HESI NURSING CARE SCENARIOS EXAM 2025| 200 QUESTIONS WITH ACCURATE
SOLUTIONS
1. What is the total volume of normal saline that the client is to receive for
the potassium chloride infusion?
100 ml
250 ml
500 ml
1000 ml
2. What is the first action a nurse should take if a desired outcome in a
client's plan of care is not achieved?
Establish a new nursing diagnosis.
Note which actions were not implemented.
Add additional nursing orders to the plan.
Collaborate with the healthcare provider to make changes.
3. What is the primary concern for a nurse when a client's infusion of
normal saline has infiltrated and the client is experiencing severe arm
pain?
Assessing the client's pain level using a standardized
scale. Determining the client's history of medication
allergies.
Measuring the pulse volume and capillary refill distal to
the infiltration.
Administering a stronger pain medication immediately.
4. Explain the process used to determine the volume of morphine sulfate to
administer based on the prescribed dosage.
The nurse subtracts the prescribed dose from the concentration.
, The nurse uses a ratio and proportion method to calculate
the volume.
The nurse multiplies the concentration by the prescribed dose.
The nurse divides the concentration by the prescribed dose.
5. A client with a nasogastric tube is experiencing abdominal distension
and discomfort. After repositioning the client and confirming there is still
no
drainage, which action should the nurse take next?
Irrigate the nasogastric tube with sterile normal saline.
Administer an oral antiemetic.
Increase the suction setting on the nasogastric tube.
Notify the healthcare provider immediately.
6. An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings through a gastronomy
tube. What is the best client position for administration of the bolus tube
feedings?
Prone
Fowler's
Sim's
Supine
7. Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The
scored tablets are labeled grain 1.5 per tablet. How many tablets should
the nurse plan to administer?
0.5 tablet
1 tablet
1.5 tablets
2 tablets
,8. A nurse is teaching a family member how to assist a patient with
limited mobility in performing passive range-of-motion exercises. If
the family
member is unsure about how to support the patient's arm, what should
the nurse emphasize to ensure safe and effective exercise?
The family member should support the arm above and below the
elbow.
The family member should grip the arm directly under the joint
for better support.
The family member should keep the joint covered to maintain
warmth.
The family member should encourage the patient to perform the
exercises independently.
9. Furosemide (Lasix®) is ordered 50 mg IV push. On hand is 20 mg/mL. How
many mL would you administer?
5 mL
2 mL
10. A male pt tells the LPN that he does not know where he is or what year
it is. What data should the LPN document?
"Patient demonstrates loss of remote memory."
"Patient exhibits expressive dysphasia"
"Patient has a diminished attention span."
"Patient is disoriented to place and time."
11. A medication order indicates 1500 Units of heparin to be administered
via intravenous infusion per hour. The pharmacy provides a heparin IV
bag
containing 20,000 units of heparin in 250 mL D5W. Determine how many
mL should be administered per minute.
0.1 mL/min
0.2 mL/min
, 0.3mL/min
0.4mL/min
0.5mL/min
12. What is the prescribed dosage of metolazone (Zaroxolyn) in the given
scenario?
5 mg
7.5 mg
10 mg
15 mg
13. If a different medication is prescribed at 0.2 grams PRN at bedtime,
how many tablets should the nurse administer if each tablet is labeled
as 1
grain?
1 tablet
2 tablets
3 tablets
4 tablets
14. The practitioner orders 2 units of packed RBCs for a client who is
bleeding. Before blood administration, what is the nurse's
priority?
Obtaining the client's vital signs
Letting the blood reach room temperature
Monitoring the hemoglobin and hematocrit levels
Determining proper typing and crossmatching of blood
SOLUTIONS
1. What is the total volume of normal saline that the client is to receive for
the potassium chloride infusion?
100 ml
250 ml
500 ml
1000 ml
2. What is the first action a nurse should take if a desired outcome in a
client's plan of care is not achieved?
Establish a new nursing diagnosis.
Note which actions were not implemented.
Add additional nursing orders to the plan.
Collaborate with the healthcare provider to make changes.
3. What is the primary concern for a nurse when a client's infusion of
normal saline has infiltrated and the client is experiencing severe arm
pain?
Assessing the client's pain level using a standardized
scale. Determining the client's history of medication
allergies.
Measuring the pulse volume and capillary refill distal to
the infiltration.
Administering a stronger pain medication immediately.
4. Explain the process used to determine the volume of morphine sulfate to
administer based on the prescribed dosage.
The nurse subtracts the prescribed dose from the concentration.
, The nurse uses a ratio and proportion method to calculate
the volume.
The nurse multiplies the concentration by the prescribed dose.
The nurse divides the concentration by the prescribed dose.
5. A client with a nasogastric tube is experiencing abdominal distension
and discomfort. After repositioning the client and confirming there is still
no
drainage, which action should the nurse take next?
Irrigate the nasogastric tube with sterile normal saline.
Administer an oral antiemetic.
Increase the suction setting on the nasogastric tube.
Notify the healthcare provider immediately.
6. An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings through a gastronomy
tube. What is the best client position for administration of the bolus tube
feedings?
Prone
Fowler's
Sim's
Supine
7. Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The
scored tablets are labeled grain 1.5 per tablet. How many tablets should
the nurse plan to administer?
0.5 tablet
1 tablet
1.5 tablets
2 tablets
,8. A nurse is teaching a family member how to assist a patient with
limited mobility in performing passive range-of-motion exercises. If
the family
member is unsure about how to support the patient's arm, what should
the nurse emphasize to ensure safe and effective exercise?
The family member should support the arm above and below the
elbow.
The family member should grip the arm directly under the joint
for better support.
The family member should keep the joint covered to maintain
warmth.
The family member should encourage the patient to perform the
exercises independently.
9. Furosemide (Lasix®) is ordered 50 mg IV push. On hand is 20 mg/mL. How
many mL would you administer?
5 mL
2 mL
10. A male pt tells the LPN that he does not know where he is or what year
it is. What data should the LPN document?
"Patient demonstrates loss of remote memory."
"Patient exhibits expressive dysphasia"
"Patient has a diminished attention span."
"Patient is disoriented to place and time."
11. A medication order indicates 1500 Units of heparin to be administered
via intravenous infusion per hour. The pharmacy provides a heparin IV
bag
containing 20,000 units of heparin in 250 mL D5W. Determine how many
mL should be administered per minute.
0.1 mL/min
0.2 mL/min
, 0.3mL/min
0.4mL/min
0.5mL/min
12. What is the prescribed dosage of metolazone (Zaroxolyn) in the given
scenario?
5 mg
7.5 mg
10 mg
15 mg
13. If a different medication is prescribed at 0.2 grams PRN at bedtime,
how many tablets should the nurse administer if each tablet is labeled
as 1
grain?
1 tablet
2 tablets
3 tablets
4 tablets
14. The practitioner orders 2 units of packed RBCs for a client who is
bleeding. Before blood administration, what is the nurse's
priority?
Obtaining the client's vital signs
Letting the blood reach room temperature
Monitoring the hemoglobin and hematocrit levels
Determining proper typing and crossmatching of blood
