HESI MCA II Practice Test

These questions are part of the practice quiz. Start practicing

• What is the sum of 3/4 and 5/6?
• Which urinalysis finding is most consistent with normal parameters in an older adult?
• Which type of exercise is most beneficial for a client with osteoarthritis?
• An older female client is admitted with atrophic vaginitis and perineal cutaneous candidiasis. What is the priority nursing diagnosis?
• Add 2/5 and 1/5.
• Which system regulates body temperature via sweat and vasodilation?
• A patient with a myocardial infarction develops increased pulmonary congestion, heart rate rises, and cold, clammy skin. What action should the nurse take first?
• The nurse is caring for a client with HIV who develops Mycobacterium avium complex. What is the most significant desired outcome?
• Which action should the nurse implement on the scheduled day of surgery for a client with type 1 diabetes mellitus?
• After a colonoscopy, which assessment finding is most concerning and requires immediate action due to possible perforation?
• Following a left orchiectomy for testicular cancer, which statement indicates understanding of postoperative care and prognosis?
• Which statement about lifting restrictions after mastectomy best explains the rationale for avoiding heavy lifting?
• After a lumbar laminectomy, what is the primary rationale for teaching the client to log-roll?
• Which assessment finding requires immediate action in blunt abdominal injury?
• Identify the run-on sentence.
• To assess asterixis in a client with liver failure, which position should the nurse ask the client to demonstrate?
• Which cardiac marker is most specific for cardiac muscle injury and remains elevated for up to two weeks after myocardial infarction?
• The nurse is assessing a client scheduled to undergo insertion of a percutaneous endoscopic gastrostomy (PEG) tube. The client asks how a PEG tube differs from a gastrostomy tube (GT). Which explanation best describes the difference?
• What does the atomic number represent?
• Which nursing intervention most directly reduces the risk of aspiration during enteral feeding via PEG?
• Which finding requires the most immediate follow-up assessment in an elderly client?
• A hand-flapping tremor (liver flap) is commonly seen in which condition?
• What is the primary nursing diagnosis for a client with asymptomatic primary syphilis?
• A client is newly prescribed lovastatin (Mevacor). Which symptom should the nurse instruct the client to report to the healthcare provider immediately?
• When starting tamoxifen therapy, which educational point is most important regarding potential menopausal-like symptoms?
• Which type of exercise is most beneficial for bone density in postmenopausal individuals?
• What is the pH of a neutral solution at 25°C?
• What information about smoking and male fertility is most accurate for counseling a couple trying to conceive?
• A client with type II diabetes arrives at the clinic with a blood glucose of 50 mg/dL. The nurse provides 6 ounces of orange juice. In 15 minutes the glucose is 74 mg/dL. What action should the nurse take?
• Ephemeral describes something that
• A female client with type 2 diabetes reports dysuria. Which finding is most important to report to the healthcare provider?
• Which finding should the nurse report to the healthcare provider for a circumferential extremity burn?
• In a trauma patient with a suspected tension pneumothorax, which finding requires immediate action by the nurse?
• During the initial outbreak of genital herpes simplex for a female client, what should be the nurse's primary focus in planning care?
• What is the basic function of the cell membrane?
• In caring for a client with hemorrhagic stroke, which nursing action should be included in the plan of care?
• A male client with sickle cell anemia, who has been hospitalized for another health problem, tells the nurse he has had an erection for over 4 hours. What action should the nurse implement first?
• Which practice aligns with standard precautions when caring for a patient with a contagious skin infection, especially during direct contact with the skin?
• Which position is associated with increased intracranial pressure if maintained?
• Which organ is primarily responsible for filtering blood and forming urine?
• In managing a sickle cell crisis, which statement best describes the nursing approach to analgesia?
• If someone says they contrive a plan, what have they done?
• Identify the sentence that contains a comma splice.
• Which body system regulates body temperature through sweating and dilation of blood vessels?
• Which statement defines the atomic number?
• Which sentence demonstrates the correct use of 'his or her' for a singular antecedent?
• What is the basic unit of heredity?
• If a price increases from $60 to $90, what percent increase?
• A client with acute osteomyelitis has undergone surgical debridement of the diseased bone and asks how long antibiotics will have to be administered. Which information should the nurse communicate?
• A client with a small bowel obstruction is vomiting foul-smelling fecal-like material. Which nursing action is most appropriate?
• What factor determines cancer cell sensitivity to chemotherapy?
• Which process yields ATP as its primary product?
• Which body system handles digestion and nutrient absorption?
• Which sentence uses correct comma placement in a three-item list?
• What type of bond involves the sharing of electron pairs between atoms?
• Which urinalysis value is within normal range for an older adult?
