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HESI RN ACTUAL MIDTERM ASSESSMENT EXAM
2025 WITH STRUCTURED QUESTIONS AND
VERIFIED ANSWERS ALREADY GRADED A+
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? A) Food B) Warmth C) Security
D) Comfort - CORRECT ANSWER >>> C) Security
A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? A) "I cannot give this medication as it is written. I have no idea of what you mean." B) "Would you please clarify what you have written so I am sure I am reading it correctly?" C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful." D) "Please print in the future so I do not have to spend extra time attempting to read your
writing." - CORRECT ANSWER >>> B) "Would you please clarify what you have written so I
am sure I am reading it correctly?" What is the most important consideration when teaching parents how to reduce risks in the home?
A) Age and knowledge level of the parents B) Proximity to emergency services C) Number of children in the home
D) Age of children in the home - CORRECT ANSWER >>> D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should A) Administer a placebo B) Encourage increased fluid intake C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT ANSWER >>> C)
Administer the prescribed analgesia While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention? A) Respiratory rate of 42 B) Lethargy for the past hour C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWER >>> A) Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings?
Which these findings would the nurse more closely associate with anemia in a 10 month-old infant? A) Hemoglobin level of 12 g/dI B) Pale mucosa of the eyelids and lips C) Hypoactivity
D)
A heart rate between 140 to 160 - CORRECT ANSWER >>> B) Pale mucosa of the
eyelids and lips The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first hour of care is A) Heart rate B) Pedal pulses C) Lung sounds
D) Pupil responses - CORRECT ANSWER >>> D) Pupil responses
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump? A) A young adult with a history of Down's syndrome B) A teenager who reads at a 4th grade level C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness - CORRECT ANSWER >>> D) A
preschooler with intermittent episodes of alertness The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be A) Irritable and "colicky" with no attempts to pull to standing B) Alert, laughing and playing with a rattle, sitting with support
D)
A) Cover the areas with dry sterile dressings B) Assess for dyspnea or stridor C) Initiate intravenous therapy
Administer pain medication - CORRECT ANSWER >>> B) Assess for dyspnea or stridor
Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider? A) I started my period and now my urine has turned bright red. B) I am an diabetic and today I have been going to the bathroom every hour. C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts when I go to the bathroom.
D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. -
CORRECT ANSWER >>> D) I went to the bathroom and my urine looked very red and it
didn't hurt when I went. Which of these parents' comment for a newborn would most likely reveal an initial finding of a suspected pyloric stenosis? A) I noticed a little lump a little above the belly button. B) The baby seems hungry all the time. C) Mild vomiting that progressed to vomiting shooting across the room.
D)
D) Irritation and spitting up immediately after feedings. - CORRECT ANSWER >>> C) Mild
vomiting that progressed to vomiting shooting across the room. The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would the nurse recognize as cause for the findings? A) Decreased cardiac output B) Tissue hypoxia
D)
B) Ask the client what foods are acceptable or bad C) Encourage her to eat for healing and strength
Schedule the dietitian to meet with the client as soon as possible - CORRECT ANSWER
>>> B) Ask the client what foods are acceptable or bad
The father of an 8 month-old infant asks the nurse if his infant's vocalizations are normal for his age. Which of the following would the nurse expect at this age? A) Cooing B) Imitation of sounds C) Throaty sounds
D) Laughter - CORRECT ANSWER >>> B) Imitation of sounds
The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended? A) Seizures B) Withdrawal C) Craving
D) Marked tolerance - CORRECT ANSWER >>> B) Withdrawal
Immediately following an acute battering incident in a violent relationship, the batterer may respond to the partner's injuries by
D)
A) Seeking medical help for the victim's injuries B) Minimizing the episode and underestimating the victim's injuries C) Contacting a close friend and asking for help
Being very remorseful and assisting the victim with medical care - CORRECT ANSWER
>>> B) Minimizing the episode and underestimating the victim's injuries
A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago.During the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all of these statements during their conversation. Which statement would alert the nurse to a complication? A) "I have a sharp pain in my chest when I take a breath. "B) "I have been coughing up foul-tasting, brown, thick sputum. " C) "I have been sweating all day.
