Science Medicine Nursing
BSN 225 HESI PRACTICE EXAM QUESTIONS AND ANSWERS
2026/2027 LATEST UPDATE
A nurse is preparing to give medications through a nasogastric a.) Mix each medication individually.
feeding tube. Which nursing action should prevent
complications during administration?
Rationale: When administering medications through a nasogastric feeding tube, the
a.) Mix each medication individually. medications should be mixed separately to prevent clumping.
b.) Use sterile gloves for the procedure.
c.) Monitor vital signs before giving medications.
d.) Mix all medications together to facilitate administration.
The nurse is assessing the nutritional status of several clients. B.) A lactating woman nursing her 3-day-old infant.
Which client has the greatest nutritional need for additional
intake of protein?
Rationale: A lactating woman has the greatest need for additional protein intake.
a.) A college-age track runner with a sprained ankle. Orthopedic injuries, type 2 diabetes, and peptic ulcers are all conditions that require
b.) A lactating woman nursing her 3-day-old infant. protein, but do not have the increased metabolic protein demands of lactation.
c.) A school-aged child with Type 2 diabetes.
d.) An elderly man being treated for a peptic ulcer.
A female client with a nasogastric tube attached to low b.) Reposition the client on her side.
suction states that she is nauseated. The nurse assesses that
there has been no drainage through the nasogastric tube in
the last two hours. Which action should the nurse take first?
A.) Irrigate the nasogastric tube with sterile normal saline. Rationale: The nurse has identified two things suggesting the the nasogastric tube is not
B.) Reposition the client on her side. functioning properly; the client is nauseated and no drainage from the tube in 2 hours. The
C.) Advance the nasogastric tube an additional five immediate priority is to determine if the tube is functioning correctly, which would then
centimeters. relieve the client's nausea. The least invasive intervention should be attempted first. This
D.) Administer an intravenous antiemetic prescribed for PRN includes repositioning the client to her side. The tube may need to be irrigated or
use. advanced but these actions should follow repositioning the client.
1/5
, The nurse notices that the Hispanic parents of a toddler who d.) "Hot" remedies restore balance after surgery, which is considered a "cold" condition.
returns from surgery offer the child only the broth that comes
on the clear liquid tray. Other liquids, including gelatin,
popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior? Rationale: Common parental practices and health beliefs among Hispanic, Chinese,
A.) The belief is held that the "evil eye" enters the child if Filipino, and Arab cultures classify diseases, areas of the body, and illnesses as "hot" or
anything cold is ingested. "cold" and must be balanced to maintain health and prevent illness. The perception that
B.) After surgery the child probably has refused all foods surgery is a "cold" condition implies that only "hot" remedies, such as soup, should be
except broth. used to restore the healthy balance within the body.
C.) Eating broth strengthens the child's innate energy called
"chi."
D.) "Hot" remedies restore balance after surgery, which is
considered a "cold" condition.
The nurse is performing nasotracheal suctioning. After d.) Re-oxygenate the client before attempting to suction again.
suctioning the client's trachea for fifteen seconds, large
amounts of thick yellow secretions return. What action should
the nurse implement next?
a.) Encourage the client to cough to help loosen secretions. Rationale: Nasotracheal suctioning should not be continued for longer than ten to fifteen
b.) Advise the client to increase the intake of oral fluids. seconds, since the client's oxygenation is compromised during this time. Additional
c.) Rotate the suction catheter to obtain any remaining suctioning may continue after the client has received oxygen.
secretions.
d.) Re-oxygenate the client before attempting to suction again.
The nurse witnesses the signature of a client who has signed a.) The client voluntarily signed the form.
an informed consent. Which statement best explains this
nursing responsibility?
A.) The client voluntarily signed the form. Rationale: The nurse signs the consent form to witness that the client voluntarily signs the
B.) The client fully understands the procedure. consent, that the client's signature is authentic, and that the client is otherwise competent
C.) The client agrees with the procedure to be done. to give consent. It is the healthcare provider's responsibility to ensure that the client fully
D.) The client authorizes continued treatment. understands the procedure. The nurse's signature does not indicate that the client agrees
to or authorizes treatment.