• Which preexisting diagnosis places a client at greatest risk of developing superior vena cava syndrome?
• Periumbilical discoloration after blunt trauma is an indicator of what?
• Inference: A character avoids eye contact and speaks softly. What can you infer about the character?
• Identify the sentence fragment.
• Which part of the neuron receives signals from other neurons?
• What is 12 divided by 3?
• Which action is NOT typically required before a proctosigmoidoscopy?
• A patient with hypertension and prior cardiac history is admitted post-CABG. The serum potassium is 4.5 mEq/L. What action is appropriate?
• Which sentence uses correct capitalization?
• Which part of the neuron is primarily responsible for transmitting signals away from the cell body?
• What is the primary function of mitochondria?
• Which symptom is characteristic of premenstrual syndrome?
• Which effect is characteristic of NSAIDs used to treat rheumatoid arthritis?
• Which organelle is primarily responsible for ATP production?
• Which of the following best describes a feasible solution?
• Which statement describes a prokaryotic cell?
• A client with osteoarthritis is prescribed Naproxen. Which potential side effect should the nurse inform the client about?
• What should the patient understand at discharge about a prostatic stent?
• Which chamber of the heart receives oxygenated blood from the lungs?
• What is the primary benefit of joining a support group for infertility?
• Which sentence uses the correct comma placement in a three-item list with a serial comma?
• To mitigate a problem means to
• Which tone is used when an author uses a persuasive approach to argue about memory and sleep?
• What is 30% of 200?
• During a packed red blood cell transfusion, which finding is most important to identify for a febrile, nonhemolytic reaction?
• Convert 3 kilometers to meters.
• What indicates an author's bias?
• Which trait is most consistent with someone who avoids eye contact?
• Which statement best describes the energy expenditure during sexual activity for a client recovering from myocardial infarction?
• Convert 0.125 to a fraction.
• A PSA exam shows a PSA density of 0.13 ng/mL. Which conclusion about this value is accurate?
• When teaching a patient about radiation therapy for breast cancer, which information is most important to include?
• What is the molarity of a solution containing 1 mole of solute in 1 liter of solution?
• What is the meaning of benevolent?
• Add 1/3 and 1/4.
• In a preoperative holding area, a patient is scheduled for surgery and the nurse determines consent must be signed. Which action should the nurse implement?
• In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which positioning should the nurse use to maintain optimal functioning?
• Balance the chemical equation: Fe + O2 -> Fe2O3.
• Battle's sign is associated with which condition?
• A patient who recently had a myocardial infarction shows increased pulmonary congestion, tachycardia, and cold, clammy skin. What is the most appropriate initial nursing action?
• A client is two days postoperative. Which observation should alert the nurse to call the Rapid Response Team?
• A patient scheduled for proctosigmoidoscopy has a history of blood in stools. Which action is essential before the procedure?
• Why is the patient placed in the right lateral position after a liver biopsy?
• Which finding is most consistent with aging in a middle-aged client?
• In a client with sickle cell crisis, what is the most important nursing action to implement?
• Pleurodesis is performed to achieve which expected outcome?
• To prevent the spread of a candidal infection beneath the breasts, which protocol should staff review to prevent transmission?
• Which sentence is a sentence fragment?
• A client is admitted for chest pain. The results for CK-MB and troponin are obtained. Which rationale should guide evaluation of these laboratory findings?
• After a hysterectomy with bilateral salpingo-oophorectomy, which statement reflects an understanding about pregnancy?
• 144 divided by 12 equals?
• Which measure is most important for a postmenopausal client to prevent osteoporosis?
• Postoperative teaching after a mastectomy should include which single, most priority point?
• Which sentence demonstrates correct pronoun-antecedent agreement?
• When assessing PEG tube placement, the nurse should check placement by which method?
• A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for surgical placement of a permanent pacemaker. The client asks how this device will help him. How should the nurse explain the action of a synchronous pacemaker?
• The word ubiquitous most nearly means?
• In caring for a client with newly diagnosed glaucoma and a history of allergic rhinitis, which information is most important regarding OTC allergy medications?
• Which cellular organelle is commonly referred to as the powerhouse of the cell?
• Ambivalent best describes someone who
• A client is recovering from bronchoscopy; which nursing action is recommended in the immediate post-procedural period?
• A PSA density of 0.12 ng/mL is best described as which level of risk for prostate cancer?
• Which stoma color is consistent with good perfusion?
• A recipe requires 2/3 cup sugar. If you triple the recipe, how many cups of sugar are needed?
• A client who had right-sided radiation therapy for breast cancer 10 years ago presents with a current health problem. Which condition is most likely related to the radiation therapy?
