Family Nursing HESI Exam 1

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Sample questions from Family Nursing HESI Exam 1

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 72-year-old client with heart failure is being discharged from a medical unit to home with an adult daughter who provides most of the care. The client has a blood pressure of 128/74 mm Hg, oxygen saturation of 96% on room air, and stable weight for 2 days. The daughter says, "I am not sure I can manage all these medicines." Which nursing action is best before discharge?

   • A.Ask the daughter to describe the medication schedule using teach-back and identify any barriers to following it.
   • B.Tell the daughter to call the clinic if she has questions after the client gets home.
   • C.Provide a printed medication list and ask the daughter to read it later.
   • D.Ask the client to take responsibility for explaining the regimen to the daughter.

   Rationale: Teach-back assesses whether the caregiver can safely carry out the plan and reveals barriers while there is still time to address them. Option B delays clarification, option C does not verify understanding, and option D assumes the client can perform the teaching. The exam takeaway is to assess caregiver capacity and understanding before discharge.

2. 2.A 9-year-old with newly diagnosed type 1 diabetes is seen at a pediatric clinic with a parent and grandmother. The child is alert, glucose is 212 mg/dL, and vital signs are stable. The parent says the grandmother gives insulin differently from the written plan. Which action should the nurse take first?

   • A.Tell the grandmother that only the parent should give insulin.
   • B.Ask the family to describe how each caregiver currently prepares and administers insulin.
   • C.Give the family a general diabetes booklet and end the visit.
   • D.Ask the child to decide which caregiver should give insulin.

   Rationale: Assessing each caregiver's actual technique identifies the specific unsafe steps that need correction and supports a consistent family plan. Option A excludes a caregiver without assessing the situation, option C does not address the discrepancy, and option D places responsibility on a child. The exam takeaway is to assess family routines before planning education.

3. 3.A 15-year-old is seen at a school-based clinic for headaches and poor sleep. Temperature is 36.8 C (98.2 F), pulse 84/min, and blood pressure 112/68 mm Hg. The teen's parent answers every question and refuses to leave the room. What should the nurse do?

   • A.Continue the visit with the parent present because the teen is a minor.
   • B.Ask the parent to leave for a routine portion of the visit, explaining that private time is standard for adolescents.
   • C.End the visit and reschedule when the parent is willing to leave.
   • D.Ask the parent to wait outside only if the teen reports abuse.

   Rationale: Routine confidential time supports adolescent communication and allows screening for safety and health needs, with limits of confidentiality explained. Option A may prevent disclosure, option C delays needed care, and option D makes private time contingent on a disclosure. The exam takeaway is to normalize one-on-one time with adolescents.

4. 4.A 4-year-old arrives at an urgent care clinic with a caregiver who reports a fall from a couch. The child has bruises in different stages of healing on the back and upper arms; temperature is 37.0 C (98.6 F), pulse 118/min, and the child is alert. What is the nurse's priority action?

   • A.Ask the caregiver to explain each bruise while the child is present.
   • B.Document objective findings and promptly follow the facility's child-protection reporting process.
   • C.Wait for the provider to confirm abuse before taking action.
   • D.Tell the caregiver that the bruising pattern proves abuse.

   Answer and rationale are in the full material.

5. 5.A 78-year-old client with mild dementia lives with a spouse who reports increasing exhaustion and difficulty sleeping. The client is medically stable with a temperature of 36.7 C (98.1 F), pulse 76/min, and blood pressure 132/78 mm Hg. Which nursing response best supports the family?

   • A.Explain that caregiving is a family responsibility and should not be delegated.
   • B.Assess caregiver strain and discuss respite services and available support.
   • C.Recommend that the spouse place the client in long-term care immediately.
   • D.Tell the spouse to avoid discussing frustration with the client.

   Answer and rationale are in the full material.