbelief about the pain management plan?
• Which statement describes a key principle of client instruction about medication adherence?
• In the context of wound care, what is debridement?
• Which skill is emphasized for nursing students regarding patient interactions?
• What action should the nurse take when the mother of a 9-year-old Vietnamese child avoids eye contact?
• What strategy should the nurse design to control nosocomial infections on a geriatric unit?
• During an assessment, which symptom is significant enough to warrant immediate attention in the elderly?
• What nursing care should be included when caring for a child with elbow restraints?
• During a packed red blood cell transfusion, which assessment finding is critical in identifying a febrile, nonhemolytic reaction?
• According to CDC guidelines, what should healthcare workers do to protect against HIV infection?
• What information should the nurse offer to a post-menopausal client concerned about osteoporosis?
• What is the appropriate dressing for a stage four pressure ulcer with a black, hardened surface and malodorous drainage?
• What should the nurse document if a client refuses to have blood drawn for tests?
• What does the acronym "SBAR" stand for in nursing communication?
• What is the most important instruction for an obese client starting a weight loss regimen with exercise?
• What is the optimum time for obtaining the trough level for a client receiving antibiotic therapy?
• How should a nurse document hearing short, high-pitched sounds in a client's lungs?
• What is the role of genetics in patient health assessments?
• What recommendation should the nurse make to protect the joints of a 71-year-old obese client with bilateral osteoarthritis (OA) of the hips?
• When teaching passive range-of-motion exercises, how should the caregiver hold the client's arm?
• What information should a nurse provide to a client prescribed a scopolamine patch for motion sickness?
• What does a narrow therapeutic index of a medication indicate?
• Based on a decrease in oxygen saturation from 94% to 88% while ambulating, what should the nurse do first?
• What sign of malignant hyperthermia should the nurse assess for during the perioperative period in a child receiving general anesthesia?
• Which action by the nurse best demonstrates culturally sensitive care?
• For a patient diagnosed with hypertension, what dietary adjustment should be highlighted by the nurse?
• What distinguishes a percutaneous endoscopic gastrostomy (PEG) tube from a gastrostomy tube (GT)?
• Which vital sign is most indicative of a patient's respiratory status?
• In what scenario would a nurse use a sequential compression device?
• How does stress affect the body according to nursing principles?
• A Spanish-speaking client is scheduled for surgery in the morning. Who is the best person to translate the instructions?
• In preparing a patient for discharge after a myocardial infarction, what instruction is most important for the nurse to provide?
• How should a nurse assess a patient’s pain level?
• When should a nurse document findings after assessing a client admitted from the PACU?
• What is the role of the nurse when a patient refuses medication administered via a specific route?
• What is the main purpose of passive range of motion (ROM) exercises for an unconscious client?
• How should the nurse assess a client for possible dependent edema?
• What is the role of the healthcare team in patient safety?
• What is the most important information for a client with glaucoma regarding over-the-counter (OTC) allergy medications?
• When assessing joint function in an elderly patient, what is the most appropriate tool?
• In evaluating client care, what should the nurse do first?
• What type of knowledge is assessed in the Microbiology section of the HESI Level 1 exam?
• Which site should the nurse assess to obtain the pulse rate for a 1-year-old child?
• What should a nurse do prior to administering medication?
• In HESI terminology, what is meant by "client advocacy"?
• In what scenario would a nurse use active listening techniques?
• Which dietary supplement should a nurse encourage a vegan client to include in their dietary plan?
• What is the recommended study approach for the AandP section of the HESI exam?
• What is the best action for a nurse when initiating contact with a toddler for the first time?
• What symptoms are most likely exhibited by a client with a 5-year history of Parkinson's disease?
• When assessing a patient with dehydration, which of the following symptoms would most likely be prioritized?
• What is the best response for a nurse when a child asks if having tonsils and adenoids taken out will hurt?
• During CPR, what should the nurse do first if the chest is not moving while attempting to ventilate?
• When an 87-year-old female client has an oral temperature of 97.2 F (36.4 C), what should the nurse do?
• Why is it crucial to monitor blood glucose levels in diabetic patients?
• What is the key nursing action for maintaining a neutral thermal environment in a low-birth-weight infant?
• What is the primary goal of palliative care?
• If a client refuses to look at her mastectomy incision at the first dressing change, how should the nurse respond?