"D) "I feel hot off and on." - CORRECT ANSWER >>> "B) "I have been coughing up
foultasting, brown, thick sputum. The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal A) S3 ventricular gallop B) Apical click C) Systolic murmur
D) Split S2 - CORRECT ANSWER >>> A) S3 ventricular gallop
D)
The client gags and complains " I am getting sick." - CORRECT ANSWER >>> B) The
client's entire body turns a bright red color A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client? A) "The tube will drain fluid from your chest. "B) "The tube will remove excess air from your chest." C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." - CORRECT ANSWER >>> "B) "The tube will
remove excess air from your chest." The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately? A) Blood urea nitrogen 50 mg/dl B) Hemoglobin of 10.3 mg/dl C) Venous blood pH 7.
D) Serum potassium 6 mEq/L - CORRECT ANSWER >>> D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention? A) Pallor B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms - CORRECT ANSWER >>> C) Dyspnea
The nurse is performing a physical assessment on a client who just had an endotracheal tube inserted. Which finding would call for immediate action by the nurse?
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms - CORRECT ANSWER
>>> C) Compile a history of behavior patterns and developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care? A) Measure head circumference B) Place in airborne isolation C) Provide passive range of motion
D) Provide an over-the-crib protective top - CORRECT ANSWER >>> A) Measure head
circumference A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values? A) Blood urea nitrogen B) Acid phosphatase C) Bilirubin
D) Sedimentation Rate - CORRECT ANSWER >>> C) Bilirubin
The nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct? A) May drink as much milk as desired
B) Can have milk mixed with other foods C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily - CORRECT ANSWER >>> D) Should be
limited to 3-4 cups of milk daily The nurse is talking with a client. The client abruptly says to the nurse, "The moon is full. Astronauts walk on the moon. Walking is a good health habit." The client's behavior most likely indicates A) Neologisms B) Dissociation C) Flight of ideas
D) Word salad - CORRECT ANSWER >>> C) Flight of ideas
A mother asks about expected motor skills for a 3 year-old child. Which of the following would the nurse emphasize as normal at this age? A) Jumping rope B) Tying shoelaces C) Riding a tricycle
D) Playing hopscotch - CORRECT ANSWER >>> C) Riding a tricycle
A home health nurse is caring for a client with a pressure sore that is red, with serous drainage, is 2 inches in diameter with loss of subcutaneous tissue. The appropriate dressing for this wound is A) A transparent film dressing B) Wet dressing with debridement granules
C) Loss of pulse in the extremity
D) Decreased urine output - CORRECT ANSWER >>> C) Loss of pulse in the extremity
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely to help him void? A) Have him drink several glasses of water B) Crede' the bladder from the bottom to the top C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again - CORRECT ANSWER >>> C) Assist him to
stand by the side of the bed to void The nurse is caring for a client who requires a mechanical ventilator for breathing.The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform? A) Disconnect the client from the ventilator and use a manual resuscitation bag B) Perform a quick assessment of the client's condition C) Call the respiratory therapist for help
D) Press the alarm re-set button on the ventilator - CORRECT ANSWER >>> B) Perform a
quick assessment of the client's condition The nurse is preparing a client who will undergo a myelogram. Which of the following statements by the client indicates a contraindication for this test? A) "I can't lie in 1 position for more than thirty minutes. "B) "I am allergic to shrimp."
C) "I suffer from claustrophobia.
"D) "I developed a severe headache after a spinal tap." - CORRECT ANSWER >>> "B) "I am
allergic to shrimp." The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4 hours and check pH of aspirate." The pH of the aspirate is 10. Which action should the nurse take? A) Hold the tube feeding and notify the provider B) Administer the tube feeding as scheduled C) Irrigate the tube with diet cola soda
D) Apply intermittent suction to the feeding tube - CORRECT ANSWER >>> A) Hold the
tube feeding and notify the provider To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must A) Apply suction for no more than 10 seconds B) Maintain sterile technique C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion - CORRECT ANSWER >>> A) Apply suction for
no more than 10 seconds An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals 2.0 ml The correct action is to A) Administer the medication in 2 separate injections B) Give the medication in the dorsal gluteal site C) Call to get a smaller volume ordered
