Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

HESI V2 Exam (mock) Question and Answers 2025.pdf, Exams of Nursing

HESI V2 Exam (mock) Question and Answers 2025.pdf

Typology: Exams

2024/2025

Available from 07/03/2025

caroline-njeri
caroline-njeri 🇺🇸

176 documents

1 / 7

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
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
pf3
pf4
pf5

Partial preview of the text

Download HESI V2 Exam (mock) Question and Answers 2025.pdf and more Exams Nursing in PDF only on Docsity!

HESI V2 Exam (mock) Question and

Answers 202 5

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

A 70-year-old client came to the clinic for a regular check-up. She has been hypertensive for the past 15 years and takes methyldopa (Aldomet). The nurse understands that the drug may interact with the absorption of certain nutrients. Which nutrient deficiencies should the nurse test the client for? Select all that apply. - Ans - Iron

  • Folic acid
  • Vitamin B A client is admitted to the hospital for abdominal pain. The client is instructed NPO by mouth for the next 24 hours. The client also complains of nausea and vomiting. The client is not showing much improvement even after administration of antiemetic drugs. The nurse decides to change the nursing care plan. Arrange the steps that the nurse follows during modification of the existing plan. - Ans 1. Revise data to reflecct the current health status of client
  1. Delete nursing diagnoses that are no longer relevant and add new diagnoses
  2. Revise specific interventions that correspond with new diagnoses
  3. Select method of evaluation to determine the client outcomes A nurse is assessing a client who complains of toothache. The nurse finds that the client holds the toothbrush bristles at a 45-degree angle when brushing the gum line. The client also brushes his teeth from the crown to the gum line. On examination, the mucous membranes of the client's mouth are dry. What should the nurse advise the client about oral care? - Ans Brush the teeth from the gum line to crown. The nurse is caring for a client whose calcium intake must increase because of high risk factors for osteoporosis. The nurse would recommend which of the following menus? - Ans Cream of broccoli soup with whole wheat crackers and tapioca for dessert.

In the semi-Fowler's position, to what angle should the head of bed be elevated approximately? Record your answer using a whole number. ___ degrees - Ans 30 degrees A nurse is asked to perform a complex intervention for a client. However, the nurse is unable to perform it successfully. What would be the appropriate action by the nurse? - Ans Ask for assistance from a senior nurse. Which skin care measures are used to manage a client who is experiencing fecal and urinary incontinence? - Ans Using an incontinence cleaner, followed by application of a moisture-barrier ointment How should the nurse position the client who has to undergo administration of medication into the ethmoid sinus? Select all that apply. - Ans - Tilt the head back over the edge of the bed.

  • Place a pillow under the shoulder and tilt the head back The nurse is attending to a client recently diagnosed with diabetes. Following an initial assessment, the nurse writes down several nursing-sensitive client outcomes. Which nursing-sensitive client outcomes are correctly written? Select all that apply. - Ans - The client will administer a self-injection by discharge.
  • The body temperature will remain at or below 98.6 ° F.
  • The heart rate will remain between 70 to 90 beats per minute. The nurse is caring for a preoperative client in a coronary care unit. After reviewing the nursing diagnoses, the nurse prioritizes the nursing diagnoses. Which nursing diagnoses are considered to be high priorities for the client? Select all that apply. - Ans - Impaired gas exchange
  • Decreased cardiac output

A 45-year-old client has been advanced to a low-residue diet postoperatively. What food should be avoided in the client's diet? - Ans Steamed vegtables Which of the following are examples of collaborative problems? Select all that apply. - Ans - Hemorrhage

  • Wound infecction A nurse is educating a diabetic client about how to administer insulin. Which of the nurse's statements pertaining to use of insulin are appropriate? Select all that apply. - Ans - Insulin should not be mixed with any other medication.
  • Insulin detemir should not be mixed with any insulin. The nurse is caring for a 16-year-old client with acne. What instructions should be included when teaching skin care to the client? Select all that apply. - Ans - Avoid squeezing the acne
  • Use prescribed topical applications.
  • Eliminate foods that aggravate the condition from diet. A client diagnosed with pancreatitis complains of pain in the abdomen. The client has vomited three times, and has a temperature of 101 degrees Fahrenheit. Following an initial interview and assessment, the nurse prepares a nursing care plan. The nurse formulates a diagnosis of acute pain. What could be the related factor for this diagnostic label? - Ans Inflammation of the pancreas Which description best fits that of serous drainage from a wound? - Ans Clear, watery plasma

An older adult is in the early stages of Alzheimer's disease. He is an accountant by profession. The client expresses that he has been forgetful in the last few months. He also has difficulty memorizing events or numbers. These symptoms are affecting his occupation. What clinical presentations would indicate development of dementia in this client? Select all that apply. - Ans - Slow onset of symptoms

  • Slow progression of symptoms
  • Impairment of recent and remote memory Indispensable amino acids are not synthesized by the body, and need to be provided in the diet. Which amino acids should be included in the diet to prevent deficiency? Select all that apply. - Ans - Histidine
  • Lysine
  • Phenylalnine