1
NR226 HESI EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS LATEST
UPDATE (2026/2027) GUARANTEED
PASS
When donning sterile gloves, how should the second glove be handled?
1
Grasp by cuff and place on remaining hand.
2
Place sterile glove under cuff, and slide hand in glove.
3
Grasp inside second glove and place on nondominant hand.
4
Don glove on nondominant hand first, then hold below waist and slide on. correct
answer 2
Sterile gloves can only be handled by sterile equipment, or they are
contaminated. The sterile glove that has been donned may touch under the cuff
on the sterile surface as the nondominant hand is inserted. The sterile glove may
not touch the inside of the glove. Donning a sterile glove and placing below the
waist means contamination, as under the waist or in back is contaminated.
Grasping by the cuff means the inside of the glove has been touched.
A hospice nurse is caring for a dying client while several family members are in
the room. When the client dies, the initial nursing intervention during the shock
phase of a grief reaction is focused on what?
1
Staying with the individuals involved
2
Directing the individual's' activities at this time
3
, 2
Mobilizing the support systems of the individuals
4
Presenting the full reality of the loss to the individuals correct answer 1
Staying with the individuals involved provides support until the individuals' coping
mechanisms and personal support systems can be mobilized. Directing the
individuals' activities at this time is not the role of the nurse. The individuals, not
the nurse, must mobilize their support systems. The individuals need time before
the full reality of the loss can be accepted.
A dehydrated 2-month-old infant with a history of diarrhea is admitted to the
pediatric unit. Oral rehydration therapy is instituted. What is the most accurate
method of monitoring the infant's hydration status?
1
Counting wet diapers
2
Obtaining daily weights
3
Measuring intake and output
4
Checking tissue turgor of the abdomen correct answer 2
Daily weighing provides an objective measurement, because a weight loss
indicates a loss of fluid; approximately 1 kg (2.2 lb) is equal to 1 L of fluid.
Although a wet diaper count is an objective measure, it is necessary to weigh the
diapers before and after the infant voids to estimate the amount of fluid loss.
Intake can be measured accurately; however, output, especially with diarrhea, is
difficult to measure. Tissue turgor is a subjective assessment, open to a variety of
interpretations. Also, the site that should be assessed is over the sternum, not
the abdomen.
A nurse is assessing a client with a diagnosis of primary insomnia. Which findings
from the client's history may be the cause of this disorder? Select all that apply.
1
Chronic stress
2
Severe anxiety
3
Generalized pain
, 3
4
Excessive caffeine
5
Chronic depression
6
Environmental noise/distractors correct answer 1,4,6
Acute or primary insomnia is caused by emotional or physical stress not related
to the direct physiologic effects of a substance or illness. Excessive caffeine intake
can cause disruptive sleep hygiene; caffeine is a stimulant that inhibits sleep.
Environmental noise causes physical and emotional discomfort and is therefore
related to primary insomnia. Severe anxiety is usually related to a psychiatric
disorder and therefore causes secondary insomnia. Generalized pain is usually
related to a medical or neurologic problem and therefore causes secondary
insomnia. Chronic depression is usually related to a psychiatric disorder and
therefore causes secondary insomnia.
A client who had a cerebrovascular accident (also known as a "brain attack")
becomes incontinent of feces. What is the most important nursing action to
support the success of a bowel training program?
1
Using medication to induce elimination
2
Adhering to a definite time for attempted evacuations
3
Considering previous habits associated with defecation
4
Timing of elimination to take advantage of the gastrocolic reflex correct answer 2
Bowel training is a program for the development of a conditioned reflex that
controls regular emptying of the bowel. The key to success is adherence to a
strict time for evacuation based on the client's individual schedule. The
indiscriminate use of laxatives can result in dependency. Although previous habits
should be considered, the brain attack affects the responses of the client by
altering motility, peristalsis, and sphincter control despite adherence to previous
habits. The passage of food into the stomach does stimulate peristalsis, but it is
only one factor that should be considered when planning a specific time for
evacuation.
