HESI Final Exam NSG123 PREPARATION
HESI FINAL EXAM NSG123 PREPARATION FOR 2025/2026 WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and ? % proximal right coronary artery (RCA). The client later asks the nurse "what
does all this mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which
necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow
getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and
fluid retention.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow
getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg.
The heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml
should the nurse administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.)
0.6 ml
What information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
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, HESI Final Exam NSG123 PREPARATION
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs
C. Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which
position should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest
A. left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
C. Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness
2|Page
, HESI Final Exam NSG123 PREPARATION
C. Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft graft to promote burn healing. Which information should the
nurse provide this client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches
B. The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and eviscerates. The nurse moistens an available sterile dressing and places it over
the wound. What intervention should the nurse implement next?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity
B. Prepare the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117 mEq/L. Which nursing problem should the nurse include in
this client's plan of care?
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output
C. Fluid volume excess
3|Page
, HESI Final Exam NSG123 PREPARATION
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After ruling
out substance withdrawal, the healthcare provider suspects hyperthyroidism and
admits her for further testing. Which action should the nurse implement?
A. Begin preparing client for thyroidectomy procedure
B. Space the client's care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blankets to prevent heat loss
B. Space the client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran cereal
B. Restrict protein intake by limiting meats and other high-protein foods
C. Limit oral fluid intake to 500 ml per day
D. Increase intake of potassium-rich foods such as bananas or cantaloupe
B. Restrict protein intake by limiting meats and other high-protein foods
An overweight, young adult made who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement? (Select
all that apply.)
A. Check his fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin
4|Page
HESI FINAL EXAM NSG123 PREPARATION FOR 2025/2026 WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and ? % proximal right coronary artery (RCA). The client later asks the nurse "what
does all this mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which
necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow
getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart failure and
fluid retention.
C. Three main arteries have major blockages, with only 1 to 5% of blood flow
getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg.
The heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml
should the nurse administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.)
0.6 ml
What information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
1|Page
, HESI Final Exam NSG123 PREPARATION
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs
C. Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which
position should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest
A. left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without becoming nauseated and vomiting. Which finding
should the nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
C. Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness
2|Page
, HESI Final Exam NSG123 PREPARATION
C. Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft graft to promote burn healing. Which information should the
nurse provide this client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches
B. The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and eviscerates. The nurse moistens an available sterile dressing and places it over
the wound. What intervention should the nurse implement next?
A. Bring additional sterile dressing supplies to the room
B. Prepare the client to return to the operating room
C. Obtain a sample of the drainage to send to the lab
D. Auscultate the abdomen for bowel sound activity
B. Prepare the client to return to the operating room
A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117 mEq/L. Which nursing problem should the nurse include in
this client's plan of care?
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output
C. Fluid volume excess
3|Page
, HESI Final Exam NSG123 PREPARATION
A female client enters the clinic and insists on being seen. She is weak, nervous,
and reports a racing heart beat and recent weight loss of 15 pounds. After ruling
out substance withdrawal, the healthcare provider suspects hyperthyroidism and
admits her for further testing. Which action should the nurse implement?
A. Begin preparing client for thyroidectomy procedure
B. Space the client's care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blankets to prevent heat loss
B. Space the client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran cereal
B. Restrict protein intake by limiting meats and other high-protein foods
C. Limit oral fluid intake to 500 ml per day
D. Increase intake of potassium-rich foods such as bananas or cantaloupe
B. Restrict protein intake by limiting meats and other high-protein foods
An overweight, young adult made who was recently diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery. Which actions should the nurse implement? (Select
all that apply.)
A. Check his fingerstick glucose level
B. Assess his skin temperature and moisture
C. Measure his pulse and blood pressure
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin
4|Page