2/5
BSN 225 HESI PRACTICE EXAM QUESTIONS AND ANSWERS
2026/2027 LATEST UPDATE
A nurse is preparing to give medications through a nasogastric a.) Mix each medication individually.
feeding tube. Which nursing action should prevent
complications during administration?
Rationale: When administering medications through a nasogastric feeding tube, the
a.) Mix each medication individually. medications should be mixed separately to prevent clumping.
b.) Use sterile gloves for the procedure.
c.) Monitor vital signs before giving medications.
d.) Mix all medications together to facilitate administration.
The nurse is assessing the nutritional status of several clients. B.) A lactating woman nursing her 3-day-old infant.
Which client has the greatest nutritional need for additional
intake of protein?
Rationale: A lactating woman has the greatest need for additional protein intake.
a.) A college-age track runner with a sprained ankle. Orthopedic injuries, type 2 diabetes, and peptic ulcers are all conditions that require
b.) A lactating woman nursing her 3-day-old infant. protein, but do not have the increased metabolic protein demands of lactation.
c.) A school-aged child with Type 2 diabetes.
d.) An elderly man being treated for a peptic ulcer.
A female client with a nasogastric tube attached to low b.) Reposition the client on her side.
suction states that she is nauseated. The nurse assesses that
there has been no drainage through the nasogastric tube in
the last two hours. Which action should the nurse take first?
A.) Irrigate the nasogastric tube with sterile normal saline. Rationale: The nurse has identified two things suggesting the the nasogastric tube is not
B.) Reposition the client on her side. functioning properly; the client is nauseated and no drainage from the tube in 2 hours. The
C.) Advance the nasogastric tube an additional five immediate priority is to determine if the tube is functioning correctly, which would then
centimeters. relieve the client's nausea. The least invasive intervention should be attempted first. This
D.) Administer an intravenous antiemetic prescribed for PRN includes repositioning the client to her side. The tube may need to be irrigated or
use. advanced but these actions should follow repositioning the client.
1/5
, The nurse notices that the Hispanic parents of a toddler who d.) "Hot" remedies restore balance after surgery, which is considered a "cold" condition.
returns from surgery offer the child only the broth that comes
on the clear liquid tray. Other liquids, including gelatin,
popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior? Rationale: Common parental practices and health beliefs among Hispanic, Chinese,
A.) The belief is held that the "evil eye" enters the child if Filipino, and Arab cultures classify diseases, areas of the body, and illnesses as "hot" or
anything cold is ingested. "cold" and must be balanced to maintain health and prevent illness. The perception that
B.) After surgery the child probably has refused all foods surgery is a "cold" condition implies that only "hot" remedies, such as soup, should be
except broth. used to restore the healthy balance within the body.
C.) Eating broth strengthens the child's innate energy called
"chi."
D.) "Hot" remedies restore balance after surgery, which is
considered a "cold" condition.
The nurse is performing nasotracheal suctioning. After d.) Re-oxygenate the client before attempting to suction again.
suctioning the client's trachea for fifteen seconds, large
amounts of thick yellow secretions return. What action should
the nurse implement next?
a.) Encourage the client to cough to help loosen secretions. Rationale: Nasotracheal suctioning should not be continued for longer than ten to fifteen
b.) Advise the client to increase the intake of oral fluids. seconds, since the client's oxygenation is compromised during this time. Additional
c.) Rotate the suction catheter to obtain any remaining suctioning may continue after the client has received oxygen.
secretions.
d.) Re-oxygenate the client before attempting to suction again.
The nurse witnesses the signature of a client who has signed a.) The client voluntarily signed the form.
an informed consent. Which statement best explains this
nursing responsibility?
A.) The client voluntarily signed the form. Rationale: The nurse signs the consent form to witness that the client voluntarily signs the
B.) The client fully understands the procedure. consent, that the client's signature is authentic, and that the client is otherwise competent
C.) The client agrees with the procedure to be done. to give consent. It is the healthcare provider's responsibility to ensure that the client fully
D.) The client authorizes continued treatment. understands the procedure. The nurse's signature does not indicate that the client agrees
to or authorizes treatment.
2/5
