NURSING MSN570 HESI RN ADVANCED 100
ACTUAL TEST SCRIPT 2026 VERIFIED
SOLUTIONS
◉ Which serum laboratory value should the nurse monitor carefully
for a client who has a nasogastric (NG) tube to suction for the past
week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium Answer: D
Rationale: Monitoring serum sodium levels for hyponatremia is
indicated during prolonged NG suctioning because of loss of fluids.
Changes in levels of option A, B, or C are not typically associated
with prolonged NG suctioning.
◉ A female client with frequent urinary tract infections (UTIs) asks
the nurse to explain her friend's advice about drinking a glass of
juice daily to prevent future UTIs. Which response is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
,D. Grapefruit juice increases absorption of most antibiotics. Answer:
C
Rationale: Cranberry juice maintains urinary tract health by
reducing the adherence of Escherichia coli bacteria to cells within
the bladder. Options A, B, and D have not been shown to be as
effective as cranberry juice in preventing UTIs.
◉ The nurse is counting a client's respiratory rate. During a 30-
second interval, the nurse counts six respirations and the client
coughs three times. In repeating the count for a second 30-second
interval, the nurse counts eight respirations. Which respiratory rate
should the nurse document?
A. 14
B. 16
C. 17
D. 28 Answer: B
Rationale: The most accurate respiratory rate is the second count
obtained by the nurse, which was not interrupted by coughing.
Because it was counted for 30 seconds, the rate should be doubled.
Options A, C, and D are inaccurate recordings.
◉ The nurse is teaching an obese client, newly diagnosed with
arteriosclerosis, about reducing the risk of a heart attack or stroke.
Which health promotion brochure is most important for the nurse to
provide to this client?
,A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" Answer: C
Rationale: A health promotion brochure about decreasing
cholesterol is most important to provide this client, because the
most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and
cholesterol. Option A does not address the underlying causes of
arteriosclerosis. Options B and D are also important factors for
reversing arteriosclerosis but are not as important as lowering
cholesterol.
◉ The nurse finds a client crying behind a locked bathroom door.
The client will not open the door. Which action should the nurse
implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay and keep
talking to the client.
B. Sit quietly in the client's room until the client leaves the
bathroom.
C. Allow the client to cry alone and leave the client in the bathroom.
D. Talk to the client and attempt to find out why the client is crying.
Answer: D
Rationale: The nurse's first concern should be for the client's safety,
so an immediate assessment of the client's situation is needed.
, Option A is incorrect; the nurse should implement the intervention.
The nurse may offer to stay nearby after first assessing the situation
more fully. Although option C may be correct, the nurse should
determine if the client's safety is compromised and offer assistance,
even if it is refused.
◉ A client in a long-term care facility reports to the nurse that he
has not had a bowel movement in 2 days. Which intervention should
the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at
mealtimes.
B. Notify the health care provider and request a prescription for a
large-volume enema.
C. Assess the client's medical record to determine the client's normal
bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce
glasses per day. Answer: C
Rationale: This client may not routinely have a daily bowel
movement, so the nurse should first assess this client's normal
bowel habits before attempting any intervention. Option A, B, or D
may then be implemented, if warranted.
◉ A 65-year-old client who attends an adult daycare program and is
wheelchair-mobile has redness in the sacral area. Which instruction
is most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
ACTUAL TEST SCRIPT 2026 VERIFIED
SOLUTIONS
◉ Which serum laboratory value should the nurse monitor carefully
for a client who has a nasogastric (NG) tube to suction for the past
week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium Answer: D
Rationale: Monitoring serum sodium levels for hyponatremia is
indicated during prolonged NG suctioning because of loss of fluids.
Changes in levels of option A, B, or C are not typically associated
with prolonged NG suctioning.
◉ A female client with frequent urinary tract infections (UTIs) asks
the nurse to explain her friend's advice about drinking a glass of
juice daily to prevent future UTIs. Which response is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
,D. Grapefruit juice increases absorption of most antibiotics. Answer:
C
Rationale: Cranberry juice maintains urinary tract health by
reducing the adherence of Escherichia coli bacteria to cells within
the bladder. Options A, B, and D have not been shown to be as
effective as cranberry juice in preventing UTIs.
◉ The nurse is counting a client's respiratory rate. During a 30-
second interval, the nurse counts six respirations and the client
coughs three times. In repeating the count for a second 30-second
interval, the nurse counts eight respirations. Which respiratory rate
should the nurse document?
A. 14
B. 16
C. 17
D. 28 Answer: B
Rationale: The most accurate respiratory rate is the second count
obtained by the nurse, which was not interrupted by coughing.
Because it was counted for 30 seconds, the rate should be doubled.
Options A, C, and D are inaccurate recordings.
◉ The nurse is teaching an obese client, newly diagnosed with
arteriosclerosis, about reducing the risk of a heart attack or stroke.
Which health promotion brochure is most important for the nurse to
provide to this client?
,A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" Answer: C
Rationale: A health promotion brochure about decreasing
cholesterol is most important to provide this client, because the
most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and
cholesterol. Option A does not address the underlying causes of
arteriosclerosis. Options B and D are also important factors for
reversing arteriosclerosis but are not as important as lowering
cholesterol.
◉ The nurse finds a client crying behind a locked bathroom door.
The client will not open the door. Which action should the nurse
implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay and keep
talking to the client.
B. Sit quietly in the client's room until the client leaves the
bathroom.
C. Allow the client to cry alone and leave the client in the bathroom.
D. Talk to the client and attempt to find out why the client is crying.
Answer: D
Rationale: The nurse's first concern should be for the client's safety,
so an immediate assessment of the client's situation is needed.
, Option A is incorrect; the nurse should implement the intervention.
The nurse may offer to stay nearby after first assessing the situation
more fully. Although option C may be correct, the nurse should
determine if the client's safety is compromised and offer assistance,
even if it is refused.
◉ A client in a long-term care facility reports to the nurse that he
has not had a bowel movement in 2 days. Which intervention should
the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at
mealtimes.
B. Notify the health care provider and request a prescription for a
large-volume enema.
C. Assess the client's medical record to determine the client's normal
bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce
glasses per day. Answer: C
Rationale: This client may not routinely have a daily bowel
movement, so the nurse should first assess this client's normal
bowel habits before attempting any intervention. Option A, B, or D
may then be implemented, if warranted.
◉ A 65-year-old client who attends an adult daycare program and is
wheelchair-mobile has redness in the sacral area. Which instruction
is most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