• In chemotherapy-induced thrombocytopenia, which finding would indicate a need for urgent reporting and intervention?
• Which description best defines wound healing by secondary intention?
• Multiply 2.5 by 4.2.
• For intermittent feeding of a percutaneous endoscopic gastrostomy (PEG) tube, which protocol is NOT recommended?
• During a physical assessment of an older client, which approach yields the most reliable information?
• In oncology imaging with PET scans, which organ’s tissue viability information is explicitly noted as a use of PET scans beyond cancer detection?
• During an abdominal examination, which technique should be performed before percussion?
• Preoperative counseling for a radical neck dissection with total laryngectomy should emphasize which point as the greatest priority?
• If 5 books cost $25, what is the cost of 9 books at the same rate?
• Why is maintaining a serum potassium level of 4 to 5 mEq/L important after CABG?
• A client is discharged after healing from a coccyx wound by secondary intention. Which nursing diagnosis should guide the discharge plan as the priority?
• Which sentence uses a semicolon correctly to join two independent clauses?
• A Korean-American client, who speaks very little English, is being discharged following surgery. Which nurse should the nurse manager assign to provide the discharge instructions for the client?
• A 48-year-old client with endometrial cancer is discharged after a total hysterectomy and bilateral salpingo-oophorectomy. Which statement indicates that further teaching is needed?
• An 85-year-old patient on antihypertensive meds has a pulse of 104 bpm. What additional assessment should be performed to guide management?
• Which finding should the nurse identify as an indication of carbon monoxide poisoning in a burn injury?
• A client with Meniere's disease is incapacitated by vertigo and is lying in bed watching television. Which intervention is most appropriate?
• After mastectomy, which intervention should be performed to prevent lymphedema in the operative arm?
• Which term describes the nephron's function as part of the kidney?
• Which action is appropriate when an elderly client shows a subnormal temperature?
• Which statement is true about pre-procedure precautions for an upper GI series?
• Twenty-four hours after a hemicolectomy with a temporary colostomy, the stoma is dry and dark red. What action should the nurse implement next?
• A client with chronic prostatitis is being discharged. Which instruction should the nurse provide to help reduce the risk of spreading infection to other parts of the urinary tract?
• Which patient is at greatest risk for aspiration after cuff deflation?
• Convert 0.75 to a fraction.
• Which statement best explains why TSH elevation helps the body maintain its temperature when exposed to cold environments?
• Which organ system includes the stomach and intestines?
• Three weeks after discharge for an acute myocardial infarction, a client asks about resuming sexual activity. Which statement best provides guidance?
• A client who recently had abdominal surgery is experiencing distension and gas pains. Which nursing action should be implemented first?
• To maximize the effect of EMLA cream before IV insertion, what should the nurse do?
• The nurse directs an unlicensed assistive personnel (UAP) to obtain the vital signs for a client who returns to the unit after having a mastectomy for cancer. What information should the nurse provide the UAP?
• To prevent increased intracranial pressure after a hemorrhagic stroke, which ROM should be prescribed?
• Which action best supports safety and care needs after a radical neck dissection with total laryngectomy, given the surgical changes involved?
• Based on an analysis of the client’s rhythm, atrial fibrillation, the nurse should prepare the client for which treatment protocol?
• A middle-aged male client is assessed for risk factors related to chronic illness. Which finding should the nurse assess further?
• Which term describes something found everywhere?
• The home health nurse is assessing a client with terminal lung cancer receiving hospice care. Which activity should the hospice practical nurse (PN) perform?
• Which statement about starting chemotherapy when the tumor is small is correct?
• An 87-year-old client has an oral temperature of 97.2 °F (36.4 °C). Which is the appropriate nursing action?
• What is the functional unit of the kidney that filters blood?
• Which organ system includes the stomach and intestines?
• Which statement best describes pre-procedure instructions for an upper gastrointestinal (UGI) series?
• A client with a chest tube on suction and a closed drainage system; which finding is most important to assess?
• The nurse is caring for a client with secondary syphilis. What precaution should the nurse implement?
• A paragraph argues that improved sleep yields better memory. Which best describes the author's purpose?
• Which statement best explains why chronic prostatitis can be difficult to eradicate with antibiotics?
• Which intervention best confirms correct placement of an endotracheal tube?
• To minimize gastrointestinal upset, naproxen should be taken with which of the following?
• After a liver biopsy, how often should the client's vital signs be monitored during the initial post-procedure period?
• When initiating tamoxifen therapy, which educational point is important regarding hot flashes?
• A client returns to the unit after PTCA and reports acute chest pain. What action should the nurse perform first?
