HESI V2 Exam (mock) Question and
Answers 2025
A nurse is starting on the evening shift and is assigned to care for a client with a
diagnosis of impaired skin integrity related to pressure and moisture on the skin. The
client is 72 years old and had a stroke. The client weighs 250 pounds and is difficult to
turn. As the nurse makes decisions about how to implement skin care for the client,
which of the following actions does the nurse implement? Select all that apply. -
Ans - Review the set of all possible nursing interventions for the client's problem.
- Review all possible consequences associated with each possible nursing action.
- Determine the probability of all possible consequences.
The nurse is identifying the related factors by studying a client's assessment data.
According to NANDA I diagnoses, under which categories should the nurse classify the
related factors? Select all that apply. -
Ans - Situational
- Maturational
- Treatment-related
-Pathophysiological
Which food items contain gluten and should be avoided in clients with celiac disease?
Select all that apply. -
Ans - Wheat
-Rye
- Barley
- Oats
