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HESI Level 2 Practice Test

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  • What action should a nurse take when preparing to measure the fundal height of a pregnant client?
  • What is the most important information for the nurse to gather before starting metronidazole treatment in a postpartum client?
  • What action should the nurse take when a client requests a translator?
  • In what order should the nurse administer the first dose of potassium chloride IV to ensure patient safety?
  • When is the best time to draw blood samples for peak and trough levels of gentamicin sulfate after administration?
  • What is an important recommendation regarding food behavior for a client who is obese?
  • What task should a nurse teach a 5-year-old child with type 1 diabetes mellitus?
  • When does ovulation typically occur in relation to menstruation?
  • Which additional detail should be assessed in clients reporting chronic cough?
  • What is the most therapeutic response for a nurse to give to a patient demanding food while NPO before a test?
  • When monitoring a client after administering a fentanyl transdermal patch, which assessment is most important for the nurse to obtain?
  • What information should the nurse include in a teaching plan about the onset of menopause?
  • Which vitamin deficiency is associated with pernicious anemia?
  • When teaching a child with diabetes, what is an appropriate task to focus on?
  • To evaluate mild fluid volume deficit in a toddler, which intervention should the nurse implement?
  • What nursing diagnosis should a nurse include for a preschool-aged child experiencing distress in an English-speaking school?
  • In caring for a 12-month-old with a respiratory infection, which nursing intervention is the highest priority?
  • What is Toxoplasmosis commonly associated with?
  • What type of medication should be administered first to a client in status asthmaticus?
  • What vital sign change in a child post-anesthesia indicates the need to call for immediate assistance?
  • Which technique is recommended to engage a 3-year-old child in taking liquid iron medication?
  • Which condition is associated with high blood sugar levels?
  • What intravenous solution should the nurse administer to a client diagnosed with hyperosmolar hyperglycemic state who is severely dehydrated?
  • What is the priority nursing intervention when administering intravenous albumin after surgery?
  • What is a key sign that may indicate an adverse reaction in a patient receiving growth hormone?
  • What is the most important dietary guideline for a client with hypertension?
  • What factor is the most important affecting the pregnancy outcome for a client with pre-gestational diabetes?
  • What instruction is crucial for a patient taking doxycycline for acne vulgaris?
  • In a client with a history of heart failure, taking which medication requires additional monitoring for potassium levels?
  • In the context of palliative care, which intervention should the nurse withhold?
  • What symptom is most likely to be observed in an elderly client diagnosed with bacterial pneumonia?
  • Which response indicates that a client experiencing spiritual distress has made progress?
  • Which sexually transmitted infection should a nurse highlight in discussions about cervical cancer risks?
  • What is an essential teaching point for families of hospice clients regarding pain control?
  • What is the priority nursing diagnosis for a client with atrophic vaginitis and perineal candidiasis?
  • What is a primary reason for administering IV potassium in pediatric patients?
  • How should a nurse address a language barrier for a child in kindergarten?
  • What nursing diagnosis is supported by a client with Type 2 diabetes who eats anything without considering their health?
  • Which sign is a potential indication of thrombophlebitis in a client on oral contraceptives?
  • What is the most significant reason for starting intravenous infusions in the upper extremities of adults?
  • What should a nurse monitor closely in a pregnant client receiving terbutaline?
  • What is an important factor to educate a client undergoing chemotherapy about?
  • What is the best response for a nurse to give a child asking if having tonsils removed will hurt?
  • In a client diagnosed with pregnancy-induced hypertension (PIH), what symptom should the nurse instruct the client to report immediately?
  • Who is most likely to influence the perceptions of mothers about healthcare for their preschoolers in a Somali immigrant community?
  • Which assessment should the nurse perform after a patient receives sedation for a broken bone?
  • What is the recommended approach to medication administration in hospice care?
  • Which sign indicates that a pregnant client may need immediate medical attention?
  • Which complaint from a postmenopausal client should the nurse refer to the healthcare provider?
  • What method should the nurse use to safely remove the adhesive dressing from a premature infant?
  • What is a key advantage of following an organic diet?