• What is an important initial nursing action when preparing to administer medication to a patient?
• Why is it important to keep a neonate warm?
• What finding should the nurse recognize as a pressure ulcer risk factor in a bedridden older client?
• How do healthcare providers ensure compliance with infection control protocols?
• Which is the center of gravity for an elderly person?
• What is the rationale for using a fall risk assessment tool?
• How should a nurse respond to a patient’s request for pain medication?
• What is the best practice for nursing care when a patient is refusing to turn or move?
• Which technique is most efficient for the nurse to use when obtaining information about a client's primary health problem during the admission interview?
• What is the most important nursing action for an immobile elderly male client with low blood pressure and concentrated urine output?
• What information should the nurse provide to a client using herbal therapies to manage health?
• What finding should the nurse identify as a compensatory response in a male client with venous incompetence who experiences a drop in blood pressure upon standing?
• What is the action of colchicine in a client experiencing an acute attack of gouty arthritis?
• What role do nursing diagnoses play in patient care planning?
• What is the best intervention for a nurse when a client reacts aggressively during a dressing change?
• What is the primary action of miotic drug therapy in glaucoma treatment?
• Which assessment finding has the greatest implications for an elderly female client who had a stroke and can ambulate with a quad cane?
• After ensuring correct tube placement for an NGT connected to suction, which action should the nurse take next?
• In the context of the HESI exam, what does the term "Client Needs" mainly refer to?
• What instruction should the charge nurse give to a UAP who is bending at the waist to lift a 20-pound box?
• In the Pharmacology section, what type of questions are most commonly asked?
• What should the nurse tell the client prescribed oral antifungal therapy for onychomycosis?
• What is the importance of self-care for nurses?
• What is a common side effect of opioid analgesics?
• What should the nurse prioritize when assessing a client with a history of substance abuse?
• Which assessment tool is commonly used to measure patient pain intensity?
• Which test evaluates critical thinking skills in nursing students?
• What should the nurse do first for a client with a nasogastric tube attached to low suction who reports nausea and no drainage in two hours?
• What action should the nurse take to prevent the formation of a sacral ulcer in an immobile client?
• What action should the nurse take after aspirating a blood return in a lumen of a triple lumen catheter before administering medication?
• If a client is experiencing intractable pain, what instruction should be given to unlicensed assistive personnel (UAP) assisting with a bed bath?
• Before ambulating a postoperative client, which assessment data is most important for the nurse to consider?
• What response by a client with a nursing diagnosis of "Spiritual distress" indicates to the nurse that a desired outcome measure has been met?
• What immediate action should the nurse take if a client receiving TPN via a central line has the solution run out?
• What action should the nurse take if they observe contamination during a sterile procedure?
• What type of study materials are recommended for students preparing for the HESI exam?
• What is the primary purpose of infection control in healthcare settings?
• For a client with acute appendicitis experiencing stress about exams, what is the most important outcome to include in the care plan?
• Which option is considered a primary source for completing a health assessment?
• What is a common complication of immobility in patients?
• Which method of medication administration is associated with the greatest first-pass effect?
• Which assessment tool is crucial for evaluating a patient's nutritional status?
• For which patient is it crucial to evaluate the effectiveness of their pain management plan?
• What instruction should a nurse give to a client who is newly diagnosed with hypertension regarding lifestyle changes?
• How can nurses demonstrate ethical practice in patient care?
• Which area evaluates the students' knowledge of basic nursing concepts in the HESI Level 1 exam?
• What is the importance of interdisciplinary collaboration in healthcare?
• What should the nurse evaluate to determine effectiveness of a teaching plan for managing diabetes?
• What is an appropriate nursing action for a patient experiencing side effects from medication?
• For a client with right-sided paresis and aphasia, what nursing diagnosis is appropriate given that the spouse is insisting on doing everything for the client?
• In the context of pharmacology, what does the term "therapeutic range" refer to?
• What is the best action for a nurse to take when assisting an older client to transfer from a bed to a chair?
• Which symptom might indicate potential complications requiring further assessment in an elderly client?
• What should be the nurse's first action when an infusion pump indicates an obstruction after opening the roller clamp on IV tubing?
• When making the bed of a client who needs a bed cradle, which action should the nurse include?
• What is the normal range for adult heart rate?
• In discussing future care for her children, which statement by the nurse is likely to be most helpful for a mother diagnosed with advanced cancer?