• A client with acute appendicitis is anxious and has trouble sleeping about missing finals. Which outcome is most important to include in the plan of care?
• Which process converts light energy into chemical energy in plants?
• Which client should the nurse assess first for potential myocardial injury?
• A client with chronic hepatitis C scheduled for a liver biopsy; which intervention should the nurse perform after the procedure?
• A client after TURP experiences catheter drainage not draining; what should the nurse implement?
• A 24-year-old female with HPV is angry at her ex-boyfriend and does not want him informed. Which response is best for the nurse to provide?
• Post-prostatic stent placement, which action should be avoided to prevent complications?
• A client is admitted to the emergency department after being lost for four days while hiking. The laboratory results show the patient’s TSH is elevated. Which additional assessment should the nurse make?
• For a client with glaucoma and allergic rhinitis, which OTC medication should be avoided due to risk of increased intraocular pressure?
• A college student with cottage-cheese vaginal discharge asks for treatment. What should be performed first?
• Which molecule carries genetic information in most organisms?
• A patient recovering from gastric surgery is prescribed a high-protein, high-fat, low-carbohydrate diet with limited fluids during meals. What is the purpose of this diet?
• During preoperative safety checks, which item should be removed to prevent damage or loss of the item or interference with monitoring?
• Which statement best explains why handwashing after caring for a patient with candida infection is effective in preventing its spread in a hospital setting?
• Which statement best describes the main idea of a passage?
• The nurse is preparing a client for orthopedic surgery on the left leg and completing a safety checklist before transport to the operating room. Which item should be removed from the client before surgery to prevent interference with monitoring or injury?
• If a paragraph ends with a sentence that restates the thesis, what technique is being used?
• What is the role of ribosomes?
• Which sentence uses correct capitalization of a proper noun?
• Tachycardia in an elderly patient taking antihypertensives is commonly a compensatory response to what?
• A female client with hyperesthesia on the oncology unit is using a transcutaneous electrical nerve stimulation (TENS) unit for chronic pain. Which nursing activity should the nurse implement instead of delegating to a practical nurse (PN)?
• Which client is at highest risk for compromised psychological adjustment after a hysterectomy?
• In the treatment plan for acute osteomyelitis, which rationale explains using high-dose parenteral antibiotics for 4 to 8 weeks followed by oral antibiotics for 4 to 8 weeks?
• A client who has just tested positive for human immunodeficiency virus (HIV) does not appear to hear what the nurse is saying during post-test counseling. Which information should the nurse offer to facilitate the client's adjustment to HIV infection?
• A bedfast client refuses to turn; how should the nurse assess possible dependent edema?
• Superior vena cava syndrome is most likely caused by compression from outside structures, such as a tumor. Which location of a primary tumor is most commonly implicated?
• Which assessment finding indicates a client with an acute asthma exacerbation is beginning to improve after treatment?
• If a price increases from $40 to $52, what is the percent increase?
• A male client who recently had an inguinal herniorrhaphy has a distended lower abdomen with dullness to percussion. What is the priority nursing action?
• A client who has a liver biopsy should be placed in which position to apply pressure at the biopsy site?
• Which sentence demonstrates correct subject-verb grammar with a collective noun?
• During an electrical fire in the ICU, what is the priority nursing action for a patient who is on a ventilator?
• When planning care for a client with right renal calculi, which nursing diagnosis has the highest priority?
• Evaluate 3 + 4 × 2^2 using PEMDAS.
• The nurse is caring for a client who returns to the unit following a colonoscopy. Which finding should the nurse report to the healthcare provider immediately?
• Which statement about postmastectomy drain management is NOT correct?
• In academic writing, which type of evidence best supports credibility when discussing health benefits of regular physical activity?
• For a client who will perform self-catheterization at home, what is the recommended frequency for catheterization?
• The PET scan is commonly used with oncology clients to provide for which diagnostic information?
• According to the Arrhenius definition, which statement correctly describes acids and bases in solution?
• What technique should the nurse perform next in the abdominal examination after visual inspection?
• A couple coping with infertility asks for guidance. What is the best response the nurse should provide?
• In the setting of a circumferential limb burn with signs of compromised circulation, which intervention is definitive?
• Which statement best describes home self-catheterization technique?
• The central point of a passage is best described as the
• What is the primary difference between prokaryotic and eukaryotic cells?
• Which detail would best support the author's main claim about exercise?
• Which STI should the nurse include in a client's teaching plan about the risk for cervical cancer?
• Postoperative abdominal distention is caused by decreased peristalsis. Which nursing intervention helps minimize distention?
• A client with a traumatic brain injury develops clear nasal drainage after injury. Which finding is most important to assess further?
• What does candid mean?