  • What is the first action a nurse should take when assisting a client out of bed for the first time after surgery?
  • What potential complication is the nurse assessing for in a client receiving morphine for PCA?
  • What is the most important action to implement for analgesic titration in a client in pain?
  • What is an appropriate action when a client demonstrates signs of impending death?
  • What should the nurse advise a client experiencing vaginal discomfort after taking amoxicillin for 5 days?
  • What information should the nurse present to new employees at a low-income clinic?
  • According to Nägele's rule, what is the estimated date of confinement for a client whose last menstrual period started on December 1?
  • How should the nurse respond to a client asking about alcohol consumption during the second trimester?
  • Which side effect indicates a need for monitoring when a client is on dexamethasone?
  • When providing care to a low-income population, what understanding should nurses prioritize?
  • What is the most effective way to prevent pooling of blood in the lower extremities for a pregnant secretary?
  • In assessing a client with bronchitis, which symptom should the nurse expect to find?
  • What assessment is considered a priority for a client receiving palliative radiation treatments to the neck?
  • What approach should a nurse take when educating a family about coping with the loss of a pregnancy?
  • What advice should a nurse give to a couple coping with infertility?
  • What demonstrates understanding when a parent gives a liquid antibiotic to a 10-month-old?
  • What condition is commonly associated with endometriosis?
  • Which intervention is most critical for the nurse to implement for a client after a snow-skiing accident?
  • A client is to receive an IV of Sodium Chloride 0.9% injection (Normal Saline) 250 mL with KCl 10 mEq IV over 4 hours. What rate should the nurse program the client's IV infusion pump?
  • What should the nurse monitor when caring for a child with asthma?
  • Which organization provides guidelines for dietary carbohydrate intake for people with diabetes?
  • In the context of respiratory issues related to morphine, which assessment is critical to monitor postoperatively?
  • What is the best action for a hospice nurse if a client in severe pain requests an increase in morphine dosage with a respiratory rate of 10 breaths per minute?
  • When is the most effective time to administer growth hormone for idiopathic hypopituitarism?
  • What is the best practice for a nurse caring for a hospice patient requiring pain management?
  • What should a nurse prioritize when planning care for a patient experiencing anxiety due to potential exam failure?
  • What signs and symptoms should the nurse describe when teaching about hypoglycemia?
  • A healthcare provider prescribes furosemide (Lasix) 15 mg IV STAT for a client. How many milliliters should the nurse administer?
  • A nurse is assessing a male client regarding fertility concerns. Which statement about past behaviors is most relevant?
  • Which assessment finding indicates that a client with oliguria due to sepsis is stabilizing?
  • Which teaching aid should a school nurse use to effectively demonstrate testicular self-examination to adolescent clients?
  • What diagnostic study should the nurse inform a client with possible placental insufficiency about?
  • What are the initial signs of a transfusion reaction to watch for in a pediatric patient?
  • The American Diabetes Association recommends a daily intake of what proportion of calories from carbohydrates?
  • What action should the nurse take on the scheduled day of surgery for a client with type 1 diabetes?
  • Why is monitoring carbohydrate intake crucial for individuals with diabetes?
  • Which items should the nurse remove from a client before orthopedic surgery on the left leg?
  • What factor should the nurse consider when providing care to recently immigrated clients?
  • During a consultation about breast cancer staging, what should the nurse explain regarding the tumor's estrogen receptor?
  • What test should a nurse consider before administering an ACE inhibitor to assess for contraindications?
  • What explanation should the nurse provide to a client experiencing urinary frequency during pregnancy?
  • What cardiovascular finding should the nurse assess further in a client at 20 weeks' gestation?
  • What is a potential risk associated with the rapid infusion of packed red blood cells?
  • What important information should the nurse assess for when a client is prescribed a medication to treat a chronic cough?
  • Which method is appropriate for ensuring compliance when mobilizing a post-surgery patient?
  • What alternative dietary sources of calcium should the nurse suggest to a client who dislikes milk?
  • What is a common recommendation for pregnant clients regarding nutrition?