NR226 HESI EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS LATEST
UPDATE (2026/2027) GUARANTEED
PASS
When donning sterile gloves, how should the second glove be handled?
1
Grasp by cuff and place on remaining hand.
2
Place sterile glove under cuff, and slide hand in glove.
3
Grasp inside second glove and place on nondominant hand.
4
Don glove on nondominant hand first, then hold below waist and slide on. correct
answer 2
Sterile gloves can only be handled by sterile equipment, or they are
contaminated. The sterile glove that has been donned may touch under the cuff
on the sterile surface as the nondominant hand is inserted. The sterile glove may
not touch the inside of the glove. Donning a sterile glove and placing below the
waist means contamination, as under the waist or in back is contaminated.
Grasping by the cuff means the inside of the glove has been touched.
A hospice nurse is caring for a dying client while several family members are in
the room. When the client dies, the initial nursing intervention during the shock
phase of a grief reaction is focused on what?
1
Staying with the individuals involved
2
Directing the individual's' activities at this time
3
, 2
Mobilizing the support systems of the individuals
4
Presenting the full reality of the loss to the individuals correct answer 1
Staying with the individuals involved provides support until the individuals' coping
mechanisms and personal support systems can be mobilized. Directing the
individuals' activities at this time is not the role of the nurse. The individuals, not
the nurse, must mobilize their support systems. The individuals need time before
the full reality of the loss can be accepted.
A dehydrated 2-month-old infant with a history of diarrhea is admitted to the
pediatric unit. Oral rehydration therapy is instituted. What is the most accurate
method of monitoring the infant's hydration status?
1
Counting wet diapers
2
Obtaining daily weights
3
Measuring intake and output
4
Checking tissue turgor of the abdomen correct answer 2
Daily weighing provides an objective measurement, because a weight loss
indicates a loss of fluid; approximately 1 kg (2.2 lb) is equal to 1 L of fluid.
Although a wet diaper count is an objective measure, it is necessary to weigh the
diapers before and after the infant voids to estimate the amount of fluid loss.
Intake can be measured accurately; however, output, especially with diarrhea, is
difficult to measure. Tissue turgor is a subjective assessment, open to a variety of
interpretations. Also, the site that should be assessed is over the sternum, not
the abdomen.
A nurse is assessing a client with a diagnosis of primary insomnia. Which findings
from the client's history may be the cause of this disorder? Select all that apply.
1
Chronic stress
2
Severe anxiety
3
Generalized pain
, 3
4
Excessive caffeine
5
Chronic depression
6
Environmental noise/distractors correct answer 1,4,6
Acute or primary insomnia is caused by emotional or physical stress not related
to the direct physiologic effects of a substance or illness. Excessive caffeine intake
can cause disruptive sleep hygiene; caffeine is a stimulant that inhibits sleep.
Environmental noise causes physical and emotional discomfort and is therefore
related to primary insomnia. Severe anxiety is usually related to a psychiatric
disorder and therefore causes secondary insomnia. Generalized pain is usually
related to a medical or neurologic problem and therefore causes secondary
insomnia. Chronic depression is usually related to a psychiatric disorder and
therefore causes secondary insomnia.
A client who had a cerebrovascular accident (also known as a "brain attack")
becomes incontinent of feces. What is the most important nursing action to
support the success of a bowel training program?
1
Using medication to induce elimination
2
Adhering to a definite time for attempted evacuations
3
Considering previous habits associated with defecation
4
Timing of elimination to take advantage of the gastrocolic reflex correct answer 2
Bowel training is a program for the development of a conditioned reflex that
controls regular emptying of the bowel. The key to success is adherence to a
strict time for evacuation based on the client's individual schedule. The
indiscriminate use of laxatives can result in dependency. Although previous habits
should be considered, the brain attack affects the responses of the client by
altering motility, peristalsis, and sphincter control despite adherence to previous
habits. The passage of food into the stomach does stimulate peristalsis, but it is
only one factor that should be considered when planning a specific time for
evacuation.
