Nurse 1010 Hesi Study Guide Exam
with Accurate Detailed Answers 2026
Updated.
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 7.30
D)Serum potassium 6 mEq/L - Answer Serum potassium 6 mEq/L
The nurse knows that which statement by the mother indicates that the mother understands
safety precautions with her four-month-old infant and her 4 her old child?
A) " I strap the infant car seat on the front seat to face backwards."
B) " I place my infant in the middle of the living room floor on a blanket to play with my 4 year
old while I make supper in the kitchen."
C) " My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the
four year old naps on the sofa"
D) I have the 4 year old hold and help feed the four month old a bottle in the kitchen while I
make supper - Answer I have the 4 year old hold and help feed the four month old a bottle in
the kitchen while I make supper
Upon completing the admission documents, the nurse learns that the 87 year old client does
not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary - Answer Give information about advance directives
A nurse administers the influenza vaccine to a client in a clinic.Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
and difficulty breathing. The nurse expects that the first action in the sequence of care for this
client will be to
A) Maintain the airway
B) Administer epinephrine 1::1000 as ordered
C) Monitor for hypotension with shock
,D) Administer diphenhydramine as ordered - Answer Administer epinephrine 1::1000 as
ordered
Which of these children at the site of a disaster at a child day care center would the triage nurse
put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture
D) A school age child with singed eyebrows and hair on the arms - Answer A toddler with
severe deep abrasions over 98% of the body
When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to
A) Change whichever item is incorrect information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admission office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - Answer Notify the admission
office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order that was written
right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification - Answer Call the provider for clarification
Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of liquid every hour for the next two days
D) Measure the urine output for the next day and immediately notify the health care provider if
it should decrease - Answer Measure the urine output for the next day immediately notify
the health care provider if it should decrease.
An adult client is found to be unresponsive on morning rounds. After checking for
responsiveness and calling for help, the next action that should be taken by the nurse is to :
A) check the carotid pulse
,B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway - Answer open the client's airway
A client has an order for 1000 ml of D5W over 8 hour period. The nurse discovers that 800 ml
has been infused after 4 hours. What is the priority nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible problems
C) Check the vital signs
D) Auscultate the lungs - Answer Auscultate the lungs
Following change of shift report on an orthopedic unit, which client should the nurse see first?
A) 16 year old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year old recovering from surgery after a hip replacement 2 hours ago
D) 75 year old who is in skin traction prior to planned hip pinning surgery - Answer 72 year
old recovering from surgery after a hip replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by having the client lie
on the left side for the administration. The family member pushed the suppository until the
finger went up to the second knuckle. After 10 minutes the client was told by the family
member to turn to the right side and the client did this . What is the appropriate comment for
the nurse to make
A.) Why don't we now have the client turn back to the left side
B) That was done correctly.Did you have problems with the insertions
C) Let's check to see if the suppository is in far enough
D) Did you feel any stool in the intestinal tract - Answer That was done correctly. Did you
have problems with the insertions
A client has altered renal function and is being treated at home. The nurse recognizes that the
most accurate indicator of
fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight - Answer Weekly weight
, A client has been diagnosed with zollinger-ellison syndrome. Which information is most
important for the nurse to reinforce with the client
A) It is a condition in which one or more tumors called gastrinomas for in the pancreas or in the
upper part of the small intestine
B) It is critical to report promptly to your health care provider any findings of peptic ulcers
C) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,
surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of
the stomach or intestine - Answer It is critical to report promptly to your health care
provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that
the clients blood pressure is increasing. Which action should the nurse take first.
A) Check the protein level in urine
B) Have the client turn to the left side
C)take the temperature
D) Monitor the urine output - Answer Have the client turn to the left side
A client with a diagnosis of Methicillin resistant staphylococcus aureus ( MRSA) died. Which type
of precautions is the appropriate type to use when performing postmortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions - Answer contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen
Which sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
D) Void continuously and catch some of the urine - Answer clean the meatus, begin voiding,
then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily?