  • What is an essential aspect of the nurse-midwife's role in obstetric care for clients desiring home births?
  • What intervention should a nurse implement before administering atenolol to a client with a heart rate of 58 bpm?
  • Which additional history should the nurse obtain from a client experiencing severe abdominal pain before menstruation?
  • When advising a mother about returning to work or staying at home with her infant, what should the nurse do?
  • When caring for a Cambodian mother and child, what should the nurse do to accommodate their cultural needs?
  • If a nurse discovers an IV solution infusing at a rate of 250 mL/hr, while the prescribed rate is 125 mL/hr, what should the nurse do first?
  • What term describes the rapid and deep respirations seen in a client with diabetic ketoacidosis?
  • What is the most important action for a nurse to take for a preschool-aged child experiencing polyuria and low blood pressure?
  • What is a common side effect of sildenafil (Viagra) that the client should be aware of?
  • What is the priority action for a nurse after a lumbar puncture in a patient with suspected bacterial meningitis?
  • What best describes the therapeutic use of growth hormones in children?
  • What is the priority outcome statement for a client with diabetes mellitus experiencing polyphagia?
  • For a client with acute hemorrhagic anemia receiving packed red blood cells, which intervention is most important for the nurse to implement?
  • Which side effect should be discussed regarding tetracycline in a 6-year-old child?
  • Which of the following is a common side effect of terbutaline?
  • Based on a client's last menstrual period starting on February 15, what would be her expected date of delivery?
  • Which factors should a nurse document as health risks for a young, unmarried pregnant client with a history of drug addiction?
  • What dietary recommendation should be followed by a client diagnosed with high blood pressure?
  • If a client at 25 weeks' gestation reports her baby jumped in response to a loud noise, what should the nurse explain?
  • Which statement by a client indicates a misunderstanding of insulin needs during pregnancy?
  • When caring for a client with dehydration, what is a vital sign that indicates improving status?
  • What explanation should the nurse give to a postmenopausal client experiencing discomfort during intercourse?
  • Which intervention is essential before transfusing blood to prevent a hemolytic reaction?
  • Which social factor has been linked to an increase in teenage pregnancies?
  • What should the nurse ensure when witnessing a client's signature on a consent form?
  • For a patient on a 2000 calorie diet, how many grams of carbohydrates should they consume according to the American Diabetes Association?
  • Which signs and symptoms are associated with arterial insufficiency?
  • Which of the following infections is NOT a transplacental infection?
  • Which infection is known for being transmitted from the mother to the fetus through the placenta?
  • What crucial information should the nurse provide during a preconception counseling session?
  • If a client has been premedicated for surgery with an opioid analgesic and the operative permit has not been signed, what action should the nurse take?
  • What intervention can best help a 3-year-old child adjust to hospitalization after an injury?
  • Why is weighing diapers a preferred method for evaluating fluid volume in infants?
  • Which client is at the highest risk for community-acquired pneumonia?
  • What laboratory values are expected for an 80-year-old male client?
  • What key information should the nurse provide about growth hormones for a child?
  • Which statement indicates that a client understands postoperative care after a left orchiectomy for testicular cancer?
  • During the preoperative assessment of a client scheduled for surgery, which question is most important to ask?
  • Which device should a nurse use to deliver IV fluids at a continuous rate of 175 mL/hour?
  • Which symptom is NOT consistent with diminished peripheral circulation?
  • A grandmother describes her grandson's pain as "miseries." What should the nurse focus on in assessment?
  • What action should the nurse take when using an interpreter during an assessment?
  • What is the primary concern of transplacental infections during pregnancy?
  • For a client with mild hypertension, what dietary modification should the nurse recommend?
  • A female client with type 2 diabetes has dysuria. Which finding should be reported to the healthcare provider?
  • During pregnancy, which dietary recommendation is essential for supporting fetal development?
  • What additional drug allergy should the nurse assess before administering cefadroxil (Duricef)?
  • To effectively educate a client with peripheral vascular disease, what is a key element of a written learning objective?
  • Which persistent side effect of opioids should a nurse prepare a client with cancer for during long-term use?