A) spaghetti
B) watermelon
C) chicken
with Accurate Detailed Answers 2026
Updated.
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 7.30
D)Serum potassium 6 mEq/L - Answer Serum potassium 6 mEq/L
The nurse knows that which statement by the mother indicates that the mother understands
safety precautions with her four-month-old infant and her 4 her old child?
A) " I strap the infant car seat on the front seat to face backwards."
B) " I place my infant in the middle of the living room floor on a blanket to play with my 4 year
old while I make supper in the kitchen."
C) " My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the
four year old naps on the sofa"
D) I have the 4 year old hold and help feed the four month old a bottle in the kitchen while I
make supper - Answer I have the 4 year old hold and help feed the four month old a bottle in
the kitchen while I make supper
Upon completing the admission documents, the nurse learns that the 87 year old client does
not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary - Answer Give information about advance directives
A nurse administers the influenza vaccine to a client in a clinic.Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
and difficulty breathing. The nurse expects that the first action in the sequence of care for this
client will be to
A) Maintain the airway
B) Administer epinephrine 1::1000 as ordered
C) Monitor for hypotension with shock
,D) Administer diphenhydramine as ordered - Answer Administer epinephrine 1::1000 as
ordered
Which of these children at the site of a disaster at a child day care center would the triage nurse
put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture
D) A school age child with singed eyebrows and hair on the arms - Answer A toddler with
severe deep abrasions over 98% of the body
When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to
A) Change whichever item is incorrect information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admission office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - Answer Notify the admission
office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order that was written
right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification - Answer Call the provider for clarification
Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of liquid every hour for the next two days
D) Measure the urine output for the next day and immediately notify the health care provider if
it should decrease - Answer Measure the urine output for the next day immediately notify
the health care provider if it should decrease.
An adult client is found to be unresponsive on morning rounds. After checking for
responsiveness and calling for help, the next action that should be taken by the nurse is to :
A) check the carotid pulse
,B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway - Answer open the client's airway
A client has an order for 1000 ml of D5W over 8 hour period. The nurse discovers that 800 ml
has been infused after 4 hours. What is the priority nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible problems
C) Check the vital signs
D) Auscultate the lungs - Answer Auscultate the lungs
Following change of shift report on an orthopedic unit, which client should the nurse see first?
A) 16 year old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year old recovering from surgery after a hip replacement 2 hours ago
D) 75 year old who is in skin traction prior to planned hip pinning surgery - Answer 72 year
old recovering from surgery after a hip replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by having the client lie
on the left side for the administration. The family member pushed the suppository until the
finger went up to the second knuckle. After 10 minutes the client was told by the family
member to turn to the right side and the client did this . What is the appropriate comment for
the nurse to make
A.) Why don't we now have the client turn back to the left side
B) That was done correctly.Did you have problems with the insertions
C) Let's check to see if the suppository is in far enough
D) Did you feel any stool in the intestinal tract - Answer That was done correctly. Did you
have problems with the insertions
A client has altered renal function and is being treated at home. The nurse recognizes that the
most accurate indicator of
fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight - Answer Weekly weight
, A client has been diagnosed with zollinger-ellison syndrome. Which information is most
important for the nurse to reinforce with the client
A) It is a condition in which one or more tumors called gastrinomas for in the pancreas or in the
upper part of the small intestine
B) It is critical to report promptly to your health care provider any findings of peptic ulcers
C) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,
surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of
the stomach or intestine - Answer It is critical to report promptly to your health care
provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that
the clients blood pressure is increasing. Which action should the nurse take first.
A) Check the protein level in urine
B) Have the client turn to the left side
C)take the temperature
D) Monitor the urine output - Answer Have the client turn to the left side
A client with a diagnosis of Methicillin resistant staphylococcus aureus ( MRSA) died. Which type
of precautions is the appropriate type to use when performing postmortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions - Answer contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen
Which sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
D) Void continuously and catch some of the urine - Answer clean the meatus, begin voiding,
then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily?
A) spaghetti
B) watermelon
C) chicken