  • What value does a protein supplement provide for a client recovering after surgery?
  • Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?
  • Before administering terbutaline for preterm labor, which condition should the nurse assess?
  • What temperature pattern indicates ovulation in women according to basal body temperature (BBT) data?
  • What action should the nurse take before assisting a male client with an indwelling catheter to the chair?
  • What is the key information that should be provided to postmenopausal women regarding mammograms?
  • What client history contraindicates the use of an ACE inhibitor?
  • After a client with type II diabetes consumes orange juice for low blood glucose, what should the nurse do next?
  • What action should a nurse take to reduce the risk of cold stress in a low-birth-weight newborn with a body temperature of 97.7°F (36.5°C)?
  • What is a critical assessment for a nurse to conduct on a client receiving sedative therapy at end-of-life?
  • What should a nurse do if a child shows signs of a reaction during a blood transfusion?
  • What action should the nurse take first when a client has a serum potassium level of 5.9 mEq/L before administering losartan?
  • What statement by a client indicates understanding of protein's role in pregnancy?
  • What is the best reason for a nurse to explain the necessity of complete bedrest to a pregnant client with mitral stenosis?
  • What is the most important priority when caring for a client with hypovolemic shock?
  • Which equipment should the nurse instruct a client with chronic hypertension to use at home?
  • What key information should a nurse gather regarding a client interested in using the calendar method of contraception?
  • What strategy should the nurse recommend for modifying food behaviors in a client with obesity?
  • Which of the following is true regarding protein intake during pregnancy?
  • Which symptom is characteristic of a client experiencing spiritual distress?
  • Which factor is the most important for successful teaching of the gravid client?
  • What is the primary source of calories derived from carbohydrates?
  • What is one key nutrient that individuals with diabetes should monitor carefully?
  • What factor puts a client at greatest risk for developing lymphedema after a radical mastectomy?
  • Which assessment finding would indicate primary side effects of terbutaline sulfate?
  • What should a nurse do when a client on a high-dose Demerol regimen shows signs of confusion and hallucinations?
  • What is the best approach when teaching about antibiotic administration for children?
  • For a client with severe abdominal pain and history of infertility, which assessment is most pertinent?
  • What role does glucose play in the body?
  • What is the best instruction for a client who missed two doses of oral contraceptives?
  • When advising a client who missed a dose of oral contraceptives, what is the nurse's priority consideration?
  • When is the best time for a nurse to provide education about labor and delivery to a pregnant client?
  • Why are oral contraceptives recommended for a year following a suction curettage for hydatidiform mole?
  • What is the estimated date of birth for a client whose last menstrual period was July 13?
  • When demonstrating cultural competence, which action should the nurse prioritize?
  • How many calories do carbohydrates need to reach from a total of 2000 calories to equal 50% of daily intake?
  • Before initiating a PCA pump with morphine, what is the highest priority assessment the nurse should perform?
  • Which statement correctly identifies a written learning objective for a client with peripheral vascular disease?
  • Which assessment finding indicates that a therapeutic drug level has been achieved with magnesium sulfate for a client with PIH?
  • What is the correct nursing intervention for parents who have experienced a fetal demise and don't want to see their baby?
  • When taking the history of a newly diagnosed Type 2 diabetic, which piece of subjective information is most crucial for the nurse to document?
  • What type of pain would further confirm suspicion of thrombophlebitis?
  • What should a nurse do first for a client with a terminal illness who is detached and non-participative in care?
  • What common discomfort should the nurse inform a pregnant client about during the first trimester?
  • What should the nurse examine to cope with feelings of frustration from family members participating in client care?
  • What information should the nurse provide to a client who has gained 17 pounds at 28 weeks' gestation?
  • What is the primary concern for a client with acute appendicitis experiencing anxiety and loss of sleep?
  • Which laboratory result should a nurse assess as a normal value for a two-hour postprandial glucose tolerance test?
  • What percentage of daily intake should carbohydrates constitute for someone with diabetes on a 2000 calorie diet?
  • What does the nurse’s role in witnessing a client's signature on an informed consent form primarily indicate?
  • What should the nurse advise a client experiencing a gray-white vaginal discharge with no infectious organisms found?
  • If a male client reports a painless solid testicular mass, what is the nurse's best advice?
  • A client experiencing anaphylaxis from an insect sting should be administered what medication?
  • What should a client be instructed regarding the application of a scopolamine patch for motion sickness?
  • What is the total daily intake of carbohydrates in grams for a 2000 calorie diet?
  • In a child with asthma, which finding is associated with wheezing?
  • What is the most important factor for the nurse to track in a patient receiving increased dosages of narcotics?
  • In managing a child with pneumonia, what is a key nursing action?
  • What additional assessment should the nurse complete for an 85-year-old male client with a radial pulse rate of 104 beats/minute?
  • What should a nurse monitor for after administering intravenous albumin due to increased blood volume?
  • How should the nurse interpret an Asian client's refusal to make eye contact during conversation?
  • What is the primary nursing problem for a client with asymptomatic primary syphilis?
  • If a child's theophylline level is 25 mcg/dL, what action should the nurse take?
  • Why is cefotaxime administered intravenously instead of oral cephalosporins for a client with meningitis?
  • What should a nurse teach a client diagnosed with peripheral arterial disease about genitourinary complications?
  • What is an important consideration for a nurse when caring for a pregnant client with a history of hypertension?
  • In what circumstance should a nurse advise a pregnant client against breastfeeding while taking certain medications?
  • When planning activities for a socialization group for older residents, which information is most useful for the nurse?
  • What approach should a nurse take to motivate a child with a chronic disability who is often crying about being different?
  • What is the appropriate carbohydrate intake for a diabetic patient on a 2000 calorie diet if 50% of calories are from carbs?
  • Which assessment findings should be documented for a client with diminished peripheral circulation?
  • During an initial examination of a client with fever and possible meningitis exposure, which assessment is crucial?
  • Which response by a school-aged child indicates understanding of self-care post-sedation for a broken tibia?
  • What is one of the early functions of the placenta during pregnancy?
  • Which statements should the nurse provide to a male client regarding smoking and fertility?
  • Which laboratory test would help evaluate adherence to a diabetes treatment plan for a client with type 1 diabetes?
  • What should a nurse encourage a family to do when a client is nearing death?
  • What is the most appropriate initial action for a nurse caring for a male client with a history of penile discharge and painful urination?
  • Why has a healthcare provider likely prescribed iron tablets to a woman attending antepartum classes?
  • Which finding indicates a positive sign of pregnancy that should be documented by the nurse?
  • What side effect should a nurse monitor for a client receiving dexamethasone post-neurosurgery?
  • What coping behavior should the nurse explore further with parents of a child diagnosed with a terminal illness?
  • When a client in the second trimester expresses a desire to use herbal therapy, what should the nurse's response be?
  • Which statement best supports a nurse's recommendation to a healthcare provider using the SBAR format?
  • When considering hormonal changes, what key aspect should be discussed with a postmenopausal client?
  • A deficiency of intrinsic factor should alert the nurse to assess for which condition?
  • In the context of end-of-life care, what is a key responsibility of a nurse in managing symptoms?
  • For a client administering insulin, why is it important to monitor blood glucose levels closely?
  • Before initiating IV fluids containing potassium for a 5-month-old, what should the nurse check?
  • What dietary change should a client with heart failure make while taking spironolactone?
  • Why is monitoring potassium levels essential while a client is on losartan?
  • Which group of children is most likely to feel responsible for their parents' divorce?
  • What should a nurse advise a client taking oral contraceptives who reports calf pain?
  • What is the primary reason for monitoring vital signs during the administration of albumin?
  • What action should a nurse take for a diabetic client with a blood glucose of 300 mg/dl?
  • What is an advantage of prescribing pentazocine over a standard opioid agonist?
  • What should a client learn about taking sildenafil (Viagra)?
  • What is the best technique for assessing pain in a client with advanced Alzheimer's disease?
  • Why should chemotherapy be started early for cancer treatment?
  • What is the best response a nurse can provide to a 20-year-old female client who calls about a lump in her breast?
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